Content from the Journal of the American Neurological Surgeons.
Marc R. Moon of the Washington University School of Medicine in St. Louis, Missouri, presents a discussion on mitral valve pathoanatomy. He discusses mitral valve anatomy, foundation and science of mitral valve repair, and etiology. This presentation was originally given during the SCTS Ionescu University program at the 2019 Annual Meeting of the Society for…
CTSNet members Drs Daniel Drake, Robert Sade, and Michele De Bonis, along with other members of the Cardiothoracic Ethics Forum and several nonmember experts — Kathleen Kinlaw, Cynthia D. Morrow, and Alberto Zangrillo — produced this paper: During a pandemic, the primary responsibility of community, government, and health care systems is to isolate the disease…
The case of a 73-year-old man in NYHA class 3 and a history of pulmonary edema, due to severe mixed aortic valve disease, is presented. The operation was performed with the authors’ totally endoscopic technique, which has been previously published on CTSNet (1). A 3D 30-degree Karl Storz endoscope was used. After the sizing of…
Introduction/BackgroundHepatic artery infusion pump chemotherapy (HAIPC) for colorectal liver metastasis (CRLM) is a relatively new technique. Its side effects are not well studied, owing to its novelty. The purpose of this paper is to further understand the side effect profile of HAIPC as it relates to recurrent pleural effusions in this patient population. This case…
Filmed March 18, 2020, Brian Mitzman, Assistant Professor of Cardiothoracic Surgery at NYU Langone Health, moderates a discussion on the COVID-19 pandemic with an international group of physicians currently on the front lines. He is joined by Alan Sihoe, Honorary Consultant in Cardiothoracic Surgery at the Gleneagles Hong Kong Hospital in China; Aaron Cheng, Associate Professor…
Patient Selection Surgical pulmonary embolectomy (SPE) is a safe and effective therapeutic approach to pulmonary embolism management for patients who are diagnosed with submassive and/or massive acute pulmonary emboli by clinical exam, supported by computed tomography (CT) and echocardiographic assessment. Other indications for surgical embolectomy include presence of thrombus-in-transit, concomitant cardiac pathology such as a…
This video shows the authors’ technique of off-pump “clamp and sew” extracardiac Fontan completion in heterotaxy and dextrocardia. The patient was a 3-year-old boy who had a right dominant unbalanced complete atrioventricular septal defect with pulmonary atresia and transposition of the great arteries. He had bilateral superior venae cavae with left-sided inferior vena cava and…
CTSNet is excited to announce that “Arterial Switch Operation and Mee Procedure” by Alan O’Donnell has won first place in the 2019 Innovation Award Video Competition. Mr O’Donnell is a cardiothoracic surgery physician assistant at Cincinnati Children’s Hospital Medical Center in Ohio. In this video, CTSNet Associate Editor Joel Dunning congratulates Mr O’Donnell on his…
Filmed at the 2020 STS Annual Meeting in New Orleans, Louisiana, Faisal Ghazi Bakaeen of the Cleveland Clinic in Ohio, USA, moderates a discussion on coronary artery bypass grafting (CABG). Dr Bakaeen is joined by Joseph F. Sabik of the University Hospitals Cleveland Medical Center in Ohio, USA; Michael E. Farkouh of the University of…
A 58-year-old man with a recent stroke presented with neck pain and dysphagia. He underwent a CT scan of the thorax, which demonstrated a polypoid lesion in the trachea. He had no other significant past medical history other than hypertension. He was offered surgical excision of the lesion. Under direct laryngoscopy, a 0 degree thoracoscope…
The intramyocardial LAD poses a challenge for LIMA-to-LAD anastomosis, especially in the case of an off-pump or minimally invasive approach, so the artery should be detected preoperatively to choose a safe surgical strategy. In this educational video, the authors explain how to detect an intramyocardial left anterior descending coronary artery on angiography. Disclaimer The information…
The aim of this video is to highlight the surgical details of a modified button-Bentall operation specifically designed to incorporate any type of prosthetic valve in composite conduit aortic root replacement. The authors’ technical modification allows composite conduit creation and proximal suture line construction as a single-step maneuver. Moreover, the proximal suture line is reinforced…
Konstandinos A. Plestis has performed over 1,200 aortic operations over the course of his 25-year practice. In this video, he gives his views on many issues that may help surgeons deal with this emergency situation. This video was filmed at AMICS 2019 in Moscow, Russia. Disclaimer The information and views presented on CTSNet.org represent the…
The patient was a 2-year-old girl with VACTERL syndrome. The patient had been adopted from China at two years of age. In China, she underwent unknown procedures to repair her spina bifida and imperforate anus. The patient also had butterfly vertebrae, renal anomalies, bilateral club feet, and tethered cord. Following adoption, the patient underwent bilateral…
Surgical resection is the first line of therapy for cardiac tumors. Some studies suggest that a totally endoscopic surgery technique results in better cosmetic outcomes (1, 2) and a 3D endoscopic view provides better visualization of structures deep in the chest cavity (2) compared with conventional sternotomy. Herein, the authors report a totally 3D endoscopic…
In this video, the technique of a modified biatrial approach for a 7-month-old, 3.6 kg boy who presented with an obstructed TAPVC to the coronary sinus is shown. Median sternotomy was done, and the aorta and RA appendage were cannulated. During cooling, the ligamentum was divided and the LPA was looped so that the left…
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