Content from the Journal of the American Neurological Surgeons.
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.…
In this video, the authors present the case of a 40-year-old man who underwent reimplantation of the aortic valve with replacement of the ascending aorta and proximal aortic arch one year after percutaneous implantation of a vascular stent into the descending aorta to correct a coarctation. A recent follow-up CT scan had shown a rapid…
The authors present the surgical repair of an anomalous right coronary artery origin from the pulmonary artery (ARCAPA) in an infant. This is a 3-month-old, 4.2 kg boy who was born prematurely at 28 weeks gestation with a birth weight of 750 grams. The child presented with shortness of breath and sweating during feeding. A…
Optimal treatment of the acute type A dissection is still controversial. The current guidelines give indistinct recommendations about which surgical valve-sparing procedure should be performed when aortic dissection occurs and which method of cannulation should be used for appropriate antegrade perfusion. Cannulation of the innominate artery has been a perfect alternative for 20 years, including…
IntroductionWith a growing prevalence of end-stage renal disease in the pediatric population, maintaining vascular access has become increasingly complex (1). Central venous catheters (CVCs) can provide immediate hemodialysis access but can lead to central venous stenosis (2). Central venous stenosis can interfere with arteriovenous fistula (AVF) or arteriovenous graft (AVG) function and lead to venous…
Donor cardiectomy is the first-step operation of heart transplantation. Despite the importance of the procedure, donor operation is scarcely observed by cardiothoracic surgical trainees. The authors present a donor cardiectomy video with step-by-step comments for educational purposes. In this particular case, the operation was performed by the heart, liver, and pancreas procurement teams. The first…
Dr Om P. Yadava, CEO and chief cardiac surgeon of the National Heart Institute in New Delhi, India, and Dr Jai Raman of the Austin Hospital and St. Vincent’s Hospital in Melbourne, Australia, discuss dynamic chemical imaging (DCI). Simply put, DCI involves light beams, reading the chemical signatures of the tissues from the reflected light,…
Postoperative stroke after cardiac surgery is a rare but catastrophic complication. Most commonly, it results from embolic dislodgement of atherosclerotic debris that may occur during surgical manipulation of the ascending aorta. Thus, as a strong risk factor for postoperative stroke (1), heavy calcifications of the ascending aorta often contraindicate surgery and shift therapy to less…
This is a video of an inspirational lecture given by Prof. CN Lee to the National University Surgical Cluster in Singapore. Now retired but still available for support and advice, Dr Lee was a past president of the ASCVTS, and he helped set up 30 CT surgery programs in Asia. He continues to be a…
Rapid adoption of minimally invasive surgery into clinical practice has conveyed improvements in outcomes across many surgical specialties. Robotic surgery offers additional advantages due to imbedded safety technologies, improved dexterity, and digital enhancement. However, wide adoption of the robotic technology is still lacking due to complexity of the field. A 62-year-old man presented with complaints…
Introduction The technological revolution in the field of medical education is here and it is time to embrace it. The adoption of the on-the-go learning style, the portability of smartphones, and the expression of concepts with interactive illustrations and their global reach have made application-based learning (apps) an effective means. Aorta Tevar Indicator is an…
The Case The authors present the case of a 47-year-old man who presented to the emergency department with a one-week history of chest pain. At presentation, he was hypotensive and required mechanical ventilation and an emergent trip to the catheterization lab, where he was found to have an occlusion of the right coronary artery. A…
The da Vinci Xi robot can be used in performing anatomical lung resections. The highly magnified 3D HD vision with the integrated fluorescence capability, together with the superior articulation of the instruments, makes the Xi robot a superior tool in performing minimally invasive segmentectomies. Intravenous or bronchial ICG (Indocyanine green, a fluorescent dye) assists in…
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