Content from the Journal of the American Neurological Surgeons.
The Ethics of Surgery: Conflicts and Controversies Robert Sade, EditorOxford University PressISBN 0190204524, 384 pages. $33.25 When we think of medical ethics or bioethics, often what first comes to mind are controversial political issues such as abortion, embryonic stem cell research, euthanasia, and physician-assisted suicide. So, what occurs to us when someone mentions surgical ethics? Perhaps…
Filmed at the 2015 STS Annual Meeting in San Diego, California, this roundtable discussion focuses on work-life balance issues within the cardiothoracic surgery specialty. Douglas Wood moderates this discussion with Fawwaz Shaw, Emily Farkas, and Nahush Mokadam. The panelists share their own definitions of work-life balance, and discuss ways in which current CT surgeons can help…
Gianluigi Bisleri of University of Brescia Medical School, Brescia, Italy, discusses a hybrid treatment for atrial fibrillation using endoscopic ablation. Dr. Bisleri shares the surgical technique and stresses the importance of a team approach in undertaking this procedure. This presentation was originally given during the SCTS Ionescu University program at the 80th Annual Meeting of…
Introduction Coronary fistulae are very rare anomalies found in only 1-2% of the population. However, within the spectrum of congenital coronary anomalies, termination anomalies are the most common after origin anomalies (e.g., anomalous coronary artery from the pulmonary artery and anomalous aortic origin of the coronaries). If untreated, patients develop heart failure because of a…
The authors report a case of tracheal ring resection with crico-tracheal anastomosis performed under endoscopic assistance. In 2010, a 31-year-old Caucasian male was involved in a high-velocity motor vehicle accident. He experienced severe polytrauma and subarachnoid hemorrhage. A slow recovery was predicted, and a surgical tracheostomy was performed. The patient was then transferred to a rehab…
This roundtable discussion, filmed at the 2015 STS Annual Meeting, focuses on the different training paths open to cardiothoracic residents in the United States. Michael Bolanos moderates this discussion with Doug Wood, Richard Feins, and Asad Shah. The panel discusses the variety of traditional and integrated training programs, including the pros and cons of each…
Alessandro Brunelli of St. James’s University Hospital, Leeds, United Kingdom, discusses the use of electronic drainage systems in managing chest tubes after surgery. This presentation was originally given during the SCTS Ionescu University program at the 80th Annual Meeting of the Society for Cardiothoracic Surgery in Great Britain and Ireland. This content is published with…
A 78-year-old female patient arrived at the ER with dyspnea, dizziness, and inter-scapular pain. Her past medical history was remarkable for coarctation of the aorta and mechanical aortic valve replacement surgery 12 years prior. The patient was taking Warfarin. In the ER, the patient had a 220/115 arterial blood pressure, 5.6 INR, 20000 WBC, 2500…
Median sternotomy remains the gold standard approach for aortic valve replacement. Recently, there has been growing evidence of interest in performing aortic valve replacement via right anterior minithoracotomy. This minimally invasive sternum-sparing procedure has been shown to be a reliable and safe technique, with better postoperative outcomes than full sternotomy (1). On the other hand,…
In these videos, two experts address lung cancer screening. Richard Freeman of St. Vincent’s Health and Hospital System/Indiana Heart Institute, Indiana, discusses the rationale and best practices for lung cancer screening. John Howington of Northshore University HealthSystem, Illinois, discusses the management of pulmonary nodules. These presentations were originally given at the Southern Thoracic Surgical Association…
Filmed at the STS Annual Meeting in San Diego, California, this roundtable discussion focuses on total arterial revascularization. Todd Rosengart moderates the discussion with Joseph Sabik and Stephen Fremes. The panelists share their experiences performing total arterial revascularization, including indications and risks. The panelists also offer insights into how they perform total arterial revascularization, and…
A 69-year-old patient was admitted to the authors’ department for a right lower lobe mass resection. The patient had a personal history of smoking (discontinued), hypertension, and COPD. He had no symptoms, but an x-ray revealed a mass in the right lower lobe, which was confirmed with a CT scan. The mass was a 44…
In March 2015, the first successful transcatheter aortic valve replacement (TAVR) was performed at the Armed Forces Institute of Cardiology (AFIC) in Rawalpindi, Pakistan. In this interview, recorded via Google Hangouts, Joel Dunning talks with Atiq Rehman of Lourdes Health System, NJ, and Kamran Baig of Trent Cardiac Centre, UK, about this development. Dr. Rehman…
Objective This video demonstrates a robot-assisted Nissen fundoplication through a trans-abdominal approach. History A 41-year-old male presented with a 20-year history of gastroesophageal reflux disease and associated reflux laryngitis. His symptoms were only partially controlled with proton pump inhibitors. A barium esophagram revealed reflux, but no mass lesions. Esophagogastroscopy revealed changes consistent with reflux. Esophageal…
In this debate that occurred at the 2015 SCTS Annual Meeting, two experts discuss the use of the endoballoon versus the transthoracic clamp in minimally invasive mitral valve surgery. Ranjit Deshpande of King’s College Hospital, London, UK, argues for the endoballoon. Paul Modi of the Liverpool Heart and Chest Hospital, Liverpool, UK, argues for the…
This video shows an experimental method for total reconstruction of the mitral valve with autologous pericardium. The author believes that this method may become an alternative for prosthetic valve replacement in cases where mitral valve repair is not feasible. Are you using a mobile device? Download the CTSNet Videos app and watch CTSNet videos conveniently,…
welcomes you to the new, improved website!