Content from the Journal of the American Neurological Surgeons.
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.
This video presents a single-port VATS right upper lobectomy for stage Ia NSCLC in an 81-year-old patient. The total procedure time was 55 minutes. This was the authors’ third uniportal lobectomy, after previously performing close to 250 VATS lobectomies using a three-port technique. It is the authors’ belief that some parts of the VATS procedure…
Redo vascularization of a severely stenosed graft is considered risky because of the likelihood of embolization. The authors present a video of a severely stenosed and tortuous graft, redone via saphenous vein graft from the descending thoracic aorta to the obtuse marginal artery. A minimally invasive approach was used. The surgical approach involved harvesting the…
In this video, William Baumgartner, Executive Director of the American Board of Thoracic Surgery (ABTS), shares an update on ABTS activities. Dr. Baumgartner describes the current ABTS certification process, explains maintenance of certification, and summarizes the types and numbers of cardiothoracic surgery residency programs. This educational presentation was originally given during the Postgraduate Program at…
Thymectomy is often an effective treatment for patients with uncontrolled myasthenia gravis. During surgery, it is important to ensure that the gland has been completely removed without injury to the phrenic nerves or the innominate vein. The authors present the case of a 36-year-old female with a past medical history of myasthenia gravis not responding…
Filmed at the 2015 STS Annual Meeting in San Diego, Michael Bolanos and Mark Slaughter discuss topics in mechanical circulatory support and heart transplantation. Dr. Slaughter discusses the development and current status of ventricular assist devices, and the total artificial heart. Dr. Slaughter also shares his research on the combination of VAD and stem cell…
A 49-year-old male patient was operated on by the authors for a T4 (left atrium invasion) squamous cell carcinoma in the right lower lobe (Figure 1). pTNM was T4N0MO and four cycles of chemotherapy were given as adjuvant therapy. After four years of follow-up care, a chest CT showed a newly developed tumor (2.9cm) in…
Tube thoracostomy is often the first step in the treatment of pneumothorax, hemothorax, hemopneumothorax, empyema, and pleural effusion. Although tube thoracostomy was not accepted as the standard of care for pneumothorax and hemothorax until the late 1950s (1), the idea of draining substances from the thoracic cavity has been documented for thousands of years (2,…
The authors present a rare case of a female patient with a giant left ventricular pseudoaneurysm following a recent myocardial infarction (MI). She was referred to Houston Methodist Hospital with a recent history of MI. The patient presented with signs and symptoms of progressive heart failure, which turned out to be a giant left ventricular…
In this interview, filmed at the 2015 STS Annual Meeting in San Diego, Joel Dunning and Shanda Blackmon discuss a variety of thoracic surgery topics. Dr. Blackmon shares her experience establishing a minimally invasive thoracic surgery program at Houston Methodist, from creating a dedicated team atmosphere to providing long-term patient support. She also discusses advances…
This video demonstrates a subxiphoid single incision VATS resection of a non-MG B2 thymoma. Are you using a mobile device? Download the CTSNet Videos app and watch CTSNet videos conveniently, on the go.
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