Content from the Journal of the American Neurological Surgeons.
This video shows a rare variety of ALCAPA, where the left coronary artery originated from the non-facing sinus of the pulmonary artery. The associated left SVC was connected to the left atrium. Tunneling of the coronary artery was performed using an autologous pericardial patch, with good immediate and late results.
Arie Blitz of the McAllen Heart Hospital, McAllen, Texas, delivers a talk on vertical and horizontal integration in health care. Dr. Blitz discusses how the Affordable Care Act (ACA) impacts integration, and the advantages and disadvantages of integration. This educational presentation was originally given during the 9th annual New Orleans Conference. This content is published with…
In a debate filmed at the 2015 SCTS Annual Meeting in Manchester, United Kingdom, Gilbert Massard and Gonzalo Varela offer different perspectives on how to best manage N2 disease. Gonzalo Varela of the Hospital Universitario de Salamanca, Salamanca, Spain, argues that clinical N2 disease precludes surgery, citing a lack of survival advantage and risk-effective therapy.…
This video shows a VATS lower bilobectomy of the lung with systematic lymph node dissection for NSCLC, using a “fissure last” technique in a fissureless patient. This is a classic three-port technique with the surgeon and assistant standing in front of the patient. By avoiding dissection in the fissure, the surgeon can diminish the rate…
Marc Ruel of the University of Ottawa Heart Institute, Ottawa, Canada, poses the question: can a single ITA composite graft adequately supply the heart? Dr. Ruel references numerous studies and draws on his own clinical experience in this talk. This presentation was originally given during the SCTS Ionescu University program at the 80th Annual Meeting…
In a discussion recorded via Google Hangouts, Joel Dunning and E. E. John Smith discuss the new international Fellowship of the Royal College of Surgeons (FRCS) examination. Mr. Smith is the Chairman of Examiners for the UK and Ireland Joint Surgical Colleges Fellowship Examinations’ (JSCFE) cardiothoracic surgery specialty, and former Chairman of Examiners for FRCS. The new examination…
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…
