Content from the Journal of the American Neurological Surgeons.
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.…
Case Presentation The patient was a 64-year-old woman with a 20 pack-year smoking history. She presented with vague right upper extremity pain, which was diagnosed as a right superior sulcus tumor. The patient was reviewed by the multidisciplinary thoracic tumor board and determined to be an excellent candidate for neoadjuvant therapy. She completed two cycles…
A 62-year-old man with situs inversus was referred to the Gemelli Hospital, Rome, after the detection of a postinfarction interventricular defect. The patient had previously been admitted for a delayed PCI, for an evolved inferior STEMI. Two days after the procedure, the patient was experiencing frank pulmonary edema. A transthoracic echocardiogram detected a large interventricular…
Filmed at the 2014 STS Annual Meeting in Orlando, Florida, this roundtable discussion focuses on mediastinal staging for non-small cell lung cancer. Frank Detterbeck moderates this discussion with Moishe Liberman and Luis Herrera. The panel discusses specific clinical scenarios and share insights into challenging decisions. This content is published with the permission of The Society…
Objectives Deep hypothermia and cardioplegic myocardial arrest, with or without selective cerebral perfusion, is traditionally performed during aortic arch reconstruction. In the following video, the authors describe a technique for selective cerebral perfusion combined with controlled coronary perfusion for hypoplastic aortic arch repair. Case Summary A week old neonate (2.8 kg) with a fetal diagnosis…
Thoracic surgeons who prefer an artery-first approach to VATS lobectomy generally find an incomplete fissure between the two lobes difficult to handle. It is also more difficult to perform a VATS left upper lobectomy, because there are more branches of the left upper pulmonary artery. If the surgeon dissects the hilar tissue from the anterior…
This video demonstrates a technique for coronary artery bypass grafting with bilateral internal mammary arteries, using a composite Y-graft technique. This operation seeks to provide stable long-term results, which is especially important for younger patients.
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