Content from the Journal of the American Neurological Surgeons.
Tetralogy of Fallot (TOF) is one of the most common cyanotic congenital heart diseases. The aim of this video is to demonstrate the technical aspects of total correction of TOF in a 5-month-old, 5 kg infant. Median sternotomy was performed. The surgery required standard cardiopulmonary bypass with aortobicaval venous cannulation. The authors’ choice of cardioplegia…
The authors present a case of AV valve repair in a 3 kg infant with tricuspid atresia. The patient was diagnosed prenatally with tricuspid atresia. The patient was born full term with a birth weight of 2.8 kg. Diagnosis was confirmed as tricuspid atresia with transposition of the great arteries. Atrial septal defect and bulboventricular…
This is a short video interview with Robin Sunley, a complementary therapist that started with Joel Dunning’s team in October of 2019. He routinely provides acupuncture, auriculotherapy, and mindfulness to thoracic surgical patients as part of their routine clinical care. Disclaimer The information and views presented on CTSNet.org represent the views of the authors and…
Patient Selection The standard method of treatment for an ascending aorta aneurysm is replacement with the Dacron tube graft. However, some surgeons use alternative techniques in selected cases for dilated ascending aorta, such as wrap without aortoplasty (1, 2), wrapping of the ascending aorta with a fine transparent and stretchable Dacron mesh (3), manually pre-prepared…
The authors present an MVR procedure for a patient who was admitted with pneumonia, had a complicated course, and required ECMO and tracheostomy. 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.
A foreign body inhalation is an uncommon event, especially among children and young adults. The authors report a case of a 1.5-year-old boy who had presented to A&E with a 3-hour history of choking and coughing while eating a fish-based meal. There were signs of respiratory distress (stridor). A plain chest X-ray demonstrated a radio-opaque…
A 63-year-old old man was diagnosed with an aortic aneurysm by routine chest X-ray. His 2D echo showed moderate aortic regurgitation with normal LV function. A CT aortogram revealed an aortic aneurysm involving the ascending aorta, arch, and descending thoracic aorta. Coronary angiogram showed a tight ostioproximal lesion in the ramus intermedius. He was taken…
A 14-year old boy was referred to the coronary artery anomalies program after an incidental echocardiographic finding of a right coronary artery (RCA) arising from the left coronary sinus. The patient was evaluated and managed following a standardized approach: anatomy was determined by computed tomography angiography (CTA) and myocardial perfusion by stress cardiac magnetic resonance…
Introduction Aortic valve repair is emerging as a beneficial alternative to aortic valve replacement in the treatment of aortic regurgitation, offering young patients the possibility to eliminate the risks of complications associated with prostheses, including thromboembolisms, prosthetic endocarditis, hemorrhages associated with anticoagulation, and the need for reoperation due to structural degeneration of the prosthesis, among…
Coarctation of the aorta is often associated with bicuspid valve disease and aortopathy. This video demonstrates the techniques required to treat all of the pathologies in a single stage with an aorta to descending thoracic aorta bypass and aortic root replacement in a patient presenting with severe dyspnea and shortness of breath. Disclosure Dr Brinster…
Filmed at the 2020 STS Annual Meeting in New Orleans, Louisiana, Jessica G. Y. Luc of the University of British Columbia moderates a discussion on nontechnical skills for cardiothoracic surgery. She is joined by Jason J. Han of the University of Pennsylvania, Patrick O. Myers of the Centre Hospitalier Universitaire Vaudois in Switzerland, Mara Antonoff…
The incidence of primary cardiac tumors is extremely rare in pediatric population, ranging from 0.027% to 0.08% in autopsies. The majority of these tumors are benign, being the rhabdomyoma, the most prevalent histologic type (1). Rhabdomyomas are generally multiple, can affect both ventricles indistinctly, and could have a spontaneous regression in smaller lesions. Management of…
A 58-year-old man with a history of aortic valve repair “aortic valvotomy” at the age of 12 presented with dyspnoea, orthopnoea (NYHA IV), and bilateral lower limb oedema. His pro BNP was 4287ng/l. TTE und TEE showed low EF 20%, severe AS, AVA 0,5 cm2, DG 77/47, AI II, LVEDD 65 mm, LVESD 55 mm,…
Introduction The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) responsible for the coronavirus disease 2019 (COVID-19) is causing a global public health crisis. The World Health Organization (WHO) declared it a pandemic on March 21, 2020. As of this writing, it has affected a total of 20,144,884 cases worldwide with over 736,072 deaths globally…
Recurrent pleural effusion secondary to peritoneal dialysis (PD hydrothorax) occurs in about 2% of patients on continuous ambulatory peritoneal dialysis (CAPD). It can potentially be a serious problem, resulting in permanent cessation of CAPD and transition to hemodialysis. This can have many adverse consequences for some patients. Thoracic surgeons are often called upon by nephrologists…
There is currently not enough evidence to decide upon the best practice for thoracic surgery during the pandemic since the situation continues to be highly dynamic on a day-to-day basis. The author presents this short video recorded from a Medtronic thoracic surgery appearing in a webinar during this pandemic to emphasize the points that need…
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