Content from the Journal of the American Neurological Surgeons.
Minimally invasive cardiac surgery is increasingly becoming a standard approach for the treatment of various cardiac pathologies such as aortic stenosis and mitral regurgitation. It is also gaining popularity in the context of coronary artery bypass grafting (CABG). In contrast, minimally invasive approaches for aortic aneurysm surgery remain rarely reported. Bentall procedures via right anterior minithoracotomy…
In the treatment of aortic valve disease, there is increasing recognition of the adverse impact of patient–prosthesis mismatch, which has been associated with early valve failure and poorer long-term outcomes. This awareness has renewed surgical interest in aortic root enlargement techniques that enable the implantation of larger prostheses. However, the more commonly employed enlargement methods…
This video is part of Dr. Vince Gaudiani’s Anomalous Right Coronary Artery Series. View more videos from this series here. This case demonstrates the repositioning of an anomalous right coronary artery (RCA). The computed tomography (CT) angiography is shown. An upper ministernotomy was performed with femoral venous cannulation and a standard aortic cannula. The RCA…
This case presentation demonstrates a transcatheter aortic valve replacement (TAVR) explant with repair of focal invasion of the left fibrous trigone in the left ventricular outflow tract (LVOT). The patient was a 76-year-old female who underwent TAVR with a bioprosthetic valve in 2023. She presented to the emergency room with fevers, tachycardia, and hypotension, at…
At the 2025 European Association for Cardio-Thoracic Surgery Annual Meeting, CTSNet senior editors set out to interview the most knowledgeable CT surgeons from around the world. Watch for more interviews from the meeting. At the 2025 European Association for Cardio-Thoracic Surgery (EACTS) Annual Meeting, CTSNet Senior Editor Cristina Ruiz Segria spoke with Drs. Emily Farkas, Associate Professor…
At the 2025 Endoscopic Cardiac Surgeons Club Annual Meeting, CTSNet Senior Editor Dr. Lorena Montes conducted insightful interviews with leading cardiothoracic surgeons from around the world. Stay tuned for more interviews from the meeting. At the 2025 Endoscopic Cardiac Surgeons (ECS) Club Annual Meeting, CTSNet Senior Editor Dr. Lorena Montes spoke with Dr. Patrick Perier, chairman of…
Branch-first arch replacement is a method for aortic arch repair that allows for continuous brain and organ perfusion. It theoretically has the potential for improved outcomes by reducing or avoiding circulatory arrest and maintaining warmer temperatures. This technique was pioneered by George Matalanis and others in 2005. This presentation focused on the technical aspects of…
In this final series installment, Perfecting TAVR Removal | Skills Sharpening With Vince Gaudiani, cardiac surgeon and CTSNet Senior Editor—Education Vince Gaudiani hosted roundtable discussions on the technical aspects of aortic valve replacement after TAVR. Dr. Gaudiani reviewed the details of the nine videos that are a part of this series and answered questions from the…
This video submission is from the 2025 CTSNet Innovation Video Competition. Watch all entries from the competition, including the winning videos. The authors present a novel technique utilizing an endoloop to assist in the secure and efficient ligation of the left atrial appendage (LAA) using a clip-based approach. This method provides enhanced control and positioning during clip deployment, especially…
This video outlines the surgical technique of beating heart transplantation using the Organ Care System (OCS). It details the preparation of the donor heart, cannulation, and the steps involved in transferring the heart from the OCS to the recipient. Traditionally, donor hearts require two cardioplegic arrests: once during removal from the deceased donor and again…
This video is part of Dr. Vince Gaudiani’s Anomalous Right Coronary Artery Series. View more videos from this series here. This video demonstrates a case involving an anomalous right coronary artery (RCA). The patient, a man who collapsed at an amusement arcade, had an anomalous vessel discovered after resuscitation. He also presented with a large aorta.…
This video submission is from the 2025 CTSNet Innovation Video Competition. Watch all entries from the competition, including the winning videos. Atrial fibrillation (AFib) is the most common sustained arrhythmia encountered in clinical practice, and the left atrial appendage (LAA) is recognized as the predominant source of thromboembolic events in nonvalvular AFib . Therefore, left atrial appendage occlusion (LAAO)…
Introduction Minimally invasive closure of atrial septal defects (ASD) can be safely achieved using a range of techniques. In pediatric patients, femoral cannulation can be difficult due to the small caliber of their vessels. Peripheral cannulation is convenient but carries risks of retrograde dissection, embolization, stroke, and ipsilateral limb ischemia. Central aortic cannulation has…
In this video, the authors present an urgent case of atrial septal defect (ASD) in a young patient. The percutaneous ASD closure device migrated into the main pulmonary artery, creating a life-threatening situation. The surgeons performed emergency surgery to carefully remove the device and reconstruct the pulmonary artery using a Dacron patch, followed by the…
Each month, thoracic surgeon and CTSNet Senior Editor Leanne Ashrafian spotlights unique surgical cases in cardiothoracic surgery through this Case of the Month series. For more videos in this series, click here. In this first episode of the Case of the Month, thoracic surgeon and CTSNet Senior Editor Leanne Ashrafian is joined by CTSNet Editor-in-Chief Joel Dunning to discuss “The Case…
This video submission is from the 2025 CTSNet Innovation Video Competition. Watch all entries from the competition, including the winning videos. The integration of mixed reality (MR) into robotic thoracic surgery represents a transformative step toward enhanced precision, safety, and standardization in complex procedures. By merging 3D planning with MR tools and advanced imaging platforms, surgeons can interact with…
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