Content from the Journal of the American Neurological Surgeons.
The 2019 Annual Meeting of the International Society for Minimally Invasive Cardiothoracic Surgery (ISMICS) was held in New York, New York, from May 29 – June 1, 2019, and select presentations from the meeting streamed live on CTSNet. Did you miss part of the livestream? Watch these sessions below or in the CTSNet YouTube channel. Mastering the Indications…
Simon Messer, a specialist trainee registrar in cardiothoracic surgery and a researcher on heart donation after cardiac death (DCD) at the Royal Papworth Hospital in the UK, presents his center’s experience on DCD heart transplantation as means of increasing the donor pool and reducing the waiting times for heart transplant recipients. This lecture was presented…
In this Giants of Cardiothoracic Surgery interview, Marco Nardini speaks with Antonio Maria Calafiore of the Prince Sultan Cardiac Center in Riyadh, Saudi Arabia. They begin by highlighting the influence of the first heart transplant in inspiring Professor Calafiore to pursue cardiac surgery. They discuss Prof Calafiore’s innovating work in myocardial protection, his contributions to the…
This video demonstrates the laqueation of a giant aneurysm of the left atrial appendage using a left video-assisted thoracoscopic (VATS) approach. The patient was an asymptomatic 45-year-old woman with an unremarkable medical history, who was scheduled for percutaneous pulmonary vein isolation due to paroxysmal atrial fibrillation. When she underwent routine computed tomography imaging, a giant…
The development of a gastrobronchial fistula is a relatively rare occurrence. The patient in this video underwent esophagectomy for esophageal cancer and a stomach pull-up operation was performed. A few weeks later, the patient experienced chest infection and pneumonia due to repeated aspiration. Further investigations including computed tomography, a contrast swallow study, and esophagogastroscopy confirmed…
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…
This video demonstrates a robot-assisted upper left lobectomy as surgical treatment for a patient with a lung adenocarcinoma that had been previously submitted to immunotherapy. It was performed with the da Vinci Si platform with a 3-arm technique plus a 10 mm assistant port. In the right arm, the authors used the Marlyland bipolar forceps…
Disclosure This presentation describes the off-label use of the Centrimag™ Ventricular Assist Device (Abbott). Objectives Right ventricular (RV) failure is a life-threatening complication after left ventricular assist device (LVAD) implantation. Increasingly, temporary right ventricular assist devices (RVAD) are used to support postoperative right heart failure and cardiogenic shock. Typically, temporary RVAD placement is limited by…
The first stage of hypoplastic left heart syndrome (HLHS) palliation typically occurs within the first week of life. There are three competing surgical strategies for this palliation: the Norwood procedure with modified Blalock-Taussig-Thomas shunt (innominate-artery-to-pulmonary-artery), the Norwood procedure with right-ventricle-to-pulmonary-artery (RV-to-PA, Sano) modification, and the hybrid procedure, which includes a stent across the ductus arteriosus…
Figure 1. Chest x-ray showing opacity in the right upper zone. Lung infarct is a rare complication of lobectomy. Commonly, postoperative infarct is due to pulmonary torsion and rarely due inadvertent ligation of the pulmonary artery or vein of the residual lobe. Here is a rare case of infarct of the residual upper lobe following a…
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.…
