Content from the Journal of the American Neurological Surgeons.
Abstract The authors present a case of acute aortic dissection in a patient with Loeys-Dietz Syndrome type II, complicated by multiple blood antibodies. A 68-year-old Caucasian woman presented with a sudden onset of severe, crushing chest pain. Her work-up revealed an acute intramural hematoma in the aortic root, and aortic rupture could not be ruled…
David Taggart of John Radcliffe Hospital, Oxford, United Kingdom, considers the evidence for the best second choice conduit for coronary bypass grafting after the left internal mammary. 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…
This video demonstrates a VATS repair in an adult of a recurrent, congenital Bochdalek hernia with intrathoracic herniation of the left kidney and a portion of the pancreas. A Bochdalek hernia is a congenital posterolateral defect of the diaphragm. It is more commonly seen in infants and predominantly occurs on the left side. Intrathoracic herniation…
In a discussion filmed at the 2017 STS Annual Meeting in Houston, Texas, Daniel Gwan-Nulla of Duke LifePoint Haywood Regional Medical Center, Brentwood, Tennessee, reviews his CTSNet Video “VATS Repair of Recurrent Congenital Bochdalek Hernia With Intrathoracic Herniation of the Kidney and Portion of the Pancreas.” Dr. Gwan-Nulla is joined by Joel Dunning of James…
In this video, the fourth in a seven-part series, Tristan Yan demonstrates how to perform a proximal annular anastomosis using the “French Cuff” technique to ensure absolute hemostasis. Horizontal mattress sutures are placed neatly below the aortic annulus. 2-0 Ethibond Excel annular sutures with pledgets are used and the sutures are evenly distributed. The annulus…
Malcolm Dalrymple-Hay of Plymouth Hospitals NHS Trust, Plymouth, United Kingdom, discusses the practicalities of setting up a surgical program for lone atrial fibrillation. Mr. Dalrymple-Hay encourages surgeons to work closely and collaboratively with the electrophysiology team. This presentation was originally given during the SCTS Ionescu University program at the 2016 Annual Meeting of the Society…
This video shows a redo right upper lobe microlobectomy for a second primary tumor. The authors previously performed a posterior approach middle lobectomy on the patient in 2014. Footage from both operations is shown in this video, so that the differences in approaches can be seen. Interestingly, the fissure was very good in the first…
In the view of the authors, video-assisted minimally invasive mitral valve repair is associated with the same mortality as conventional sternotomy, but with less morbidity, fewer infections, a shorter hospital stay, and lower readmission rates. The periareolar approach yields superior cosmetic results without compromising exposure of the valve or the quality of the repair. This…
In this video, the third in a seven-part series, Tristan Yan demonstrates how the proximal ascending aortic aneurysm is removed and the coronary buttons are prepared. Under a low-flow condition, an atraumatic aortic cross-clamp is applied across the distal ascending aorta. Diastolic arrest is achieved with antegrade Custodial cardioplegia delivered via a DLP aortic root…
CTSNet is excited to announce that “McKeown Esophagectomy” by Caitlin Harrington has won first place in the 2016 Resident Video Competition. Ms. Harrington discussed her video with CTSNet Associate Editors Joel Dunning and Mara Antonoff at the 2017 STS Annual Meeting in Houston, Texas. “My ultimate goal is to become an academic thoracic surgeon with…
Gonzalo Varela of Salamanca University Hospital, Spain, reviews the evidence for the operative fixation of traumatic rib fractures. 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 with the permission of SCTS. Please…
The authors present the case of a 20-year-old woman who underwent uniportal VATS for treatment of a large hydatid cyst. The video shows the preoperative work-up, the operative steps of the procedure, and the postoperative outcome. Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the…
In this video, the second in a seven-part series, Tristan Yan demonstrates a technique for peripheral venous and central aortic cannulation for the Mini-Bentall and hemiarch procedure. A vacuum-assist device is built in the cardiopulmonary bypass circuit (CPB) to maximize venous drainage. Peripheral venous cannulation is established first, using the Seldinger technique. The femoral vein…
The thoracic outlet is an anatomically challenging location for thoracic surgeons due to the bony obstructions and the compact anatomy of great vessels and nerves. The authors demonstrate their technique for the resection of a schwannoma on the thoracic outlet. Two patients are presented.
Peter Licht of Odense University Hospital, Denmark, discusses the increasing use of the VATS approach in general thoracic surgery, and considers potential future developments. 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…
This video shows a robotic lingulectomy and lymphadenectomy in a 62-year-old non-smoker with a history of Dukes’ B colorectal adenocarcinoma. The surgeon begins by dissecting the inferior pulmonary ligament, where the station 9 lymph nodes were dissected and sampled. The station 7 lymph nodes were then dissected. The surgeon then moved into the anterior oblique…
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