Content from the Journal of the American Neurological Surgeons.
This is a 3.8 kg, 6-day old neonate whose initial presentation was a cardiogenic shock secondary to ductal closure. Upon admission, prostaglandins was initiated and the neonate was stabilized. Echocardiography and Computed tomography scan showed critical coarctation with severe arch hypoplasia and a paramembranous ventricular septal defect. One-stage repair via median sternotomy was performed where…
This video describes a step-by-step demonstration of a robotic assisted sleeve lobectomy for the treatment of a typical carcinoid tumour in the right upper lobe. The tumour was visible in the right upper lobe bronchus during endobronchial examination. We used a four-port approach plus utility port for this procedure. Robotic assistance was provided using the…
Atrial fibrillation (AF) is associated with increased risk of stroke, heart failure and all-cause mortality [1]. When it comes to treating persistent AF, the Cox-Maze procedure is the gold standard. However, it presents significant morbidity and mortality rates. The classical endocardial ablation approach appears to be safer but has limited efficacy to treat long lasting…
Immune checkpoint inhibitors (ICIs) targeting the T-Cell programmed death receptor-1 (PD-1), showed improved survival in patients with locally advanced and metastatic non-small cell lung cancer (NSCLC). However, the role of salvage thoracic surgery in the management of residual disease following immunotherapy or in patients with synchronous cancers has yet to be defined. There are very…
The recording from the Ancona Live Virtual Course – Minimally Invasive and Trans-Catheter Cardiac Surgery – Episode II, presented on June 7 and 8, 2021, is now available! Click Here to Watch Recording Dear Friends and Colleagues, With 5332 devices connected from 81 countries, the Ancona Live Virtual Course – Minimally Invasive and Trans-Catheter Cardiac…
This is a 52-year-old man with hypertrophic obstructive cardiomyopathy (HOCM). He has been on maximal medical therapy with combination of Beta blockers and calcium channel blockers with progression of his symptoms especially during exertion. Preoperative evaluation included transthoracic echocardiography and cardiac MRI for risk stratification. Studies showed severe septal hypertrophy especially at the basal levels.…
We present to you a stage-I palliation of hypoplastic left heart syndrome (HLHS) via a modified Norwood/Sano procedure in a 3.9 kg, 6-day-old neonate with aortic and mitral valves atresia. The neonate had unrestricted atrial septum and was placed on prostaglandin infusion after birth to maintain ductal patency. Our preference is to modify the Sano…
Minimal invasive approaches are the golden standard for the treatment of thoracic malignancies. Nowadays, we can offer a vast number of different procedures with either VATS or RATS approach, that would be out of question a few years ago. In this video, we demonstrate a VATS Bilobectomy through an only 4 cm incision on a…
A 30-year-old male patient was diagnosed with Behcet disease in January 2020 when he was admitted with abdominal aorta vasculitis. This resulted in a leaking large abdominal aneurysm that was repaired by the vascular team using a tube graft. The work up on that admission showed pulmonary embolism in the left lower lobe branches and…
Slide 1This video illustrates a case of surgical correction of a giant left atrial myxoma that produced critical mitral stenosis in our patient. Slide 2Primary tumors of the heart are extremely rare with their incidence as low as zero point 19%. Three quarters of all cardiac tumors are benign in origin. Myxomas are benign neoplasms,…
Welcome to the final of twelve videos that compose the series “Thoracic Surgical Oncology – Technical Approaches” by Professor Tristan D. Yan. To learn more about the series and see the complete list of videos, click here. An electroevaporative surgical technique is demonstrated in this video. This is a unique surgical approach that can be…
A 13-years-old, 70 kg male patient was admitted to Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital pediatric cardiac surgery clinic with fatigue and dyspnea on exertion. He had a history of balloon dilatation of the pulmonary valve when he was 3 years old. Preoperative echocardiography revealed a flail tricuspid anterior leaflet with…
This is the case of a 53-year-old woman, nonsmoker, diagnosed with Ewing sarcoma of the left thoracic outlet. The lesion involved the subclavian vessels, first left 2 ribs, and brachial plexus, possible involvement of the apex of the left lung. No distant metastasis were evident on the scans. The patient underwent induction chemotherapy (5 cycles…
The video presents the technique of surgical excision of the right atrial myxoma using a totally endoscopic port-access without robotic assistance. A 51-years-old female was admitted to the hospital because of chest pain just one day before. She had a normal medical history. Transthoracic echocardiography revealed a giant neoplasm in the right atrium, a mass…
This is an 8-day old, 3.4 kg female neonate presented with cyanosis and failed the neonatal screening at 24 hours due to tachypnea and desaturation. She was born at 39 weeks gestation via a normal vaginal delivery, and apart from gestational diabetes, pregnancy was otherwise uncomplicated. Echocardiography showed total anomalous pulmonary venous connection (TAPVC) of…
A 19-year-old patient, known case of pulmonary hypoplasia, admitted to chest diseases hospital as a case of persistent pneumothorax. CT angiography was done which showed a left pulmonary artery agenesis with multiple bullae on the left lung with a compensatory hyperinflation left lung. A left uniportal VATS pneumonectomy was performed. The post operative stay was…
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