Content from the Journal of the American Neurological Surgeons.
The authors present a case of a 45-year-old woman who received a pericardial patch repair of the right main bronchus intermedius following removal of a bronchogenic cyst, located in the subcarinal area of the airway. To the authors’ knowledge, the da Vinci system and robotic surgery have not previously been applied in bronchial patch repairs…
Neil Moat of The Royal Brompton Hospital in London, United Kingdom, reviews the technologies currently being developed for transcatheter mitral valve repair and replacement. This presentation was originally given during the SCTS Ionescu University program at the 2016 Annual Meeting of the Society for Cardiothoracic Surgery in Great Britain and Ireland. This content is published…
Anastomotic complications represent a significant source of morbidity after esophagectomy. In this video, the authors demonstrate a novel “side-to-side, staple line on staple line” technique for intrathoracic esophagogastric anastomoses. This technique is designed to create a wide diameter esophagogastric anastomosis, while preserving stomach conduit blood supply.
This the case of a 55-year-old male with no record of previous disease or cardiovascular risk factors. At the time of surgery the patient was asymptomatic. TEE showed severe mitral regurgitation (MR) secondary to prolapse of the posterior mitral leaflet. The prolapse of the P2 segment with broken chordae was visible without doppler. A severe…
This video shows a redo left upper lobe microlobectomy performed with an additional subxiphoid port for a 9 mm nodule detected on PET-CT. One year prior, the patient had undergone a robotic left upper lobe wedge resection for a primary squamous cell carcinoma and a right lower lobectomy for colorectal metastasis. The video details the…
Guy Haywood of Plymouth Hospitals NHS Trust in Plymouth, United Kingdom, discusses the prevalence of atrial fibrillation and its complications. Dr Haywood also examines the outcomes of catheter-based ablation. This presentation was originally given during the SCTS Ionescu University program at the 2016 Annual Meeting of the Society for Cardiothoracic Surgery in Great Britain and…
A 61-year-old man was treated for laryngeal squamous cell cancer with radiation in 2004. He presented again in 2012, with squamous cell cancer on the floor of his mouth. He underwent a right mandibulectomy with a free forearm flap, followed by radiation. A year later, he was found to have recurrent laryngeal cancer and underwent…
Hybrid thoracoabdominal repair is a useful aneurysm repair method for specific patients who would not tolerate a standard open surgical repair. A 60-year-old male patient presented with previous thoracoabdominal repair and subsequent mesenteric patch aneurismal dilation. This video details the use of thoracic endovascular stent grafting, as well as abdominal mesenteric and renal debranching, for which…
The authors present a video demonstrating redo lung resection by VATS to show that previous surgery on the thorax does not contraindicate a minimally invasive re-intervention. The literature on this topic currently consists of case reports and small case series. Although there is little in the literature on this subject, D’Amico and colleagues do not…
Marc Schepens of AZ St. Jan in Brugge, Belgium, discusses the surgical management of thoracoabdominal aneurysms. Dr Schepens provides an overview of associated pitfalls and shares tips for successful repairs. This presentation was originally given during the SCTS Ionescu University program at the 2016 Annual Meeting of the Society for Cardiothoracic Surgery in Great Britain…
Figure 1. Pectus excavatum deformity and the patient’s hands with no thumbs. Introduction Holt-Oram Syndrome (HOS) is characterized by skeletal abnormalities of the hands and arms, and heart problems. It is estimated to affect 1 in 100,000 individuals (1). People with HOS have abnormally developed bones in their upper limbs. They also may have additional bone…
Dr Tom C. Nguyen is an Associate Professor of Cardiothoracic Surgery and Director of Minimally Invasive Valve Surgery at the University of Texas Health Science Center in Houston. A native Houstonian, Dr Nguyen received his undergraduate degree at Rice University in Houston, and later his medical degree from the Johns Hopkins School of Medicine in…
This video demonstrates a left carotid to subclavian artery bypass. Due to increased use of aortic stent grafts that sometimes cover or compromise the orifice of the left subclavian artery, cardiothoracic surgeons need to be familiar with revascularization of the extremity. Disclaimer The information and views presented on CTSNet.org represent the views of the authors…
Tracheocutaneous fistulas are infrequent complications of prolonged tracheostomies. This video explains the technique used at the authors’ institution for closure of a tracheocutaneous fistula in the context of a clinical case. The critical steps are: Create the subcutaneous tissue flaps. Dissect around and preserve the fistula tract. Properly size the rim of tissue of the…
“I think cardiothoracic surgery has an outstanding future,” says Joseph Bavaria, Past President of the Society of Thoracic Surgeons. In this interview with Joel Dunning filmed at the 2017 STS Annual Meeting in Houston, Texas, Dr Bavaria reflects on his career and the initiatives advanced during his STS presidency, including collaboration with the wider cardiothoracic surgery…
Douglas Mathisen of the Massachusetts General Hospital presents a detailed review of the current status of VATS lobectomy versus open lobectomy. Dr Mathisen also argues for additional randomized trials for comparing standard and new treatments. This presentation was originally given during the SCTS Ionescu University program at the 2016 Annual Meeting of the Society for…
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