Content from the Journal of the American Neurological Surgeons.
This video reviews anatomy and technical considerations during robotic right upper lobectomy, right middle lobectomy, right lower lobectomy, left upper lobectomy, and left lower lobectomy. Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
Pulmonary metastases excision is indicated for lung-sparing resection of small and central lesions when wedge resection or segmentectomy are unfeasible. This procedure can be challenging in case of deep-located metastases due to the slippery aspect of the nodule, and potentially profuse lung tissue bleeding when an electric scalpel or laser devices are used. This video…
In patients undergoing mitral valve repair, the presence of severe mitral annular calcification can present technical issues. This video reports using the ultrasonic aspirator device (CUSA® Clarity, Integra LifeSciences; SONOPET® Ultrasonic Aspirator, Stryker Inc) during mitral repair to resect annular calcium in a safe and effective manner. A 78-year-old woman presented with Class IV heart…
This is a video of a right lower lobe sleeve resection using the Artisential wristed instruments, including a wristed needle holder. The patient had a right lower lobe tumor that could be seen going up to the right lower lobe orifice. Bronchoscopy had given a needle biopsy demonstrating NSCLC but could not give further characterization.…
IntroductionBlalock-Taussig shunt (BTS) is the historical palliative surgical option in infants with ductus arteriosus (PDA) circulation-dependent or severely symptomatic Tetralogy of Fallot (TOF) that are not amenable to primary repair (1). Herein, the authors present right ventricle to pulmonary artery conduit (RVPAC) as an alternative surgical palliation technique in a medically complex infant with double…
Pulmonary hydatid cysts may be managed surgically and/or with pharmacotherapy. Surgery is indicated in cases where the cyst is superficial, infected, exerting substantial mass effect, located in a vital anatomical location, or there is high risk of rupture (1). Video-assisted thoracoscopic surgery (VATS) is an effective and safe option for managing an intact or ruptured…
The patient was a 76-year-old woman with a known history of mitral stenosis. Her symptoms included worsening fatigue, malaise, and dyspnea with exertion. Echocardiography demonstrated a mitral valve area of 0.7 cm2 with a mean mitral valve gradient of 25 mm Hg, classifying this as severe mitral stenosis. The heavily calcified leaflets precluded a mitral…
Welcome to the seveth 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 series of video tutorials demonstrate how to perform VATS lobectomy in a safe and simple way, using the…
The authors present the surgical management of four different late sequelae post-repair of tetralogy of Fallot with pulmonary atresia and criss-cross pulmonary arteries. The patient was an 11-year-old, 33.5 kg girl who was born with cyanosis due to pulmonary atresia and ventricular septal defect. She underwent an initial central shunt in the neonatal period, followed…
Perforation of Zenker’s diverticulum is a known risk of endoscopic procedures, and surgical transcervical repair or drainage is the standard management (1). Unresolved leak may require alternate means of drainage. An 82-year-old woman suffered esophageal perforation during attempted endoscopic retrograde cholangiopancreatography (ERCP). Following left transcervical exploration and drainage, the patient remained septic with free perforation…
Operation performed: Repair of type 1 common arterial trunk – bovine pericardial baffle (VSD patch) from inlet VSD to truncal valve and placement of 12 mm Hancock RV to PA Conduit. Repair of complete atrioventricular septal defect – Rastelli type C with 2 patch (VSD patch and ASD patch 1/primum patch) technique using bovine pericardium…
Mediastinitis represents an uncommon but potentially life-threatening complication following median sternotomy, with incidences ranging from 0.25-5% (1). It may result from direct hematogenous spread of bacteria or from the extension of infection from adjacent structures e.g., esophagus, airways, lungs, or head and neck (descending necrotizing infection). Diagnostic criteria have been described by the Centers for…
The authors present an interesting cases of a myocardial bridging as a cause of exertional chest pain. This is the case is of a 42-year-old woman with a past medical history of HTN and PAHTN who has been worked up by cardiology for chest pain with minimal exertion. The CXR didn’t show any acute abnormalities,…
Introduction Double aortic arch is a relatively rare cardiovascular malformation. It is an anomaly of the aortic arch in which two aortic arches form a complete vascular ring that can compress the trachea and/or esophagus. Case Report The patient was a 13-year-old, 77 kilogram girl with solid dysphagia. The CT scan revealed a double aortic…
These foregut-derived congenital malformations are usually discovered prenatally on ultrasound and can be seen at any point along the tracheobronchial tree. So you might be thinking to yourself, what’s the dilemma? Well, when it comes to adults, bronchogenic cysts can be seen throughout the chest and abdomen, but, in general, they rarely occur and even…
Dr. Marc Gerdisch is the chief of cardiovascular and thoracic surgery and surgical director of the Heart Valve Center at Franciscan Health, Indianapolis, Indiana. He is also a senior partner with the Illinois-based Cardiac Surgery Associates specializing in complex heart valve surgery, as well as an associate clinical professor of thoracic and cardiovascular surgery at…
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