Content from the Journal of the American Neurological Surgeons.
In a discussion filmed at the 2016 EACTS Annual Meeting in Barcelona, Spain, a group of experts consider how CT surgery allied health professionals can create an evidence-based practice. Jill Ley of California Pacific Medical Center, San Francisco, CA, is joined by Christina Bannister of Southampton University Hospitals NHS Trust, Southampton, UK, and Richard Van Valen…
Christopher Young of St. Thomas’ Hospital, London, UK, reviews the evidence for minimally invasive aortic valve replacement. Dr. Young argues that the advantages of this approach over full sternotomy can be seen particularly in the outcomes for high risk patients. John Pepper presents a counter-arguement in “Minimally Invasive AVR is Just Cosmetic.” This presentation was…
This video describes a bilateral uniportal VATS resection in a 32-year-old woman. Two wedge resections were performed on the left side, and a segment 6 segmentectomy was performed on the right side.
An otherwise healthy 22-year-old male presented with signs and symptoms suggestive of acute appendicitis. His clinical status rapidly deteriorated, requiring mechanical ventilation and vasopressor support. Cardiothoracic surgery was consulted for initiation of extra-corporeal membrane oxygenenation (ECMO) in the setting of intractable septic shock. Bedside echocardiogram revealed a sinus of Valsalva aneurysm rupture. Emergency surgical repair…
Eric Lim of the Royal Brompton Hospital, London, UK, describes the benefits of using an endochamelon camera for performing VATS lobectomy. He displays an operative video of a sleeve resection during his presentation. This presentation was originally given during the SCTS Ionescu University program at the 2015 Annual Meeting of the Society for Cardiothoracic Surgery…
Tristan Yan of the Sydney Adventist Hospital, Sydney, Australia, and Martin Misfeld of the Leipzig Heart Institute, Leipzig, Germany, discuss their preferred methods for peripheral cannulation in minimally invasive cardiac surgery. They show their favorite cannulae and a share insertion tips. Video filmed and edited by Joel Dunning. This interview is part of a series…
Case Presentation A 65-year-old male patient with metachronous metastatic supraglottic carcinoma was admitted for metastasectomy after a complete resection of the primary tumor and adjuvant radio-chemo therapy. Metastasectomy was conducted in two stages. First, the patient underwent left-sided anatomical lingular resection for two metastases, together with a wedge resection of another metastasis in the lower…
Originally presented as a STSA/CTSNet Surgical Motion Picture at the 2016 STSA Annual Meeting. Objectives: Dealing with the small aortic root is always a challenging clinical problem, particularly in the reoperative setting, in which scarring and fibrosis of surrounding tissues reduces the flexibility of the left ventricular outflow tract. In this situation, it may not…
A female patient was referred to the authors’ institution for ground glass lesions in the left upper lobe and superior segment of the lower lobe. The lesions were not responsive to antibiotic therapy and exhibited interval growth. Positron emission tomography showed an FDG uptake of 2.3 in the left upper lobe. A three-port VATS left…
In a roundtable filmed at the 2016 STS Annual Meeting in Phoenix, Arizona, a group of expert discuss innovations in surgery for thymoma. Leanne Harling of Imperial College, London, UK, is joined by M. Blair Marshall of Georgetown University Hospital, Washington DC, United States; Takashi Suda of Fujita Health University, Toyoake Aichi, Japan; and Joel…
Professor Stephen Westaby of John Radcliffe Hospital, Oxford, UK, gives an overview of the use of temporary mechanical support for postcardiotomy failure. This presentation was originally given during the SCTS Ionescu University program at the 2015 Annual Meeting of the Society for Cardiothoracic Surgery in Great Britain and Ireland. This content is published with the…
Originally presented as a STSA/CTSNet Surgical Motion Picture at the 2016 STSA Annual Meeting. Objectives: Calcific mitral valve stenosis with severe mitral annular calcification may present a difficult challenge to the surgeon. Several techniques for mitral valve replacement have been described for these complicated cases including wide debridement of the calcium with reconstruction of the…
Objective: Tracheal injuries are rare and often devastating. Appropriate management depends on meticulous planning and complex support networks. Multidisciplinary management often may include cardiothoracic surgery, plastic surgery, assist device teams, anesthesia, and pulmonary/trauma critical care experts. The objective of this video is to demonstrate several tools and techniques that were used to salvage a traumatic…
Sean Grondin, who serves in high leadership roles for both the Canadian Association of Thoracic Surgeons and The Society of Thoracic Surgeons, discusses his experiences as a travelling fellow. As part of his travelling thoracic surgery fellowship, Dr. Grondin visited Sydney, Melbourne, Brisbane, Shanghai, and Edinburgh. He shares interesting stories and insights from his fellowship,…
Joseph Zacharias of the Lancashire Cardiac Centre, Blackpool, UK, gives an overview of the use of ablation for atrial fibrillation in minimally invasive mitral valve surgery. Dr. Zacharias demonstrates his use of cryoablation and reviews his results. This presentation was originally given during the SCTS Ionescu University program at the 2015 Annual Meeting of the…
The authors present a multidisciplinary minimally invasive approach to aortic valve replacement involving reduced chest incision, a rapid deployment aortic valve prosthesis, a minimally invasive extracorporeal circulation system, and ultra fast track anesthesia. This video is also authored by: Walter Vessella, MD, Roberto Carozza, and Christopher Munch, MD.
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