Content from the Journal of the American Neurological Surgeons.
This video demonstrates a laparoscopic repair of symptomatic left-side Bochdalek hernia in a 20-year-old female. The patient presented with chronic intermittent constipation, nausea, and emesis. A CT scan revealed the hernial defect.
This video demonstrates the author’s technique for re-operation on type A aortic dissection. The patient developed aortic dissection while weight-lift training in December 2013. A CT scan revealed a large intimal tear at the aortic arch. The patient’s ascending aorta was replaced with a Dacron graft. The follow-up studies showed an enlarging dissecting aneurysm. The…
Filmed at the 2015 STS Annual Meeting in San Diego, California, a panel of experts discusses how the heart team should respond to cardiac arrests that occur after cardiac surgery. Jill Ley moderates the discussion with Joel Dunning, John Whitlock, and David Lizotte. The panel shares their experiences with cardiac surgery advanced life support (CALS),…
A 21-year-old male patient was admitted with a productive cough and episodes of pneumonia. His chest computerized tomography revealed left-sided middle lobe syndrome, and his abdominal ultrasound confirmed situs inversus totalis. He had no other component of Kartagener syndrome such as chronic sinusitis. This video shows the robotic left middle lobectomy. The patient was discharged…
In this video, the author presents a technique for the gradual transition from a conventional 3/4-port, to a 2-port, and finally to a single-port approach for thoracoscopic anatomic lung resections. Individual cases are shown to illustrate the step-by-step transition from one approach to the next. The last case shows a uniportal upper left trisegmentectomy through…
Subaortic membrane is a notoriously recurrent problem, with rates as high as 25%. Modified Konno is recommended for tunnel-type subaortic stenosis with normal aortic leaflets. The risk factors for recurrence are a high preoperative gradient (>80 mmHg), or closeness of the membrane to the aortic valve leaflets. The addition of myectomy has been recommended to…
Recorded via Google Hangouts, this roundtable discussion focuses on the subxiphoid approach in cardiac and general thoracic surgery. Joel Dunning moderates this international discussion with Mark Levinson, Chia Chaun Liu, and Takashi Suda. The panelists share their experiences using the subxiphoid approach for a variety of cardiac and general thoracic procedures. To see Dr. Suda…
Duke Cameron of The Johns Hopkins Hospital, Baltimore, United States, discusses a variety of genetic disorders that lead to aneurysms, including Marfan Syndrome, Loeys-Dietz Syndrome, Turner Syndrome, and Ehlers-Danlos Syndrome. Dr. Cameron discusses the diagnosis, risk prediction, and surgical interventions currently available for each syndrome. This presentation was originally given during the SCTS Ionescu University…
Purpose This is the case of a 64-year-old male who presented with right-sided heart failure symptoms. The patient had a severely dilated right sub-coronary sinus of Valsalva aneurysm, causing right ventricular outflow tract obstruction. Methods The surgical technique involved midline sternotomy, cardiopulmonary bypass, and ascending aorta and bicaval cannulation. The defect was approached from the…
A 70-year-old patient was admitted to the authors’ department for a right upper lobe nodule resection. The patient had a personal history of prior smoking, and COPD (chronic bronchitis) requiring supplemental oxygen. He had no particular symptoms, but an x-ray revealed a nodule in the right upper lobe. A CT scan confirmed a 12 mm…
In this oral history interview filmed in 2000, William Stoney talks with Anthony Dobell. Dr. Dobell discusses his life and career, including his experiences with the first heart-lung machine in the 1950s. CTSNet recently commemorated Dr. Dobell’s life and career. To leave a memory of Dr. Dobell, please click here. This interview is part of…
Filmed at the 2015 STS Annual Meeting in San Diego, California, this roundtable focuses on minimally invasive lung surgery, highlighting robotic and video-assisted methods. Scott Swanson moderates a discussion with Shanda Blackmon, Robert Cerfolio, and Bernard Park. The panelists discuss the similarities and differences between robotic and video-assisted techniques, the learning curve for minimally invasive…
A 36-year-old woman was diagnosed with a left lung mass, which was incidentally detected during a routine x-ray examination. She had undergone right radical mastectomy with axillary clearance for carcinoma in July 2014. A thorax CT scan showed a large left upper lobe lung mass, with another nodule in the same lobe. A PET scan…
Introduction Primary cardiac lymphomas are very rare, representing only 0.5% (1) of all lymphomas and 1.3-2% of all heart tumors (2). Cardiac involvement from systemic lymphomas is more common, comprising 8.7-28% of all lymphomas (1). These secondary cardiac lymphomas are non-Hodgkin lymphomas. Most frequently, they affect the pericardium, and then the myocardium. Pericardial tamponade is…
This video demonstrates a VATS resection of extralobar sequestration in an asymptomatic patient. A 40-year-old male patient was admitted for abnormal findings on his chest radiography. The authors suspected a sequestration, and performed CT-angiography in order to make a diagnosis. This revealed a feeding artery that was originating from the abdominal aorta, and a vein…
In this oral history interview filmed in 2003, William Stoney talks with Floyd Loop. Dr. Loop discusses his over 30-year career at the Cleveland Clinic, including his pioneering work in coronary artery revascularization. CTSNet recently commemorated Dr. Loop’s career and life. To leave a memory of Dr. Loop, please click here. This interview is part of…
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