Content from the Journal of the American Neurological Surgeons.
Patients with diffuse coronary artery disease are usually judged not to be candidates for percutaneous or surgical intervention. In this video, the authors present a triple coronary endarterectomy (CEA) in a patient with severe coronary artery disease using a closed-traction technique (traction-CEA). Patient Demographics A 68-year-old man presented with stable angina pectoris and dyspnea on…
Introduction Dermatofibrosarcoma protuberans (DFSP) is a relatively uncommon cutaneous malignancy. Although metastasis rarely occurs, DFSP is a locally aggressive tumor with a high recurrence rate. It arises from the dermis and invades deeper tissues (eg, fat, fascia, muscle, bone) [1]. DFSP is the most common type of cutaneous sarcoma, with an incidence of 0.8 to…
STS President Keith S. Naunheim of St. Louis University in Missouri presented his Presidential Address, “Anger Management 101: Why Am I Angry? Let Me Count the Ways,“ from the 55th STS Annual Meeting in San Diego, California.
Filmed at the 2018 EACTS Annual Meeting in Milan, Italy, Leanne Harling of Imperial College in London, UK, moderates a discussion on the management of pectus deformities. Ms Harling is joined by Mustafa Yuksel of Marmara University Medical School in Istanbul, Turkey, and Ian Hunt of St. George’s Hospital in London. They focus on the functional…
Hans-Joachim Shäfers of Saarland University Medical Center in Germany presents his tips and tricks for aortic root remodeling. This presentation was originally given during the SCTS Ionescu University program at the 2018 Annual Meeting of the Society for Cardiothoracic Surgery in Great Britain and Ireland. This content is published with the permission of SCTS. Please click here for…
The patient was a 35-year-old woman who had reported experiencing an intermittent and really productive cough for several years that was very offensive and troublesome in nature. She also reported intermittent chest infections over the years. She was diagnosed with a left main bronchus cyst from her noncontrast computed tomography scan after excluding an esophageal…
Om P Yadava of the National Heart Institute in New Delhi, India, and Roberto Di Bartolomeo of the University of Bologna in Italy discuss the redo aortic surgeries and recent advances like the frozen elephant trunk and endovascular repair. Dr Yadava begins by asking why redo aortic surgeries are needed and what their incidence is.…
Anatomic sublobar resections have been used primarily for benign pulmonary lesions, lung metastases, and early stage lung cancer. There are many recent studies that support the oncological results of anatomic sublobar resections compared to lobectomy in terms of recurrence and overall survival [1-8]. In addition, the procedure’s performance through minimally invasive procedures is possible by…
This video demonstrates an anterior translocation of the circumflex aortic arch for the management of esophageal compression. A 9-year-old boy diagnosed with a 22q11 deletion had a longstanding history of swallowing difficulty. His parents noted that he always had to have a sip of fluid for solid ingestion. The rest of his medical history was…
Filmed at the 2018 STS Annual Meeting in Fort Lauderdale, Florida, Ourania Preventza of Baylor College of Medicine in Houston, Texas, moderates a discussion on diversity and inclusion in cardiothoracic surgery. Dr Preventza is joined by Robert Higgins of John Hopkins University School of Medicine in Baltimore, Maryland, Jessica Donington of the University of Chicago…
Prakash P. Punjabi of the Imperial College in London, UK, presents the argument for conventional approaches for the treatment of mitral valve disease. This presentation was originally given during the SCTS Ionescu University program at the 2018 Annual Meeting of the Society for Cardiothoracic Surgery in Great Britain and Ireland. This content is published with…
The authors demonstrate a robotic right lower lobectomy with utilization of subxiphoid assistant port. The patient was a 73-year-old man who underwent surgery for a 35 mm lung nodule secondary to metastatic adenocarcinoma of the colon. A station 7 lymphadenectomy was performed along with taking multiple station 10 samples. The right lower lobe pulmonary artery…
This video demonstrates a technique of complex aortic reconstruction in bacterial endocarditis. The patient had a previous aortic valve replacement for native valve endocarditis, then a subsequent aortic root with a bio-Bentall procedure and hemiarch for recurrent bacterial endocarditis. The patient presented years later with recurrent bacterial endocarditis with an aortic root abscess and valve…
There are different types of anterior mediastinal tumors, such as thymoma, germ cell tumors, ectopic parathyroid tumors, and lymphoid tumors. Completeness of tumor resection has been considered the most important determinant of long-term survival, therefore surgical resection of these tumors should be both safe and radical. Subxiphoid access is a novel approach for anterior mediastinal…
Enoch Akowuah of the James Cook Hospital in Middlesbrough, UK, discusses key aspects of the UK Mini Mitral Trial and sets the scene for a debate on median sternotomy versus minithoracotomy for degenerative mitral valve disease. The UK Mini Mitral trial is a randomized multicenter trial that will evaluate speed of recovery and cost effectiveness, among other…
Filmed at the 2018 STS Annual Meeting in Fort Lauderdale, Florida, Douglas Wood of the University of Washington in Seattle moderates a debate on the criteria that should be used to select which patients should undergo lung cancer screening. Dr Wood is joined by Farhood Farjah of the University of Washington, Thomas D’Amico of Duke…
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