Content from the Journal of the American Neurological Surgeons.
This video demonstrates decortication performed for a patient with multiple tension collections. The patient underwent a decortication process for multiple encysted collections that were causing tracheal deviation, airway compression, and severe shortness of breath. Initial radiologist reports showed pictures of multiple bullae, so an urgent lung volume reduction surgery was scheduled. When examining the chest…
CTSNet is excited to announce that “Hybrid Aortic Type I Dissection Repair” by Nestor Manuel Clusa has won first place in the 2018 Resident Video Competition. Dr Clusa is a cardiothoracic surgery fellow at the Cardiovascular Institute of Buenos Aires in Argentina. In this Google Hangouts video, CTSNet Associate Editor Joel Dunning congratulates Dr Clusa on his winning…
Objectives The frozen elephant trunk can facilitate the repair of arch and proximal descending aortic pathologies. Commercially available hybrid grafts may simplify this approach by allowing for a single suture line with the soft graft secured to the stent, potentially streamlining the distal anastomosis. However, this is a commodity not available at all institutions. The…
This presentation is about a robotic S9-S10 segmentectomy assisted by a multimodal reconstruction imaging system. In the literature, several series report experiences of robot-assisted segmentectomy for benign or malignant pathologies. However, they were either common to the basal segments interesting segments 7 to 10, or the segment of the Fowler (segment 6). In the series…
Patient Details A 52-year-old man with his first presentation in heart failure, NYHA class IV. Transthoracic echocardiogram showed severely dilated left ventricle (LV) with global hypokinesia, left ventricular ejection fraction (LVEF) 20%, moderate mitral regurgitation. Coronary angiogram demonstrated no significant coronary artery disease. Congestion initially improved on intravenous diuretics. Low cardiac output on milrinone infusion,…
Mr Felice Granato demonstrates a thoracoscopic right upper lobectomy, which was performed for a primary pulmonary malignancy. The Harmonic HD was adopted for sealing of one of the segmental arteries (A2). It was also used to dissect the soft tissues, the pleura, the pulmonary parenchyma, and importantly, to perform an extensive and homeostatic lymphadenectomy. The…
Filmed at the 2018 EACTS Annual Meeting in Milan, Italy, Jill Ley of California Pacific Medical Center in San Francisco, USA, moderates a discussion on evidence-based recommendations for movement following sternotomy. Ms Ley is joined by Doa El-Ansary of Swinburne University of Technology and the University of Melbourne in Australia, Katijjahbe Mohd of Hospital Canselor…
This video presents the endoscopic harvesting of the radial artery using the Getinge Vasoview Hemopro 2 System. It is an easy to learn technique, and it should preferably be trained after mastery of the endoscopic removal of the vena saphena magna to ensure the greatest possible expertise. The focus should also be on the patient’s…
The authors present an aortic valve repair performed for a 34-year-old man with a history of tobacco use and hypertension. He was admitted to the authors’ institution with a diagnosis of bicuspid aortic valve with severe aortic insufficiency and deterioration of the systolic function of the left ventricle. After this diagnosis, the authors decided to…
This article shares 15 years’ worth of experience of bronchoscopy. Originally designed for cardiothoracic surgical trainees, others will find it resourceful. In particular, it’s a good reference to have for pulmonologists and trainees, anesthetists, intensivists in the intensive care unit, and medical students interested in the details of the bronchial tree. The author intends these…
Introduction A pneumatic nail gun is an alternative tool to a hammer. This useful device has been used since 1959 to fire nails into wood and other surfaces at high speed [1, 2]. In spite of its convenience, life-threatening and fatal nail gun injuries can occur when the operator has insufficient training. Injuries by nail…
Introduction Congenital lobar emphysema (CLE), also called congenital alveolar overdistension, is a birth defect of the lower respiratory tract. CLE causes hyperinflation of the pulmonary lobes. It can involve one or multiple lobes (1). It is a rare disease with a prevalence of 1 in 20,000 to 1 in 30,000 (3). Patients are diagnosed with this…
In this interview, Joel Dunning of the James Cook University Hospital in Middlesbrough, UK, discusses lung volume reduction surgery (LVRS) with Joel Cooper of the Hospital of the University of Pennsylvania in Philadelphia, USA. LVRS is a technique that Dr Cooper pioneered and with which he has achieved consistently good results. Dr Cooper discusses indications…
Objectives Treatment of perimembranous ventricular septal defects (VSD) has traditionally been surgical. Surgery most often includes midline sternotomy, cardiopulmonary bypass with cardioplegic arrest, and patch closure of the defect. Devices have become available that allow for percutaneous perimembranous ventricular septal defect closure in the cardiac catheterization lab, thereby eliminating the risks of open heart surgery.…
On April 11 and 12, 2019, the plenary sessions from the Heart Valve Society Annual Meeting streamed live on CTSNet. Find them below if you missed them live. Presidential Session: Back to the Future8-10 am CEST (1-3 am CDT), April 11, 2019Johanna Takkenberg began the meeting by delivering her Presidential Address. Jose Pomar, Alain Carpentier, and Alain…
This educational video explains the crucial operative steps in completing a transaortic septal myectomy for the treatment of hypertrophic obstructive cardiomyopathy. Shown in this video is the presentation of a 48-year-old male with symptoms of exercise intolerance and fatigue. He was found to have asymmetric septal hypertrophy along with chordal systolic anterior motion with preserved…
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