Content from the Journal of the American Neurological Surgeons.
Over the last 20 years, there has been an exponential growth in technological capabilities in medicine. The quality of imaging and diagnostic tools has increased drastically. Advanced imaging and reconstruction of CT scans is now routinely utilized in many surgical specialties, and in cardiothoracic surgery specifically, it is commonly utilized in structural heart programs. Adoption…
CTSNet hosted a live event on November 18 that aimed to shed light on important recent developments in lung cancer treatment. The recording is now available. Moderated by David Jablons, MD, University of California San Francisco, who was joined by an esteemed panel, this live event presented data about the development of a molecular assay…
The authors present a case of a full-term female neonate, weighing 3.1 kg, who was diagnosed postnatally with a partial sternal cleft. Cardiac evaluation demonstrated a PDA and PFO. CT and US confirmed 2-3 gap between the costal cartilages. Clinical exam was otherwise unremarkable. The patient underwent primary repair of the cleft at 5 days…
This operative video demonstrates the technique for an epicardial pacemaker implantation in a newborn through a manubrium sparing sternotomy. The patient was a 6-day-old girl born to a mother who was a case of SLE. The antenatal fetal echo confirmed bradycardia, and the child was delivered at term with a birth weight of 2.6 kgs.…
The authors present the case of an 80-year-old woman with a large anterior mediastinal mass compressing her right ventricle outflow tract as an incidental finding. The resection of the mass was performed through a subxiphoid uniportal approach while the patient was on spontaneous ventilation. No opioids were used. The mass, which turned out to be…
Severe mitral annulus calcification (MAC) is associated with increased cardiovascular morbidity and mortality in patients undergoing mitral valve replacement. It poses a significant challenge for even the most experienced surgeons, and multiple techniques have been proposed to address this challenging problem. In high-risk patients, an alternative to conventional surgical techniques involves the placement of a…
Welcome to this series of CTSNet videos titled Thoracic Surgical Oncology – Technical Approaches, by Professor Tristan D. Yan. The Royal Prince Alfred Hospital and Chris O’Brien Lifehouse provide the largest thoracic oncology service in New South Wales, Australia. To introduce this video series, Professor Yan will take you through a day of thoracic surgery…
Professor Tristan D. Yan, a consultant cardiovascular and thoracic surgeon based at the Royal Prince Alfred Hospital in Sydney, Australia, prepared a series of twelve surgical videos on the technical aspects within thoracic surgical oncology for educational purposes. Aspects of these videos are quite unique in that they cover a wide range of clinical pathology…
Summary The catheter-based mitral intervention, particularly MitraClip, has become an important alternative to surgical repair or replacement of the mitral valve in patients with significant mitral regurgitation. The field of mitral valve intervention is rapidly evolving and thus requires more frequent updates of details and precision of cardiac imaging for the needs of the intervention.…
Repair of the mitral valve which is partly destructed by an infective process is a big challenge in infants and small children. This is mainly because of the delicate nature of the mitral structure in this age group, and also limitations to use artificial chords and annuloplasty rings. However, complex repair is usually the only…
There are several different approaches for the repair of a Morgagni hernia, including primary closure with intraperitoneal sutures, transabdominal sutures, primary mesh closure, on-lay mesh, and others. In this video, the authors demonstrate a tension-free, laparoscopic-assisted closure of a large Morgagni hernia using transabdominal sutures. Disclaimer The information and views presented on CTSNet.org represent the…
The ideal aortic valve (AV) substitute for patients with AV disease remains under debate. In select patients in whom valve durability is of particular importance, the Ross procedure, when performed at high-volume centers, results in excellent long-term survival and favorable valve durability and freedom from valve-related reinterventions (1). In the pediatric population, however, aneurysmal growth…
Surgical correction of redo complex aortic pathology through the same thoractomy incision can be associated with significant risks, including re-entry into a possibly frozen hemithorax. This could lead to injury to nerves and, more importantly, bleeding from hugely dilated collateral intercostal arteries, precluding optimal surgical repair (1). A single-stage approach via median sternotomy provides several…
TAPVC surgical repair can be performed through many approaches. In this video, the authors demonstrate a “septosuperior” approach for the repair of supracardiac TAPVC. This technique is simple and reproducible. 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…
In this video, the authors present the case of a 51-year-old man who suffered a high impact cyclist collision with a car. He suffered a severe right neck extension injury, which transected his brachial plexus and caused multiple right transverse process fractures of his cervical spine. In addition, he suffered disruption of the right internal…
This video demonstrates a robotically-assisted mitral valve commissuroplasty in a young patient who presented with a complex mitral regurgitant jet and unclear mechanism of the regurgitation. A 41-year-old man was referred to the authors for consideration of mitral valve repair. He was found to have a mitral valve murmur during a routine physical exam. He…
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