Content from the Journal of the American Neurological Surgeons.
A 79-year-old female presented with dyspnea. She had a history of interstitial pneumonia on oral steroid therapy. Further workup revealed severe mitral regurgitation from the anterior leaflet and severe central aortic regurgitation. She was a high-risk candidate with EuroScoreⅡ 6.6 %. She was considered as a totally endoscopic MICS candidate for aortic valve replacement and…
We present two cases of squamous cell carcinoma in mid-thoracic esophagus. Patients received neoadjuvant concurrent chemo-radiation as per CROSS protocol. They underwent transthoracic radical esophageal mobilization with Mediastinal lymph node clearance successfully using VATS and da-Vinci Robotics. Intraoperatively, we could identify an anomalous pulmonary vein draining the right lower lobe directly into the left atrium.…
Welcome to this two-part CTSNet series “What Can Adult and Congenital Surgeons Learn From One Another–Parts I and II.” CTSNet organized two roundtables featuring several giants in the field of adult and cardiac heart surgery to provide thought-provoking discussions on what adult and congenital surgeons can learn from one another within mitral valve and tricuspid…
Background: Transcatheter aortic valve replacement (TAVR) has proven be an effective and safe option for intermediate and high surgical risk patients. [1] Despite the continued advancement of valve technology and delivery systems, there still remains a cohort of the TAVR population who are not suitable for a transfemoral (TF) approach. [1] Several options for alternative…
Introduction:Phlegmasia Cerulea Dolens (PCD) is a rare condition with high mortality and morbidity risk resulting due to massive deep venous thrombosis (DVT), arterial occlusion and subsequent compartment syndrome[1-2]. These patients are seen to present with a classical triad of severe pain, significant edema and bluish discoloration (cyanosis) of the affected limb[3]. PCD is the only…
We are presenting the case of the minimally invasive total repair of Tetralogy of Fallot in a 2-month-old male patient. Echocardiography showed good LV contractility, open permanent ductus arteriosus (PDA), open permanent foramen ovale (PFO), large ventricular septal defect (VSD), severe infundibular stenosis and hypoplastic main pulmonary artery (PA) and PA branchesOur operation plan was:…
This video demonstrates a subxiphoid left S3 segmentectomy, as a day surgery radical oncological treatment of an early stage lung cancer in an elderly patient. This is the case of an 82-year-old COPD patient with a 10 mm suspect nodule located in the middle of segment 3. An anatomical 3D reconstruction allowed us to plan…
There are several reported cases that have showed that COVID-19 is a highly thrombogenic disease. The release of cytokines during cardiopulmonary bypass plus COVID 19 related thrombogenic factors can trigger life-threatening thromboembolic events as we have experienced with these two young patients. Myocarditis was rare in COVID-19 in an autopsy population of 277 subjects; however,…
In this video, we are presenting the case of minimally invasive repair of the anomalous left coronary artery from the pulmonary artery in adult. A 29-year-old man has presented with ventricular fibrillation after physical training in the gym and was resuscitated with defibrillation. Echocardiography showed moderately depressed left ventricular function – 35% and mild mitral…
The Leadership Book Club, hosted by Ara Vaporciyan, program manager of the Department of Thoracic and Cardiovascular Surgery at the University of Texas MD Anderson, discusses the book Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy by Amy Edmondson. Dr. Vaporicyan is joined by panelists Vinod Thourani, MD, of the Piedmont Heart…
CTSNet and ASAIO collaborated to host an inaugural joint live webinar on April 22, 2021, entitled “ECMO for COVID-19 ARDS.” The recorded event is now available. Mark S. Slaughter, MD, editor-in-chief of the ASAIO Journal and professor and chair of Cardiovascular and Thoracic Surgery at the University of Louisville, presents the first ASAIO Journal and…
Aberrant right subclavian artery (ARSA) is a rare anomaly but is the most common congenital abnormality of the aortic arch with an incidence of 0.3-3.0% (1, 2). The vessel embryologically is the 4th branch of the aortic arch, most commonly passes behind the esophagus and crosses the midline between the esophagus and the vertebral column…
Welcome to the ninth 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. This video demonstrates some basic robotic surgical techniques on right middle lobe lobectomy. The robotic endoscopic view is…
We are presenting the case of minimally invasive repair of large left ventricle inferior pseudoaneurysm and concomitant CABG procedure. The patient was a 63-year-old man who presented with shortness of breath and severe angina pectoris. The operation plan consisted of left anterior minithoracotomy in 4th intercostal space, left internal mammary artery harvesting, peripheral cannulation for…
We describe the subtle nuisances needed to perform a robotic right upper lobectomy using a fissure less technique to cut down on airleaks. We also describe and discuss the evolution of our technique which has helped us perform over 1000 robotic procedures at Moffitt Cancer Center. The description of lymph node dissection and removal is…
The authors present an off pump extracardiac non-fenestrated Fontan in a child with pulmonary atresia and intact ventricular septum. This is a 6-year old, 16-kg girl with a functional single ventricle. Her previous two palliations were a left MBT shunt followed by a bidirectional cavopulmonary anastomosis (Glenn). She presented with cyanosis (saturation of low-mid 70%)…
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