Content from the Journal of the American Neurological Surgeons.
Patrick Perier of the Herz und Gefass Klinik in Bad Neustadt, Germany, discusses the evolution and current practice of minimally invasive mitral valve surgery in Europe. 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…
Filmed at the 2015 SCTS Annual Meeting in Manchester, UK, Leanne Harling and Mattia Glauber discuss topics in minimally invasive valve repair and replacement. Drawing on his experiences performing over 3,000 minimally invasive procedures, Dr. Glauber discusses the minimally invasive approach to valve disease. Dr. Glauber also reflects on the future of minimally invasive valve…
While the standard of care for patients with achalasia remains laparoscopic modified Heller myotomy with partial fundoplication, there are many options available for patients to consider. Neither balloon dilatation nor injection of Botox provides as sustainable relief, and both often require repeat intervention. In addition to providing only short-term results, these options cause scar tissue…
Primary cardiac tumors are benign in 75% of cases, and malignant in the other 25%. Myxoma is the most common benign cardiac tumor. In 95% of these cases, the myxoma tends to be solitary, and appears between the third and sixth decade of life. However, in 5% cases, myxoma occurs in younger patients. In 75%…
Cardiac surgery is just over half a century old, and cardiac surgeons have always adapted to change rapidly. Innovation has been their hallmark, and it is awe inspiring to think of the innovative procedures developed by cardiac surgeons over the decades. The ingenuity and complexity of cardiac surgical procedures claims superiority over most other specialties.…
Filmed at the 2015 STS Annual Meeting in San Diego, California, this roundtable discussion focuses on the use of extracorporeal membrane oxygenation (ECMO). Glenn Whitman moderates this discussion with Jay Shake, Nevin Katz, Jonathan Haft, and Ashish Shah. The panelists discuss the current uses of ECMO and reflect on its future. For more information on…
Mattia Glauber of the Istituto Clinico Sant’Ambrogio, Milan, Italy, discusses the use of central cannulation in minimally invasive mitral valve 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 the permission…
This video presents a case of chronic Type B aortic dissection, along with an aneurysmal arch and ascending aorta. The patient was treated using a Thoraflex device (frozen elephant trunk) as a “one-stage” solution, with subsequent complete remodeling of the aorta. A hybrid theater was used for this procedure. The surgeons utilized completion angiogram for…
This video demonstrates a VATS repair of a symptomatic adult congenital right Bochdalek hernia and plication of the diaphragm. A 41-year-old female patient presented with worsening shortness of breath and the inability to lie flat. Her CT scan was suggestive of liver herniation through the right diaphragm, and there was no interstitial lung disease to…
In this interview with Joel Dunning, Henrik Hansen discusses his 15 years of experience performing VATS lobectomies, and reflects on the current status of the approach. Dr. Hansen compares VATS lobectomy to a chess game, suggesting that successful VATS surgeons should plan multiple steps ahead and seek to visualize potential problems before they occur. Dr.…
A 62-year-old male was admitted in cardiogenic shock. He had previously received a dual chamber pacemaker for complete heart block. A coronary angiogram revealed triple vessel disease. A transthoracic echo showed that the patient had severe ischemic mitral regurgitation (coaptation depth of more than 10 mm), and severe left ventricle dysfunction (EF 25%). He was…
The authors have previously described the use of laparoscopic intra-gastric resection in the management of gastro-esophageal junction cancers and leiomyoma. This technique is used in highly selected individuals. For cancers, full thickness resection is best for maximal margins. For leiomyoma, the authors often use the stapling technique. However, it is thought by some that full…
This video demonstrates an ASD closure via the transxiphoid approach, using a specially designed instrument for lifting the sternum anteriorly. The author believes that a transxihpoid, or ministernotomy, approach for simple congenital defects is a safe option. Are you using a mobile device? Download the CTSNet Videos app and watch CTSNet videos conveniently, on the…
In this oral history interview, filmed in 2000, William Stoney talks with Alain Carpentier. Dr. Carpentier discusses his groundbreaking career, including his work in mitral valve repair and replacement. He addresses the driving force behind his career: the desire to develop techniques that allow patients to be free from complications and anticoagulants. This interview is…
Filmed at the 2015 STS Annual Meeting in San Diego, California, this roundtable discussion focuses on minimally invasive cardiac surgery. John Conte moderates the discussion with Robbin Cohen and Todd Rosengart. The panelists share their experiences learning minimally invasive techniques, and tips for mid-practice surgeons interested in transitioning to a minimally invasive practice. For more…
A 12-year-old boy was diagnosed with supravalvular aortic stenosis. He underwent an aortoplasty with Brom’s technique, which involved enlarging all three sinuses with pericardial patches. This video is a step-by-step illustration of the procedure. Are you using a mobile device? Download the CTSNet Videos app and watch CTSNet videos conveniently, on the go.
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