VATS Resection of Ectopic Parathyroid Adenoma
This videos shows a successful VATS resection of an ectopic parathyroid adenoma, which was deemed unresectable via standard approaches.
Content from the Journal of the American Neurological Surgeons.
Lone AFib Surgery: Results of Hybrid Approach
Mark La Meir of the University Hospital Brussels, Belgium, discusses the indications for a hybrid approach to atrial fibrillation surgery. Dr. La Meir also addresses potential issues with the hybrid approach. This presentation was originally given during the SCTS Ionescu University program at the 2016 Annual Meeting of the Society for Cardiothoracic Surgery in Great…
Various Presentations of Penetrating Chest Trauma in a Tertiary Care Center
Chest trauma can present in many unique and unusual ways, but, if managed in time, patients can have an excellent prognosis. This video shows three cases of chest trauma with different modes of injury and varied presentations. The selected cases involve the lungs, heart, and important vascular structures in the chest. Patient 1: A male…
Treatment of Difficult Sternal Nonunion Using the RIA Bone Marrow Harvest System
This video shows a patient who was suffering from manubrium nonunion after a mini aortic valve replacement. The nonunion caused significant pain and clicking. The patient was a heavily built male and CT scanning showed several fragments, which suggested that simple plating would be ineffective. Femoral bone marrow is an ideal medium to induce good…
Making a Difference in Cardiothoracic Surgery Nursing
In an interview filmed at the 2016 EACTS Annual Meeting in Barcelona, Spain, Joel Dunning talks with CTSNet Associate Editor for Allied Health and clinical nurse specialist Jill Ley about how cardiothoracic surgery nurses at all stages of their careers can become more involved in the profession and improve patient outcomes. Ms. Ley encourages nurses to…
Left Video-Assisted Thoracoscopic Enucleation of a Giant Horseshoe Esophageal Leiomyoma
A 27-year-old woman underwent a video-assisted thoracoscopic enucleation of a giant horseshoe esophageal leiomyoma. The patient was asymptomatic and the lesion was discovered incidentally on a routine chest radiograph. Computed tomography (CT) of the thorax showed a 5.5 cm polypoid soft tissue mass in the distal third of the esophagus, causing narrowing and deviation of…
Tips for Minimally Invasive Access for Atrial Fibrillation
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…
Total Laparoscopic Management of Large Epiphrenic Diverticulum
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…
Minimally Invasive Repair of Severe Bicuspid Aortic Valve Endocarditis
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…
VATS Right Upper Lobe Sleeve Lobectomy
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.…
Minimally Invasive Mitral Valve Surgery Without Aortic Cross-Clamping
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…
Sponsored Roundtable Discussion: How New Technologies Can Facilitate Surgical Mitral Repair
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…
Mini-Bentall Procedure and Hemiarch Replacement: Graft Anastomosis and Mini-Sternotomy Closure
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…
Step-by-Step: Mini-Bentall Procedure and Hemiarch Replacement Series
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
Subxiphoid Right Upper Lobectomy
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…
Repair of Aortic Valve, Large Periaortic Abscess, and LV-PA Fistula in a 5-Year-Old With Acute Bacterial Endocarditis
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…