Content from the Journal of the American Neurological Surgeons.
This video demonstrates a Ravitch procedure, and is intended for people with pectus abnormalities to be able to see this potential surgical solution. The authors hope it will also be useful for surgeons who are interested in this operation and are looking for ways to minimize its size. The authors welcome discussion from other surgeons…
Herbert Decaluwé of University Hospital Leuven in Belgium discusses complications during video-assisted thoracoscopic surgery (VATS). He presents a 2015 review of VATS complications at six European centers, discussing elements that were found to be associated with intraoperative complications, and the types of injuries that were noted in the study. He also shows video of VATS complications and…
Dr Aschraf El-Essawi, the lead author on the paper. Research published recently in the European Journal of Cardio-Thoracic Surgery analyzed the outcomes of elderly cardiac surgery patients to evaluate whether minimally invasive extracorporeal circuits (MiECCs) conferred a benefit over conventional cardiopulmonary bypass (cCPB) (El-Essawi, 2017). The minimal design of these circuits reduces the contact between…
Patrick Myers of Geneva University in Switzerland moderates a discussion on the recently published ORBITA trial. Dr Meyers is joined by David Taggart of the University of Oxford in the UK and Michael Mack of Baylor Scott and White Health in Dallas, Texas, US. The group discusses the importance of the sham-control design of the…
As thoracic surgery has progressed to more minimally invasive techniques, opportunities to continue innovation and change other aspects of these procedures have arisen. The author’s current protocol for mediastinal surgery includes placement of a single lumen tube anesthesia. Lung isolation is achieved through capnothorax. If the dissection has been straightforward, the authors often opt not…
Michael Borger of the Leipzig Heart Center in Germany presents an overview of surgical repair for ischemic mitral regurgitation (MR). He discusses the development and prevalence of ischemic MR, when repair is likely to benefit patients, and subvalvular techniques aimed at reducing the likelihood of recurrence. This presentation was originally given during the SCTS Ionescu University…
Shanda Blackmon of the Mayo Clinic in Rochester, Minnesota, moderates a discussion—filmed at the 2017 STS Annual Meeting—on maximizing efficiency in a cardiothoracic surgery practice. Dr Blackmon is joined by Brendon Stiles of the New York-Presbyterian Weill Cornell Medical Center in New York City, Vinay Badhwar of West Virginia University in Morgantown, and Robert Cerfolio,…
This video was filmed during a cardiac surgery mission to Enugu, Nigeria, led by Emily Farkas and sponsored by CardioStart and the VOOM Foundation. It documents the important work that surgical mission groups perform, and hopefully provides insights into what it is like to be on a cardiac surgery mission in a developing country.
The authors present the case of a 46-year-old woman with recurrent chest and urinary tract infections. Computed tomography of her chest demonstrated a right lower lobe intralobar pulmonary sequestration with an 8 mm systemic feeding vessel arising from the descending thoracic aorta. A two-port video-assisted thoracoscopic surgery right lower sublobar resection was performed using a…
Jonathan Anderson of Hammersmith Hospital in London, UK, argues that surgeons should be interested in the effect that cardiopulmonary bypass has on a patient. He makes the case that even though cardiopulmonary bypass is safe, it should be continually improved to reduce its negative effects on the patient. Dr Anderson presents a brief history of early…
Filmed at the 2017 STS Annual Meeting in Houston, Texas, Joel Dunning of the James Cook University Hospital in Middlesborough, UK, interviews Betty Tong of Duke University Medical Center in Durham, North Carolina, about her path to cardiothoracic surgery. They discuss how she chose to pursue medicine over engineering and thoracic surgery over otolaryngology, and why…
In this interview, O. P. Yadava of the National Heart Institute in New Delhi, India, and Massimo Lemma of the Jilin Heart Hospital in Changchun, China, discuss surgical myocardial revascularization. Dr Lemma stresses the importance of total arterial myocardial revascularization, commenting that both internal mammary arteries have equivalent patency rates and that the next best…
This video demonstrates the case of a 54-year-old woman with a 3.5 cm hilar mass abutting the main pulmonary artery, and located between the posterior ascending and superior segmental arteries. “Five-on-a-dice” refers to the appearance of the port placement of the four robot ports (labeled 1 – 4) and the assistant port (labeled 5). The…
Joseph Lamelas of the Texas Heart Institute in Houston discusses different surgical techniques to address ventricular dysfunction in functional mitral regurgitation. He presents video of his prefered technique, termed “Ring & Sling,” in which a graft draws the papillary muscles together. This presentation was originally given during the SCTS Ionescu University program at the 2017…
S2 and S1+2 segmentectomies are frequently indicated, as the location of a tumor or a nodule in S2 or at the border between S2 and S1 is not unusual. Preserving S3 rather than performing an upper lobectomy has two advantages: it spares respiratory function, and S3 is a large segment that occupies the pleural cavity and…
The authors present a successful surgical treatment in a 14-year-old girl with Loeys-Dietz syndrome; a redo aortic arch and ascending aorta replacement with a valve-sparing operation was performed. Special considerations were taken, and a well-established surgical plan was designed to reduce risk and improve outcomes in this complex aortic redo operation. Case Report Figure 1. Cross-sectional…
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