Content from the Journal of the American Neurological Surgeons.
Leanne Harling moderates a debate on surgeon-specific outcomes reporting between Michael Mack of the Heart Hospital Baylor, Plano, Texas, and Stephen Westaby of John Radcliffe Hospital, Oxford, United Kingdom. The debate covers the origins of public outcomes reporting, the balance involved in fostering surgical innovation while maintaining patient safety, and the current state of public…
Introduction Alkaptonuria is a rare genetic disorder of tyrosine metabolism (1). The most common clinical features are urine discoloration, tissue pigmentation, and ochronotic arthropathy. Less common manifestations include renal, urethral, and prostate calculi, and cardiovascular abnormalities, especially valvular disease (2). The authors present the case of a patient with alkaptonuria, diagnosed only during open heart…
A 53-year-old male patient with cerebral palsy was admitted to a health center with contraction of his muscles. After his physical and other examinations were completed, a tumor believed to be a parathyroid adenoma was detected. His parathormone (494.6 pg/ml) and calcium (12.33 mg/dl) levels were very high. He was referred to the authors’ clinic when parathyroid scintigraphy showed that the adenoma was located in the mediastinum.…
In an interview filmed at the 2015 SCTS Annual Meeting, Mohamad Bashir talks with Dianna Milewicz about her research into the genetics behind aneurysms. Dr. Milewicz is the Director of the Division of Medical Genetics and Vice-Chair of the Department of Internal Medicine at the University of Texas Medical School, Houston, Texas. Dr. Milewicz discusses…
Davide Pacini of the S. Orsola-Malpighi Hospital, Bologna, Italy, poses the question: should the aortic arch be replaced during acute type A dissection repair? Dr. Pacini discusses the role of the frozen elephant trunk in these cases. This presentation was originally given during the SCTS Ionescu University program at the 80th Annual Meeting of the…
Certain ascending aneurysms have a dominant burden in the tubular ascending segment, but also have involvement of either, or both, the root and arch to a much lesser extent. In this video, a 52-year-old otherwise healthy man with mild aortic stenosis of the bicuspid aortic valve and 2+ eccentric aortic insufficiency, was noted to have aortic…
Inferior vena cava (IVC) filters have been widely used for the management of venous thromboembolism (VTE) in patients who are not candidates for anticoagulation. The IVC filter, however, is not an innocuous alternative. An increase in the use of IVC filters has resulted in greater incidence of complications. Filter leg penetration is a commonly seen…
European Association for Cardio-Thoracic Surgery (EACTS) Past President Jose Pomar interviews current President Martin Grabenwoger on key features of the 2015 EACTS Annual Meeting.
Pieter Kappetein, Secretary General of the European Association for Cardio-Thoracic Surgery (EACTS), previews the 2015 EACTS Annual Meeting taking place in Amsterdam, The Netherlands.
This video shows a right upper microlobectomy. Microlobectomy differs from VATS lobectomy in the following ways: No incisions in the intercostal spaces larger than 5 mm A 12 mm subxiphoid port Subxiphoid removal of the resected specimen, above the diaphragm CO2 insufflation Vision through a 5 mm camera Stapling of vascular structures using the Cardica…
In an interview filmed at the 2015 STS Annual Meeting in San Diego, California, Tom Nguyen speaks with Michael Reardon, Chief of Cardiac Surgery at the Methodist DeBakey Heart & Vascular Center in Houston, TX. Dr. Reardon takes an in-depth look at transcatheter aortic valve replacement (TAVR), including the evolution of transcatheter interventions and specific…
Vinnie Bapat of Guys and St. Thomas’ Hospital, London, UK, discusses the Edwards FORTIS device, a transcatheter mitral valve device, including the implantation technique and data from his early clinical experiences. This presentation was originally given during the SCTS Ionescu University program at the 80th Annual Meeting of the Society for Cardiothoracic Surgery in Great…
This video displays a robotic-assisted repair of an anterior mitral valve leaflet perforation from endocarditis and ruptured posterior chordae tendinae. The patient had severe mitral regurgitation related to functional class Type I and Type II dysfunction. The patient had undergone an autologous pericardial patch repair of the anterior leaflet perforation, followed by neochordae repair of…
As an exhausted cardiothoracic resident in Atlanta driving to the hospital early one morning, I was tempted to feel a little sorry for myself until I noticed the drivers of the other cars. Suddenly it occurred to me how very lucky I was to be headed to spend the day (or maybe two days) in…
Neil Moat of the Royal Brompton Hospital, London, UK, gives a talk on transcatheter mitral valve implantation. Mr. Moat discusses the complexities of mitral valve replacement and the challenges of taking a transcatheter approach. He also shares his own experiences with transcatheter mitral valve implantation. This presentation was originally given during the SCTS Ionescu University…
Pulmonary arteriovenous malformations (PAVM) can have potentially serious neurological and cardiac consequences if left untreated. Embolization has supplanted surgical resection as the first line treatment modality. However, this technique is not always successful and carries risks of air embolism, migration of the coil, myocardial rupture, vascular injury, pulmonary hypertension, and pulmonary infarction. The author presents…
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