Content from the Journal of the American Neurological Surgeons.
Bart Van Putte of St. Antonius Hospital, Utrecht, The Netherlands, describes his approach to lone atrial fibrillation, and presents a video demonstration of his operative technique. 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…
Introduction Laparoscopic management of epiphrenic diverticula seems to be as safe and effective as the traditional, open transthoracic approach. However, in cases of large diverticula, the difficulty of dissection and the potential of the pleura to rupture with subsequent pneumothorax represent possible disadvantages. This video shows the safety of the laparoscopic approach for Heller myotomy…
For young patients with aortic valve endocarditis, preserving the native aortic valve, when feasible, may be the best option. The authors demonstrate the feasibility of performing a complex aortic valve repair for aortic valve endocarditis via an upper partial sternotomy. This is the case of 31-year-old man who presented with fever and lethargy. A CT…
The author demonstrates the technique for a VATS sleeve lobectomy in an 82-year-old woman. A three-port technique is used, with a 5 mm, 10 mm, and a utility port. To optimize the view, the camera is moved from the anterior to the posterior port during the procedure and back, depending on the region of dissection.…
Niv Ad of West Virginia University Heart and Vascular Institute, Morgantown, West Virginia, discusses the benefits of using a fibrillating heart technique in minimally invasive mitral surgery. Dr. Ad illustrates this method using video examples and presents the results. This presentation was originally given during the SCTS Ionescu University program at the 2016 Annual Meeting…
In a roundtable discussion filmed at the 2016 EACTS Annual Meeting in Barcelona, Spain, Song Wan of the Chinese University of Hong Kong and Rüdiger Lange of the German Heart Center share their opinions on current and future trends in mitral valve repair. Tom Nguyen of the University of Texas Health Science Center moderates this…
In this video, the final episode in a seven-part series, Tristan Yan demonstrates how to anastomose the Ante-Flo graft to the Valsalva graft, wean the patient off bypass, and close the mini-sternotomy incision. Once the root procedure is completed, the proximal valve conduit is trimmed just above the Valsalva portion of the graft. The distal…
Tristan Yan, Martin Misfeld, and Joel Dunning present a step-by-step video series on the mini-Bentall procedure and hemiarch replacement. Part 1: Mini-Sternotomy Part 2: Cannulation Part 3: Aortic Aneurysm Resection Part 4: The “French Cuff” Technique Part 5: Open Distal Anastomosis Part 6: Coronary Button Reimplantation Part 7: Graft Anastomosis and Mini-Sternotomy Closure Interview: Peripheral Cannulation Techniques in Minimally Invasive Cardiac Surgery
This is a video of a right upper lobectomy done through a subxiphoid port. The patient had an incidental finding of a mass on a chest x-ray, which CT-guided biopsy later confirmed to be a poorly differentiated adenocarcinoma. A 4 cm subxiphoid incision was made in the midline using the xiphisternum and subcostal margin as…
Originally presented as an STSA/CTSNet Surgical Motion Picture at the 2016 STSA Annual Meeting. Objectives: The patient is a 5-year-old who presented with acute right hemispheric stroke, aphasia, fevers, and hemodynamic instability. Blood cultures were positive for Streptococcus Viridans. Echocardiography confirmed a small aneurysm near the right and left coronary cusps with a shunt from…
Manuel Castella of Cirugia Cardiovascular Hospital Clínic, University of Barcelona, Spain, discusses different strategies to achieve a satisfactory outcome in atrial fibrillation surgery. Dr. Castella reviews a variety of energy sources and ablation patterns. This presentation was originally given during the SCTS Ionescu University program at the 2016 Annual Meeting of the Society for Cardiothoracic…
In this video, the sixth in a seven-part series, Tristan Yan completes the “French Cuff” annular anastomosis, and demonstrates the coronary button reimplantation technique via a mini-sternotomy incision. The second “French Cuff” layer is performed using a 4-0 running polypropylene suture, starting from the commissure between the left and right annulus and going clockwise, circumferentially.…
An asymptomatic patient was being followed for a central right upper lobe pulmonary nodule. After eight years, the nodule began to grow and a biopsy revealed it to be a benign hamartoma. Resection was recommended, but the hamartoma was not well suited for segmentectomy. Three dimensional reconstruction was used to develop a parenchymal-sparring procedure to…
This video demonstrates a complex segmental resection via the uniportal VATS technique in a 65-year-old woman with a lesion located between S2 and S6 of the right lung. The lesion was avid in a PET-CT scan with no mediastinal uptake. The decision to perform an anatomical segmentectomy was taken in order to avoid a pneumonectomy.…
Richard Whyte of Beth Israel Deaconess Medical Center, Boston, Massachusetts, discusses the evidence in favor of lung volume reduction surgery for patients with emphysema. Dr. Whyte also considers why more lung volume reduction procedures are not performed. This presentation was originally given during the SCTS Ionescu University program at the 2016 Annual Meeting of the…
In this video, the fifth in a seven-part series, Tristan Yan demonstrates how to perform a distal aortic anastomosis. Circulatory arrest is initiated. Brain protection is achieved with unilateral antegrade cerebral perfusion delivered via the innominate artery. As soon as the systemic temperature reaches 25 degrees centigrade, attention is turned to the distal hemiarch replacement.…
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