Content from the Journal of the American Neurological Surgeons.
In 2011, the patient, a 29-year-old male, presented to an outside facility with atypical chest pain. A chest x-ray revealed a right paratracheal mass. An MRI showed a 5 x 5 x 6 cm cystic mass, consistent with a bronchogenic cyst. The patient chose to observe the mass. In 2013, repeat imaging with a CT…
A 54-year-old male was admitted with acute inferior wall myocardial infarction (MI) after experiencing chest pain for a week. On admission, the patient was in gross pulmonary edema and was found to have inferior wall MI with posterior ventricular septal defect (VSD) and moderate mitral regurgitation (MR). He was stabilized on an intra-aortic balloon pump (IABP), and a…
In this oral history interview, William Stoney talks with Harvey W. Bender, a past president of the Southern Thoracic Surgical Association and the American College of Surgeons. Dr. Bender shares that his path to cardiothoracic surgery was a fortuitous one, as he originally planned to be a veterinarian. Dr. Bender discusses his long career and…
Andrew Goodwin of James Cook University Hospital, Middlesbrough, United Kingdom, discusses the MAVRIC trial, which is focused on minimally-invasive manubrium-limited AVR as opposed to conventional sternotomy. Mr. Goodwin describes the manubrium-limited AVR procedure and outlines the randomized controlled study. This presentation was originally given during the SCTS Ionescu University program at the 80th Annual Meeting…
The authors present the case of a 69-year-old woman who was admitted to their division with a diagnosis of adenocarcinoma of the upper lobe of the right lung. The preoperative chest CT-scan showed the presence of a right-sided aortic arch. A right aortic arch is a rare congenital defect, often asymptomatic, and is usually diagnosed…
Originally presented at the 2014 STSA Annual Meeting Objectives: The repair of bicuspid valves with aortic insufficiency has become routine and leaflet reconstruction techniques are now standardized. Long-term results are good, but some patients experience late-repair failure due to progressive annular dilatation. This video illustrates bicuspid annular stabilization during repair using a geometric annuloplasty ring…
In this video, the authors present their technique for aortic root replacement using a freestyle aortic root prosthesis and a Dacron graft, thus achieving a “Biological Bentall.” This technique could be extremely beneficial for all patients requiring a classical Bentall procedure, but with specific indications for a biological solution. This video shows the full technique…
In this oral history interview, Dr. William Stoney talks with Dr. Henry T. Bahnson. Dr. Bahnson, a past president of the American Association for Thoracic Surgery, discusses his long career in cardiothoracic surgery, including his pioneering work in heart transplantation. This interview is part of Dr. William S. Stoney’s History of Cardiac Surgery series, housed…
Figure 1: Preoperative CT scan In this case, the preoperative CT demonstrated a 6 cm central tumor crossing the oblique fissure between the upper and lower lobes. The case was discussed at the authors’ tumor board, and a right pneumonectomy was recommended. Mediastinal nodes, sampled by EBUS/EUS, were negative. The patient had severe adhesions between the…
William Toff of the University of Leicester discusses the UK TAVI Trial. Dr. Toff, the principal investigator, shares the design, inclusion and exclusion criteria, investigation timeline, and current status of the trial. He also provides information on other current TAVI trials. This presentation was originally given during the SCTS Ionescu University program at the 80th…
Comprehensive Surgical Management of Congenital Heart Disease, Second EditionRichard A. Jonas, EditorIllustrations by Rebekah DodsonOperative videos edited by T. K. Susheel KumarCRC Press, Taylor and Francis Group, March 2014718 pages, ISBN 9781444112153 When the first edition of Richard A. Jonas’ Comprehensive Surgical Management of Congenital Heart Disease was published in 2004, it joined an available cadre…
A 60-year-old man underwent coronary bypass surgery in 2009. Unfortunately, following the coronary bypass surgery the patient had four unsuccessful sternum revision surgeries in different centers due to postoperative sternal dehiscence. The patient presented to the authors’ cardiovascular surgery department with the complaint of dyspnea. The patient underwent a sternal revision operation with a specific…
This video demonstrates two helpful items for uniportal VATS lobectomy. This first is a SILS Dissector that can bend to nearly 90 degrees for better dissection. The second is a 5 mm diameter stapler called the MicroCutter, which can roticulate to 80 degrees. This is useful for small pulmonary artery vessels and for coming in…
Randy Martin, MD, Piedmont Heart in Atlanta, Georgia, moderates a lively discussion on mitral valve repair. This session represents a rare opportunity to hear from global experts in the field at one time. The esteemed panel includes: David Adams, MD, Icahn School of Medicine at Mount Sinai, New York; Francis Wells, MD, Papworth Hospital NHS…
Moninder Bhabra of the New Cross Hospital, United Kingdom, discusses the transcatheter implantation of a new bioprosthesis valve into a previously replaced or repaired valve. Dr. Bhabra stresses the importance of preoperative planning when performing a valve-in-valve TAVI/TAVR, and shares tips for successfully deploying a range of valves. This presentation was originally given during the…
Background Intubated general anesthesia with one-lung ventilation is commonly considered necessary for thoracoscopic major pulmonary resections. However, non-intubated thoracoscopic lobectomy has been reported recently using conventional and uniportal video-assisted thoracoscopic surgery (VATS). Here, the authors present a video showing the procedure in a patient with high risk for intubated general anesthesia. Material and Methods An…