Content from the Journal of the American Neurological Surgeons.

Guest Editor Series Webinar: Surgical Atrial Fibrillation – What We Must Do and What We Can Do

CTSNet’s Guest Editor Marc W. Gerdisch, MD, discusses his series “Surgical Atrial Fibrillation – What We Must Do and What We Can Do” with contributors from this series. Dr. Gerdisch, chief of cardiothoracic surgery at the Heart Valve Center at Franciscan Health, invited six contributors to bring together cutting-edge videos designed to broaden our perspective…

Survey Results: Challenges Faced During ECMO Cannulation for Patients with COVID-19

Survey Title: Challenges Faced During ECMO Cannulation for Patients with COVID-19Institution: Seattle Children’s Hospital We conducted an anonymous survey to gain a broader understanding of the challenges faced by extracorporeal life support (ECLS) providers when initiating ECLS for patients with COVID-19. A total of 17 survey responses was collected from April to July of 2020.…

Usefulness of Leakage Test in Mitral Valve Repair

Mitral valve repair is the preferred surgical treatment for mitral regurgitation. Minimally invasive technique through right minithoracotomy is routinely performed for treating this pathology for complex repair too. Cardiac surgeons must increasingly pursue high-quality mitral valve repair, which ensures excellent long-term outcomes. In this video, the authors have collected some particular cases in which there was…

Contemporary Strategies in Surgical Ablation for Atrial Fibrillation: Concomitant Ablation in Patients Without Mitral Valve Disease

Both the AATS and the STS guidelines for surgical ablation of atrial fibrillation made the highest-level recommendation for surgical treatment for atrial fibrillation be added and performed concomitantly with CABG or valve surgery (1,2). While over 60% of patients with mitral valve disease are surgically ablated, patients with non-mitral valve disease and atrial fibrillation are…

Hybrid Ablation of Atrial Fibrillation With Advanced Epi-Endocardial Mapping

While several approaches for endoscopic surgical ablation have described, the current video will focus on the technical details of a beating heart, epicardial linear box isolation and related mapping. Briefly, a 3 ports right thoracoscopic approach is routinely adopted, then, following opening of the pericardial reflections, a dedicated guiding catheter allows for the advancement of…

Cox-Maze IV

The authors present an open Cox-Maze IV (CMPIV) procedure using bipolar radiofrequency (RF) and cryoablation devices(1). This procedure is performed on cardiopulmonary bypass via a median sternotomy due to significant aortic insufficiency. Our ablation technique for a minimally invasive approach differs slightly with respect to the type of ablation utilized for the lesions and has…

The Historical Perspective of the Cox Maze III

Dr. James L. Cox is rightly credited for his pioneering methodical work developing a treatment for atrial fibrillation (AF): identifying the magnitude of the clinical problem, studying the mechanisms of AF in his laboratory, developing an operative solution in the animal model, then successfully introducing the operation into clinical practice in 1987. The operation became…

Non Atriotomy Epicardial Ablation for AF

This video demonstrates a novel non-atriotomy technique for performing the maze procedure in patients undergoing non mitral valve open heart surgery. It is estimated that only 15-25% of patients with atrial fibrillation undergoing either coronary artery bypass or aortic valve procedures receive a maze procedure(1). However, concomitant maze procedure is recommended by the Society of…

Intuity Elite Rapid Deployment Aortic Valve Replacement: Lessons From 8 Years of Experience

The lessons learned from 8 years of experience using the Intuity Rapid Deployment valve is summarized. The first patient underwent resternotomy Aortic Valve Replacement (AVR) and concomitant Mitral and Tricuspid annuloplasty. This case demonstrates the expeditious implant of a 25mm Intuity Elite valve. A step-by-step description of the procedure is shown. The annular skirt was…

Transaortic Extended Left Ventricular Septal Myectomy in an 11-Year-Old With HOCM

This is an 11-year-old boy with hypertrophic cardiomyopathy (HCM) and MYH-7 gene mutation. He has been on medical therapy with B-blockers but recently it was noticed progression of his symptoms especially during exertion. He experienced recurrent episodes of presyncope and chest pain while riding his bike. Transthoracic echocardiography showed severe septal hypertrophy with a thickness…