Content from the Journal of the American Neurological Surgeons.
Marco Ranucci of the IRCCS Policlinico San Donato in San Donato Milanese, Italy, discusses the association between hemodilution, oxygen delivery, and acute kidney injury during and after cardiopulmonary bypass. He presents results of previous retrospective trials and gives a brief overview of the now recently-published goal-directed perfusion trial. This presentation was originally given during the SCTS Ionescu…
Objectives Aortopulmonary window is a rare form of congenital heart disease that can be seen in isolation or with associated other complex cardiac lesions. Although aortopulmonary window has been associated with other complex cardiac lesions, only a few cases of this condition associated with transposition of the great arteries with an intact ventricular septum have been…
In this video and article, the author details tips and tricks to help practicing surgeons complete a minimally invasive esophagectomy. Position of the PatientThe patient lies supine on the bed with a foot rest. This will secure the patient well, especially when a steep reverse Trendelenburg position is required. The patient is placed flush to…
Objectives After bicuspid aortic valve (BAV) repair, annular dilatation can cause recurrent valve dysfunction. This video illustrates a patient undergoing BAV re-repair using ring annuloplasty for progressive annular dilatation and recurrent aortic insufficiency (AI) after a prior BAV reconstruction. Case Video A 36-year-old man had BAV repair and remodeling root replacement four years prior for…
Background A 31-year-old woman who was a former ice hockey player, was in the military, and is a lifetime never-smoker presented with a medical history of asthma, migraine headaches, endometriosis, and recurrent sinus infections. She had a maternal grandfather with lung cancer and a paternal grandmother with colon cancer. During an initial evaluation for a…
Suboptimal coronary perfusion following the Norwood procedure has been documented in multiple studies (1–5). In response to this ongoing concern, a surgical refinement was conceptualized involving the transfer of coronary arteries to the pulmonary root to potentially optimize coronary hemodynamics in hypoplastic left heart syndrome (HLHS). However, this technique is complex and may not be…
Did you miss the livestream? View the ISMICS 2018 educational sessions that streamed on CTSNet below: Masters Session: Minimally Invasive Surgical Approaches to Atrial FibrillationAnthony C. DeSouza and Andy C. Kiser moderate a session on atrial fibrillation and minimally invasive approaches. Masters Session: Minimally Invasive Robotic and Coronary SurgeryBob B. Kiaii and Richard Cook moderate…
James Tatoulis of the Royal Melbourne Hospital in Australia presents technical tips and tricks for total arterial revascularizaiton. Dr Tatoulis discusses harvesting radial and internal thoracic arteries, and he shows techniques for anastomoses and Y-grafts. This presentation was originally given during the SCTS Ionescu University program at the 2017 Annual Meeting of the Society for…
Filmed at the 2017 EACTS Annual Meeting in Vienna, Austria, Mara Antonoff of the Univeristy of Texas MD Anderson Cancer Center in Houston moderates a discussion on the role of research for academic career advancement. Dr Antonoff is joined by Pavan Atluri of the University of Pennsylvania in Philadelphia, Marko Turina of the University of…
This is a video demonstrating the use of the FlexDex™ needle holder to perform a left video-assisted thoracoscopic (VATS) diaphragm plication (1). The FlexDex™ needle holder is a new device that allows the wristed flexibility of robotic surgery with the by-the-bedside “surgeon-powered” convenience of VATS. The author uses it for the first time in the UK for…
This video demonstrates the repair of a mitral valve with Barlow’s disease without resecting the tissue of the prolapsing leaflet. The patient was a 44-year-old man who was totally asymptomatic in sinus rhythm with no treatment, and the echocardiographic findings consisted in a preserved left ventricle ejection fraction with a 40 mm left ventricle end-systolic…
After finishing seven or eight years of general and cardiothoracic surgery training, the young cardiac or thoracic surgeon often faces the challenge of tailoring their practice to the new era. One of my mentors used to say that today he uses only about 25 to 30 percent of the techniques and skills that he learned…
G. Alexander Patterson of the Washington Univervisty School of Medicine in St Louis, Missouri, gives a presentation on oncologic outcomes after video-assisted thoracoscopic (VATS) resections. He discusses the suitability of the VATS approach for oncologically-sound procedures, recent usage rates of VATS, and the importance of nodal dissection regardless of surgical approach. This presentation was originally…
Objectives Cor triatriatum sinister is a very rare cardiac anomaly that may lead to pulmonary hypertension, right ventricular dilation, and eventually right heart failure. Methods The authors report a procedure performed for a toddler who was misdiagnosed with asthma as an infant. She had progressive respiratory symptoms and was found to have cor triatriatum sinister…
Alfred Blalock was a son of the Deep South. His father, George Z. Blalock, was an upper-middle class merchant in Jonesboro, Georgia, and his uncle, Alfred Calvin Blalock, was the local bank president (1). His mother, Martha Davis Blalock, was a distant cousin of Jefferson Davis. After education at the University of Georgia and the…
This video demonstrates a technique of posterior aortopexy for the management of airway compression. The patient was an 11-year-old boy who underwent division of a double aortic arch-type vascular ring as a newborn. He continued to be troubled by shortness of breath, particularly with exertion. Bronchoscopy showed mild compression of the distal trachea and significant…
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