Content from the Journal of the American Neurological Surgeons.
Hans-Joachim Schaefers of Saarland University Medical Center, Homburg/Saar, Germany, compares the Yacoub and David procedures. Dr. Schaefers discusses the complexities of aortic valve structure, and his experiences with root remodeling versus re-implantation of the aortic valve. This presentation was originally given during the SCTS Ionescu University program at the 2016 Annual Meeting of the Society…
The authors have previously reported on a subxiphoid single-port thymectomy. As a camera is inserted into the midline of the body, the subxiphoid approach facilitates identification of the bilateral phrenic nerves and also provides a good visual field in the neck region compared with that afforded by the lateral thoracic approach. However, the limited operability…
View an SCTS and Bupa patient resource explaining what will happen the day of surgery. Click below to view the full patient guide. This patient resource is provided by SCTS and Bupa.
Franca Melfi of the University of Pisa, Italy, discusses the benefits of robotic surgery in the management of mediastinal disease, along with the supporting evidence. Dr. Melfi describes her own use of robotic surgery for thymectomy, and shares a video demonstration of her technique. This presentation was originally given during the SCTS Ionescu University program…
Originally presented as a Surgical Motion Picture at the 2015 STSA Annual Meeting Objectives: A 23-year-old male patient presented with dyspnea, chest pain, and fatigue for three days. He had no cough, fever, or myalgias. He had a family history of aortic aneurysms. An exam revealed a pectus excavatum deformity. According to the Haller index,…
Abdominal aortic cross-clamping is required in many visceral bypass operations, but results in increased risk of postoperative morbidity. Originally developed for coronary artery bypass grafting, the PAS-Port Proximal Anastomotic System (Cardica Inc., Redwood City, CA) creates sutureless proximal aortic anastomoses without the need for cross-clamping, although its use elsewhere in the body has not been…
This video shows a novel minimally invasive thoracic (MIT) caudal approach used in the authors’ institution since 2014. The video illustrates a procedure for a patient affected by a biopsy-proven neuroendocrine tumor of the middle lobe of the lung (cT1aN0Mx). The tumor was incidentally discovered during a clinical workup for her HCV-related liver cirrhosis. In…
View an SCTS and Bupa resource for patients preparing for cardiothoracic surgery. Click below to view the full patient guide. This patient resource is provided by SCTS and Bupa.
Malakh Shrestha of the Hannover Medical School, Hannover, Germany, describes his experience using the frozen elephant trunk technique for complex aortic arch surgery. He discusses indications and methods to reduce the risk of paraplegia and the use of the Thoraflex graft. This presentation was originally given during the SCTS Ionescu University program at the 2016…
Introduction Minimally invasive surgery has become common for valve replacement and repair, as well as other forms of cardiac operations such as coronary artery bypass grafting and excision of cardiac tumors. Minimally invasive surgery technologies have developed over the past 20 years that have allowed for its increased application. Primary cardiac neoplasms are extremely rare,…
Cone reconstruction of the tricuspid valve for Ebstein’s anomaly is a significant innovation in the management of Ebstein’s anomaly, and has shown favorable results (1). This repair entails significant delamination of tethered papillary muscles, with persistent significant right ventricular dilatation. Techniques for remodeling the right ventricle may improve long-term outcomes. Papillary muscle repositioning has been…
Originally presented as a Surgical Motion Picture at the 2015 STSA Annual Meeting Objectives: Teratomas are tumors consisting of tissue derived from all three germinal layers: the endoderm, mesoderm, and ectoderm. Germ cell tumors are predominantly found in gonads, while the anterior mediastinum is the most common extragonadal site. The authors present the case of…
Gaetano Rocco of the National Cancer Institute, Naples, Italy, considers the difficulties of treating high-risk patients with surgical lung resections. Dr. Rocco argues that wedge resection remains a valid option for some patients with borderline lung function, and examines the increasing importance of minimally invasive approaches. This presentation was originally given during the SCTS Ionescu…
“To stay motivated for forty years in cardiac surgery, I think you must have a broader vision,” Pieter Kappetein says in an interview with Joel Dunning, which was filmed at the 2016 STS Annual Meeting in Phoenix, Arizona. Dr. Kappetein reflects on his own career, including how he became interested in cardiac surgery and the…
This video shows a subxiphoid uniportal middle lobectomy for lung cancer. It is performed by Dr. Jiang Lei, who has pioneered and performed over 300 subxiphoid uniportal middle lobectomies. He has also used this technique to perform lobectomies of every lobe and over 70 segmental resections. This video demonstrates the technique, and shows some of…
This video depicts a minimally invasive aortic valve replacement (AVR) via a right anterolateral mini-thoracotomy (RAT), using the Edwards Intuity rapid deployment aortic valve system (Gen. 1), in a 75-year-old male patient with severe aortic stenosis. RAT access is performed in the second intercostal space over a 7 cm skin incision. A soft-tissue retractor and…
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