Content from the Journal of the American Neurological Surgeons.
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…
Filmed at the 2017 Annual STS Meeting in Houston, Texas, Dr Robert Sade of the Medical University of South Carolina moderates a debate on the appropriate course of care in the fictional case of a child who cannot be weaned from bypass following mitral valve surgery. Dr Minoo Kavarana of the Medical University of South…
The authors present a case of aortic valve, ascending aorta, and arch replacement, which included debranching of the supra-aortic vessels and a frozen elephant trunk procedure. Additionally, the authors performed an extra-anatomic bypass for the left axillary artery. The patient’s preoperative computed tomography (CT) angiogram showed an ascending aortic arch aneurysm. Steps: The authors placed…
Abstract Peroral endoscopic myotomy is a safe and effective palliative procedure with acceptable known complications for achalasia. With its continuous practice, cardiac arrest secondary to tension pneumopericardium-induced tamponade is another adverse event coming to light. The authors present the case of a 72-year-old gentleman who suddenly went into pulseless electrical activity during the procedure with…
Vipin Zamvar of the Royal Infirmary of Edinburgh in the UK discusses the barriers that reduce the use of bilateral internal mammary arteries (BIMAs) in coronary artery bypass surgery. Dr Zamvar focuses on the technical challenges inherent in using BIMAs, important aspects of the alternative options, how the political atmosphere influences the techniques surgeons might…
Filmed at the 2016 EACTS Annual Meeting in Barcelona, Joel Dunning and Shanda Blackmon discuss safety in minimally invasive general thoracic surgery. They focus on the importance of preparation, such that a surgical team knows its course of action for potential critical events ahead of their occurance. Mr Dunning and Dr Blackmon also discuss surgical…
In these diagrams, the authors explain the rationale for the different echocardiographic views using simple drawings. Understanding the position of the probe relative to the heart in the different views will hopefully make it easier for the reader to reconstruct the view in their mind. Also, the analogous transesophageal or transthoracic view is presented, with…
