Content from the Journal of the American Neurological Surgeons.
This video shows the technical challenges of explanting a valve-in-ring mitral valve. The patient was a 40-year-old woman who presented with a failed mitral valve repair in which a P2 triangular resection and 28 mm Edwards Physio 2 ring were used 5 years prior via a limited sternotomy at an outside institution. Her original operation…
This video demonstrates the common pitfalls of robot-assisted esophagectomy and presents tips and techniques to performing the Ivor Lewis and McKeown procedures. To begin making the conduit, it is advisable to begin at the lesser curvature and to use a 4.0 cm silk tie in order to gauge the width of the conduit—this helps to…
Epiaortic scanning is a simple and low-cost technique that could improve results in terms of postoperative neurological complications. This video is a step-by-step tutorial that could allow every surgeon to perform an epiaortic scan safely. The findings from the scan may help in choosing the optimal surgical strategy for every single patient. The authors show…
Blase Carabello of the East Carolina Heart Institute in Greenville North Carolina, USA, and Jean-François Obadia of the Hopital Cardiothoracique Louis Pradel in Lyon, France, discuss the COAPT and the Mitra.fr trials. Both trials investigated the use of the MitraClip for secondary mitral regurgitation, but they found strikingly different results on patient outcomes. Drs Carabello…
Filmed at the 2019 AATS Annual Meeting in Toronto, Canada, Daniel Engelman of Baystate Medical Center in Springfield, Massachusetts, USA, moderates a discussion on enhanced recovery after surgery (ERAS) for cardiac surgery guidelines for perioperative care. Dr Engelman, who is also the President of the ERAS Cardiac Society, is joined by Louis Perrault of the Montreal…
Since the introduction of video-assisted thoracoscopic lobectomy more than 25 years ago, the focus for thoracic surgeons has been to enhance the surgeon’s technical skills. This has been implemented with success across the world, and a minimal invasive approach to lung cancer is standard of care in many units today. However, major intraoperative complications occur…
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,…
