Content from the Journal of the American Neurological Surgeons.

Six-Year Outcomes After TAVR vs SAVR in Low-Risk Patients: An Interview With John Forrest

In this remarkable interview, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. John Forrest, a cardiologist and Director of both Interventional Cardiology and the Structural Heart Disease Program at Yale Medicine, New Haven, CT, USA, about a paper he authored titled “Six-Year Outcomes After Transcatheter vs Surgical Aortic Valve Replacement in Low-Risk Patients With Aortic Stenosis,”…

Robotic LUL Apicoposterior (S1 + S2) Segmentectomy

This video is part of CTSNet’s 2025 Resident Video Competition. Watch all entries into the competition, including the winning videos. Recent trials, including CALGB and JCOG0802, have established the noninferiority of sublobar resection compared to lobectomy for early-stage non-small cell lung cancer (NSCLC) patients with tumors less than two centimeters (1, 2).  As such, segmentectomy procedures are becoming more…

Robotic Right Upper Sleeve Lobectomy With Rotational Azygous Vein Flap

This video is part of CTSNet’s 2025 Resident Video Competition. Watch all entries into the competition, including the winning videos.   In this video, the authors demonstrate a robotic right upper sleeve lobectomy with a rotational azygos vein flap. The patient was a 68-year-old female presenting with a right supra-hilar non-small cell lung cancer, which caused obstructive atelectasis of the…

VATS Right S1 (Apical) Segmentectomy With 3D Reconstruction Planning

This video is part of CTSNet’s 2025 Resident Video Competition. Watch all entries into the competition, including the winning videos.   This video demonstrates a video-assisted thoracoscopic surgery (VATS) right S1 segmentectomy with 3D reconstruction planning, detailing the anatomy of the bronchus, artery, and vein, followed by lines of division depicted in 3D. Further position of the patient, the apical…

Pushing Boundaries in Pediatric Cardiac Surgery: Minimally Invasive Bidirectional Glenn Via Vertical Right Axillary Thoracotomy

An 8-month-old boy with a functional single ventricle secondary to double outlet right ventricle with severe pulmonary stenosis and hypoplastic left ventricle was deemed unsuitable for biventricular repair at this stage. Due to progressive cyanosis, he was offered a bidirectional cavopulmonary anastomosis (bidirectional Glenn), and because of the lack of previous surgical interventions, it was…

A Saddlebag Rescue Patch Osteoplasty for High-Risk Coronary Artery Transfer During an Arterial Switch

A 3-week-old, 2.6-kg infant with d-transposition of the great arteries and an intact ventricular septum had an abnormal left coronary artery (LCA) originating from the left-facing sinus with ostial stenosis and an intramural retro-commissural course. The patient presented with profound cyanosis and persistent pulmonary hypertension, which required 3.5 days of veno-arterial extracorporeal membrane oxygenation, followed…

Butterfly Resection for Prolapsed Posterior Mitral Valve Leaflets

This video is part of CTSNet’s 2025 Resident Video Competition. Watch all entries into the competition, including the winning videos.   This video demonstrates a tailored reparative strategy for a 58-year-old male who presented with severe symptomatic mitral regurgitation due to a flail posterior leaflet with marked myxomatous degeneration. Preoperative transesophageal echocardiogram (TOE) revealed excessive posterior leaflet height (>24 mm)…

Unifocalization for Isolated Pulmonary Artery of Ductal Origin in a Two-Year-Old Child

Background  In isolated pulmonary artery of ductal origin (IPADO), one or both pulmonary arteries arise from a ductus arteriosus, and it is observed in approximately 1.5 percent of patients with discontinuous pulmonary arteries (1,2). Embryologically, the condition is thought to result from involution of the proximal sixth aortic arch, resulting in the absence of the…

Subaortic Stenosis Repair Using a Minimally Invasive Approach Via Right Anterior Thoracotomy

This video is part of CTSNet’s 2025 Resident Video Competition. Watch all entries into the competition, including the winning videos.   The authors present a case of subaortic stenosis repair in a 47-year-old woman using a minimally invasive approach through the right anterior thoracotomy in the second intercostal space. The patient presented with progressive shortness of breath on minimal exertion.…

Updated 5-Year TAVR vs SAVR Outcomes in Low-Risk Patients: An Interview With Drs. Marin-Cuartas and Heuts

In this outstanding interview, CTSNet Editor-in-Chief Joel Dunning speaks with Drs. Mateo Marin-Cuartas, CTSNet JANS Editor and cardiac surgeon at the University Department of Cardiac Surgery at Leipzig Heart Centre University Hospital in Leipzig, SN, Germany; and Samuel Heuts, a cardiothoracic surgeon in the Department of Cardiothoracic Surgery at Maastricht University Medical Center in Maastricht, LI, about a paper they authored…

Left Uniportal VATS Left Upper Lobe Trisegmentectomy (Lingula Sparing): Showcasing the Mediastinal Lingular Artery Variant

This video is part of CTSNet’s 2025 Resident Video Competition. Watch all entries into the competition, including the winning videos.   This video features a left uniportal video-assisted thoracoscopic surgery (VATS) left upper lobe trisegmentectomy, also known as a lingular-sparing S1–3 segmentectomy, performed for a metastatic lung nodule.   This case is notable for two reasons: First, a complex anatomical…

Robotic-Assisted Left Internal Mammary Harvest With the Robotic Harmonic Scalpel​

This video is part of CTSNet’s 2025 Resident Video Competition. Watch all entries into the competition, including the winning videos.   Robotic-assisted mammary dissection is routinely performed using either monopolar or bipolar electrocautery, which confers the risk of thermal injury to the mammary artery and often necessitates frequent instrument changes to allow clip application. In pursuit of an optimal harvest…

The Many Faces of The Konno-Rastan Aortoventriculoplasty

This video is part of CTSNet’s 2025 Resident Video Competition. Watch all entries into the competition, including the winning videos.   This video demonstrates the many variations of the Konno–Rastan aortoventriculoplasty. Konno and Rastan independently described this anterior aortic annular enlargement technique—Konno in 1975 and Rastan in 1976—in which the enlargement is performed to the left of the…

Aortic Repair After Acute Intramural Hematoma

This video shows an 85-year-old woman who presented to the emergency room with chest pain and a 6.5 cm ascending aorta containing an intramural hematoma and a pericardial effusion. The innominate artery was cannulated to perfuse and cool the brain before any further intervention.  The left carotid artery was clamped, allowing the brain to be cooled…