Content from the Journal of the American Neurological Surgeons.
The pulmonary autograft operation was introduced by Donald Ross in 1967. Since then, the Ross operation has become a viable and durable option for aortic valve replacement in both the pediatric and adult populations (1). Pulmonary autograft dilatation is one of the complications noted in the adult population. Because of this, the Ross operation is…
While the number of minimally invasive interventions being offered is gradually growing, patients’ requests for interventions associated with minimized trauma and faster recovery often remain unfulfilled (1). Currently, most lines of progress in minimally invasive mitral valve interventions always involve more sophisticated and complex endoscopic support. Although such techniques are very elegant and are associated…
The central patch technique is an alternative to other accepted techniques for the complete repair of atrioventricular septal defects (ASD). This technique is particularly suited for patients with large Rastelli A defects, as it allows for excellent exposure of the ventricular crest, while maintaining the physiologic height of the atrioventricular (AV) valve tissue above the…
Thomas Modine of the Regional University Hospital of Lille in France presents a discussion and demonstration of his modified valve sparing technique for aortic valve replacement that employs the 3f Enable valve. He emphasizes the need for a technique that is easy, reproducible, and effective, and discusses the benefits of selecting his method. This presentation…
The Second International Conference on Sublobar Resections for Lung Cancer was held in New York City, USA, on September 26-27, 2019. Presentations from the meeting streamed live on CTSNet. Watch these sessions below or in the CTSNet YouTube channel. Previously streamed sessions included: Sublobar Resection: Indications Competing Techniques Basic Considerations Technique: New Tricks for Nodule…
Pneumonectomy is defined as the removal of the entire lung. This surgical procedure can be performed intrapericardially or extrapericardially and is associated with the radical dissection of the mediastinal lymph node without the resection of the mediastinal chest wall or the diaphragm. Pneumonectomy remains the main surgical choice for managing locally advanced lung cancer that…
The authors present a case of left subclavian artery revascularization during a frozen elephant trunk procedure for acute type A aortic dissection using the left internal mammary artery. Background The management of the left subclavian artery (LSA) during a frozen elephant trunk (FET) procedure with debranching of the supraaortic vessels is controversial and sometimes challenging,…
The pulmonary valve can be accessed through an anterior thoracotomy via the second intercostal space. The patient is placed on cardiopulmonary bypass through femoral cannulation. The right heart is emptied of blood and through an incision in the pulmonary artery a valve is implanted. This simplifies the operation and allows for expeditious recovery. Reference Cheema…
Federico Venuta of the University of Rome in Italy presents a discussion on surgery for invasive lung cancer. He discusses T4 lung cancer, superior vena cava involvement and reconstruction, carinal resection, and vascular reconstruction. This presentation was originally given during the SCTS Ionescu University program at the 2019 Annual Meeting of the Society for Cardiothoracic…
Marta Sitges of the Hospital Clinic at the University of Barcelona and Joanna Chikwe of Cedars-Sinai Medical Center debate the influence of imaging on the timing of degenerative mitral valve repair. They discuss the guidelines for patients with mitral regurgitation, evaluating the severity of the mitral regurgitation, and selecting when to intervene with surgery. This…
This is the case of a 23-year-old woman with a history of long-term IV drug abuse and tricuspid valve endocarditis. She had a status of post-tricuspid valve replacement seven weeks prior with porcine bioprosthesis, and her history was notable for extensive annular abscess and vegetation burden. She completed six weeks of IV antibiotics and remained…
Introduction Intramural coronary arteries are a rare congenital coronary malformation that are infrequently seen in adult patients. This video shows the management of two intramural coronary arteries: one of the right coronary artery and one of the left. Case 1 – Intramural Right Coronary Artery The first case involves a 48-year-old woman who presented with…
Dr Ralph “Chip” Bolman is a cardiothoracic surgeon who has spent years traveling to Rwanda with Team Heart to help treat patients with rheumatic heart disease. A Heartbeat in Rwanda highlights one of many patients who received surgical treatment from Dr Bolman’s team. The Thoracic Surgery Foundation (TSF) provides grants for surgeons to carry out…
Filmed at the 2019 AATS Annual Meeting in Toronto, Canada, Mara Antonoff of the University of Texas MD Anderson Cancer Center in Houston, USA, moderates a discussion on dedicated research time for residents interested in cardiothoracic surgery. She is joined by Kyla Joubert of the University of Pittsburgh Medical Center in Pennsylvania, USA, David Nelson…
The upper sternotomy or ministernotomy has been a well-known technique for many years, but it is not a common surgery. It has few pitfalls and not many secrets, but many benefits. Despite these factors, a minimally invasive approach is not routinely adopted. The ministernotomy finished at the third or fourth right Intercostal spaces can result…
Isolated tricuspid regurgitation has been increasingly diagnosed amongst the population (1). Intracardiac devices and the prevalence of atrial fibrillation (AF) are now the most common causes of AF (2). Morbidity and mortality from tricuspid regurgitation can be significant (3). However, surgery for isolated tricuspid valve regurgitation is still believed to be under-performed compared to the…
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