Content from the Journal of the American Neurological Surgeons.
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…
Figure 1. Pre-extraction chest x-ray. A 2-year-old boy was brought to the emergency department with dyspnea and subcutaneous emphysema over the chest, back, and face. On talking to the parents, they gave a history suggestive of foreign body inhalation consisting mostly of chickpeas. Examination revealed the presence of subcutaneous emphysema and decreased air entry on…
Mr Abdelhadi Ismail of the Southampton University Hospitals Trust in the UK presents an educational series on myocardial protection, the first topic in the Southampton Reviews in Cardiothoracic Surgery. He discusses the history of myocardial protection and perfusion, presents some of the fundamental concepts underlying myocardial protection, and reviews techniques. Introduction: Myocardial Protection and Perfusion Myocardial…
Mr Sunil Ohri of the Southampton University Hospital Trust in the UK introduces the Southampton Reviews in Cardiothoracic Surgery Series. In this series of online lectures, the authors will cover many aspects of adult, pediatric, cardiac, and thoracic surgery. The aim of this series is to provide a comprehensive and accessible learning aid for cardiothoracic…
Introduction Hemitruncus is an extremely uncommon anomaly, accounting for 0.1% of all congenital heart diseases (1). This defect is defined by the anomalous origin of one pulmonary artery, most commonly the right branch, from the ascending aorta. The first description of this disease was made by Fraentzel in 1868 (2). The lung that is normally connected receives…
Dr Tsuyoshi Kaneko is a cardiac surgeon and Assistant Professor of Surgery at Brigham and Women’s Hospital and Harvard Medical School in Boston, Massachusetts, USA. Dr Kaneko received his MD from Keio University School of Medicine in Tokyo, Japan, where he also trained in both general and cardiac surgery residencies. Following this, he moved to…
CTSNet published over 200 pieces of educational content in 2018. CTSNet Editor-in-Chief Mark Ferguson presents his choices for the most interesting CTSNet content of 2018. Leaflet Reconstructive Techniques for Aortic Valve RepairDomenico Mazzitelli, Theodor Fischlein, J. Scott Rankin, Yeong-Hoon Choi, Christof Stamm, Steffen Pfeiffer, Lawrence Wei, Vinay Badhwar Bilateral Lung TransplantOrlando Petrucci, Rachel Simon-Lee Bending…
