Content from the Journal of the American Neurological Surgeons.
Find it here: the 2019 International Thoracic Oncology Symposium, formerly the VATS Symposium, taking place in Milan, Italy. Friday, November 8, 20198:45 am – 4:10 pm CEST (1:45 – 9:10 am CST) Tune in for select sessions under the following categories: Lung Cancer Treatment: Where to Improve9:00 – 11:00 am CEST (2:00 – 4:00 am CST) How…
This video demonstrates the resection of a proximal typical carcinoid tumor of the singular bronchus that required the bronchus to be cut and then sutured closed. Since suturing was required, the author used the Si Robotic system, which is ideally suited for suturing. The distal lingular tissue had also been chronically collapsed, so there were…
IntroductionSternal fixation with a plain wire has several known limitations, including “cut-through” into the sternum, wire breakage, untwisting of wires when loaded, and imperfect conformance of the wires to the shape of the sternum. Any one of these limitations, or a combination of several, can lead to poor stability and motion in the sternal halves,…
The artificial chordae technique is a well-established technique used to treat primary mitral regurgitation, especially when the anterior mitral leaflet is involved (1). The main difficulty of this technique is deciding the optimal length of the polytetrafluoroethylene (PTFE) chordae, and for this purpose, lots of techniques, mainly intraoperative, have been described (1). The authors have…
The patient was a 4-day-old, 3.95 kg boy with an antenatal diagnosis of double outlet right ventricle with subpulmonary ventricular septal defect (Taussig-Bing anomaly), d-malposed great vessels (side-by-side orientation, aortic valve is rightward and slightly anterior to the pulmonary artery), and severely hypoplastic aortic arch (segment between left common carotid and left subclavian arteries). Essentially,…
Sanjay Popat of the Royal Marsden Hospital in London, England, presents a discussion on current therapies and treatments for lung cancer. He focuses on drug therapy, including chemotherapy, molecular targeted therapy, checkpoint inhibitor therapy, and chemo-immunotherapy combination therapy. This presentation was originally given during the SCTS Ionescu University program at the 2019 Annual Meeting of…
Many day-to-day practices in patient perioperative care are exercised as second nature by surgeons. These practices almost always work, but occasionally some efforts make a situation worse. A solid understanding of the fundamentals of the physiological basis of day-to-day practice enables surgeons to provide better quality of care for patients. Cardiac Physiology: Function Cardiac Physiology:…
In this case, an 88-year-old woman with a history of 23 mm mitroflow aortic valve replacement (AVR) presented with symptomatic aortic stenosis. Due to a concern over coronary artery obstruction with valve-in-valve transcatheter aortic valve replacement (TAVR), surgical AVR is pursued. In this video, the stenotic prosthetic valve is seen with interrogation of the valve,…
Isolated cardiac leiomyosarcoma is exceedingly rare, with 75-100 cases reported in the published literature. Even with resection, survival prognosis is dismal. Here, the authors present the surgical resection of a large leiomyosarcoma from the posterior left atrial wall in an adolescent patient. This 13-year-old patient presented to her primary pediatrician with palpitations and an event…
In 2018, Dr Kellianne Kleeman received the first inaugural Thoracic Surgery Foundation (TSF) International Medical Volunteer Scholarship. This video highlights her volunteer experience in Pokhara, Nepal, under the mentorship of experienced volunteer Dr Frederick Grover. The Thoracic Surgery Foundation provides grants for surgeons to carry out charitable mission trips for patients in the developing world.…
In this Giants of Cardiothoracic Surgery interview, Marco Nardini of the University Hospital of Catania in Italy speaks with Franca Melfi, Professor of Thoracic Surgery, Chief of Robotic Multispecialty Center for Surgery, and Chief of Robotic and Minimally Invasive Surgery at the University of Pisa in Italy. They discuss her work developing robotic thoracic surgery…
Tricuspid regurgitation is most commonly treated by restrictive annuloplasty. However, this would not suffice for extreme annular dilatation and/or leaflet tethering. For these conditions, a patch augmentation of anterior or septal leaflets is sometimes necessary. In this video, the authors show their step-by-step approach to perform an anterior leaflet augmentation that allowed for the effective…
The authors have historically come across surgeries that were apparently straightforward, but where the heart struggled to recover, with patients needing high doses of inotropes, long stays in the intensive care unit, and all sorts of supports. This video provides one possible explanation for potential causes of the heart struggles. The authors hope that by…
Keith S. Naunheim of St Louis University in Missouri, USA, presents a discussion on surgery for stage IIIA non-small cell lung cancer. He discusses practice guidelines for the treatment of stage IIIA disease, trials and studies related to the disease, and expands on the treatment options available for patients. This presentation was originally given during the SCTS Ionescu University…
Left main disease is a challenge for any cardiac surgeon. There are current discussions about the best technique and the best grafts for this problem. The bilateral internal thoracic arteries technique for off-pump coronary artery bypass is a safe technique with long-term patency, low morbidity, and low mortality. Very frequently, the patients that have left…
Filmed at the STS Structural Heart Symposium in Chicago, Illinois, David Fullerton of the University of Colorado Denver moderates a discussion on surgical training for transcatheter aortic valve replacement. He is joined by J. James Edelman of the MedStar Georgetown University Hospital in Washington, D.C., Anita R. Krueger of UT Southwestern Medical Center in Dallas,…
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