Content from the Journal of the American Neurological Surgeons.
Find it here: The SCTS “Take on the Experts” Video Competition On Tuesday, March 20, at 2:00 pm GMT, the best four general thoracic and best four cardiac videos submitted for the 2018 SCTS Annual Meeting will be presented to a team of experts, who will question the presenters and probe their techniques. Have a…
For establishing regular cardiopulmonary bypass, the ascending aorta is obviously the standard site of arterial cannulation, ensuring adequate blood supply to the whole body. However, when the aortic arch has to be replaced, finding a suitable arterial cannulation site becomes more challenging. The femoral artery is an answer to this situation, and for a long…
This video demonstrates an anatomic variation encountered during a uniportal VATS right lower lobectomy – the absence of right segment arterial branch six.
The Essentials: Congenital Heart SurgeryAuthors, Umar S. Boston, MD and Gautum Singh, MDIllustrations, Steven P. GoldbergVideo Editor, Rachel L. Simon-LeeEditor, Edward M. Bender, MDCVOffice, LLC 2016206 pages. $19.99. Congenital cardiac surgery is an intimidating field to new learners. The field is rife with abbreviations and eponyms, making it challenging to gain a foothold in what…
In patients with grade 3 or 4 aortic insufficiency (AI), leaflet defects may occur in up to 80%. For successful aortic valve repair (AVr), an in-depth knowledge of leaflet reconstruction is essential. This video illustrates a comprehensive approach that has been highly efficacious in this setting. Methods The most commonly encountered cusp defect is leaflet…
Filmed at the 2017 STS Annual Meeting in Houston, Texas, Joel Dunning of the James Cook University Hospital in London, UK, moderates a discussion on the Nuss procedure. Mr Dunning is joined by Dawn Jaroszewski of Mayo Clinic in Phoenix, Arizona, and Daniel Miller of WellStar Health Systems in Marietta, Georgia. They discuss the benefits…
Robotic totally endoscopic coronary artery bypass (TECAB) surgery using the da Vinci surgical robot is an excellent way to provide high quality, minimally invasive coronary reperfusion to a patient who does not want, or cannot tolerate, a sternotomy. Many surgeons have mastered robotic internal mammary artery harvest, but performing the remainder of the operation proves…
Minimally invasive anatomic pulmonary segmentectomy requires intraparenchymal dissection for the exposure of the segmental vessels and bronchi. This dissection is performed bluntly during video-assisted thoracoscopic surgery (VATS), leading to increased air leak and a longer length of stay (LOS). The robotic platform enables a meticulous dissection due to its improved visibility, enhanced dexterity, and the…
Eric Lim of the Royal Brompton Hospital in London, UK, discusses the future of general thoracic surgery in the context of a rapid rise of competing radiotherapy technology. He demonstrates the rapid growth of radiotherapy but also presents ways that general thoracic surgeons can have an advantage over this competing specialty. This presentation was originally…
Interest and access to robot thoracic surgery has increased over the last decade. This increased interest from surgeons, hospitals, and patients has led many surgeons to transition from their standard practice of open or thoracoscopic lobectomy to robotic lobectomy. High-volume robotic programs have shown a decrease in the length of hospital stay, 30-day mortality, and…
A 56-year-old man presented with shortness of breath and palpitations. Workup and evaluation revealed paroxysmal atrial fibrillation, severe tricuspid regurgitation, and a giant right coronary aneurysm with an arteriovenous fistula to the right atrium. An echocardiogram revealed an aneurysm of the proximal right coronary artery. Cardiac catheterization and cardiac magnetic resonance imaging showed the aneurysm…
This video demonstrates the technical aspects of performing a left lower lobectomy in a patient with cystic bronchiectasis. The severity of the pathology is notable, and it can be seen in the computed tomography imaging, as well as in the operative views. The author describes this severity as being “end-stage,” as the lobe is completely…
Dr Silvana Marasco, MBBS, M Bioeth, PhD, is a cardiothoracic surgeon and the Deputy Director of the Department of Cardiothoracic Surgery at The Alfred Hospital in Melbourne, Australia. Dr Marasco earned her MBBS at Monash University in Melbourne. Early in her career she completed an overseas fellowship at the University of Virginia Medical Center in…
Miles Behan of the Edinburgh Heart Centre in Scotland, UK, discusses fractional flow reserve (FFR) prior to cardiac surgery. He focuses on the role of FFR in guiding grafting decisions for patients with multivessel disease and patients who have aortic stenosis and coronary disease. This presentation was originally given during the SCTS Ionescu University program…
Filmed at the 2017 STS Annual Meeting in Houston, Texas, Shanda Blackmon of the Mayo Clinic in Rochester, Minnesota, moderates a discussion on how to approach multifocal lung cancer. Dr Blackmon is joined by Scott Swanson of the Brigham and Women’s Hospital in Boston, Massachusetts, Thomas D’Amico of Duke University Medical Center in Durham, North Carolina, and…
Atrial septal defect (ASD) is one of the most common congenital lesions in adults. Percutaneous device closure remains the preferred approach. For ASDs that are not amenable to percutaneous closure, minimally invasive ASD repair represents an important and safe alternative.
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