Content from the Journal of the American Neurological Surgeons.
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…
Figure 1. Chest CT scan. Abstract Inflammatory myofibroblastic tumors (IMT) are relatively benign tumors that can occur in the lung, and also arise from different anatomical locations. In the lung, an IMT can be a solitary pulmonary nodule or a locally invasive lesion. The authors share the case of a 15-year-old male patient who presented with…
This is a case presentation of a left atrial appendage closure (LAAC) using the Xi robotic system. The indication for the procedure was an elevated ChADVASC score and a contraindication to anticoagulation. The patient was placed supine with the left arm allowed to fall back to expose the left axilla. A left-sided double lumen tube…
Compared to other bronchopulmonary cancers, carcinoid tumors represent a rare occurrence. Depending on the intrabronchial localization, the surgical treatment options range from a limited lung-sparing anatomical resection to a major pulmonary resection. This is the case of a 64-year-old male who presented with a hemoptoic cough. The CT scan found an intrabronchial mass. Bronchoscopy showed…
Mark La Meir of University Hospital Brussels in Belgium discusses cardiac innervation in relation to atrial fibrillation. Dr La Meir describes how to perform ganglionic plexi 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 Ireland. This…
Introduction Atresia of the aortic arch is a rare condition among adults. It must be anatomically differentiated from an interrupted aortic arch (IAA), which is characterized by a complete lack of anatomic continuity between the transverse aortic arch or isthmus and the descending thoracic aorta (1-5). In atresia of the aortic arch, continuity between the…
The authors present the case of a 65-year-old male patient who, during an episode of pneumonia, underwent a bronchoscopy that revealed a right upper lobe (RUL) endobronchial lesion. The biopsy confirmed an epidermoid carcinoma. A chest computed tomography scan showed a central 4.2 cm lesion in the right upper lobe with endobronchial invasion. It also…
In a discussion filmed at the 2017 STS Annual Meeting in Houston, Texas, a panel of current cardiothoracic surgery residents share their tips and tricks for thriving during residency and fellowship. Amy Fiedler of the Massachusetts General Hospital is joined by Elizabeth Stephens of Columbia University, Hugh Auchincloss of the Massachusetts General Hospital, Gregory Pattakos…
A previously healthy 58-year-old man presented to the emergency department with 8/10 chest pain radiating to his back. His blood pressure was 160/100 mm Hg. The electrocardiogram showed anterolateral ST elevation consistent with acute myocardial infarction. A computer tomography scan with intravenous contrast ruled out aortic dissection, but it showed an aneurysm of the ascending…
This video presents the case of a 65-year-old woman with a neuroendocrine tumor in her left lower lobe. The tumor invaded the pericardium and was staged as M1a, for which curative resection was not recommended. An initial single port VATS biopsy confirmed the pericardial invasion and obtained the histology. The tumor had a Ki 67…
Rene Petersen of Copenhagen University Hospital in Denmark discusses the advantages and disadvantages of different electrosurgical options available in thoracic surgery. Dr. Petersen uses several video clips to demonstrate his techniques. This presentation was originally given during the SCTS Ionescu University program at the 2016 Annual Meeting of the Society for Cardiothoracic Surgery in Great…
Dr. Mara Antonoff is an Assistant Professor at the University of Texas MD Anderson Cancer Center in Houston, Texas, where she specializes in thoracic surgical oncology. Dr. Antonoff received her MD from the University of Minnesota Medical School in 2004, did her residency in general surgery at the University of Minnesota, and completed her thoracic…
Zsolt Garami of Houston Methodist in Houston, Texas, discusses Transcranial Doppler (TCD) use in cardiac and major vascular surgery, and the potential role of perfusionists in TCD monitoring. This educational presentation was originally given during the 2016 New Orleans Conference and is published with the permission of the New Orleans Conference. For more information on…
Indocyanine green (ICG) dye injection can be used to help identify nodules deep in the lung that would have been otherwise difficult to find. A surgeon can inject the ICG dye in the operating room using navigational bronchoscopy. This video presents the case of a 45-year-old female patient who underwent a robotic assisted wedge resection for a…
welcomes you to the new, improved website!