Content from the Journal of the American Neurological Surgeons.
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)…
Patrick Perier of the Herz und Gefäß Klinik in Bad Neustadt an der Saale, Germany, discusses the problem of excess tissue in mitral valve repair. He focuses on the posterior leaflet, presenting the strengths and limitations of approaches that preserve tissue and discussing tips for a quality repair. This presentation was originally given during the…
This patient was a 15-year-old male with hypoplastic left heart syndrome, status post extracardiac Fontan. The left pulmonary artery was stented and the tricuspid valve ring was placed years previously. This was the fifth time the authors re-entered the chest. A suitable donor became available, and the patient presented for orthotopic heart transplant.
A 54-year-old man presented three months after coronary bypass surgery with a large aneurysm from the left ventricle (LV). Transesophageal echocardiogram (TEE) showed a wide-mouthed aneurysm arising from the lateral wall of the LV. LV ejection fraction was 35% and the patient’s mitral and aortic valves were competent. Computed tomography (CT) showed a 6 x…
The Toronto Lung Transplant Program performs over 200 donor lung retrievals each year. The surgical approach is standardized to ensure the best quality lung preservation possible. Careful technique is used to ensure that all hilar structures are intact with adequate cuffs and that the lungs are removed without injury. This video demonstrates the lung retrieval…
Paul Van Schil of Antwerp University Hospital in Belgium discusses surgical approaches for various stages of non-small cell 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 permission of SCTS.…
An otherwise healthy 58-year-old woman was evaluated for lower back and abdominal pain. She underwent a computed tomography scan of the abdomen, and the upper abdominal slices revealed a hypodense lesion occupying the left atrium (LA). The patient had no signs or symptoms of heart failure, but she did have a “positional” middiastolic murmur. A…
