Content from the Journal of the American Neurological Surgeons.
Pulmonary segmentectomy can be an adequate oncological lung resection for early stage lung cancer and deeper metastatic lesions. In select patients, the outcomes are comparable to lobectomy. Historically, this operation has been associated with higher air leak and prolonged length of stay (1). Both video-assisted (VATS) and robotic assisted segmentectomy have similar outcomes (2). The…
A 64-year-old male was referred to the authors’ institution for severe symptomatic TR. The transthoracic echo confirmed severe TR with dilated annulus and the transesophageal echo showed mechanical interference with the posterior TV leaflet mobility and coaptation. Intraoperatively, a fibrotic response causing encapsulation of the lead on the posterior TV leaflet was noted and subsequently…
BackgroundCoronary artery fistulae (CAF) are rare anomalies. Among them, the left anterior descending to pulmonary artery is a very unusual occurrence, and those causing severe ischemic symptoms in that location are exceptional. Large fistulas create a significant shunt and a “steal phenomenon,” and can lead to myocardial ischemia and heart failure if left untreated. Case…
The patient was a 4-year, 3-month-old girl with a hypoplastic left heart syndrome (mitral atresia/aortic atresia), anomalous left coronary artery from the pulmonary artery, partial anomalous pulmonary venous connection (right upper pulmonary vein to right superior vena cava), and left superior vena cava to coronary sinus. On day of life four, the patient went to…
Filmed at the 2020 STS Annual Meeting in New Orleans, Louisiana, Niv Ad of the Washington Adventist Hospital and University of Maryland moderates a discussion on the importance of atrial fibrillation in decision-making in structural heart disease and coronary artery disease. He is joined by Marc Gerdisch of the Franciscan St. Francis Heart Center in…
This is a video of a non-intubated subxiphoid multiport VATS thymectomy. The patient was a 40-year-old man who was an asymptomatic chronic smoker. On incidental evaluation, HRCT thorax was suggestive of anterior mediastinal lesions, which on further MRI thorax was confirmed to be cystic and 1.8 x 0.8c m. Awake ventilation anesthesia without muscle relaxant…
In this video, the authors demonstrate the advantage of minimally invasive endoscopic beating mitral valve surgery with cardiopulmonary support in complex redo cases. This technique can simplify the procedure in the hands of experienced teams with minimally invasive surgery, especially with patients deemed to be at high risk for redo-sternotomy. The authors have moved to…
The authors present the case of hybrid endocardial and epicardial ablation in this 73-year-old man with monomorphic PVCs with 25-33% burden and degenerated left ventricle ejection fraction with dilated cardiomyopathy. Prior endocardial ablation done 3 1/2 years ago focused on RVOT and was not effective. It suggested an epicardial LV summit source based on activation…
Jessica Luc, a resident editor of CTSNet and a cardiovascular surgery resident at the University of British Columbia, Vancouver, Canada, hosts an informative roundtable with past winners of the CTSNet Resident Video Competition to highlight the process of creating the videos for their winning submission. With the recent launch of the 6th Annual CTSNet Resident Video Competition, this timely video details: the process of obtaining and…
A 22-year-old woman presented with exertional dyspnea and occasional chest pain and was diagnosed with hypertrophic obstructive cardiomyopathy with biventricular outflow tract obstruction. She underwent biventricular septal myectomy with mitral valve repair. She had a good postoperative result. The authors share the surgical video of this rare condition and its management. References Dorobantu L, Ticulescu…
BackgroundCoronary artery aneurysms are uncommon, and giant aneurysms (> 2cm) are even more unusual. Coronary atherosclerosis and Kawasaki disease are the principal causes. The management of patients with this entity is controversial. There are no clear recommendations on this topic because the literature is confined to report cases and small case series. Case SummaryThe authors…
In this video, the authors describe their endoscopic technique to perform a minimally invasive ascending aorta replacement. Cardiopulmonary bypass was achieved through the femoral artery and femoral venous cannulation. The working port was a 3-4 cm anterior mini-right thoracotomy in the second right intercostal space. Three additional 5 mm mini-ports were needed for the introduction…
The celiac axis is the first branch of the abdominal aorta and is the source of arterial supply for the entire foregut. Compression of the proximal celiac artery by the fibrous attachments of the diaphragmatic crura and/or celiac ganglion was first described in 1963, and the symptom complex associated with it is referred to as…
Aortic valve reconstruction by neo-cuspidization using the Ozaki technique has shown excellent mid-term outcomes, possibly due to the highly standardized and reproducible technique. It is being used increasingly in children with aortic valve disease. There are specific anatomic characteristics in congenital aortic valves that require adaptations of the technique. This video presents the technique for…
This webinar session covers the life and role of cardiothoracic surgical care practitioners during COVID-19. Dr Bhuvaneswari Krishnamoorthy is the chair, as well as president of the Association of CT Surgical Care Practitioners. Joel Dunning, consultant thoracic surgeon of South Tees NHS Trust in Middlesbrough, UK, presents his experience working as an ITU nurse. Nisha…
Complete atrioventricular septal defect (AVSD) is a very challenging surgery, mainly due to the 3D nature of the repair. The goals of surgery for complete AVSD repair are: closure of interatrial communication, closure of interventricular communication, maintaining or creating two competent, nonstenotic AV valves, and avoidance of injury to AV node and bundle of His.…
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