Content from the Journal of the American Neurological Surgeons.
In this video, the authors demonstrate the use of video-assisted thoracoscopic surgery (VATS) in the treatment of catamenial pneumothorax in a patient with significant diaphragmatic eventration. Thoracic endometriosis remains the most common extrapelvic location for endometrial implants, with catamenial pneumothorax occurring in 75% of thoracic endometriosis patients.1 These patients have recurrent pneumothoraxes, defined as occurring…
James Tatoulis of the Royal Melbourne Hospital in Australia presents the case for choosing the radial artery (RA) as a second or third graft in coronary artery bypass surgery. He discusses the benefits of RAs over saphenous veins and highlights technical considerations for optimal success with RA grafts. This presentation was originally given during the…
Mohamad Bashir of Barts Heart Centre in London, UK, moderates a discussion on the use of sutureless aortic valves in patients with bicuspid valve anatomy, which was filmed at the 2017 STS Annual Meeting in Houston, Texas. Dr Bashir is joined by Eric Roselli of the Cleveland Clinic Foundation in Ohio, US, Vinod Thourani of…
A 29-year-old male with a known history of Marfan syndrome was referred to the authors’ institute for surgical assessment. Physical examination showed a severe symmetric pectus excavatum, with a Haller Index of 7.8. Preoperative workup included a transesophageal echocardiography that revealed severe mitral valve regurgitation due to bileaflet mitral valve prolapse and a 5 cm…
A 31-year-old woman was referred for investigation of mediastinal lymphadenopathy. A large right-sided paratracheal mass of lymph nodes was identified. Possible approaches included the mediastinoscopy via a cervical incision, right video-assisted thoracic surgery (VATS), or even a subxiphoid approach. Of course, open approaches might also be considered by some surgeons. A very straightforward approach is…
Monday, November 15, 2021 By Mark Gerdisch , Christian Shults, Armin Kiankhooy, Eric Okum, Marc La Meir, Patrick McCarthy, Laurie Barron, Gianluigi Bisleri, Niv Ad, Ralph J. Damiano Jr., M.D PROGRAM OBJECTIVES This activity is designed for cardiac surgeons in the United States. Upon completion of this course, participants will be able to learn the…
Sotirios Prapas of the Henry Dunant Hospital Center in Athens, Greece, discusses the technique of off-pump coronary artery bypass using two internal mammary arteries (IMAs). He presents the different grafting techniques and reviews patient outcomes with this off-pump, IMA-only approach. This presentation was originally given during the SCTS Ionescu University program at the 2017 Annual…
This video demonstrates the second phase of a minimally invasive Ivor Lewis esophagectomy. The author begins with four 5 mm ports and intrathoracic CO2 insufflation. The esophagus is dissected and lymph nodes resected above the level of the azygous vein. The linear stapler is used to transect the esophagus, and the transoral EEA™ Stapler is positioned…
There is an increasing amount of data suggesting the clinical safety and efficacy of minimally invasive aortic valve replacement via a right anterior thoracotomy. This condensed video goes through the key steps in 60 seconds. Disclosure: The author is a proctor for St Jude and LivaNova.
The video demonstrates the hand port technique for the gastric mobilization phase of a minimally invasive Ivor Lewis esophagectomy. The author prefers this technique for a number of reasons. The hand port allows for tactile feedback not obtained through laparoscopic instruments. This is advantageous in patients with celiac nodal disease, where the surgeon can ensure,…
Thank you for virtually attending the 4th International VATS Symposium on CTSNet! The live stream has concluded, but the conference converage remains available below. Recordings of individual presentations will also be published on CTSNet at a future date.
Ganesh Manoharan of the Royal Victoria Hospital in Belfast, Northern Ireland, discusses design features of transcatheter aortic valves from four different companies. He focuses on the design differences between these systems and the features that have improved patient outcomes. This presentation was originally given during the SCTS Ionescu University program at the 2017 Annual Meeting of the…
Personalized External Aortic Root Support (PEARS) surgery was started in 2004 at the Royal Brompton Hospital, London, and has now been used to treat over 100 patients with asymptomatic aortic dilation related to Marfan Syndrome, Loeys-Dietz Syndrome, Bicuspid Aortic Valve disease, Turner’s Syndrome, and various other congenital conditions involving asymptomatic aortic dilation. It retains all…
Cantrell’s pentalogy is a rare association of congenital defects. A 9-month-old boy was referred to the authors for management of Cantrell’s pentalogy. On physical examination, there was a pulsatile midline epigastric mass compatible with a supraumbilical hernia, pulsatile in its superior portion. The association of these midline defects confirmed the complete form of Cantrell’s pentalogy.…
Introduction The goal of the On Location series is to give a brief overview of the evolution of cardiac programs and voluntary cardiac surgery activities in developing countries and evolving economies. Hopefully, other individuals and organizations will share their own experience, results, and recommendations. Figure 1. A delicate balance continues to move forward. Background Vietnam is…
Rajamiyer Venkateswaran of the Wythenshawe Hospital in Manchester, UK, asks whether it is possible to predict when a patient undergoing high-risk cardiac surgery will need postoperative mechanical circulatory support. He also discusses his institution’s approach to transfering a patient to mechanical circulatory support. This presentation was originally given during the SCTS Ionescu University program at the…
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