Content from the Journal of the American Neurological Surgeons.
The authors present a video of a robotic assisted pulmonary segmentectomy of the anterior segment of the right upper lobe (S3) for a metastatic nodule. The patient was a 67-year-old man with a history of colon cancer, treated previously by resection. A metastatic pulmonary nodule in the anterior segment of the right upper lobe was…
At the end of a cardiac procedure, two or three chest tubes are placed in the mediastinal space to continuously monitor postoperative blood loss and to prevent undesirable blood collection, especially in the pericardial space. Pleural tubes are sometimes used when the pleural space is entered, for example, when left or right internal mammary arteries…
Filmed at the 2018 STS Annual Meeting in Fort Lauderdale, Florida, Lisa Brown of UC Davis Medical Center in Sacramento, California, USA, moderates a discussion on the management of gastroesophageal reflux disease. She is joined by Brian Louie of the Swedish Medical Center in Seattle, Washington, USA, and Inderpal Sarkaria of the University of Pittsburgh in…
Olaf Wendler of King’s College Hospital in London, UK, presents a discussion on the 2017 ESC/EACTS guidelines for the management of valvular heart disease. He discusses guideline recommendations for a variety of scenarios, addressing heart team discussions, SAVR versus TAVI (TAVR), and AoV treatment assessments. This presentation was originally given during the SCTS Ionescu University…
The patient was a 71-year-old woman with a bronchiectatic left upper lobe lesion that was under surveillance. She had a biopsy-proven adenocarcinoma in the left lower lobe, normal pulmonary function tests, and no signs of nodal disease or spread outside of the left lung. The initial surgical plan was a left video-assisted thoracoscopic (VATS) lobectomy. …
Introduction Primary ovarian carcinoid tumors account for less than 0.5% of all carcinoid tumors [1]. Patients with primary ovarian carcinoid tumors may develop carcinoid heart disease by release of bioactive amines directly into the inferior vena cava or renal vein. Carcinoid syndrome is characterized by flushing, secretory diarrhea and bronchospasm. Half of patients with carcinoid…
Nearly all conduits used for right ventricular outflow tract (RVOT) reconstruction require replacement because of stenosis or insufficiency, especially in infants and young children. Since the mid-1980s, cryopreserved homografts have been the conduit of choice in the United States for RVOT reconstruction. Since 2008, the authors’ institution has been using handmade bicuspid-valved polytetrafluoroethylene (PTFE) conduits…
Manuel Castella of the University of Barcelona in Spain presents a discussion on addressing atrial fibrillation during mitral valve surgery. 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.…
Find it here: the 32nd EACTS Annual Meeting in Milan, Italy Watch previously streamed sessions here: Thursday, October 18th at 14:15 – 17:30 GMT + 2 (7:15 – 10:30 am CST)This session, moderated by Drs de Paulis and Sadaba, presents a practical approach to aortic valve repair. Friday, October 19th at 10:00 – 11:00 am…
Here, the authors describe the safe and effective use of a GelPOINT Alexis® wound retractor (Applied Medical) during a thoracoscopic CO2-aided advanced pulmonary resection. The procedure carried out was a right lower bilobectomy for non-small cell lung cancer (NSCLC). The authors applied a two-port anterior approach, using a 3 cm incision for the utility port…
Surgical exposure and cannulation of the femoral artery and vein is the standard approach for connection to the extracorporeal circulation in minimally invasive valve surgery. There are, however, potential downsides, such as the retrograde direction of arterial perfusion and the potential for local inguinal complications, such as lymphorrhea, irritation of the femoral nerve, or infection.…
Background Pulmonary alveolar microlithiasis (PAM) is a rare lung disease characterized by widespread intra-alveolar accumulation of calcium phosphate deposits called microliths. Since the first macroscopic description of the disease by Malpighi almost 300 years ago, approximately 1,000 cases have been described worldwide, mainly in Asia and Europe, without clear gender predilection (1). PAM has a…
Filmed at the 2018 STS Annual Meeting in Fort Lauderdale, Florida, Jill Ley of the California Pacific Medical Center in San Francisco, California, USA, moderates a discussion on developing and fostering cardiothoracic surgical teams. She is joined by Patricia Keegan of the Emory Structural Heart Team in Atlanta, Georgia, USA, Tara Bartley of the Queen…
Donna Eaton of the Mater Misericordiae University Hospital in Dublin, Ireland, presents a discussion on the use of extracorporeal membrane oxygenation in thoracic surgery. 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…
IntroductionCongenital heart disease in adults is a field in constant evolution, with a quest for optimal management of adult patients. In the authors’ part of the world, surgeons deal with all kinds of adult congenital heart diseases, such as atrial and ventricular septal defects, tetralogy of Fallot (TOF), and others. A study of adult TOF…
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