Content from the Journal of the American Neurological Surgeons.
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.
This video illustrates optimal robot docking, port placement, and surgical technique for a robot-assisted right-sided diaphragmatic plication. Utilizing a transthoracic anterior-medial to posterior-lateral approach with interrupted horizontal mattress sutures, the right hemidiaphragm was plicated to provide symptomatic relief for right-sided diaphragmatic paralysis.
Rajamiyer Venkateswaran of Mythenshawe Hospital, Manchester, UK, discusses temporary mechanical circulatory support as a bridge to transplantation in cases of cardiogenic shock. Dr. Venkateswaran covers the pathophysiology and strategies for decision making. This presentation was originally given during the SCTS Ionescu University program at the 2015 Annual Meeting of the Society for Cardiothoracic Surgery in…
CTSNet published over 200 pieces of educational content in 2016. CTSNet Deputy Editor Arie Blitz presents his choices for the most interesting CTSNet content of last year. 1. Approach to Functional Mitral RegurgitationHans-Joachim Schaefers 2. Optimizing Vein Graft Outcomes John Pepper 3. Post MI VSD Intracardiac Double Patch Repair Sarju Ralhan, Vikram Singh, Gurmeet Singh, Samir…
This video demonstrates a uniportal VATS middle lobe lobectomy in a 56-year-old female patient with a primary early-stage lung adenocarcinoma. After complete investigation via CT scan, PET scan, bronchoscopy, and pre-operative work-up, the patient was offered surgical treatment. During the procedure, the authors encountered an unusual anatomy of the pulmonary veins. In particular, the middle…
Surgical management of scimitar syndrome with hypoplasia of the right lung and additional systemic arterial supply to the right lung, with an associated ventricular septal defect (VSD), in a six-month-old infant is challenging. Various treatment options have been described. The authors demonstrate a simple, reproducible operative technique with good mid-term results.
This video demonstrates a sternal resection, followed by reconstruction with a titanium mesh, for a local recurrence of breast cancer. Anterior chest wall involvement after mastectomy in patients with breast cancer is an uncommon situation. Surgical excision is an important part of the multimodality treatment of the local recurrence of breast cancer. Yet, the large…
