Content from the Journal of the American Neurological Surgeons.

Extensive Repair of an Injured Bicuspid Pulmonary Valve Following Balloon Dilatation By Using Autologous Pericardium and Repair of a Flail Tricuspid Valve

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…

Left Subclavian Artery and Jugular Vein Replacement With Chest Wall Resection and Reconstruction for Pre-Treated Ewing Sarcoma

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…

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…