Content from the Journal of the American Neurological Surgeons.
Torsten Doenst of the University Heart Center Thuringen in Germany presents a discussion on the importance of long-term durability when considering conventional versus transcatheter valves. 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…
Figures 1A and 1B A 68-year-old woman presented to the thoracic surgery clinic for evaluation of a large left lower lobe mass. Six months prior, she had undergone attempted right-heart-catheterization at an outside hospital, which was aborted due to an acute pulmonary hemorrhage. Physical examination revealed decreased breath sounds at the left lung base. Computed…
Currently the posterior translocation of the aorta, the Nikaidoh procedure, is utilized in: complete transposition of the great arteries (d-TGA) with ventricular septal defect (VSD) and left ventricular outflow tract obstruction (LVOTO) [1,2,3] (video 1), corrected TGA (ccTGA) with VSD and complex LVOTO [4,5], and double outlet right ventricle (DORV) – TGA type with complete…
The half-turned truncal switch operation is suitable for transposition of the great arteries (TGA) or TGA-type double outlet right ventricle (DORV) with left ventricular outflow obstruction, anteroposterior relationship of the great arteries, and mild-to-moderate pulmonary stenosis. A pulmonary-aortic annular diameter ratio of 0.3 to 0.8 is most preferable. This operation, which is not affected by…
Dr. Viktor Hraska is a professor of surgery and the chief of the Division of Congenital Heart Surgery at the Medical College of Wisconsin and the surgical director of the Herma Heart Institute at the Children’s Hospital of Wisconsin, both in Milwaukee, USA. Dr. Hraska earned his MD from the Comenius University in Bratislava, Czechoslovakia. He…
Bob Kiaii of the London Health Sciences Centre in Ontario, Canada, presents a discussion on long-term experience with robotic-assisted coronary artery bypass grafting. He discusses his initial experience with robotic-assisted surgery, technological advancements, patient selection, and outcomes. This presentation was originally given during the SCTS Ionescu University program at the 2018 Annual Meeting of the…
In 1984, Nikaidoh described the concept of aortic translocation for the management of transposition of the great arteries (TGA) with a ventricular septal defect (VSD) and pulmonary stenosis (PS). Patients with TGA/VSD/PS or double-outlet right ventricle (DORV) with malposed great vessels and PS who also present with a restrictive or inlet-type VSD, a hypoplastic right…
En bloc rotation of the outflow tracts offers a complete anatomic repair of complex transposition of the great arteries, with growth potential in all tubular structures and the option of preserving the native pulmonary valve in appropriate cases. It was first published by Dr Yamagishi and colleagues (2003) under the name “half-turn truncal switch procedure.”…
For CTSNet’s first Congenital Guest Editor Series, Advances in Surgical Treatment of Complex Conotruncal Malformations, we asked Dr Viktor Hraska of the Herma Heart Center at the Medical College of Wisconsin to bring together videos from experts focused on techniques for improving patient outcomes in the face of these rare but serious conditions. Dear Reader,…
The authors present the surgical treatment performed for a 75-year-old woman with severe aortic and mitral stenoses due to postradiation therapy. There was severe mitral annular calcification in both the anterior and posterior annulus. She had severe mitral and tricuspid regurgitation and her right coronary artery (RCA) was occluded. During the preoperative evaluation, she was…
Introduction Glomus tumors (GT) are rare benign neoplasms mostly affecting the deep dermis of extremities, and they constitute less than 2% of all soft tissue tumors. GTs can sporadically appear extracutaneously in the gastrointestinal tract, bone, cervix, and ovary, but GT occurrence in major airways is extremely rare. Only about 40 cases have been reported…
In this Giants of Cardiothoracic Surgery interview, Vaibhav Gupta of the University of Toronto in Ontario, Canada, speaks with Shaf Keshavjee of the Toronto General Hospital about his career and his experience as a surgeon-scientist. They discuss Dr Keshavjee’s training in the University of Toronto surgeon-scientist program, balancing time between clinical and research responsibilities, and…
Introduction Tracheocutaneous fistula (TCF) is one of the most feared complications after prolonged tracheostomy. Problems related to the TCF include the increased possibility of respiratory infections, difficulty in phonation, ineffective coughing, skin irritation, cosmetic problems, limitations in swimming and bathing, and social problems. Its incidence ranges widely from 3.3% to 43%, and the persistence of…
The authors demonstrate a video-assisted minimally invasive mitral valve repair via an anterolateral right minithoracotomy. The patient was a 54-year-old man who was referred to the authors’ department with severe dyspnea. Echocardiography revealed impaired left ventricular function and severe mitral valve regurgitation due to posterior mitral leaflet and posteromedial commissure prolapse, in addition to ruptured…
The use of both internal thoracic arteries (ITAs) has been shown to provide a decreased risk of death, need for reoperation, or need for percutaneous coronary intervention when compared with one ITA in combination with vein grafts. Inadequate length of the free right ITA (RITA) has often limited the ability to bypass the posterior marginal…
Clifford W. Barlow of the Southampton General Hospital in the United Kingdom presents a discussion on the optimal treatment for failing surgical prosthetic valves within the context of aortic 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…
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