Content from the Journal of the American Neurological Surgeons.
Pieter Kappetein moderates a lively conversation on cardiothoracic surgery training throughout the world. Walter Gomes, Jose Pomar, Moritz Wyler von Ballmoos, and Stephen Yang share perspectives on training in South America, Europe, and the United States. The panel discusses how cardiothoracic surgery training has evolved, including recent movements towards competency-based curricula and less time devoted…
Case Study The estimated prevalence of primary pericardial tumors is 0.001-0.007%, according to Meng et al (1) and Patel et al (2). The most common malignant tumor is mesothelioma (3). Pericardial cyst is the most common benign tumor, followed by lipoma. Vascular neoplasms comprise 1-2% of cardiac tumors (4), but an isolated pericardial origin of…
In this discussion filmed at the EACTS 2014 Annual Meeting in Milan, Italy, Marko Turina and Mattia Glauber consider minimally invasive valve replacement, with a focus on the Perceval S sutureless valve. Dr. Glauber provides his thoughts on minimally invasive valve surgery versus transcatheter therapies, and shares his techniques for implanting the Perceval S sutureless…
Increasing experience with thoracoscopic lobectomy has created an interest in performing anatomical segmentectomy using the thoracoscope, as it combines the benefits of lung conservation with avoidance of a thoracotomy. Typically a segment of the lung contributes 5% of the overall lung function, allowing for an improved postoperative FEV1 as compared to a lobectomy (1). Segmentectomy…
Recorded via Google Hangouts, this roundtable discussion focuses on mitral valve repair for rheumatic mitral valve disease. Kenton Zehr moderates this discussion with Taweesak Chotivantanapong, Mohd Azhari Yakub, and Jeffrey Jeswant Dillon. This international panel of experts takes an in-depth look at rheumatic repairs, including specific surgical techniques.
A 49-year-old male patient underwent cardiac surgery for massive regurgitation of a bicuspid aortic valve in an anteroposterior configuration. A conservative approach was chosen. The ventricular-aortic junction was reduced with an external dacron ring, and the anterior cusp was plicated to re-establish optimal coaptation. No residual regurgitation was present at the end of the operation.
Worldwide, lung cancer is a leading cause of death. Minimally invasive resection of small pulmonary nodules is an opportunity and a challenge at the same time. The earlier a growing tumor is resected the better the long-term outlook for the patient is in terms of reoccurrence and healthy tissue saved. Furthermore, the patient can benefit…
Filmed at the 2015 STS Annual Meeting in San Diego, California, this roundtable discussion focuses on improving hemodynamics with a next generation aortic pericardial valve, the Solo Smart valve from Sorin. Joel Dunning, FRCS, PhD of James Cook University Hospital moderates this discussion with two expert surgeons from the United States and Europe, Eric Roselli,…
In this video, Daniel Miller delivers that 2014 STSA Harold Urschel History Lectureship. Dr. Miller’s topic is Dr. Osler Almon Abbott and his enduring legacy. Dr. Abbott was a founding member of the Emory Clinic in Atlanta, GA, and initiated the thoracic surgery residency program at Emory. He was an active member of the STSA,…
Introduction and General Strategy There are several indications to repair the aortic root and the ascending aorta. The most frequent one is the aneurysmal dilation of the aortic root ± ascending aorta that is associated with aortic valve dysfunction (in general regurgitation). In this case, the aortic valve leaflets may be fundamentally normal, but there…
This video demonstrates how to create a subxiphoid port for use in wedge resection, lobectomy, or segmentectomy for lung cancer. The best indications for subxiphoid single incision are cN0 lung cancer, metastatic lung cancer, or a right side lesion. Subxiphoid single incision is not a good option for radical mediastinal lymph node dissection, but sampling…
In this oral history interview, William Stoney talks with Viking O. Bjork. During his innovative career in cardiothoracic surgery, Dr. Bjork was the first to develop a disk oxygenator and a tilting disk valve. Dr. Bjork discusses his early life, education, and his career in cardiothoracic surgery. This interview is part of Dr. William S.…
Filmed at the EACTS 2014 Annual Meeting in Milan, Italy, Marko Turina and Marco Di Eusanio have an in-depth conversation regarding the Bentall procedure. Dr. Di Eusanio shares his experience performing Bentall procedures, including operative techniques and tips. For more information on the Bentall procedure with a biological valve conduit, and to see a video…
Open repair is the standard for aneurysmal degeneration of the arch. A recent study showed that as many as 30% of patients surviving an initial type 1 aortic dissection repair required a subsequent intervention. Here, the authors describe a patient who survived a type 1 dissection repair five years prior to the index procedure. The…
In this series of videos, an expert panel discusses blood utilization in adult cardiac surgery. Robert Lee of Vanderbilt University Medical Center presents the case history of a 74-year-old male patient who experienced coagulopathy after cardiopulmonary bypass. Victor Ferraris of the University of Kentucky College of Medicine and Alan Speir of Fairfax Hospital weigh in…
Filmed at the EACTS 2014 Annual Meeting in Milan, Italy, Marko Turina and Sahin Senay discuss two robotic cardiac procedures. Dr. Senay addresses the differences between thoracic and cardiac robotic procedures, and shares techniques for performing robotic cardiac surgery. Dr. Senay also reflects on the future of robotic surgery. This content is published with the…
welcomes you to the new, improved website!