Content from the Journal of the American Neurological Surgeons.
CTSNet published over 200 pieces of educational clinical content in 2020. As the year comes to a close, the CTSNet staff present the five most popular pieces of cardiac content published during 2020. Pictured: “How to Detect an Intramyocardial LAD on Coronary Angiography” How to Detect an Intramyocardial LAD on Coronary AngiographyBy Vasily Kaleda Demystifying…
From the Editor’s DeskMark K. Ferguson, MDEditor-in-Chief, CTSNet.org December 2020 Colleagues, This is the first in a series of regular communications in my role as CTSNet Editor-in-Chief. As background, I’m a thoracic surgeon at the University of Chicago and have been involved in leadership and editorial work at CTSNet since 2005, serving as editor since…
The third of twelve videos in a CTSNet series on Thoracic Surgical Oncology – Technical Approaches by Professor Tristan D. Yan is presented here. To see the complete list of videos in the Thoracic Surgical Oncology video series, click here. This 70-year-old man initially presented with dyspnea and presyncope. CTPA revealed a large obstructive mass within…
Patient selection A 57-year-old woman was initially admitted to hospital four months prior with a right temporal infarct with hemorrhagic transformation, complicated by venous sinus thrombosis. She required repeated craniotomies and a ventriculoperitoneal shunt. Supportive management involved placement of a feeding jejunostomy for nutritional support and a tracheostomy (TRACOE®twist Tracheostomy Tube), from which weaning off…
CTSNet hosted a live event on December 10 on the current Guest Editor Series topic “Surgical Management of Acute Aortic Dissections: Tricks and Tips to Simplify the Operation.” This series, developed by Guest Editor Konstadinos A. Plestis, MD, and entailing seven excellent clinical videos, highlights key techniques in difficult cases that can be replicated by…
This video demonstrates the standardized five steps for robotic left upper lobectomy with a robotic stapler. The surgery was performed for a 64-year-old man with a history of smoking and COPD, in whom the authors discovered a centrolobar nodule in the left upper lobe which fixed on a TEP Scanner. In this video, the authors…
Leanne Harling, MD, of the Imperial College, London, UK, and Jessica Luc, MD, of the University of British Columbia, Vancouver, Canada, moderate a discussion on the global experience of how to make the most of one’s training and successfully transition to practice. They are joined by an international panel of guests, and this discussion spans…
In May 2020, the SIET (Italian Society of Thoracic Endoscopy) organized a virtual roundtable of experts directly involved with the first phase of the SARS-CoV-2 pandemic. The aim was to share the experience acquired in the management of this disease in COVID-19 patients with severe clinical conditions requiring ventilatory assistance and endotracheal intubation. One of…
In this CTSNet roundtable, Dawn Hui of UT Health San Antonio, Texas, moderates a discussion on advocacy within the cardiothoracic surgery specialty. She is joined by Keith Naunheim of Saint Louis University in Missouri, John H. Calhoon of the UT Health San Antonio, Texas, Ourania Preventza of Baylor College of Medicine in Houston, Texas, Seth…
Patient selectionAlthough overall outcomes of heart transplantation have improved over the last two decades, PGD remains one of the major limitations. The International Society for Heart and Lung Transplantation (ISHLT) defines PGD as affecting the left and/or right ventricle with echocardiographic and hemodynamic alterations, need for inotropic/vasopressor support, and commonly, the use of circulatory assistance…
Aortic arch disease commonly involves multiple segments, leading to the need for multi-staged procedures. E-vita Open NEO is the latest locally available hybrid device for total aortic arch replacement and frozen elephant trunk procedure. A 60-year-old woman with chronic type B aortic dissection with ascending and arch aneurysm was successfully treated with the E-vita Open…
Epicardial pacing wire insertion is an integral part of open-heart surgery. However, the use of epicardial pacing wire insertion is also associated with complications like bleeding, tamponade, and occasionally even death of the patient secondary to injury to the adjacent structures. Various techniques have been described for preparing, attaching, and removing epicardial pacing wires. The…
Webinar 2: Thoracic Surgery During COVID-19 Chair:Dr Bhuvaneswari Krishnamoorthy, President of The Association of CT Surgical Care Practitioners (ACT-SCP) and AHP Educational Lead Mr Sridhar RathinamConsultant Thoracic Surgeon and National Educational Chair SCTS Editor: Jeni Palima, Honorary National Secretary of ACT-SCP Speakers: Dr Sameer Hanna-Jumna, Consultant Anaesthetist, UHLAnaesthetic Consideration in COVID-19 Dr Amrita Bajaj, Consultant…
This video describes a superior approach for the correction of the supracardiac type of total anomalous pulmonary venous drainage (TAPVD) in a 2.8 kg newborn with a small patent foramen ovale (PFO). Surgical Technique:Through the standard median sternotomy, the great vessels were fully mobilized and the right pulmonary artery was surrounded with a vessel loop.…
Off-pump coronary artery bypass grafting (OPCAB) has some high ground in reduction of postoperative complications, including systematic inflammatory response, myocardial injury, renal injury, and cerebral injury, compared to on-pump coronary artery bypass grafting. It is important to reduce myocardial oxygen consumption during anesthesia for OPCAB (1). The anesthesiologists should collaborate with the cardiac surgeons and…
A 45-year-old male hypertension presented with severe chest and back pain. Computed tomography (CT) scan revealed a type A aortic dissection extending into the abdominal aorta. Intraoperative transesophageal echocardiogram demonstrated severe central aortic insufficiency with a dissection flap in the ascending aorta. The patient had distal palpable pulses and no signs of malperfusion. General anesthesia…
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