Content from the Journal of the American Neurological Surgeons.
Professor Karen Redmond is a specialist thoracic lung transplant surgeon with an interest in minimally invasive surgical approaches, treating patients with end-stage lung disease, lung cancer, and conditions such as pectus and complex airway conditions. She began her medical education at University College Dublin, where she received an honors degree with the Gold Medal in…
Coarctation of the aorta is a congenital narrowing of the upper descending aorta adjacent to the site of attachment of ductus arteriosus. In neonates and young infants, surgical repair is the treatment of choice. The most common contemporary technique used is resection and end-to-end anastomosis, and if anatomically warranted, an extended end-to-end anastomosis. This video…
BackgroundThe COVID-19 pandemic has resulted in a rapid increase in patients requiring mechanical ventilation. For patients who survive the acute phase of infection, tracheostomy may prevent long-term sequelae of prolonged endotracheal intubation, conserve sedative and paralytic medications, and facilitate endotracheal suctioning, weaning from mechanical ventilation, and cohorting of patients in a designated weaning unit. However, the…
This video demonstrates the technique for robotically assisted myxoma resection. Also, it highlights the tips and tricks that have made this approach the authors’ method of choice for nearly all patients. The patient was a 72-year-old woman who had a routine chest CT, which showed an incidental LA mass, as demonstrated in this image. She…
In this video, the authors demonstrate the robotic repair of an incarcerated right-sided diaphragmatic hernia containing transverse colon after liver resection. Noncongenital right-sided diaphragmatic hernias are most often due to blunt or penetrating trauma; however, they are also a known complication of liver resection and transplantation, occurring in 2-3% of patients. Right-sided diaphragmatic hernias have…
Surgical Patients and Outcomes During the COVID-19 Pandemic The COVID-19 pandemic has resulted in widespread disruption and overwhelmed healthcare services globally. The extent of this deviation from standard care for routine surgical patients, including those with potentially curable cancer, is unclear. Our understanding of the outcomes of patients undergoing surgery while suffering intercurrent infection with…
CTSNet is excited to announce that “Double Switch Operation (Senning and Rastelli)” by Awais Ashfaq has won first place in the 2019 Resident Video Competition. Dr Ashfaq is a congenital surgery fellow at Cincinatti Children’s Hospital in Ohio, USA. In this interview, CTSNet Associate Editor Joel Dunning asks him about the case presented in his winning video, the skills and…
Filmed at the 2020 STS Annual Meeting in New Orleans, Louisiana, Jessica Luc of the University of British Columbia in Canada interviews Marc Ruel of the University of Ottawa Heart Institute about his pioneering work in minimally invasive cardiac surgical operations. They discuss his career, the importance of mentorship, and the development of current minimally…
Partial anomalous pulmonary venous connection (PAPVC) is a rare and frequently under diagnosed entity in which one or more pulmonary veins are connected to the systemic venous return. Bilateral Partial anomalous pulmonary venous return is extremely unusual. The authors present the case of a 27-year-old woman with a history of childhood asthma. She was symptomatic…
Even though infection of thoracic aortic grafts is rarely seen, management of these cases still remains a real challenge in current clinical practice. The treatment of complete removal of the infected graft and radical debridement has been accepted as the gold standard. Reoperation has been shown to be a high mortality situation (1). In situ…
Case PresentationA 46-year-old man with a history of stroke and permanent atrial fibrillation was referred to the authors’ institution with the diagnosis of an LV mass. During preoperative study, catheterization revealed an 80% stenosis of the mid portion of the left anterior descending artery (LAD), and echocardiography showed a PFO. As the authors’ institution has…
The authors present a case of mitral valve (MV) repair combined with pectus excavatum repair in a highly symptomatic 28-year-old woman. Her preoperative transesophageal (TEE) echo showed severe mitral insufficiency, and her preoperative computed tomography (CT) scan showed a Haller index of 16.3 and heart displacement to the left. The authors’ plan was to take…
The authors present their experience with totally endoscopic beating mitral valve surgery by presenting this case of mitral repair. They recently moved to beating mitral surgery due to the shortage of the endo-balloon aortic clamp which was their preferred method of myocardial protection. Their team does not feel very comfortable using the external clamps (Chitwood…
This is a short slideshow and video on how to place an epicardial LV lead using the VATS technique. This is usually indicated in patients who need a CRT-D device, and in whom a transvenous LV lead could not be placed. Disclaimer The information and views presented on CTSNet.org represent the views of the…
Filmed at the 2020 STS Annual Meeting in New Orleans, Louisiana, Tsuyoshi Kaneko of Brigham and Women’s Hospital in Boston, Massachusetts, USA, moderates a discussion on surgical and transcatheter management of mitral regurgitation (MR). He is joined by Michael J. Reardon of Houston Methodist Hospital in Texas, USA, Gorav Ailawadi of the University of Virginia, and Gilbert…
The patient was a 22-year-old 72.7 kg man with a diagnosis of Loeys-Dietz syndrome with a mutation in TGRBR1 (Loeys-Dietz Type 1 variant). The patient was initially diagnosed as a teenager due to an incidental finding of basilar artery dolichoectasia on a head CT. The patient was subsequently referred to Cincinnati Children’s Hospital Medical Center Cardiovascular Genetics program…
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