Content from the Journal of the American Neurological Surgeons.
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.
Jorge Mascaro of Queen Elizabeth Hospital, Birmingham, United Kingdom, discusses the significant challenge of aortic arch replacement and the various approaches a surgeon can take, giving special attention to the Birmingham approach. He provides insights into determining which approach is best suited for the individual patient. This presentation was originally given during the SCTS Ionescu…
Papillary fibroelastoma is the most common benign tumor of the cardiac valvular apparatus, and is considered the second most common type of cardiac tumor. Advancement in trans-esophageal echocardiography technology has significantly improved the ability of surgeons to spot papillary fibroelastoma, as well as evaluate the structural and functional anatomy of the adjacent heart valves. The…
A 57-year-old patient was admitted for metachronous single metastases in the left lower lobe. The metastasis was located in the apical segment of the lower lobe and was 4.5 cm large. Three years prior, the patient had undergone rectum resection followed by adjuvant therapy. A uniportal videothoracoscopic posterior approach with a 4 cm single incision…
Walter Kleptko of the Vienna Medical University, Vienna, Austria, gives an exciting talk on the current state and future of lung transplantation. Dr. Klepetko discusses advances in surgical techniques, donor organ utilization, and expansion of indications. He also stresses the importance of transplant centers working together across regions and borders to provide the best care…
Figure 1: 40×35 mm cystic mass Introduction Hydatid disease (cystic echinococcosis) arises from the echinococcus granulosus tapeworm and is endemic in some livestock-raising countries. Cardiac involvement is seen in only 0.2-3% of patients with hydatid disease, and IVS is involved in just 4% of cardiac cases (3). Hydatid disease may present as heart block and VSD…
Robert L. Replogle, MD, the driving force behind the creation of CTSNet, died Monday, May 9, at the University of Chicago Medical Center surrounded by his loving family. He was a notable figure in cardiothoracic surgery worldwide, and will be remembered as a clinical surgeon, researcher, educator, and leader. Bob grew up in a farming…
For the past six months, the authors have used a subxiphoid approach for robotic lobectomies in order to reduce pain to a minimum. This approach allows for staplers to be inserted and lobectomy specimens to be extracted through the subxiphoid port, instead of a rib space. CO2 allows the antero-inferior entrance port to be made,…
Valve-sparing root replacement can be a technically difficult procedure and requires a fundamental understanding of aortic root anatomy. The operation can be especially challenging for those who are in the early stages of the learning curve. This presentation describes the basic surgical techniques and steps required for successfully performing a valve-sparing root replacement. This educational…
What is the most effective approach for the treatment of thoraco-abdominal aortic aneurysm? An international panel of experts discusses the merits and pitfalls of open, endovascular, and hybrid repair options, and addresses clinical scenarios. Mohamad Bashir of Barts Heart Centre, London, United Kingdom moderates the lively debate with Ali Azzizadeh of the Memorial Hermann Heart…
Pierre-Emmanuel Falcoz of Nouvel Hôpital Civil, Strasbourg, France, discusses the use of ECMO in thoracic surgery. Dr. Falcoz presents the current options for ECMO, including a simplified extracorporeal circuit and cannulation placement. Dr. Falcoz also discusses the future of ECMO in thoracic surgery cases. This presentation was originally given during the SCTS Ionescu University program…
This video shows the authors’ first experience with a robotic stapler. The robotic stapler was used for two right lung diagnostic wedge resections (one for a solid tumor, one for a non-solid tumor) and a right lower lobectomy for non-small cell lung cancer. The authors report on the surgical approach and technique for using the…
This video demonstrates a technique for transmyocardial laser revascularization using a VATS approach.
Stephen Westaby reflects on his extraordinary career in cardiac surgery in an interview with Leanne Harling, which was filmed at the 2015 EACTS Annual Meeting in Amsterdam, the Netherlands. Professor Westaby discusses his early interest in cardiac surgery and his pursuit of innovative treatments, including the artificial heart. He urges young cardiac surgeons to value…
Should off-pump CABG be abandoned? Joseph Sabik of the Cleveland Clinic, Cleveland, Ohio, suggests that while off-pump CABG should not be completely abandoned, it should no longer be the default option. Dr. Sabik argues in favor of on-pump CABG becoming the first choice of cardiac surgeons, citing procedural outcomes, quality of revascularization, and long-term effectiveness.…
VATS is a safe approach for the treatment of a Pancoast tumor. When combined with other accesses, a VATS approach allows for radical resection, with the advantages of improved wound healing, better postoperative pain control, and decreased respiratory complications. This video presents the case of a 57-year-old patient with an adenocarcinoma of the superior sulcus…
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