Content from the Journal of the American Neurological Surgeons.
The right axillary thoracotomy allows repair of a wide range of congenital heart defects. From 2008 to 2016, 48 patients* underwent surgical repair through the right chest. There were no mortalities, residual defects, or peri-operative complications. In the authors’ experience, the cosmetic results are highly appreciated, as the approach is far from breast tissue with…
This video demonstrates a uniportal VATS surgery for the excision of a 5 x 12 cm posterior mediastinal ganglioneuroma mass.
Surgical training in developing countries has traditionally required months and years of clinical and operative teaching by local and visiting first world faculty. This video describes an online simulation surgery course that teaches ten general and thoracic surgical procedures commonly encountered in developing countries. The teaching models are made from readily available and inexpensive supplies,…
Franca Melfi of the University of Pisa, Pisa, Italy, discusses her 13 years of experience performing robotic thoracic surgery. Dr. Melfi compares robotic lung resection to VATS and open techniques, and identifies the need for additional, long-term studies to fully evaluate the risks and benefits of each technique. Dr. Melfi also shares her own experience…
“Success comes from paying attention to all the little details,” Doug Mathisen says in a recent CTSNet interview with Leanne Harling that was filmed at the 2016 SCTS Annual Meeting in Birmingham, United Kingdom. Dr. Mathisen is the Head of Thoracic Surgery and Program Director for Cardiothoracic Surgery at the Massachusetts General Hospital and Hermes…
This video demonstrates an esophageal replacement with a long segment super-charged jejunal interposition.
Originally presented as a Surgical Motion Picture at the 2015 STSA Annual Meeting Objectives: The use of a pantaloon-shaped patch for repair of the pulmonary artery after coronary transfer for transposition of the great arteries (TGA) results in significantly reduced incidence of coronary compression and suprapulmonary stenosis. This video demonstrates the use of a half-pantaloon…
A panel of leading cardiac surgeons met at the 2016 SCTS Annual Meeting in Birmingham, United Kingdom, to discuss the current state of cardiac surgery, and what is on the horizon for the subspecialty. Michael Mack of the Baylor Heart Hospital, Plano, Texas, was joined by Volkmar Falk of the Deutsches Herzzentrum Berlin, Berlin, Germany,…
This video presents the case of a patient with a very complex medical history. She was born with esophageal atresia and tracheo-esophageal fistula. She underwent an attempted primary repair, but it failed. An attempt at a substernal gastric pull-up also failed. In her first six months, the patient underwent 20 different procedures for reconstruction and…
Joseph Sabik of the Cleveland Clinic, Cleveland, Ohio, considers whether the SYNTAX trial changed cardiology and cardiothoracic surgery practice in the United States. He discusses whether the SYNTAX trial findings appropriately affected the use of CABG versus PCI. This presentation was originally given during the SCTS Ionescu University program at the 2015 Annual Meeting of the…
This video demonstrates a bypass procedure of the ramus interventricularis anterior artery (also known as the left anterior descending) through an 8 cm incision in the middle of the lower third of the sternum.
The sympathomimetic catecholamines produce effects that depend upon their relative specificity for alpha, beta 1 and beta 2 receptors. Adrenaline: With both alpha and beta effects this will produce an augmentation in heart rate, systolic blood pressure and cardiac output. In addition it produces relaxation of bronchial smooth muscle. However these effects occur at the…
Rene Petersen of Rigshospitalet, Copenhagen, Denmark, considers whether VATS lobectomy has become the prevailing standard of care. Dr. Petersen also addresses the training and learning curve involved in becoming adept at VATS lobectomy. This presentations was originally given during the SCTS Ionescu University program at the 2015 Annual Meeting of the Society for Cardiothoracic Surgery…
Robert Bartlett, Emeritus Professor of Surgery at the University of Michigan Medical Center, Ann Arbor, Michigan, presents an informative talk on extracorporeal membrane oxygenation (ECMO). Dr. Bartlett is renowned for his role in developing ECMO, a modified heart-lung machine used around the world for patients with acute heart or lung failure. He reviews ECMO indications,…
The authors present the case of a 52-year-old female with metastatic liposarcoma involving the left ventricular wall and the right ventricular septum. The patient had a left thigh liposarcoma removed 18 years earlier. During a follow-up exam two cardiac lesions were identified on a CT scan. The lesions were treated with radiotherapy. After an additional…
Robotic anatomic lung segmentectomy is a feasible and safe procedure. In patients with metastatic cancer to the lung who are eligible for surgery, anatomic segmentectomy may be beneficial as a way of optimizing future resection. In such cases, hilar node dissection often uncovers occult nodal involvement when the metastases are centrally located. In this video,…
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