Content from the Journal of the American Neurological Surgeons.
The bilateral internal mammary arteries technique for off-pump coronary artery bypass is a safe technique with long-term patency and low morbidity and mortality. The author usually uses total arterial myocardial revascularization using bilateral internal mammary arteries for patients younger than 75 years old. The left and right mammary arteries have the longest patency described of…
This is a video on how the authors are working as a team to improve the outcomes of people who arrest or have an acute emergency in the catheterization laboratory (cath lab) during procedures of all types including transcatheter aortic valve replacement (TAVR), percutaneous coronary intervention, pacing, atrial fibrillation ablation, and soon transcatheter mitral valve…
The quality of our decision making is proportional to the decision-making models we use and our ability to match them to the appropriate situation. This short video explores the decision-making models currently used in healthcare, and it aims to offer an introduction to the optimal way of matching these models to the context with the…
To deal with nontechnical skills (Notechs) is a matter of culture and is hard to implement in surgical training. Communication, cooperation, decision-making, leadership, and situational awareness are concepts for many and their application in surgical practice is challenging. The competency framework in cardiothoracic surgery has evolved towards wider components including Notechs as a cornerstone in…
For this CTSNet Guest Editor Series, Nontechnical Skills in Cardiothoracic Surgery, we asked Professor Jean-Marc Baste to bring together videos that highlight the importance of skills that are critical for leading cardiothoracic surgical teams effectively. Dear CTSNet Reader, The objective of this series is to highlight the importance of nontechnical skills, or Notechs, in cardiothoracic…
Introduction The most frequent tumors in the anterior mediastinum are thymomas/thymic lesions (40%), lymphomas (25%), and germ cell tumors (20%). Substernal or retrosternal goiters/ectopic thyroid comprise 15% of anterior mediastinal masses (1). Ectopic thyroid is a rare entity with an estimated prevalence of 1:100,000-300,000 (2) and 1:4,000-8,000 in patients with thyroid diseases (2). Ectopic thyroid…
This video demonstrates a straightforward, reproducible technique for the repair of bileaflet prolapse in Barlow’s disease. The valve is repaired with two sets of chordae to each of the anterior and posterior leaflets. The key technical consideration is the sizing of the chordae. For the anterior leaflet, chordae are sized by pulling the leading edge…
John Dark, of Freeman Hospital and Newcastle University in the UK, is the National Clinical Lead for Governance within Organ Donation and Transplantation at NHS Blood and Transplant. Professor Dark discusses outcomes for lung transplantation, focusing on his center’s ex vivo lung perfusion (EVLP) experience. This lecture was presented during the Glasgow Cardiopulmonary Transplantation and…
Pouya Youssefi is a UK trained cardiac surgeon and winner of the SCTS Ethicon Scholarship, with which he is currently working with Emmanuel Lansac at Institut Mutualiste Montsouris (Paris) in aortic valve and root repair. He discusses annuloplasty techniques in aortic root repair. Emphasizing the benefit of aortic valve repair for nonelderly patients, he presents his team’s standardized approach…
Filmed at the 2019 STS Annual Meeting in San Diego, California, Patrick Myers of the Lausanne University Hospital in Switzerland moderates a discussion on the usage of arterial grafts in coronary artery bypass surgery (CABG). Dr Myers is joined by John Puskas of the Icahn School of Medicine at Mount Sinai in New York, New York, USA,…
The authors present a repair for severe mitral regurgitation that demonstrates the effectiveness and reproducibility of the placement of preformed neochords. The procedure was performed in a 64-year-old asymptomatic patient with severe mitral regurgitation due to bivalvar prolapse with Barlow’s disease. A complex mitral valvular plastic was performed, with triangular resection of segment P2, closure…
Objectives Pulmonary sequestration is a rare congenital lung malformation that more commonly occurs in the left lung, mainly near the lower mediastinum. It is rarely observed in adult patients. The authors present the case of a 57-year old man with a pulmonary sequestration with an abnormal large artery situated in the inferior pulmonary ligament. Twenty-four…
Introduction Traumatic subclavian arterial rupture represents an uncommon complication of blunt chest trauma. Arterial rupture usually causes massive hemorrhages, and it must be quickly and properly confirmed by physical examination. Although it is uncommon, it is a challenging surgical problem and many surgeons have limited experience with its management [3, 4]. In recent years, complex…
Follow Jackie Olive, a medical student at Baylor College of Medicine in Houston, Texas, and cardiothoracic surgery resident Jessica Luc of the University of British Columbia in Canada as they attend the 2019 STS Annual Meeting that took place in San Diego, California, this past January. In this “Day in the Life” video, Ms Olive…
Filmed at the 2018 EACTS Annual Meeting in Milan, Italy, Mohamad Bashir of the Barts Heart Centre in London, UK, moderates a discussion on the frozen elephant trunk procedure. Dr Bashir is joined by Malakh Shrestha of Hannover Medical School in Germany, Konstantinos Tsagakis of the University of Essen in Germany, Jorge Mascaro of Queen Elizabeth Medical…
Objectives Hypertrophic cardiomyopathy is usually associated with left ventricular outflow tract obstruction. It is rare to have a concomitant obstruction of the right ventricular outflow tract requiring resection. Patients with biventricular outflow tract obstruction tend to have more severe symptoms than patients with left ventricular outflow tract obstruction alone and non-obstructive hypertrophic cardiomyopathy. The authors…
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