Content from the Journal of the American Neurological Surgeons.
A 2.8 kg newborn with signs of congestive heart failure was admitted to the authors’ center. He was diagnosed with situs inversus totalis, dextrocardia, bilateral superior vena cava, atrial septal defect (ASD II), and biventricular anatomy. Additionally, there was mixed total anomalous pulmonary venous connection (TAPVC) with an obstructive horizontal vein draining into the right-sided…
This video is part of CTSNet’s 2025 Resident Video Competition. Watch all entries into the competition, including the winning videos. A 38-year-old male with a history of non-seminomatous germ cell tumor (NSGCT) of the anterior mediastinum, previously treated with four cycles of bleomycin, etoposide, and cisplatin, presented with a 4 cm residual mediastinal mass. Tumor markers prior to surgery…
A 20-year-old woman, weighing 50 kg, presented with exertional shortness of breath and palpitations. An echocardiogram showed a left ventricular tumor that distorted the left ventricular cavity. Cardiac computed tomography (CT) and magnetic resonance imaging (MRI) showed a well-circumscribed mass in the lateral wall of the left ventricle that had a density similar to fibroma,…
This presentation details a redo Commando procedure converting biological to mechanical valves in a patient in his early 40s with end-stage renal disease. Three years after his initial Commando procedure with aortic and mitral bioprostheses, he developed severe prosthetic valve dysfunction with extensive calcification, presenting with heart failure symptoms. Preoperative imaging showed mean gradients of…
In this series, CTSNet invites top cardiothoracic surgeons from around the world to engage in in-depth discussions about important topics in the field of CT surgery by examining specific cases in detail. Watch for more insightful master class videos in the coming weeks. In this in-depth discussion, CTSNet Editor-in-Chief Joel Dunning and Dr. Horacio…
The authors present a case of endoscopic saphenous vein harvesting for coronary artery bypass grafting (CABG) using a reusable retractor with an open CO₂ insufflation system. Prior to the procedure, the venous system of the lower extremities was routinely evaluated using ultrasound. The saphenous vein was assessed for quality and suitability for endoscopic harvesting, and the…
In this phenomenal interview, CTSNet Editor-in-Chief Joel Dunning speaks with Drs. Jan Vojacek, a cardiac surgeon in the department of cardiac surgery at University Hospital Hradec Kralove, Czech Republic, and president of the Czech Society for Cardiovascular Surgery, and Maral Ouzounian, cardiac surgeon and head of the division of cardiac surgery at the Peter Munk…
This video is part of CTSNet’s 2025 Resident Video Competition. Watch all entries into the competition, including the winning videos. In this video, the authors demonstrate the surgical steps of aortic arch vessel debranching through a cervical approach as the first stage in the hybrid treatment for complex aortic arch pathology. Treatment of thoracic aortic diseases poses a significant surgical…
Rib fractures have been reported to occur in 20 percent of patients with thoracic trauma (1). A second rib fracture indicates high-impact trauma and is usually associated with clavicle and scapular fractures. A fracture of the second rib is associated with high probability of injury to the subclavian vessels, branches of the brachial plexus, and…
The authors previously demonstrated the feasibility of the Ross procedure following a bioprosthetic aortic valve replacement (1). In this case, they showed its feasibility after a previous mechanical valve replacement. An 11-year-old boy, born with congenital aortic stenosis, underwent three previous sternotomies. The first two were for aortic valvotomy and valve repair, and the third…
This video is part of CTSNet’s 2025 Resident Video Competition. Watch all entries into the competition, including the winning videos. In this video, the authors present a lower lobe lung volume reduction surgery (LVRS) case from their high-volume center, focusing on the surgical approach and key technical steps. The patient was a 54-year-old female with chronic obstructive pulmonary disease…
The patient was suffering from hemolysis and mitral regurgitation. A hemisternotomy was performed after femoral vein cannulation. A new cross-clamp was used and is shown in the video. Cardioplegia was given, and the left atrial appendage was removed. The aorta was retracted so that the roof of the left atrium was visible and then opened with…
This video is part of CTSNet’s 2025 Resident Video Competition. Watch all entries into the competition, including the winning videos. The authors present a case of extended thymectomy with en bloc left upper lobectomy, performed at Erasmus Medical Center in Rotterdam, The Netherlands. Thymomas are rare epithelial tumors that arise from the thymic gland. They usually…
Allograft root replacement remains the gold standard treatment for aortic root abscess but is often avoided due to its technical complexity. Patch repair of the aortic root is often done poorly, resulting in patient-prosthesis mismatch and early reoperation for valve dehiscence or reinfection. However, as demonstrated in the following cases, patch repair can be a…
In this fascinating interview, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Michael Lanuti, Director of Thoracic Oncology in the Division of Thoracic Surgery at Massachusetts General Hospital and an Associate Professor at Harvard Medical School, and thoracic surgeon and CTSNet Senior Editor Leanne Ashrafian about Dr. Lanuti’s thoughts on the JCOG0802 trial and how he believes the wrong parameters were measured. They discussed local recurrence rates, pulmonary function, and the subtypes of adenocarcinoma. Additionally, they explored how to apply…
This video is the third-place winner from CTSNet’s 2025 Resident Video Competition. Watch all entries into the competition, including the other winning videos. The patient was a 63-year-old man with multiple comorbidities who was transferred to the authors’ facility in cardiogenic shock after a non-ST-elevation myocardial infarction (NSTEMI) with a type A dissection. He also…
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