Content from the Journal of the American Neurological Surgeons.
David Taggart of the University of Oxford, United Kingdom, reviews the evidence for using the radial artery as the first choice for the second conduit in coronary bypass surgery. Dr. Taggart compares the use of the internal mammary artery, saphenous vein graft, and radial artery as second conduit options. Based on the available data, Dr.…
“I think one of the critical aspects of switching to a minimally invasive approach is really understanding the anatomy exquisitely from the angle you are viewing it,” M. Blair Marshall says in an interview with Joel Dunning. Filmed at the 2016 STS Annual Meeting in Phoenix, Arizona, the interview focuses on Dr. Marshall’s approach to…
This video shows an epicardial lead implant via videothoracoscopy in an 80-year-old male patient with hypertension, syncope, and fainting.
This video displays the identification and preservation of aberrant superior pulmonary vein during a uniportal VATS right lower lobectomy. The pulmonary vein passed below the bronchus intermedius and tracked back posteriorly into the upper lobe. Its pathway was in the posterior oblique fissure and was posterior to the bronchus intermedius, just lateral to station 7. If…
In a discussion filmed at the 2016 STS Annual Meeting in Phoenix, Arizona, a panel of experts share insights into utilizing Internet technologies to improve the practice of cardiothoracic surgery for both surgeons and patients. Joel Dunning of James Cook University Hospital, Middlesbrough, UK, moderates this lively discussion with Edward Bender of St. Francis Heart…
Shanda Blackmon of the Mayo Clinic, Rochester, Minnesota, gives an in-depth talk on the prevention and management of intraoperative events during VATS lobectomies. Using footage recorded during VATS cases, Dr. Blackmon gives helpful tips for dealing with potentially catastrophic events. “Don’t ever lose vigilance,” Dr. Blackmon urges. “The best way to avoid an unexpected event…
This video shows the reconstruction of the pulmonary artery in an 8-year-old girl, who had undergone repair of truncus arteriosus at the age of one. The patient presented with Class II/III dyspnea, and CT imaging revealed that the conduit and stent were severely calcified and stenosed. The conduit and branch were replaced and the pulmonary…
The authors present a video showing a VATS left lower lobectomy for bronchiectasis. Recurrent infections affecting the left lower lobe of the patient brought about stiff and highly vascularized adhesions, in particular on the diaphragm, and enlarged lymph nodes within the fissure. In a case such as this, pathological enlargement of the bronchial arteries may…
Click below to view the full protocol. This protocol is provided by James Cook University Hospital.
Computer-assisted surgery and intraoperative navigation are novel tools used to enhance patient treatment and surgical safety. Computer-assisted technologies allow for optimal planning of complex surgeries in a multidisciplinary setting. 3D models can also be created from pre-chemotherapy MRI and pre-surgery CT-scan data. The surgery can then be performed in an enhanced reality modus where the…
Philippe Kolh of the University Hospital of Liege, Belgium, poses the question: what effect has the SYNTAX trial had on coronary artery disease intervention in Europe? He reviews the trial, examines its guidelines, and discusses the importance of risk models. For information on how the SYNTAX trial has influenced practice in the United States, click…
Objective: This video demonstrates the technique for performing a trans-thoracic robot-assisted esophageal diverticulectomy and Heller myotomy. Technique: The patient was a 68-year-old gentleman with Parkinson’s disease who had difficulty swallowing. A barium esophagogram and CT scan of the chest revealed a 4 cm epiphrenic esophageal diverticulum. Pre-operative EGD revealed the diverticulum arising at 32 cm…
The SVR trial showed that coronary perfusion pressure might be better supported by the Sano modification of Norwood stage 1 palliation of hypoplastic left heart syndrome. However, the Sano modification to stage I palliation carries its own downsides: the ventriculotomy required for this conduit may negatively impact late ventricular function and survival, and there is…
Click below to view the full protocol. This protocol is provided by the University Hospital Southampton.
Introduction The authors performed a combined atrial myxoma resection with bypass grafting, using a right minithoracotomy approach. The case demonstrates the feasibility of combined minimally invasive heart surgery procedures (MICS). Case Report Figure 1: Following suspension of the RV acute margin. The visibility and access to the RCA through the right minithoracotomy is unobstructed and easy.…
Joseph Bavaria, current President of The Society of Thoracic Surgeons and Vice Chief of Cardiovascular Surgery at the University of Pennsylvania, Philadelphia, Pennsylvania, delivers an informative talk on hybrid approaches to aortic arch aneurysm repair. Dr. Bavaria stresses that hybrid procedures, employing a combination of open and endovascular techniques, are constantly evolving. He discusses the…
