Content from the Journal of the American Neurological Surgeons.
Filmed at the 2019 STS Annual Meeting in San Diego, California, Mara Antonoff of the University of Texas MD Anderson Cancer Center in Houston, USA, moderates a discussion on the use of social media for academic promotion. Dr Antonoff is joined by David Cooke of the University of California Davis Medical Center in Sacramento, USA,…
Objectives Anomalous origin of the right coronary artery (RCA) from the pulmonary artery is an extremely rare condition with an uncertain natural history. Here, the authors present an otherwise healthy active duty service member who was found to have an anomalous RCA arising from the pulmonary artery as an incidental discovery during a workup for…
Abdelhadi Ismail of the Southampton University Hospitals Trust in the UK presents an educational series on cardiac anatomy in which he discusses some of the fundamental concepts. The optimal way to memorize a topic is to first classify it, then understand it, then forget it. Once you forget and recall it, you will never forget…
This video describes a simple method of complete reconstruction of a truncal valve using equine pericardium in a one-year-old patient with severe truncal valve regurgitation. Surgical Technique Through a transverse aortotomy, the truncal valve was excised, leaving a 2 mm margin of leaflet tissue in order to preserve the native valvar hinge joint. A rectangular…
Dr S. Chris Malaisrie, senior author of the study. The best management approach for severe aortic stenosis (AS) prior to the onset of symptoms has been a point of debate for at least two decades. In an article published recently in The Annals of Thoracic Surgery, Campo and colleagues evaluated outcomes for patients with asymptomatic…
In this Giants of Cardiothoracic Surgery interview, Varun Shetty speaks with Devi Shetty, founder and chairman of Narayana Health in Bangalore, India, about his work to make cardiac surgery affordable for the common man. They discuss how economies of scale, low-cost micro health insurance, and technology have been critical in this effort to democratize healthcare.…
The authors present a thymectomy that was performed for a 49-year-old woman with a history of breast carcinoma who had a positron emission tomography–positive lesion at the level of the anterior mediastinum. Her care was discussed at a multidisciplinary meeting and, although there was a suspicion of a malignant thymoma, the radiologist did not consider…
Aortic root enlargement may be necessary for a small aortic annulus to allow the implantation of a larger aortic valve prosthesis. Larger prostheses are associated with a lower incidence of patient prosthesis mismatch and lower rates of structural valve deterioration. Looking to the future, a larger aortic valve prosthesis will facilitate valve-in-valve aortic replacements by…
Pericardial cysts are benign and rare congenital malformations with an incidence of 1 in 100,000, representing about 7% of mediastinal masses [1]. Pericardial cysts— as well as pericardial diverticula— are caused by an abnormal fusion of mesenchymal lacunae, although cysts are more common than diverticula, with a relative ratio of 3:1 [2]. Diverticula can be…
Background Left atrial appendage aneurysm (LAAA) is a rare cardiac anomaly that was first reported in 1960 [1]. Since severe complications of LAAA have appeared, such as symptomatic thromboembolic events, arrhythmias, and congestive heart failure, surgical treatment is generally recommended [2]. The authors describe an asymptomatic 31-year-old woman who was hospitalized because of an LAAA…
On May 3 and 4, 2019, presentations from the Transcatheter Heart Valve Greece 2019 Conference streamed live on CTSNet. Friday sessions included: TAVR Technology in a Rapidly-Evolving Era TAVR on the Uprise: How Do We Deal With Complex Situations? TAVR Dilemmas and Complications Focus on the aortic and mitral valves. Key Lectures: Low-Risk Trial Insights,…
Filmed at the 2019 STS Annual Meeting in San Diego, California, Jacqueline Olive of Baylor College of Medicine in Houston, Texas, USA, moderates a discussion on making the most of networking and career development opportunities at cardiothoracic surgery meetings. Ms Olive is joined by Jessica Luc of the University of British Columbia in Vancouver, Canada,…
This is a right upper lobe microlobectomy and the author uses the stapler to perform a double stapling twice, hence the “Double Double!” The procedure shown in this video is the microlobectomy technique, which is fully described at www.microlobectomy.com (1). The author did a lymphadenectomy, then dissected out the right upper lobe vein and the…
De Bakey and Cooley, in 1956, first replaced an ascending aneurysm with the aid of cardiopulmonary bypass. Since then, several methods evolved for the surgical repair of the aortic root and ascending aorta aneurysms. Bentall (2), in 1968, first used his technique when he noticed that it would not be possible to join the aortic…
Endoscopic mitral valve repair is one of the most difficult procedures to learn. The learning curve is steep. This steep learning curve has partially to do with the fact that the operation is done with long-shafted instruments, with surgeon looking at the monitor rather than into the wound. Acquiring endoscopic skills with long-shafted instruments is…
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