Content from the Journal of the American Neurological Surgeons.
Originally presented as a Surgical Motion Picture at the 2015 STSA Annual Meeting Objectives: The superior vena cava-pulmonary artery connection (bidirectional Glenn) is the standard palliation for single ventricle physiology. When upper body systemic venous anatomic concerns such as superior vena cava stenosis, hypoplasia, or inadequate collateral tributaries are present, a Glenn may be precluded…
This video shows a completion pneumonectomy performed totally by video-assisted thoracoscopic surgery (VATS) on a 64-year-old female non-smoker. The patient underwent a right middle and lower lobectomy by thoracotomy in May 2014 for a T2N0M0 adenocarcinoma of the right lower lobe. The post-operative stay was prolonged for 10 days due to empyema. Repeat PET/CT scan…
The Rastelli procedure is a complex surgery used to manage patients with transposition of great arteries (TGA) associated with ventricular septal defect (VSD) and left ventricular outflow tract obstruction (LVOTO). Computational fluid dynamics (CFD) simulation can be used to visualize and better understand the flow patterns, pressure gradients, and turbulence caused by the curved LVOT.…
Filmed at the 2015 SCTS Annual Meeting in Manchester, United Kingdom, Mohamad Bashir interviews John Elefteriades. Dr. Elefteriades is the Director of the Aortic Institute at Yale University and Yale New-Haven Hospital in New Haven, Connecticut. Dr. Elefteriades shares insight into the diagnosis and surgical treatment of aortic aneurysm.
The author believes that a fissureless fissure-last technique for anatomical video-assisted thoracoscopic (VATS) resections is more effective than conventional VATS, with less air leak and shorter length of hospital stay. While there are several articles explaining how the fissureless fissure-last technique can be applied to both lobes in both open and thoracoscopic approaches, there are…
This video demonstrates a surgical technique for repairing a left pulmonary artery sling.
When harvesting a vein graft, a few points are important to bear in mind: Patients have more complications from their leg wound than anything else after cardiac surgery. Make a good job of hemostasis and leg closure. Ensure there is no dead space and bury all knots. Commence your incision well clear of the medial…
A 49-year-old man was admitted to the authors’ hospital for an acute hemoptysis. A chest x-ray revealed an opacity in the left lower lobe. CT scan confirmed the presence of pulmonary consolidation associated with ground glass opacity and bronchiectasis. There was anomalous vascularization by a systemic artery from the sub-diaphragmatic aorta. A left lower lobectomy…
A 60-year-old female was admitted with acute lateral wall myocardial infarction. A coronary angiogram revealed severe triple vessel disease. On transthoracic echocardiogram, she was found to have moderate left ventricular dysfunction with severe mitral regurgitation. The patient was stabilized via medical management and intra-aortic balloon pump, and was scheduled for coronary artery bypass grafting with…
This video demonstrates a lobectomy performed through a transcervical incision without sternal lifting or retracting.
In a debate filmed at the 2015 SCTS Annual Meeting in Manchester, United Kingdom, Friedrich-Wilhelm Mohr and Francis Wells discuss how best to treat non-complex degenerative mitral valve disease in the 21st Century. Dr. Mohr of the Leipzig Heart Center, Leipzig, Germany, argues that minimal access surgery should be the first line in the treatment…
In an interview filmed at the 2015 EACTS Annual Meeting in Amsterdam, the Netherlands, Leanne Harling talks with Gebrine El Khoury, a pioneer of aortic valvuloplasty. Professor El Khoury is head of Saint-Luc Hospital Cardiovascular and Thoracic Surgery Department and Professor at University Catholique de Louvain (UCL) in Brussels, Belgium. He discusses his distinguished career…
This video presents the case of a 74-year-old patient, who suffered from recurrent pneumonias due to the presence of bronchiectasis in the lung. The bronchiectasis was located in the anterior segment (S3) of the upper right lobe. At the time of surgery the patient was infection free. Bronchoscopy revealed the presence of an atypical branching…
HOCM with a high intracavitary gradient is a challenging operation. The endoscopic transmitral approach provides the surgeon with better visualization of the hypertrophic muscle to be resected. This results in a better postoperative result, both in terms of relief and the minimally invasive aspect of the intervention.
Filmed at the 2015 EACTS Annual Meeting in Amsterdam, The Netherlands, an international panel of experts discuss the use of the frozen elephant trunk procedure in the treatment of aneurysm and dissection. Mohamad Bashir of the Liverpool Heart and Chest Hospital, Liverpool, United Kingdom, is joined by Martin Czerny of the University Hospital Freiburg, Freiburg,…
This video demonstrates the technical strategy for the resection of a complex posterior mediastinal cyst.
welcomes you to the new, improved website!
