Content from the Journal of the American Neurological Surgeons.
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…
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.