Content from the Journal of the American Neurological Surgeons.
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…
The authors present a case of a 74-year-old man who underwent a bilateral lung transplant. His transplant was done through a clamshell incision. His history was significant for a symptomatic and chronic right recurrent pleural fluid collection that had not responded to nonsurgical management. The operation was performed with the Intuitive da Vinci Xi robotic…
Paul E. Van Schil of Antwerp University Hospital in Belgium presents a discussion on the current status of the management of mesothelioma. He focuses on potentially resectable mesothelioma disease using the surgical techniques of pleurectomy, decortication, and extrapleural pneumonectomy, as well as multimodality therapy. This presentation was originally given during the SCTS Ionescu University program…
E. Murat Tuzcu of Cleveland Clinic Abu Dhabi in the United Arab Emirates and Ourania Preventza of Baylor College of Medicine in Houston, Texas, discuss valve-in-valve transcatheter aortic valve replacement versus redo surgical aortic valve replacement. This debate was presented at the Heart Valve Society (HVS) Annual Meeting 2019 in Sitges, Spain, and is presented here with…
Filmed during the the 27th ASCTVS and 65th IACTVS Conference, Dr Om P. Yadava, CEO and Chief Cardiac Surgeon of the National Heart Institute in New Delhi, India, and Editor-in-Chief of the Indian Journal of Thoracic and Cardiovascular Surgery, discusses the Arterial Revascularization Therapy (ART) Trial with Professor David Taggart from the University of Oxford…
Unilateral diaphragm paralysis results from spinal injury or disease near its cervical vertebra (C5) origin or from phrenic nerve injury (1). In addition, phrenic nerve injury can occur with all types of atrial fibrillation ablation, ranging in incidence from 1-5% (2, 3). Most patients are asymptomatic; however, for symptomatic patients, diaphragm plication for paralysis has…
Introduction Figure 1. Chest x-ray (PA) showing a round opacity in the right mediastinum. Bronchogenic cysts are congenital abnormal growths of the foregut that typically have a thin wall and are filled with mucous or fluid. They can occur at any part of the tracheobronchial tree but are most often found in the right paratracheal region…
Filmed at the 2019 STS Annual Meeting in San Diego, California, Jill Ley of California Pacific Medical Center in San Francisco moderates a discussion on the ERAS multidisciplinary team. She is joined by Michael Grant of Johns Hopkins University in Baltimore, Maryland, USA, Jon Parmet of Society Hill Anesthesia Consultants in Cherry Hill, New Jersey,…
The patient was a 4.0 kg boy born at 40+2 weeks via uncomplicated spontaneous vaginal delivery. It is unknown whether an APGAR test and pulse ox screen test were administered at birth. The hospital course was uncomplicated, and the patient was subsequently discharged home. The patient was seen twice at the pediatrician for poor weight…
Objectives The authors present a video of transventricular apical myectomy in a patient with nonobstructive hypertrophic cardiomyopathy. Methods A 20-year-old woman with a diagnosis of apical hypertrophic cardiomyopathy (HCM) presented to the authors’ clinic with syncope, palpitations, and New York Heart Association class IV dyspnea. Two years prior to presentation, she had a cardiac arrest,…
A 17-year-old woman was admitted to the authors’ hospital with left chest pain, cough, and dyspnea. Computed tomography (CT) scan showed a giant bulla of the left upper lobe. Lobectomy was performed with video-assisted thoracic surgery (VATS). After the operation, the patient was stable, and chest CT showed good expansion of the left lower lobe.…
James Tatoulis of the Royal Melbourne Hospital in Australia discusses the use of the radial artery, including tips and tricks for vein harvesting, and how to deploy it in coronary surgery. This presentation was originally given during the SCTS Ionescu University program at the 2019 Annual Meeting of the Society for Cardiothoracic Surgery in Great…
Aortic valve reconstruction with glutaraldehyde-treated autologous pericardium has been demonstrated by Ozaki and colleagues to have good midterm results with less transvalvular gradient, less than mild aortic regurgitation, and 96.2% freedom from reoperation. The Ozaki technique uses an original template for each cusp designed by Ozaki, and the leaflets are trimmed according to the template…
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