Content from the Journal of the American Neurological Surgeons.
With the constant evolution of minimally invasive technology and skill, cardiac valve procedures are becoming less and less invasive, mostly supported by endoscopic tools and imaging. Entering the chest via the 4th intercostal space provides sufficient space to arrest the heart, enter the left atrium, and repair the mitral valve appropriately, resulting in a fast…
The Pectus UP Implant is a minimally invasive extrathoracic surgical treatment for pectus excavatum. Surgery is customized for each patient according to information obtained from a CT scan. The patient was a 17-year-old boy with a symmetrical pectus excavatum (haller index 2.4). He had no other significant past medical history. Preparation There are 12 implant…
Introduction Since Shoemaker first performed midline sternotomy in an elective cardiac operation in 1953, midline sternotomy has become the most common approach for most cardiac surgical operations, as this is easy to perform, causes less pain, and provides good exposure. However, complications of this approach, such as deep sternal wound infection, fragmented sternum, paramedian sternotomy…
A 3-year-old boy presented with a history of cyanosis and recurrent lower respiratory tract infections since birth. He had a resting saturation between 80-90% and was diagnosed as common atrium with severe mitral valve regurgitation and cleft in the anterior mitral leaflet (AML). During surgery, the presence of a midline inferior vena cava and left…
The authors present the case of a 63-year-old patient with an 11 mm nodule in the posterobasal segment (S10) of the left lower lobe. This grew from an initial size of 8 mm over a 12-month period. Image-guided biopsy was rejected, and after a multidisciplinary meeting discussion and with further discussion with the patient, a…
Filmed at the 2020 STS Annual Meeting in New Orleans, Louisiana, Mara Antonoff of University of Texas MD Anderson Cancer Center in Houston moderates a roundtable on the role of metastasectomy in pulmonary metastatic disease. She is joined by Erin M. Corsini of MD Anderson Cancer Center, Loretta Erhunmwunsee of City of Hope Cancer Center…
The Fontan procedure remains the final palliative procedure for all functional single ventricle patients. Since 1968, when it was introduced, the Fontan procedure has undergone many modifications. Extracardiac conduit (ECC) Fontan involves direct connection of the superior vena cava (or cavae) to the pulmonary arteries, mostly as a previous bidirectional Glenn procedure and placement of…
Using their video database between May 2015 and June 2018, the authors analyzed one case of combined THV mitral with tricuspid ViV via transapical and transjugular approach. Pre- and postoperative characteristics were analyzed in a follow-up of 20 months. A 36-year-old male with four previous mitral and tricuspid biological valve replacements presented at the time…
This is a 50-year-old man who presented with exertional dyspnea and fatigue secondary to severe aortic valve stenosis. His past medical/surgical history was significant for previous left lung resection via left thoracotomy followed by a sternotomy for a left pleuropulmonary blastoma that was complicated with a paralyzed left hemidiaphragm. He received adjuvant chemotherapy and mediastinal…
Due to COVID-19, the Birmingham Review Course, traditionally held in-person, was delivered as a two-day interactive virtual meeting. On September 18, 2020, CTSNet was excited to livestream select sessions, covering topics in the cardiothoracic specialty. Speakers for this session included Professor Cameron, Ms D. Harrington, and Mr J. Mascaro. The Birmingham Review Course is the…
CTSNet hosted a global live event addressing the widespread disparities in accessing cardiothoracic surgical care, which the COVID-19 pandemic has brought into even sharper relief. Co-moderators David Cooke, MD, of UC Davis Health and Jacques Kpodonu, MD, of Harvard Medical School were joined by an esteemed panel of international guests, who tackled, among other topics,…
On Thursday, Sept. 17th, CTSNet hosted a live event that included nurse-driven strategies for optimizing cardiac ICU resource utilization and patient safety. Moderator Dr HelenMari Merritt was joined by Minnie Floersch, VAD Clinical Program Coordinator; Mary-Ann Christie, Nurse Practioner CTICU; and Vickie Morton, Director of Clinical and Quality Outcomes and discussed examples of strategies that…
In this video, the authors present a parenchymal sparing robotic sleeve resection of a bronchial carcinoid tumor. Carcinoid tumors are low grade neuroendocrine neoplasms that comprise 0.5-5% of resected lung tumors and 20-30% of all carcinoid tumors. They often involve the main or lobar bronchi and frequently occur in young, otherwise healthy patients. As established…
To highlight transformations in thoracic surgery, a panel of experts discusses innovation in powered staplers and the role that real world evidence plays in informing their decision-making, particularly Ethicon’s real-world evidence. While the panelists reflect on historical models of surgical staplers, they discuss what innovation in thoracic surgery means to them and share their perspectives…
A 30-year-old old woman presented with palpitations and recurrent syncope for the past month. Her 2D echocardiogram showed a large intramyocardial mass arising from the lateral wall of the left ventricular (LV). Chest X ray showed bulge in the left heart border. MRI heart revealed a circumferential mass lesion arising from the posterolateral wall of…
Introduction As transcatheter technology improves, the need for surgical ligation of a patent ductus arteriosus (PDA) decreases. Until recently, no device was approved for infants <5 kg. The Amplatzer Duct Occluder II Additional Size (ADO II AS, Abbott Vascular, Santa Clara, California, USA) was approved by the US Food and Drug Administration for infants >700…
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