Content from the Journal of the American Neurological Surgeons.
Vinnie Bapat of Guy’s and St. Thomas’ NHS Foundation Trust, London, UK, discusses the development of a minimally invasive aortic valve replacement program at his institution. Mr. Bapat points out that although aortic valve replacement via a right anterior thoracotomy is a technically challenging procedure with a steep learning curve, it can have a large…
Cardiac surgeons and allied health care professionals are faced with a changing and challenging patient population, as the number of octogenarians and nonagenarians increases. A geriatrician, surgeon, and nurse practitioner share their views and discuss their work with elderly patients. Quality of Life One Year After Coronary Artery Bypass GraftingFredrike Zwiers-Blokzijl Octogenarians and Surgery: The…
Background: With the advent of fixed imaging systems (cone beam CT scanning), which permit rotational image acquisition, vascular surgeons now find themselves with a very important new tool: a CT scan in the operating room. This permits vascular surgeons and other surgical subspecialtists to perform procedures that were previously only in the realm of radiologists. In…
Objective: To demonstrate an innovative technique for hypoplastic arch reconstruction in children beyond infancy. Methods: The operation was performed via a median sternotomy. A Gore-Tex graft was sewn onto the innominate artery and used for selective antegrade flow, while the right atrium was cannulated for venous drainage. Control was obtained of the arch vessels. Once…
View an SCTS and Bupa resource for patients meeting with their cardiothoracic surgeon to discuss surgical options for heart disease. Click below to view the full patient guide. This patient resource is provided by SCTS and Bupa.
In a discussion filmed at the 2016 STS Annual Meeting in Phoenix, Arizona, a group of experts discuss the ethics of testing new medical devices in developing countries. Pieter Kappetein of Erasmus MC Thoraxcenter, Rotterdam, the Netherlands, is joined by Moritz Wyler von Ballmoos of Duke University Medical Center, Durham, North Carolina, and Aurelio Chaux…
Alper Toker of Florence Nightingale Hospital, Istanbul, Turkey, argues for the increased use of robotic approaches for lung resection procedures. Dr. Toker presents clinical data to support his position that a robotic approach is beneficial when performing a pneumonectomy, lobectomy, or segmentectomy. This presentation was originally given during the SCTS Ionescu University program at the…
A four-year-old male child presented with recurrent respiratory tract infection, status post total anomalous pulmonary venous connection repair at 2 years of age. During the previous surgery, the inferior vena cava (IVC) was routed to the left atrium (LA) and directed towards the right atrium (RA). This video shows the rerouting of the IVC into…
A 65-year-old female patient was admitted to the author’s clinic for the treatment of a predominantly lepidic adenocarcinoma located in the superior segment of the right lower lobe. Due to the ideal location and size, anatomical segment resection and radical lymphadenectomy was planned. A fissure-last, video-assisted thoracoscopic (VATS) resection of the superior segment of the…
Torsten Doenst of Friedrich Schiller University, Jena, Germany, discusses surgical strategies for challenges faced during minimally invasive mitral valve surgery. Dr. Doenst describes a variety of techniques for dealing with cases of mitral annular calcification, significant peripheral artery disease, and severe aortic regurgitation/stenosis. This presentation was originally given during the SCTS Ionescu University program at…
Direct closure was the first described surgical treatment for complete atrioventricular canal (CAVC) (1). At the expense of increasing complexity, double-patch repair was introduced to minimize the risk of left ventricular outflow tract (LVOT) obstruction and heart block due to a repair under tension. Modified single-patch repair, which forgoes the VSD patch, has been shown…
Transcatheter aortic valve replacement (TAVR) has gained worldwide acceptance for the treatment of aortic stenosis in high risk patients. Interestingly, transcatheter mitral valve repair (TMVR) is in the initial phase with reduced implantations. One of the reasons for the difference in acceptance of the two approaches is the complex anatomy of the native mitral valve…
This video describes the technique of transoral incisionless fundoplication (TIF procedure). A partial fundoplication is created endoscopically in a patient with gastroesophageal reflux disease. The video provides an overview of instrumentation and important steps in creating the fundoplication.
Introduction Atrial fibrillation (AF) is a common rhythm disorder that is responsible for significant morbidity and mortality due to thromboembolism, stroke, and heart failure, in addition to adverse reactions secondary to the use of antiarrhythmic drugs (1, 2, 3). Valvular heart diseases, especially of the mitral valve, cause structural cardiac changes, atrial remodeling, and increase…
Gaetano Rocco of the National Cancer Institute, Naples, Italy, provides an overview of the surgical techniques and materials used for reconstruction after chest wall resection. Dr. Rocco discusses the pros and cons of synthetic/conventional and biological materials, and shows several examples of chest wall reconstructions. This presentation was originally given during the SCTS Ionescu University…
This video highlights the general approach to both complete and partial sternal cleft repair in two pediatric patients. The preoperative presentation was dramatic as both patients presented for surgery later in life (at three and seven years old) due to poor socioeconomic status and difficulty accessing specialty cardiac care. Both patients had stable repairs and…
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