Content from the Journal of the American Neurological Surgeons.
Ring annuloplasty for mitral valve repair became the gold standard by virtue of assuring a certain durable degree of leaflet coaptation. Dr. Tirone David and other advocates have proven indirectly that aortic valve repair with a ring, as part of valve sparing procedures, can also provide a durable degree of leaflet coaption. While internal aortic…
Federico Benetti shares two pieces of cardiac surgery history: videos of the first MIDCAB and the first ambulatory coronary surgery performed. MIDCAB, Performed in April 1994 A video endoscope was used to dissect the mammary artery. After harvest, the author anastomosed the LIMA to the LAD without opening the pleural space or using any of…
Patient Selection Lymphangiomas are benign lymph filled cystic lesions and may arise from lymphatics of the chest wall (1). These are typically asymptomatic unless they involve other structures—such as the thoracic outlet, which is a confined space of sufficiently small size to permit compressive symptoms. The axilla is a common site of occurrence. Most lymphangiomas…
Filmed at the 2014 EACTS Annual Meeting in Milan, Italy, this video features Marko Turina and James Tatoulis discussing total arterial coronary revascularization. Dr. Tatoulis addresses the perceived drawbacks of the procedure, and shares techniques for performing it successfully. For more information on total arterial coronary revascularization and to see a video of the procedure, please…
Introduction Major vascular injuries of pulmonary artery branches and pulmonary veins during anatomic thoracoscopic pulmonary resection for lung cancer have been widely described and reported in the literature, as well as shown in a large number of videos. In this short but impressive clip, the authors present an unpredictable and very rare vascular injury occurring…
Esophageal Squamous Cell Carcinoma: Diagnosis and Treatment Nobutoshi Ando, EditorSpringer, Japan, 2015ISBN 4431549765, 309 pages. $122.55 This carefully prepared book is a wonderful compendium of scientific evidence regarding squamous cell cancer of the esophagus, written from a Japanese perspective. Ando, past president of the Japan Esophageal Society, is a recognized authority and has identified highly…
Hazim Safi of the University of Texas Medical School at Houston discusses his open approach to the management of Type B aortic dissection. 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…
Introduction Current data suggests that approximately less than 10% of surgeons are left-handed (1, 2). While the performance of various surgical procedures can be technically performed using either a left- or right-handed technique, left-handed surgeons have historically been trained to operate using a right-handed approach. Despite the availability of left-handed instruments, left-handed surgeons typically lack…
This video shows a day in the life of a general thoracic surgeon – from making coffee, performing complicated minimally invasive lung surgery, rounding, to then going home to the kids. Do you want to see another perspective on the life of a cardiothoracic surgeon? The popular CTSNet video, A Day in a Heart Surgeon’s…
Borut Gersak of the Ljubljana University Medical Center, Slovenia, discusses the convergent procedure, a minimally invasive approach to permanent atrial fibrillation. 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…
Recorded via Google Hangouts, this roundtable discussion focuses on the impact of “human factors” in cardiothoracic surgery. Joel Dunning moderates the discussion with Tara Bartley, Arie Blitz, and Jill Ley. The panel’s in-depth conversation covers the importance of a team response to emergency situations that can arise in the operating room. The panel offers insights…
The authors present the unusual case of a previously fit and well 15-year-old girl. She developed a hoarse voice and was found to have a heart murmur. On subsequent investigation, she was found to have two large thoracic aortic aneurysms associated with a moderate coarctation. The patient underwent surgical correction through a left thoracotomy, deep…
A 50-year-old woman was referred to the authors’ department with an intralobar sequestration, diagnosed in the context of recurrent pulmonary infections. A chest computed tomographic scan, with 3-dimensional reconstruction and intravenous contrast, showed a lobulated pulmonary mass occupying the posterior and lateral segments of the left lower lobe. The mass was fed by a huge…
This video demonstrates two cases of left ventricular circular patch plasty (Dor operation) for large akinetic postinfarction aneurysms.
Filmed at the 2014 STS Annual Meeting in Orlando, Florida, this roundtable discussion focuses on the future of atrial fibrillation treatment. Jimmy Edgerton moderates this discussion with Richard Shemin, Vinay Badhwar, and Jonathan Philpott. This content is published with the permission of The Society of Thoracic Surgeons.
The authors present the case of an 82-year-old woman with severe aortic valve stenosis and aneurysmal disease of the ascending aorta and aortic arch. The patient underwent a total aortic reconstruction from the valve through the distal arch. This video demonstrates the authors’ aortic arch debranching and reconstruction technique. Steps: Cannulate the right axiliary artery.…
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