Content from the Journal of the American Neurological Surgeons.
Background The intervalvular fibrous body (IFB) is a structure between medial and lateral trigone that connects the aortic and mitral valves. From the atrial side, the dome of the left atrium is also an important part because it separates the anterior mitral valve from the aortic root. The fibrous body is mainly involved due to…
The patient was a 10-year-old, 26.7 kg, girl with dilated cardiomyopathy. The patient had a familial history and was admitted to an outside hospital in decompensated heart failure. She had complaints for two days of severe abdominal pain, nausea, and vomiting, and was tolerating minimal PO intake. She was tachycardic with waxing and waning perfusion…
Joseph Shrager of Stanford University School of Medicine in California presents a discussion on the criteria to follow when removing pulmonary nodules and ground glass opacities. He discusses three major questions: when to resect, what type of resection to perform, and what technique to use for single, small ground glass or part-solid/lepidic adenocarcinoma. This presentation…
In this video, Joel Dunning of James Cook University Hospital in Middlesbrough, United Kingdom, interviews Nikki Stamp, a cardiothoracic surgeon from Perth, Australia. She presented a television program in Australia which showed live surgery, and she has authored two books: Can You Die of a Broken Heart? and Pretty Unhealthy. She has over 16,000 Twitter…
Postmyocardial infarction ventricular septal defect (VSD) is a life-threatening complication. It is usually considered an emergency that is traditionally treated with a surgical closure. The mortality of surgical repair in the acute phase can be as high as 70%. This high mortality rate is reduced to 25% if the surgical closure is delayed for a…
The authors present a combined open and endovascular approach to a descending aortic pseudoaneurysm with iatrogenic coarctation. A 64-year-old man was found to have a pseudoaneurysm associated with coarctation at the anastomosis of a previous descending thoracic aortic coarctation repair. An endograft alone would not achieve an adequate seal in zone 2 and risked a…
In this video, the authors demonstrate a technique of robotic-assisted bronchoplasty using a continuous unidirectional barbed suture. The patient was a 23-year-old woman with a recent diagnosis of asthma, who presented to the clinic after an incidental finding of an endobronchial lesion and right lower lobe collapse, which was discovered during an emergency department visit…
Filmed at the 2019 EACTS Annual Meeting in Lisbon, Portugal, Daniel Engelman of Baystate Medical Center in Springfield, Massachusetts, moderates a discussion of the recently published guidelines of the Enhanced Recovery After Cardiac Surgery Society. Dr Engelman is joined by four other ERAS Cardiac Society board members, including Michael Grant of Johns Hopkins Hospital in Baltimore,…
This video illustrates the correction of supracardiac total anomalous pulmonary venous connection. The patient is an 11-year-old girl with a weight of 20 kg who was referred to the authors’ center in the context of a humanitarian project from Morocco. Echocardiography suggested supracardiac total anomalous pulmonary venous connection with a large atrial septal defect (ASD).…
Introduction Cardiac myxomas are usually solitary and develop in the atria, with 75% originating in the left atrium and 15-20% originating in the right atrium. They characteristically arise from or near the interatrial septum at the border of the fossa ovalis membrane (1). Myxomas present with either embolic or valve obstruction/regurgitation symptoms. Surgical excision is…
A 53-year-old man was admitted with a two-month history of anterior myocardial infarction, congestive heart failure, and a New York Heart Association III classification. Echocardiography showed severe mitral insufficiency (Carpentier I, IIIb), left ventricle aneurysm, and left ventricle ejection fraction (EF) 35%. An angiogram showed severe triple vessel disease. The authors performed coronary artery bypass…
A 70-year-old woman with a past history of breast cancer in 2004 also had a nonperipheral pseudonodular ground glass appearance lesion in the left upper lobe since 2010, a core-needle biopsy in 2012 and 2015, and a diagnosis of benign pneumocytoma (Figure 1). Since 2018, the lesion had a growth of the solid component in…
Vipin Zamvar of the Royal Infirmary of Edinburgh in Scotland presents a discussion on bilateral internal mammary artery (BIMA) grafting. He discusses the overall use of BIMA grafting and factors contributing to the low use of this method. He expands on the technical factors of BIMA, alternative options, and evidence from observational studies and randomized…
The Thoracic Oncology 2019 Conference took place on Thursday and Friday, November 28 and November 29, in London, United Kingdom. This was the first time the conference, featuring international faculty, was filmed and livestreamed to a worldwide audience. Select sessions streamed live for free! Tune in for an opportunity watch experts interact and hear their…
Find it here: the Second International Webinar on Minimal Invasive Extracorporeal Technologies, which took place in Thessaloniki, Greece, on November 29-30, 2019. Friday, November 29, 201916:00 – 20:00 Eastern European Standard Time (8:00 am – 12:00 pm CST) Tune in for select sessions, including: Introduction to the Meeting Μinimal Invasive Extracorporeal Circulation: State-of-the-Art Research and Development…
The authors present the case of a 79-year-old man with a distant history of smoking who presented with a slowly enlarging 1 cm nodule. This was initially found on surveillance for a thoracic aortic aneurysm two years prior to resection and the authors were following it with repeat scans. On positron emission tomography (PET) scan,…
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