Content from the Journal of the American Neurological Surgeons.
Complete surgical resection is the optimal treatment for malignant and complex benign left heart tumors. Anatomic inaccessibility and the relationship with vital cardiac structures can make complete resection of these complex tumors via standard surgical techniques suboptimal. An autotransplantation technique in these cases allows optimal anatomic exposure for complete tumor resection and accurate reconstruction.
What is the current state of atrial fibrillation surgery? An international panel of experts met at the 80th Annual SCTS Annual Meeting in Birmingham, United Kingdom, for an in-depth discussion of this issue. Moderator Michael Mack of the Heart Hospital Baylor, Plano, Texas, was joined by Niv Ad of Fairfax Hospital, Falls Church, Virginia, Manuel…
Maninder Singh Kalkat of Heartlands Hospital, Birmingham, United Kingdom, discusses palliative treatments for non-resectable tracheal tumors. The aims of palliation in these cases are to improve the patient’s ability to breath and prepare them for further non-surgical treatment. Mr. Kalkat describes and evaluates the current palliative options, including rigid bronchoscopy, dilation, laser treatment, and stents.…
Case Summary A 57-year-old asthmatic, non-smoker presented with a cough. This female patient had previously undergone a surgical excision of a chondrosarcoma from her right femur (during 2010). A CT scan showed a 1.4 cm lesion in the apical segment of the right upper lobe, close to the border of the anterior segment (S3). CT-guided…
Tricuspid valve replacement in children is associated with non-negligible complication rate. Both mechanical and bioprosthetic valves have significant disadvantages in the tricuspid position in children, and tricuspid valve repair is preferred whenever possible. Tricuspid valve replacement with a cryopreserved mitral homograft has been described in limited case series, with excellent mid-term results in patients with…
Click below to view the full PDF. This protocol is provided by the James Cook University Hospital, Middlesbrough, United Kingdom.
Francis Wells of Papworth Hospital, Cambridge, United Kingdom, gives an in-depth talk on the anatomy of the mitral valve and the importance of mitral clefts. Mr. Wells reviews the development of the mitral valve and its saddle shape. He also discusses the treatment of SAM and calcium, and the use of annuloplasty rings. This presentation…
This video shows a completely endoscopic treatment of Type I esophageal achalasia using the POEM technique. A 10 cm myotomy was performed at the two o’clock position using a conventional gastroscope fitted with an ESD cap. CO2 insufflation, a triangle tip knife, and an ERBE power generator were also utilized.
Minimally invasive mitral valve repair is accepted as a reliable technique, and its use has spread. The respect rather than resect approach is now widely used in mitral valve repair, and Gore-Tex neochordae are the cornerstone of this treatment. One of the perioperative difficulties is to adapt the length of the neochordae to a proper…
Safety is an important element of every surgical technique. Microlobectomy, a form of VATS lobectomy, uses 5 mm ports in the intercostal spaces and removes the tumor from the subxiphoid space. This video demonstrates the safe control of pulmonary artery bleeding, conversion to VATS lobectomy where the PA is slung, and completion of the operation.
Michael Snee of St. James’s Institute of Oncology, Leeds, United Kingdom gives an informative talk on stereotactic ablative radiotherapy (SABR), an alternative treatment for peripheral early stage lung cancer in higher risks patients who are unable to undergo surgery. Dr. Snee provides an overview of SABR, including patient selection and current comparative trials. This presentation…
In a roundtable discussion filmed at the 2016 STS Annual Meeting in Phoenix, Arizona, Vinod Thourani of Emory University School of Medicine, Atlanta, Georgia, David Heimansohn of St. Vincent Heart Center of Indiana, Indianapolis, Indiana, and Borut Gersak of the University Medical Center Ljublijana, Ljubljana, Slovenia, share their experience with the Perceval Aortic Pericardial Heart…
The author has previously reported on cases involving trans-subxiphoid robotic thymectomy, in which the camera is inserted from the subxiphoid incision and robotic forceps are inserted from the bilateral intercostal spaces. This video presents the case of a 68-year-old female patient who was diagnosed with myasthenia gravis of MGFA class IIb. Chest CT findings led to…
Aortic valve-sparing procedures have become increasingly popular over the past decade. This video demonstrates the re-implantation procedure for aortic root replacement (described by David et al.), aortic root remodeling, and implantation of an expansible ring. This approach (described by Lansac et al.) allows for a physiological reconstruction of the aortic root, while providing stabilization of…
Click below to view the full PDF. This protocol is provided by the James Cook University Hospital, Middlesbrough, United Kingdom.
In an interview filmed at the Cambridge VATS Symposium, Joel Dunning talks with Tom D’Amico, Professor of Thoracic Surgery at Duke University and a pioneer in the field of VATS lobectomy. Dr. D’Amico discusses the early days of VATS lobectomy, how the approach has evolved, and specific clinical scenarios.
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