Content from the Journal of the American Neurological Surgeons.
Filmed at the 2018 EACTS Annual Meeting in Milan, Italy, Shanda Blackmon of the Mayo Clinic in Rochester, Minnesota, USA, moderates a discussion on the role of women in cardiothoracic surgery. Dr Blackmon is joined by Miia Lehtinen of Kymenlaakso Central Hospital in Kotka, Finland, and Meghana Helder of the Mayo Clinic in Rochester. They focus on the…
Torsten Doenst of the University Hospital Jena in Germany presents the argument for minimally invasive techniques over median sternotomy in 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…
A 4-year-old boy came to the emergency department with stridor. He had a 19-hour history of foreign body inhalation of a rosary bead. The authors performed a rigid bronchoscopy. They used a crocodile forceps with one jaw inside the hole of the bead and the other jaw grasping the outer surface. Then they extracted the…
This video demonstrates a proximal anastomosis, attaching a graft vessel to the aorta in a coronary artery bypass graft procedure. The authors break the anastomosis into five steps: preparation, creating the aortic hole, cutting the graft, parachuting the graft onto the aorta, and completing the anastomosis. Suggested Reading Doty DB, Doty JR. Cardiac Surgery: Operative…
Minimally invasive segmentectomy is becoming a popular operation for the diagnosis and treatment of small pulmonary nodules. It is very technically challenging and the anatomic variations are often unpredictable. The three-dimensional (3D) reconstruction integrated with endoscopic camera imaging, indocyanine green for intersegmental plane definition and nodule location, and radial endobronchial ultrasound and virtual bronchoscopy are…
Leanne Harling of Imperial College in London, UK, interviews John McKenna of Edinburgh, UK, about his experience in the device industry side of cardiothoracic surgery. They discuss the development of replacement heart valves and current challenges that face the development of technology, both generally and in the UK. Mr McKenna emphasizes the importance of collaboration…
Kevin Franks of the Leeds Cancer Centre in the UK discusses recent advances in radiotherapy technology for the treatment of lung cancer. 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…
This video demonstrates an Ebstein repair by cone technique. Cone repair is widely used for Ebstein anomalies, and it is appreciated for the leaflet coaptation it provides and its creation of normal geometry of the tricuspid valve.
Objectives Repair of simultaneous complex aortic and mitral valve defects in patients with Marfan syndrome can be difficult. This video illustrates a double valve repair using two remodeling annuloplasty rings, as a technical simplification for simultaneous reconstruction. Video Summary Risk-adjusted outcomes of multiple valve procedures may be better with repair than with prosthetic valve replacement…
This is an approximately 15 minute long educational video that is designed for medical students, nursing students, anesthesia residents, or anyone who is new to the cardiac surgery operating room. It describes the basic set up for cardiopulmonary bypass, including a description of the cannulas. There is animation to help with the explanations, and intraoperative…
A 15-year-old girl initially presented with complete obstruction of her left main stem bronchus with complete atelectasis of the left lung. She had been like this for one year. The left main stem was cleared with a bronchoscope and the lung re-expanded. The diagnosis was a granular cell tumor of the distal left side of…
Filmed at the 2018 STS Annual Meeting in Fort Lauderdale, Florida, Robert Sade of the Medical University of South Carolina in Charleston moderates a debate on the ethics of performing surgeries distant from one’s primary center. The scenario for this debate considers a thoracic surgeon at a major medical center who performs surgeries at a distant hospital…
Bob Kiaii of the London Health Sciences Centre in Ontario, Canada, makes the case for a hybrid approach to coronary revascularization. He argues that hybrid revascularization is a useful component of one’s armamentarium but that more data is needed to establish its usefulness for high-risk patients. This presentation was originally given during the SCTS Ionescu…
This 2-year-old girl was evaluated for a recurrent respiratory tract infection and palpitations. She was further evaluated and diagnosed with a large secundum atrial septal defect (ASD) with dilated right atrium (RA) and right ventricle. However, the left pulmonary artery was not visible on the echocardiogram. A chest computed tomography scan showed that the left…
In this video, the authors present their approach for identifying the left anterior descending artery (LAD) target in minimally invasive robot-assisted CABG. They start with the robotic take down of the internal mammary artery (IMA), followed by a left minithoracotomy for the LAD anastomosis. The first step in this procedure is a robotic IMA harvest.…
Introduction Three-dimensional (3D) printing is a new modality which makes a true-to-life 3D model using sophisticated technology. The authors report its first use in a complex case of a large pulmonary arteriovenous (AV) malformation. Case Summary A 23-year-old patient presented with severe central cyanosis and clubbing. His echocardiogram was normal. A chest computed tomography (CT)…
welcomes you to the new, improved website!