Content from the Journal of the American Neurological Surgeons.
A 53-year-old male non-smoker with a family history of ischemic heart disease presented six weeks after a myocardial infarction, exhibiting worsening shortness of breath. The patient was normally fit and well. A recent coronary angiogram revealed severe three-vessel disease. A transthoracic echocardiogram (TTE) showed a large left ventricle (LV) pseudoaneurysm, moderate mitral regurgitation, and poor…
Teratomas are tumors consisting of tissue derived from all three germinal layers: the endoderm, mesoderm, and ectoderm. Almost all intrathoracic teratomas occur in the mediastinum, but they are rarely found in the lung. The authors present the case of a mediastinal teratoma abutting the right upper lobe, compressing the superior vena cava (SVC) and innominate…
In a discussion filmed at the 2015 EACTS Annual Meeting in Amsterdam, the Netherlands, Jan Gummert and Hermann Reichenspurner consider the current state of heart transplantation, including LVADs and the total artificial heart. The experts discuss quality of life, patient selection, and the evolution of technologies relating to each option.
Michael Acker of the University of Pennsylvania Health System, Philadelphia, gives an in-depth talk on the current state of temporary mechanical circulatory support practices in the United States. Dr. Acker presents one of his ECMO cases, highlights available devices, and discusses future developments in right ventricle support. This presentation was originally given during the SCTS…
Background and Aims In complex cases, standard two-dimensional (2D) computed tomography (CT) images have limitations in their ability to demonstrate anatomical relationships in preparation for surgery. Three-dimensional (3D) printed anatomic models, using imaging data from high resolution CT scans, provide higher-level understanding of potential anatomic challenges. This is particularly true in patients with complicated past…
Thoracoscopic lobectomy is a common procedure that can significantly reduce invasiveness. Single port thoracoscopic lobectomy is also widely used in many hospitals. After completing seven lobectomy cases using a xiphoideusal single port approach, the authors believe that invasiveness can be even further reduced. The indications for a xiphoideusal single port approach are the same as…
CTSNet published over 200 pieces of educational clinical content in 2015. As the year comes to a close, the CTSNet editorial team presents the five most popular pieces of clinical content published in 2015. 1. A Day in the Life of a Thoracic SurgeonShanda Blackmon 2. Re-do Surgery for Type A Aortic Dissection: Aortic Rupture During SternotomyJeng…
CTSNet published over 200 pieces of educational clinical content in 2015. As the year comes to a close, the CTSNet editorial team presents the five most popular roundtable discussions published in 2015. 1. Ethics Debate: Must Surgeons in Training Programs Allow Residents to Operate on Their Patients?Robert Sade, Richard Ohye, James Jaggers 2. Sponsored Roundtable: Improving Hemodynamics…
CTSNet published over 200 pieces of educational clinical content in 2015. As the year comes to a close, Arie Blitz, CTSNet Deputy Editor, presents his choices for the most interesting content of 2015. Can a Single ITA Composite Graft Adequately Supply the Heart?Marc Ruel Transcatheter Mitral Valve Repair: An OverviewAlec Vahanian Bicuspid Aortic Valve Repair…
CTSNet published over 200 pieces of educational clinical content in 2015. As the year comes to a close, Joel Dunning, CTSNet Co-Editor, presents his choices for the most interesting content of 2015. Debate: Surgeon-Specific Outcomes ReportingLeanne Harling, Michael Mack, Stephen Westaby Giants Interview – Robert CerfolioJoel Dunning, Robert Cerfolio Interview with Shanda BlackmonJoel Dunning, Shanda…
CTSNet published over 200 pieces of educational clinical content in 2015. As the year comes to a close, Mark Ferguson, CTSNet Co-Editor, presents his choices for the most interesting content of 2015. A History of Thoracic Drainage: From Ancient Greeks to Wound Sucking Drummers to Digital MonitoringSarah Walcott-Sapp, Mithran Sukumar Minimally Invasive Resection of Chest Wall…
Of the 130 million babies born in the world every year, more than half a million will have congenital heart disease (CHD) requiring treatment. Only a small minority of these children will have access to surgical treatment. For others, the surgical “lottery” offered by charity medical missions is the only hope. This is an international…
A 65-year-old man was admitted with acute inferior wall myocardial infarction, and echo revealed moderate left ventricular dysfunction. He was stabilized on medical treatment. An angiogram showed severe triple vessel disease, and the authors recommended anaortic CABG using bilateral internal mammary arteries. Both internal mammary arteries were harvested and partially skeletonized. LIMA-RIMA composite Y grafts…
In this video, Tirone David gives an invited talk during the STSA 62nd Annual Meeting Postgraduate Program in Lake Buena Vista, Florida. Dr. David discusses the functional anatomy of heart valves and their role in surgical treatment, comparative results for various devices used in heart surgery, and repair versus replacement in the treatment of heart…
This video demonstrates an extended thymectomy through a subxiphoid port in a 51-year-old female patient, who presented with a 2.5 cm thymoma and myasthenia gravis. A 3.5 cm incision was made below the xiphoid process through the linea-alba. A single incision laparoscopic surgery trocar was inserted, and CO2 was insufflated. The dissection was completed under…
Many surgeons perform VATS thymectomy, however, complete dissection of the cervical horns is not often demonstrated. This video shows how the use of intrathoracic CO2 insufflation opens up the cervical space to allow for excellent visualization of the superior horns.
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