Content from the Journal of the American Neurological Surgeons.
This video shows a mitral valve repair for a 52-year-old woman with severe, symptomatic mitral regurgitation secondary to a Barlow’s valve. Her left ventricle and left atrium are both enlarged. What is unique is that the procedure was performed with what the authors believe are the smallest chest incisions used by any surgical team in…
The video provides a step-by-step guide for performing a minimally invasive aortic valve replacement via right thoracotomy, with an emphasis on the pearls and pitfalls. The implantation of a bioprosthetic tissue and sutureless valve is described. The video is organized according to the following phases of the operation: preoperative, cannulation, exposure, and implantation. Disclosure Dr…
This video demonstrates the technique of port access mitral valve surgery. Patient Selection Any patient with mitral valve disease with or without tricuspid disease, atrial septal defect, and atrial fibrillation can be considered for a port access approach. The preoperative exam determines the suitability of the particular patient. If a thick chest wall or a…
This video demonstrates the technique for performing aortic operations through a ministernotomy. The authors discuss the details of getting a good view through the ministernotomy, technique for working through a smaller incision and ensuring a secure anastomosis, and stable closing of the ministernotomy wound.
Mitral valve repair is the gold standard treatment for degenerative mitral valve (MV) regurgitation, and minimally invasive access allows for excellent exposure of the MV and subvalvular apparatus while minimizing surgical trauma. The use of polytetrafluoroethylene neochordae for replacement of ruptured chordae tendineae was introduced over twenty years ago (1). The so-called loop technique with…
Transcatheter aortic valve replacement (TAVR) is changing the landscape of the treatment of structural heart disease. There are now more TAVRs than isolated surgical AVRs done in the USA. The authors believe it is crucial for cardiac surgeons to be full partners in this procedure. To do so, surgeons need to understand the valves and the…
For CTSNet’s first Guest Editor Series, Advances in Minimally Invasive Valve Surgery, we asked Dr T. Sloane Guy of Weill Cornell Medicine/New York-Presbyterian Hospital to bring together videos from experts focused on this increasingly important area of cardiac surgery. Dear Reader, We have put together an outstanding video series of advanced minimally invasive cardiac surgery techniques from…
Thank you for virtually attending the First International Conference on Sublobar Resections for Lung Cancer on CTSNet! Watch previously streamed sessions here: Session 1: When Should We Do Sublobar Resections? Session 2: Surgical Approaches and Identifying the Intersegmental Plane Session 3: Anatomic Variation: Knowing It, Identifying it, and Working With It Session 4: Segmentectomy Videos, Approaches, and…
Case Presentation A 70-year-old woman presented with a symptomatic aortic aneurysm and mild-to-moderate central aortic regurgitation. Preoperative CT-C showed enlargement of her ascending and descending aorta and her aortic arch. Her aortic root was not dilated. Transesophageal echocardiogram demonstrated a trileaflet aortic valve with mild-to-moderate central aortic regurgitation and preserved ejection fraction. Procedure The patient…
Microlobectomy aims to reduce postoperative pain and enhance a patient’s recovery. The key principles include: no intercostal utility incision; no intercostal incisions larger than 5 mm; adoption of 5 mm instrumentation, 5 mm sealing devices, and a 5 mm camera; and the addition of a subxiphoid port used for larger tools, specimen retrieval, and chest…
Christian Etz of the Herzzentrum Leipzig in Germany discusses spinal cord protection during thoracoabdominal aortic procedures. He presents a noninvasive approach to monitor oxygenation of the spinal blood supply. He also discusses a trial for a procedure to prevent postoperative paraplegia. This presentation was originally given during the SCTS Ionescu University program at the 2017…
In his presidential address at the 2017 STSA Annual Meeting, David R. Jones of the Memorial Sloan Kettering Cancer Center in New York City discusses the importance of expertise in thoracic surgery. This educational video was originally presented during the STSA 64th Annual Meeting. This content is published with the permission of the STSA. For more information…
This video demonstrates the resection of a fibroelastoma in the left ventricular outflow tract using a minimally invasive approach. The 83-year-old female patient was asymptomatic. Her cardiovascular history included a stent for infrarenal aortic aneurysm. Computed tomography angiography showed no lesions. The transesophageal echocardiography showed a hyperechoic mobile image that protruded towards the left ventricular…
Interrupted aortic arch occurring with an aortopulmonary window is an extremely rare anomaly with very few cases described in the current literature. This video demonstrates a single stage repair in a preterm very-low birth weight neonate, using autologous pericardium to reconstruct the aorta. The patient was a one-week-old late preterm neonate with a birth weight…
Sacha Mussot of the Marie Lannelongue Hospital in Le Plessis-Robinson, France, discusses tracheal resection. He focuses on advances in replacing or reconstructing the trachea in cases where too much tissue is removed for a tracheal anastomosis to be possible. This presentation was originally given during the SCTS Ionescu University program at the 2017 Annual Meeting…
T. Sloane Guy, MD, MBA, is an associate professor of cardiothoracic surgery and the Director of Robotic Cardiac Surgery at Weill Cornell Medicine/NewYork-Presbyterian Hospital. Dr Guy earned his MD and his MBA in Healthcare Administration from the University of Pennsylvania’s School of Medicine and Wharton School of Business, respectively. He continued his training in general…
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