Content from the Journal of the American Neurological Surgeons.
Chest tube insertion is a procedure commonly performed by residents and fellows throughout their general and cardiothoracic surgical training. Proper placement of a chest tube can effectively evacuate air, fluid, and blood. In many cases, insertion of a chest tube can prevent more invasive procedures. This video will demonstrate tips and tricks for the successful…
This patient underwent repair of Tetralogy of Fallot and more recently had enlargement of his aortic root with moderate-to-severe aortic insufficiency. Worsening of left ventricular function with an ejection fraction of 40% was observed on follow-up echocardiograms, and moderate-to-severe aortic valve regurgitation was also noted. A computed tomography and MRI were performed to assess the…
This video demonstrates sharp dissection of vascular structures during VATS lobectomy.
Endovascular approaches have become the first-line therapy for descending thoracic aneurysms. Due to the variable histologic, anatomic, and clinical presentations of mid and distal arch aneurysms, careful consideration must be given to available treatment options. A panel of experts met at the 2016 EACTS Annual Meeting in Barcelona, Spain, to discuss the endovascular approach, including…
Steven Livesey of Southampton General Hospital, Southampton, UK, discusses the anatomy of Barlow’s mitral valve and the options for correction. Dr. Livesey demonstrates his repair technique with an operative video. 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…
This video demonstrates a minimally invasive resection of a large thymoma in a morbidly obese patient. The utility of cardiac MR in operative planning, intra-thoracic CO2, angled cameras, and subxyphoid extraction are highlighted in this patient.
The authors demonstrate how to perform a coronary artery bypass with a stented vein graft using a VEST device (Vascular Graft Solutions Ltd., Tel Aviv, Israel).
Four experts on the surgical treatment of atrial fibrillation met at the 2017 STS Annual Meeting in Houston, Texas, to discuss the recently released STS clinical practice guidelines on the subject. James Edgerton of the Heart Hospital Baylor Plano is joined by Niv Ad and Vinay Badhwar of the West Virginia University Heart and Vascular…
Paul Van Schil of Antwerp University Hospital, Antwerp, Belgium, argues that surgery offers the best outcome for patients with mesothelioma. Dr. Van Schil reviews the evidence from surgical trials, noting a shift in practice towards extended pleurectomy-decortication. This is the counter argument to Robert Rintoul’s talk asserting that the role of surgery with respect to…
Pulmonary segmentectomy requires intraparenchymal dissection to expose the vessels and bronchi. This type of dissection is done bluntly during VATS, and can lead to air leak. Use of the robot enables meticulous dissection with less air leak, leading to better post-operative outcomes and decreased length of stay.
Originally presented as a STSA/CTSNet Surgical Motion Picture at the 2016 STSA Annual Meeting. Objectives: A 3.7 kg 27-day-old male baby was diagnosed with Tetralogy of Fallot with Ebstein’s anomaly. The initial presentations were respiratory distress and hypotension. Cyanosis was also noted after his PDA closure. The authors present the surgical technique to repair this…
Bone allograft transplantation represents a new option for anterior chest wall reconstruction. The disadvantages of synthetic materials are: excessive rigidity with risk of erosion of adjacent structures, the risk of infection, insufficient strength, immunological reaction, lack of incorporation into the host tissue, and sub-optimal radiological transparency. Moreover, the use of synthetic materials is not indicated…
“It is through multidisciplinary training and interaction that we all learn how to care for patients better,” Jill Ley, a clinical nurse specialist at California Pacific Medical Center, says in roundtable filmed at the 2017 STS Annual Meeting in Houston, Texas. Ms. Ley is joined by Prakash Patel of the University of Pennsylvania, Kathryn Gray…
Robert Rintoul of Papworth Hospital, Cambridge, UK, reviews the outcomes of major mesothelioma trials, and argues that all mesothelioma surgery is currently palliative. This is part one of a debate on how best to treat patients with mesothelioma. This presentation was originally given during the SCTS Ionescu University program at the 2016 Annual Meeting of…
This video shows the treatment of a 4-month-old male patient, who was diagnosed with a large ventricular septal defect after evaluation for respiratory distress. He demonstrated moderate congestive heart failure symptoms with medical management, and was referred for surgical closure. Echocardiogram revealed a very large supracristal VSD without distortion of the aortic valve or aortic…
A 62-year-old man with a history of arterial hypertension, diabetes mellitus, and prior smoking underwent a sigmoidectomy in 2011 for an adenocarcinoma, and received adjuvant chemotherapy. In 2013, after 24 months of follow-up, bilateral pulmonary nodules and mediastinal lymph nodes appeared. The first biopsy was negative. In 2014, a new fine-needle biopsy showed pulmonary metastases.…
