Content from the Journal of the American Neurological Surgeons.
This video demonstrates the basics of the valve-sparing aortic root replacement (VSARR) procedure, including the dissection, graft measurement, and surgical tips for a competent and durable repair. Minimally invasive procedures are continuing to evolve with the goal of providing reduced morbidity to the patient and earlier return to the activities of daily living. The VSARR…
This video demonstrates a VATS right lower lobectomy with mediastinal lymph node dissection for lung cancer. The surgeon uses a posterior approach for this VATS, rather than the more common anterior approach.
Heyman Luckraz of the American Hospital Dubai, UAE, presents an overview of different access routes for transcatheter aortic valve replacement. He discusses the benefits and challenges of the different routes, including transfemoral, transapical, and transcaval. This presentation was originally given during the SCTS Ionescu University program at the 2017 Annual Meeting of the Society for…
Filmed at the STS 2017 Annual Meeting in Houston, Texas, Emily Farkas of ThedaCare Appleton Heart Institute in Wisconsin moderates a discussion on changing the perception of women in cardiothoracic surgery. Dr Farkas is joined by Mara Antonoff of MD Anderson Cancer Center in Houston, Texas, Meghana Helder of Mayo Clinic in Rochester, Minnesota, and…
The authors present a sutureless aortic valve replacement via a right anterior thoracotomy, using minimal extracorporeal circulation (MECC) in an 84-year-old patient with severe aortic stenosis. Preoperative tomographic angiography showed a right-sided aorta. A 4 cm transverse incision was made through the right second intercostal space. Rib resection was not used. Femoral arterial and venous…
Thank you for virtually attending the 4M Symposium on Robotic Thoracic Surgery on CTSNet! Watch previously streamed sessions here: Robert Cerfolio of NYU gives the Keynote Address on Teaching Surgery While Maintaining Quality and Clinical Outcomes: Session 1: Building a Robotic Thoracic Surgery Program: Session 2: The Mediastinum: Session 3: The Esophagus: Session 4: The Lung:…
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…
