Content from the Journal of the American Neurological Surgeons.
This video demonstrates a posterolateral thoracotomy. The authors detail the procedure in a step-by-step fashion, using diagrams and surgical video to illustrate key technical elements. This video also shows a muscle-sparing approach to the posterolateral thoracotomy, preserving the serratus anterior. If a muscle-sparing approach is not desired, then the serratus muscle may simply be divided…
Umberto Benedetto of the Bristol Heart Institute in the UK presents a discussion on the benefits of off-pump coronary artery bypass surgery (CABG) for high risk patients, and presents long-term and short-term outcomes data for on-pump versus off-pump CABG. This presentation was originally given during the SCTS Ionescu University program at the 2018 Annual Meeting…
This video demonstrates a robotic right upper lobe segmentectomy using indocyanine green (ICG) guidance. The patient was a 73-year-old woman who had a previous left lower lobectomy for squamous cell cancer and removal of a malignant station L8 lymph node. She presented with a new nodule in the posterior segment of her right upper lobe,…
In the acute postoperative period after cardiac surgery, pacing wires can be inserted into the atria or ventricles to form an external artificial cardiac conductive system controlled by an external pulse generator. While the majority of patients do not require pacing, postoperative pacing wires are almost always positioned because of the risk of conductive abnormalities…
Paraesophageal hernias are complex and challenging when they occur with acute symptoms, in malnourished patients, or when there is gastric ischemia. Treatment should be individualized based on each patient’s clinical characteristics. Medical treatment is often offered to most patients without chronic symptoms. In elective patients with good preoperative performance, surgical repair should be performed to…
Find it here: The 5th International VATS Symposium in Monza, Italy. This postgraduate course emphasizes the use of video-based education and in-depth discussion of technical details. The theme of the 2018 meeting is “a special focus on segmentectomies: indications and surgical techniques.” No registration is necessary to participate in this livestreaming event. Questions posted to…
Manuel J. Antunes of the University Hospital in Coimbra, Portugal, presents a discussion on aortic stenosis and aortic insufficiency in rheumatic heart 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…
In this interview, Shruti Jayakumar of King’s College London School of Medicine in the UK and Martin Elliott of the Great Ormond Street Hospital for Children in London, UK, discuss his path to and experience in congenital heart surgery. Professor Elliott describes the importance of recognizing the patient, safety and outcomes, leadership and teamwork, and…
This video demonstrates a robotic right upper lobe apical segmentectomy as surgical treatment for a lung metastasis from colorectal carcinoma, performed with the da Vinci Si platform using a three-arm technique plus a 10 mm assistant port. In the right arm, the authors used the fenestrated Marlyland bipolar forceps and the Cardiere forceps were used…
While anatomical and clinical indications to transcatheter aortic valve interventions are expanding, surgical aortic valve replacement (AVR) continues to progress, as demonstrated by improving clinical outcomes in contemporary patients’ cohorts (1-2). However, mainly due to the availability of significantly less invasive transcatheter cardiac and noncardiac interventions, patients’ expectations have dramatically changed in the last decade…
Introduction Complex long-segment septal hypertrophy consists of both hypertrophic subaortic stenosis and midventricular obstruction [1-3]. Untreated midventricular obstruction leads to recurrent symptoms and reduced survival [1, 2]. A combined transaortic and transapical approach during a single operation allows for excellent exposure of the midventricular obstruction-related hypertrophied septum [1, 2]. The authors demonstrate a combined transaortic…
Filmed at the 2018 STS Annual Meeting in Fort Lauderdale, Florida, Jay Pal of the University of Colorado moderates a discussion on medical volunteerism. He is joined by HelenMari Merritt of the University of Nebraska Medical Center in Omaha, Adil Husain of the University of Utah Primary Children’s Hospital in Salt Lake City, and Fred…
Stephen D. Cassivi of the Mayo Clinic in Rochester, Minnesota, presents a discussion on multidisciplinary approaches to the surgical treatment of stage Illa N2 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…
A 50-year-old woman with severe emphysema due to smoking underwent lung volume reduction surgery of her right upper lobe. A subxiphoid incision measuring 2.5 cm was made, through which the telescope and video-assisted thoracoscopic instruments were introduced and the target lung was removed. Deflation of the target lung was facilitated by puncturing the lung with…
This video demonstrates the steps of an acute type A aortic dissection repair. The authors used a stented E-vita graft to replace the descending aorta and the arch. An aortic homograft was used to replace the aortic root and valve. This video was produced in collaboration with Heartwork Videos.
The patient was a 61-year-old man with hypertrophic obstructive cardiomyopathy with severe heart failure symptoms (New York Heart Association functional class III). His cardiovascular history included dyslipidemia, smoking, and the death of his father by sudden death. Transthoracic echocardiography showed mild septal hypertrophy (17 mm) confined mainly to anterior, lower-basal, and medium portions of the…
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