Content from the Journal of the American Neurological Surgeons.
BACKROUND COVID-19 is a zoonotic virus originating from the Hubei province of China. COVID-19’s typical presentation of fever and cough can rapidly escalate to acute respiratory distress syndrome (ARDS) and sepsis (1). The initial outbreak rapidly spread into what is now a global pandemic, infecting over 750,000 people and leading to over 37,000 deaths (2,…
Aortomitral valve infective endocarditis (IE) is a very challenging clinical condition (1). The author presents a case of aortomitral valve IE treated with a total biological solution by combining the Aortic Valve Neocuspidalization Ozaki procedure (AVNeo™) (2) and mitral valve repair with exclusive use of autologous pericardium through a total transaortic approach. While mitral valve…
Pulmonary artery (PA) sling is a rare congenital vascular anomaly. Pathologically, the left PA originates from the posterior aspect of the right PA and it passes between the trachea and esophagus toward the left lung, compressing the lower trachea. Pulmonary artery sling could be an isolated condition or associated with intracardiac defects like atrial septal…
This is a case presentation including intraoperative video of a robotic-assisted laparoscopic repair of a hernia of Morgagni. Reference Wei B, Pittman BC. Robotic Morgagni hernia repair: an emerging approach to a congenital defect. J Robot Surg. 2019 Apr;13(2):309-313. Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors…
Seven robotic left atrial myxoma resections were performed so far in the authors’ institution. The patients had no stroke or bleeding complications, and all were discharged home after a mean period of seven days. Key messages The authors’ normal preoperative workup consists of a coronography, a TEE to further delineate the anatomy of the myxoma…
This video presents an associated procedure of a coronary bypass grafting and a transapical aortic valve replacement through a left anterior minithoracotomy. The patient was an 83-year-old man with a known aortic stenosis and a hystory of persistent atrial fibrillation. He complained of a syncopal episode and was admitted to the authors’ center. A cardiac…
The patient was a 5-month-old, 4.7 kg Infant with pulmonary atresia, ventricular septal defect (VSD), and absent native intra-pericardial pulmonary arteries. All bronchopulmonary segments were supplied by four large major aortopulmonary collaterals (MAPCA). Associated defects were severe ascending aorta dilation, mild bicuspid aortic valve stenosis, right aortic arch with mirror image branching, and multiple thoracic…
Due to COVID-19, the Minimally Invasive and Transcatheter Cardiac Surgery course, originally scheduled to be held in person in Ancona, Italy, was converted into the new Ancona Live Virtual Course and presented in collaboration with CTSNet on June 8 and 9, 2020. With more than 8,400 registrants, the new virtual live course was attended by medical representatives…
IntroductionThe COVID-19 pandemic has affected the delivery of cardiac surgery services around the world, and specific guidelines have been published in specialty journals regarding how to manage critical and noncritical patients with congenital heart disease during these trying times (1). While the vast majority of total cases and the highest case fatality ratios have been…
A patient with Marfan syndrome and a composite aortic root with mechanical valve placed 35 years ago presented with cerebral amyloid angiopathy complicated by recurrent intracranial hemorrhage. To avoid systemic anticoagulation with warfarin, he was converted to a biological Bentall by removal of the mechanical valve leaflets, but leaving the valve housing in place. Prevention…
This is the case of a 59-year-old woman affected by B3/C thymoma. Chemotherapy was complicated by hematological disorders and discontinued after two cycles. She had a partial response to radiotherapy prior to surgery. She then underwent median sternotomy, off-pump left innominate vein reconstruction with an 8 mm Dacron graft, and SVC reconstruction with a 12…
Filmed at the 2020 STS Annual Meeting in New Orleans, Louisiana, Lisa R. DeGarmo of McGovern Medical School at UTHealth in Houston, Texas, moderates a discussion for advanced practice providers. She is joined by Jill Engel of Duke University in Durham, North Carolina, Laura Marie Wueste of Memorial Hermann Health System in Houston, Texas, and…
This video interviews Dr. William Novick, Paul Nemir Professor of Surgery and International Child Health, UTHSC-Global Surgery Institute and Medical Director of the Novick Cardiac Alliance (NCA) by videoconference as a result of travel bans and stay-at-home mandates born from the COVID-19 pandemic. Broadly speaking, this video covers NCA’s work building capacity and sustainable pediatric…
Transmyocardial laser revascularization (TMR) is a US FDA-approved intervention utilizing a laser device intended to treat ischemic myocardium. TMR was approved by the FDA in 1998 to treat moderate to severe angina (class 3-4 Canadian Cardiovascular Society classification system) as a result of diffuse coronary disease not amenable to conventional medical therapy, percutaneous coronary intervention,…
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which originated in Wuhan, China, is spreading around the world, and the outbreak continues to escalate. Clinical features of patients with coronavirus disease 2019 (COVID-19) usually include dry cough, fever, diarrhea, vomiting, and myalgia (1-2). However, atypical presentation and complications are described (3, 4). The authors report a…
On Friday, June 12, CTSNet hosted a free one-hour live event that included compelling presentations and interactive discussions on how ERAS-related protocols are even more important in the COVID post-surge era. Within the context of how ERAS helps mitigate the challenges of ICU resource consumption and improves patient safety, especially in a world that has…
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