Content from the Journal of the American Neurological Surgeons.
The authors illustrate the replacement of the ascending aorta and aortic valve using a Freestyle porcine bioprosthesis in a patient with a giant aneurysm of the ascending aorta (8 cm). Procedure Details The preoperative computed tomography angiography scan is shown in the video. The right axillary artery was cannulated with Seldinger technique, and percutaneous right…
Leanne Harling of Imperial College in London, UK, interviews Martin Elliott of the Great Ormond Street Hospital for Children in London about the establishment of the UK National Tracheal Service and his experience with tracheal surgery. They discuss long-segment tracheal stenosis, other tracheal pathologies, and surgical technique tips for slide tracheoplasty. Professor Elliott emphasizes the importance…
Objectives Cardiac valve repair is a recognized approach to achieve satisfactory long-term valve function and improved survival over replacement. Concomitant aortic and mitral valve repair has been associated with excellent freedom from recurrent insufficiency or valve related complications. This video illustrates an operative approach of combined rheumatic mitral valve repair and aortic valve repair involving…
Management of subepithelial prepyloric gastric masses often necessitates complex surgeries, including wedge resections or a formal distal gastrectomy. With the high rate of morbidity and mortality, minimally invasive techniques to treat gastric tumors are gaining acceptance. The authors present a case of a combined endoscopic and laparoscopic transgastric full-thickness resection of a prepyloric subepithelial gastric…
This video shows a complex mitral valve repair using a modification of the Leipzig loop technique (1) with a modular Gore-Tex neochord system to address the anterior and the posterior leaflet. The patient was a 70-year-old man with a history of acute bacterial endocarditis treated with intravenous antibiotics. His echocardiogram showed bileaflet prolapse with a…
Find it here: The SCTS “Take on the Experts” Video Competition On Tuesday, March 12, the top four cardiac and top three thoracic videos submitted for this session of the 2019 SCTS Annual Meeting were presented to a panel of experts, who questioned the presenters and probed their techniques. Missed it live? Watch the session…
A 67-year-old woman, with multimorbidity and previously treated squamous cell carcinoma of the tongue, was admitted to the author’s clinic for the treatment of a 1.1 cm squamous cell carcinoma located in the posterior segment of the left upper lobe. A single incision of 3 – 3.5 cm was made in the fifth intercostal space…
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 importance of valve repair in aortic root aneurysm. Dr Bashir is joined by Emmanuel Lansac of the Institut Mutualiste Montsouris in Paris, France, Michael Borger of the Leipzig Heart Center…
Gaetano Rocco of the Memorial Sloan Kettering Cancer Center in New York, USA, discusses the future of minimally invasive thoracic surgery. He proposes that improved training and educational tools for established surgeons are the most critical innovation for the future of minimally invasive thoracic approaches. This presentation was originally given during the SCTS Ionescu University…
Objective Bicuspid valves with fusion of both the right-left and right-noncoronary commissures generally are called Sievers type 2 or unicuspid aortic valves (UAV). This anatomy can be difficult to repair with existing techniques. Methods A 32-year-old athlete with fatigue and class II congestive heart failure presented with severe aortic insufficiency (AI) and early left ventricular…
In this video, the authors show a two-stage hybrid treatment strategy for DeBakey type I aortic dissection. The patient was a 70-year-old man who arrived from another institution with a diagnosis of chronic aortic dissection type I of the DeBakey classification. The computed tomography (CT) scan showed an aortic wall hematoma in the ascending aorta…
The authors present the repair of a ruptured sinus of Valsalva aneurysm via a right anterior minithoracotomy. The patient presented with sinus tachycardia, a grade 4/6 pansystolic murmur, and bilateral lower extremity edema. Transesophageal echocardiogram (TEE) was performed, which revealed an 8 mm fistulous communication between the right sinus of Valsalva and the right atrium…
Abdelhadi Ismail of the Southampton University Hospitals Trust in the UK presents an educational series on cardiopulmonary bypass in which he discusses some of the fundamental concepts underlying cardiopulmonary bypass and reviews techniques. The optimal way to memorize a topic is to first classify it, then understand it, then forget it. Once you forget and…
The authors present a case of congenital coronary artery to right ventricle fistula that was treated successfully by direct ligation without the use of cardiopulmonary bypass. An 11-month-old boy was hospitalized because of a complaint of mild dyspnea and continuous cardiac murmur. A chest x-ray revealed heart shade enlargement. Multidetector computed tomography and coronary angiography…
Between February 23 and March 1, 2019, Dr Enoch Akowuah led a heart surgery team from the James Cook University Hospital in Middlesbrough, UK, on a mission to Kumasi, Ghana, to perform adult heart surgery and to place pacemakers. The Middlesbrough team members were also tremendously lucky to be joined by Dr Emily Farkas, who…
Filmed at the 2018 STS Annual Meeting in Fort Lauderdale, Florida, Douglas Wood of the University of Washington in Seattle moderates a discussion on the disparities in access to lung cancer screening. Dr Wood is joined by Elizabeth David of the University of Southern California in Los Angeles, Betty Tong of Duke University in Durham,…
