Content from the Journal of the American Neurological Surgeons.
2015 Resident Video Competition Award Winner Castleman disease is a rare cause of benign lymphoid hyperplasia, commonly occurring in the abdomen, peripheral lymph nodes, and mediastinum. Localized disease is more common than the multifocal type, and it is often asymptomatic. However, compressive symptoms can occur secondary to mass effect. In this video, the authors report…
A 59-year-old asymptomatic man presented with a 3 cm NSCLC that was invading the upper and middle lobe fissure. PET and CT scans revealed no signs of extrathoracic disease or mediastinal lymph node metastasis.
In presentations recorded at the 2015 EACTS Annual Meeting in Amsterdam, The Netherlands, Johannes Bonatti, Franca Melfi, and Carlo Milli discuss topics in robotic cardiothoracic surgery. These talks were filmed during a “Meet the Experts in Robotic Cardiothoracic Surgery” session. Topics include: Robotic Totally Endoscopic Coronary Artery Bypass Robotic Thoracic Overview Sustainable Strategies for Innovation
In a roundtable filmed at the 2015 EACTS Annual Meeting in Amsterdam, Marjan Jahangiri and Mattia Glauber share perspectives on the evolution and current state of aortic valve replacement surgery. Leanne Harling moderates the discussion, which includes an analysis of conventional, minimally invasive, and catheter-based approaches. The experts also share insights into their preferred methods…
This video demonstrates an example of a transabdominal approach for removing a large esophageal leiomyoma with the da Vinci robot system.The leiomyoma was associated with dysphagia, and was located in the lower third of the esophagus, extending into the proximal cardia of the stomach. An endoscopic, transesophageal biopsy was obtained prior to the referral for…
John Yap of The Heart Hospital, London, United Kingdom, discusses organ malperfusion and the management of acute aortic syndrome. As malperfusion syndrome is associated with high mortality, Mr. Yap stresses the importance of early intervention. Mr. Yap also discusses the importance of having an aortic team, comprised of multidisciplinary aorta specialists, to respond to cases…
This is the case of a 24-year-old male patient who was involved in a blast injury. Among his multiple traumas was a metallic foreign body abutting the aorta in the left pleural cavity associated with the small hemothorax. Indications to remove the shrapnel included: proximity of the metallic shrapnel to a major vessel, shrapnel larger…
Leanne Harling interviews Gonzalo Varela, President of the European Society of Thoracic Surgeons. Drawing on his 20 years of clinical and academic experience, Dr. Varela discusses risk assessment, patient safety, and the importance of a team approach to thoracic surgery.
Alper Toker of Istanbul University Medical School, Istanbul, Turkey, delivers a talk on the surgical options for treating pleural sepsis. Dr. Toker discusses the recent shift in the treatment of empyema, including a more liberal use of VATS and the application of minimally invasive interventions at an earlier stage of the process. This presentation was…
Abstract Stability of the aortic annulus, symmetrical commissures, and sufficient coaptation are key factors in achieving long-term durability of aortic valve reimplantation. The authors propose a novel method of prosthesis sizing, using newly designed sizers and coaptation forceps, which simplifies the steps for reimplantation of the tricuspid aortic valve. Introduction The technique of aortic valve…
A 65-year-old woman presented to the authors’ clinic with right upper chest wall pain. A chest x-ray revealed a right-upper lobe mass. CT and PET/CT confirmed the presence of a 5 cm RUL mass infiltrating the chest wall at the level of the posterior arch of the 4th and 5th ribs. There was no evidence…
Fred Mohr of the Heart Center, Leipzig, Germany, discusses the benefits of using a ministernotomy approach to aortic valve surgery, including the potential for less morbidity and mortality, and better early recovery. Dr. Mohr also shares his best practices for the ministernotomy approach. This presentation was originally given during the SCTS Ionescu University program at…
Laparoscopic diaphragmatic plication is a safe and effective operation in carefully selected patients. Laparoscopic diaphragm plication was first reported by Hüttl et al in three patients (1). The authors’ previously published experience demonstrated significant improvement in dyspnea, quality of life, and pulmonary function tests in patients with unilateral diaphragm paralysis or eventration (2). The approach…
Steffen Pfeiffer of Paracelsus Medical University, Nurnberg, Germany, delivers a talk on sutureless prostheses and their role in minimally invasive aortic valve replacement. Dr. Pfeiffer discusses the benefits of using sutureless valves, and argues that minimally invasive surgery with a sutureless valve is an important alternative to catheter-based techniques. This presentation was originally given during…
Surgeons performing esophageal surgery should have endoscopic skills to manage endoluminal situations. Meticulous attention to detail, draining infection, sealing leaks, and removing stents before they erode into adjacent structures is critical to achieving a good patient outcome. The objective of this video is to review tools that may be used when endoluminally managing an esophageal…
Domenico Pagano moderates a discussion with Suzanne Arnold, Mostafa Mokhles, Stuart Head, and Ruben Osnabrugge on conducting research during cardiothoracic surgery training. The roundtable was recorded at the 2015 EACTS Annual Meeting in Amsterdam, the Netherlands. The panelists share their personal experiences in this regard, and consider the professional and personal benefits of undertaking research…
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