Content from the Journal of the American Neurological Surgeons.
Friedrich Mohr of the Heart Center, Leipzig, Germany, discusses his 18 years of experience performing minimally invasive mitral valve surgery. Dr. Mohr shares statistics on minimally invasive mitral valve surgery, as well as specific surgical techniques. Click here for more informative content from Dr. Mohr. These presentations were originally given during the SCTS Ionescu University…
Case This video presents the case of an 82-year-old male with history of HTN, atrial fibrillation, and skin cancer. He had recently quit smoking after a 30 pack per year history. The patient presented with hemoptysis and investigation revealed a 3 cm spiculated mass in the lingula, which was a concern for malignancy. A CT…
Originally presented as a Surgical Motion Picture at the 2015 STSA Annual Meeting Objectives: Outcomes for surgical management of aortic valve endocarditis are still suboptimal and represent an excellent opportunity for quality improvement. Transitioning to aortic valve repair seems logical, but a recent effort involving limited autologous pericardial leaflet patching had a high failure/reoperation rate.…
Background It is estimated that up to one in 100 children will be born with a congenital cardiac defect. This incidence may be even higher in developing nations where the capacity to care for the patients is low or completely absent [1]. In this regard, cardiothoracic surgeons have a long and storied history of humanitarian…
At the 2015 SCTS Annual Meeting in Manchester, United Kingdom, Mohamad Bashir and Duke Cameron sat down for an in-depth discussion of valve-sparing aortic root replacement. Dr. Cameron is Chief of the Division of Cardiac Surgery and Pediatric Cardiac Surgery at The Johns Hopkins Hospital, Baltimore, Maryland, AATS Vice President, and CTSNet Treasurer. He shares…
In this video, the author presents the case of a 78-year-old patient who was admitted for recurrent lung carcinoma in the left lower lobe. Three years prior, the patient was diagnosed with adenocarcinoma in the right upper lobe. The patient underwent a right upper lobectomy, wedge resection of the lower lobe, and mediastinal lymphadenectomy via…
A complete surgical resection is the optimal treatment for heart tumors. In some cases (such as a large tumor or a tumor formed in a precarious location), the anatomic inaccessibility and relationship with other cardiac and surrounding structures can make resection of the tumor with a clear margin suboptimal and potentially complicated. 3D printing enables…
This video demonstrates the robotic approach for wedge resection, pleurectomy, and mechanical pleurodesis for recurrent spontaneous pneumothorax.
LVAD Resuscitation LVAD Resuscitation for Intensive Treatment Units LVAD Resuscitation for Wards These protocols are provided by the University Hospitals Birmingham NHS Foundation Trust.
Originally presented as a Surgical Motion Picture at the 2015 STSA Annual Meeting Objectives: This video demonstrates the surgical repair of transposition of the great arteries (TGA) with absent pulmonary valve (APV) in an infant. It specifically demonstrates a technique for pulmonary artery reduction/retrenchment (PART), which is useful for aneurysmal pulmonary arteries associated with APV.…
A 31-year-old male presented with a history of persistent cough and pneumonia. A CT scan showed extensive adhesions in the pleural cavity and a 15 mm aortic branch. A left lower lobectomy was performed, using one camera port and a utility incision. The inferior aspect of the lung and its vascular elements were dissected first.…
This video is a step-by-step guide for aortic valve replacement using a porcine stentless bioprosthesis via a modified subcoronary implantation technique. The stentless valve functions similarly to the native aortic valve and is hemodynamically superior to a stented prosthesis in the aortic position. The absence of a stent and sewing ring leaves more room for…
At the 2015 Duke Masters of Minimally Invasive Thoracic Surgery conference, Diego Gonzalez Rivas presented data from his program showing the safe and effective use of regional and conscious sedation techniques to perform complex thoracic surgery procedures on non-intubated patients. Instead of being greeted with enthusiasm or professional interest, the great majority of well-known giants in thoracic surgery…
The surgical technique of video-assisted thoracoscopic lobectomy is not standardized, and many technical variations have been described. The authors present a technique for performing a VATS lobectomy using a caudal approach.
This video shows an 81-year-old male patient with severe calcified aortic stenosis. He had several previous abdominal surgeries and presented with clinical frailty. LVF was 40% and there were no coronary lesions at the left heart catheter. The EuroScore I was 14.1%, EuroScore II was 2.8%, and the STS score was 4.1%. The case was…
This video demonstrates a technique for laparoscopic repair of a Morgagni hernia, with and without excision of the sac. Two cases are shown.
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