Content from the Journal of the American Neurological Surgeons.
With this video, the authors present the case of a 53-year-old patient with synchronous NSCLC (adenocarcinoma) in the segments 2 and 9 of the right lung. The patient had limited lung function. The authors performed a uniportal VATS segmentectomy of segment 2 and 9 using Indocyanine green to define segmental margins. Histological analysis confirmed synchronous…
This video demonstrates a totally endoscopic transaortic extended septal myectomy for obstructive hypertrophic cardiomyopathy in an 81-year-old woman who was heavily symptomatic with class 3 shortness of breath. The LVOT peak gradient was measured 132 mm Hg on TOE. The authors used a totally endoscopic approach through a 3 cm, 2nd intercostal space (ICS), right…
The patient was a 6-year-old boy with no symptoms and a finding of a systolic heart murmur on the left sternal border on a routine examination. Echocardiogram showed left ventricular outflow tract obstruction by subaortic fibrous membrane with a peak gradient of 76 mm Hg and mild aortic valve regurgitation with preserved left ventricular function.…
Post-MI VSR repair by infarct exclusion technique was originally described by Cooley et al. has undergone many modifications and has been found to be a simple and reproducible technique with improved outcomes. The important advantages of this technique are: a) it maintains the geometry of the ventricle, b) it does not require reaction of the…
A 69-year-old man with chronic obstructive pulmonary disease and a 20-pack-year smoking history was found to have a 20 mm x 8 mm lung nodule concerning for malignancy in the periphery of the right lower lobe. A robotic-assisted bronchoscopy was performed to obtain a tissue diagnosis. The robotic bronchoscope consists of an inner bronchoscope (4.2…
Patient Selection Constrictive pericarditis results from a stiff pericardium that prevents adequate diastolic filling and can cause diastolic heart failure. The normal thickness of the pericardial is found in up to 18% of constrictive pericarditis cases (1). Myocardial and pericardial cells are both involved in the pathogenesis of pericarditis and constriction as indicated by the…
The authors present the case of a 65-year-old man with a previous medical history of tuberculosis 35 years ago, a nephrectomy due to papillary cell renal carcinoma in March 2019, and COPD. During the follow-up, two nodules, measuring 11 and 12 mm on the RUL, were observed on a computed tomography (CT) scan in June…
The advantage of the Ross procedure over bioprosthetic or mechanical valve options are the superior hemodynamics, resistance to infection, durability, and lack of thrombogenicity. External support of the thin-walled pulmonary autograft aims to mitigate the rate of dilatation due to exposure to arterial pressures. The Sinus of Valsalva graft is used in particular to more…
Percutaneous dilatational tracheostomy (PDT) has greatly replaced conventional surgery in modern intensive care units (ICU). However, complication still occurs with PDT. The authors hypothesize that retrograde puncturing of the trachea could notably reduce complications such as posterior wall or esophageal perforation, false track, puncturing endotracheal tube, and bronchoscope. Difficult anatomy is another consideration that can…
In this video, a technique of complex robotic-assisted left upper lobectomy with difficult anterior pulmonary artery branch is demonstrated to advance the knowledge among practicing surgeons on technical nuances of complex pulmonary surgery. A 61-year-old man with newly diagnosed left upper lobe squamous cell carcinoma T1cN0M0 clinical stage IA was presented for surgical treatment. Intraoperatively,…
CTSNet hosted the live webinar “Nursing Giants in Mechanical Circulatory Support” on Friday, January 15, 2021. Jill Ley, MS, clinical nurse specialist at California Pacific Medical Center and clinical professor at UCSF, moderated a discussion on lessons learned with a panel of nursing giants, including Jane (Reedy) Gruendl of CH Biomedical, Mary Lou O’Hara, MSN,…
This video demonstrates a very rare case of the repair of an aortic graft aneurysm for a patient postaorto-aortic bypass for an interrupted aortic arch. The patient was a 36-year-old woman with a known case of interrupted aortic arch. She had an aorto-aortic bypass graft when she was 16 years old through a right thoracotomy.…
This is a video of a patient who had a large tumor which was invading the parenchyma of all three lobes and therefore clearly not suitable for a sleeve resection. The authors used the microlobectomy approach with a subxiphoid port and used that subxiphoid port to remove the lung at the end of the operation.…
Background The success of transcatheter aortic valve replacement in high-risk patient populations led to subsequent clinical trials that demonstrated noninferiority or superiority to SAVR in low and intermediate-risk populations. An uncommon but devastating complication of TAVR is acute type A aortic dissection, with a reported incidence of approximately 1.9% (1). Open repair remains the gold…
Dr. Isabelle Opitz is the director of the department of thoracic surgery at University Hospital Zurich, Switzerland, and an associate professor for thoracic surgery at the University of Zurich, as well as the chair of the Lung Cancer Center in Zurich. Dr Opitz earned her MD from the Medical School University of Cologne, Germany, after…
Welcome to the fifth 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 a VATS lobectomy in a safe and simple way, using…
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