Content from the Journal of the American Neurological Surgeons.
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…
This video illustrates the technique used to repair an aortic dissection with a tear involving the aortic root contiguous with the right coronary artery (RCA). In addition to the dissection repair, an aortic root replacement and a jump graft to the RCA are performed.
Introduction Because lung cancer most often develops in the right upper lobe, right upper lobectomy is the most performed resection. However, it is not the simplest one, due to the features of its vascular and bronchial anatomy. Now that lobectomies are increasingly carried out via thoracoscopy (1), at least for early stage lung cancer, surgeons…
This video presents the case of a 52-year-old man who was found to have a leaking bicuspid aortic valve and a 5.2 cm aneurysm extending from the aortic root to the proximal arch. He underwent a minimally invasive aortic root replacement (Mini-Bentall procedure) and hemiarch replacement via a 7 cm access incision. He was extubated…
Originally presented at the 2013 STSA Annual Meeting Glutaraldehyde-fixed autologous pericardium is a useful substitute for aortic valve leaflets, since it rarely calcifies or retracts. Recent studies of aortic valve geometry have provided better models for aortic leaflet design. In this video, complete autologous pericardial leaflet replacement is illustrated for both bicuspid and tri-leaflet valves.…
Joel Dunning talks with Douglas Wood, Chief of Cardiothoracic Surgery and Endowed Chair of Lung Cancer Research at the University of Washington. Dr. Wood served as the President of the Society of Thoracic Surgery (2013-2014), and currently serves on the CTSNet Board of Directors. In this interview, Mr. Dunning and Dr. Wood discuss the uncommon…
Jess Thompson, Assistant Professor of Surgery at the University of Arizona, discusses medical policy advocacy in the United States with an emphasis on cardiothoracic surgery. This presentation was originally given at the 27th Annual Meeting of the General Thoracic Surgical Club. This content is published with the permission of GTSC.
This video presents the options available when a patient has greater-than-mild aortic insufficiency at the time of LVAD placement, and demonstrates the performance of a Parks’ stitch.
Gilbert Massard of the Centre Hospitalier, France discusses the surgical treatment of thoracic infections, including: empyema, aspergillosis, and tuberculosis. Dr. Massard describes how to perform a thoracoplasty and its alternative, the myoplasty. This presentation was originally given during the SCTS Ionescu University program at the 80th Annual Meeting of the Society for Cardiothoracic Surgery in…
This case describes a 74-year-old woman whose routine coronary bypass graft surgery was complicated with the rare and potentially lethal aortic root and left main dissection. Disaster for this patient was averted by a simple surgical technique, instead of the usually required aortic root replacement. The mechanism of dissection and surgical solution are explained with…
Joel Dunning talks with Brian Buxton, Professor of Cardiac Surgery at the Victorian Heart Centre, Australia. Mr. Dunning and Professor Buxton discuss the Radial Artery Patency and Clinical Outcomes (RAPCO) randomized trial, and its upcoming ten-year results. Professor Buxton also shares expert insights into various arterial grafting clinical scenarios.
Philippe Dartevelle of Marie Lannelongue Hospital, France, discusses the en bloc resection of NSCLC tumors invading the thoracic inlet and spine. Professor Dartevelle advocates for the resection to be performed by an interdisciplinary team of thoracic and orthopedic surgeons and stresses the importance of preoperative planning for a successful outcome. This presentation was originally given…
A 20-year-old woman came to the author’s clinic complaining of chest pain that had lasted three months. Computed tomography demonstrated a 3 × 2.8 cm lesion in the anterior segment of the left fifth rib. Bone scintigraphy showed increased activity in the left fifth rib. It was recommended that the patient undergo rib resection with…
Objective: Aortic valve repair has encouraging mid- and long-term results in selected patients. This video describes the tailored cusp extension valvuloplasty surgical technique. Methods: A 15-year-old girl presented with severe aortic valve regurgitation, moderate stenosis, and a dilated left ventricle. She was referred for cusp extension valvuloplasty. A large segment of anterior pericardium was very…
Hugo Vanermen of the University of Leuven, Belgium, discusses an operative video demonstrating a minimally invasive mitral valve repair of a bi-leaflet prolapse. Dr. Vanermen stresses the importance of simple methods and a reliable toolbox of techniques in minimally invasive mitral valve repair. This presentation was originally given during the SCTS Ionescu University program at…
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