Content from the Journal of the American Neurological Surgeons.
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…
Educational Grants CTSNet wishes to recognize and thank the following companies for their ongoing support through educational grants: Edwards Lifesciences. In March 2019, two randomized trials were published comparing surgical (SAVR) and transcatheter aortic valve replacement (TAVR) in low-risk patients with severe symptomatic aortic stenosis: the PARTNER-3 Trial (Mack, et al., 2019; ClinicalTrials.gov number, NCT02675114)…
The authors present an extremely rare congenital heart disease that was operated on for a 2.5-year-old boy from the northeast of Brazil, who was born and still lives in an indigenous tribe. The clinical examination was normal; his family and tutors took him to the medical facility because he had an isolated syncope episode. There…
Patients with systemic lupus erythematosus (SLE) may suffer from complications, which are important causes of morbidity and mortality. The immunodepression of the systemic pathology itself, combined to corticosteroids and immunosuppressive treatments, are responsible for infections (1, 2). A 27-year-old man was hospitalized in the thoracic surgery department with a symptomatology of hemoptysis that started three…
The 2019 Annual Meeting of the European Society of Thoracic Surgeons (ESTS) was held in Dublin, Ireland, June 9-12, 2019. On June 9-11, presentations from the meeting streamed live on CTSNet. Did you miss the livestream? Watch these sessions below, in the CTSNet YouTube channel, or on ESTS TV. Sunday, June 9 Postgraduate Symposium Master Cup Database and Quality…
Professor Jean-Marc Baste is a consultant surgeon in the department of cardiothoracic surgery at Rouen University Hospital in France. Prof Baste earned his MD from Bordeaux Medical School in France, after which he trained in general surgery at Rouen University, then in cardiovascular and thoracic surgery at Rouen University and Bordeaux University. He completed a…
Filmed at the 2019 STS Annual Meeting in San Diego, California, Daniel Engelman of Baystate Medical Center in Springfield, Massachusetts, USA, moderates a discussion on enhanced recovery after surgery (ERAS) for cardiac surgery. Dr Engelman, who is also the President of the ERAS Cardiac Society, is joined by Rakesh Arora of Saint Boniface Hospital in Winnipeg,…
Objectives Tetralogy of Fallot (TOF) with absent pulmonary valve syndrome and massively dilated pulmonary arteries may present with severe airway compression. Neonates who present with severe airway compression are difficult to manage and have a high mortality rate. The traditional approach of ventricular septal defect (VSD) closure and pulmonary artery plication is often insufficient to…
Figure 1. VP shunt in the left lower lobe of lung piercing left copula of diaphragm. A and B) PA and lateral chest x-ray. C and D) MSCT chest, pulmonary and tracheobronchial reconstruction windows. The ventriculoperitoneal (VP) shunt is a commonly used treatment for hydrocephalus. Shunt malfunctions such as obstruction and disconnection are common; however, migration…
Redo isolated tricuspid repair following previous mitral valve replacement carries a high mortality and morbidity. The authors’ totally endoscopic technique avoids entirely heart dissection, thus minimizing surgical trauma and possibly reducing morbidity and mortality. The authors present a surgical repair performed for a 70-year-old man with severe tricuspid regurgitation (TR) who was heavily symptomatic in…
A 57-year-old woman, with a history of pericardiectomy 20 years before, reported progressive dyspnea and orthopnea. A chest computed tomography scan showed a large anterior diaphragmatic (Morgagni) hernia containing a loop of transverse colon and omentum producing mass effect on the right atrium and ventricle. Significant right ventricular outflow obstruction and a small loculated pericardial…
