Content from the Journal of the American Neurological Surgeons.
A 52-year-old patient was admitted to the authors’ department for left internal mammary artery lymph nodal metastases from breast cancer. The patient had undergone a left radical mastectomy 20 years earlier for breast cancer, and redo soft tissue excision 4 years after for isolated local recurrence. She then received chemo and hormone therapy, as well…
Massimo Caputo of Rush University Medical Center in Chicago discusses his experience as a CTSNet contributor. Dr. Caputo has contributed four videos on congenital surgery to CTSNet’s educational resources. To become a CTSNet contributor and submit content, please click here.
Paul Modi of the Liverpool Heart and Chest Hospital discusses his experience establishing a minimally invasive mitral valve repair program, and shares tips for fellow surgeons interested in setting up minimally invasive surgical programs. This presentation was originally given during the SCTS Ionescu University program at the 80th Annual Meeting of the Society for Cardiothoracic…
This video contains a brief presentation on a patient with a previous failed mitral repair, and then a narrated operative video demonstrating the steps of the mitral valve replacement. The challenges of this case included: a much thickened subvalvar apparatus, a dehiscing annuloplasty band, and severe mitral annular calcification (MAC) posteriorly. The mitral valve replacement…
A 54-year-old woman was admitted to the author’s clinic with complaints of a cough producing bloody sputum for the past six months. No etiological factors had been detected during medical examinations. Chest-computed tomography showed localized bronchiectasis in the right upper lobe, and it was recommended that the patient undergo a VATS lobectomy. A single incision…
This video commences with a brief presentation on the management of Type A aortic dissections and proceeds into an operative video showing the steps used when operating on these cases.
Pierre-Emmanuel Falcoz of Strasbourg University Hospital takes an in-depth look at extracorporeal membrane oxygenation (ECMO) and its use in thoracic surgery. Professor Falcoz discusses the different indications, types, and approaches for ECMO, and shares insights regarding future developments. This presentation was originally given during the SCTS Ionescu University program at the 80th Annual Meeting of…
Sinus venosus type atrial septal defects comprise around 10% of all ASD, and are frequently associated with anomalous return of pulmonary veins. Their location and associated anomalous pulmonary venous return preclude closure with percutaneous devices. The authors present a simple method to repair the atrial septal defect and redirect the pulmonary venous return, which can…
Victor Trastek, Professor of Surgery at the Mayo Clinic, discusses the importance of professionalism and mentoring in healthcare, with an emphasis on thoracic 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 demonstrates a minimally invasive aortic valve replacement, using neck lines and an Edwards Intuity bioprosethesis. The patient was a 77-year-old female in sinus rhythm. She was classified as functional class III and was limited in ordinary physical activity. Intraoperative echocardiographic analysis confirmed the presence of a severe aortic stenosis, associated with moderate to…
Over the past few decades, new surgical approaches have been introduced referred to as minimally invasive or minimal access techniques. The rationale behind these innovations has been to reduce surgical trauma, and, in turn, reduce postoperative complications, hasten recovery, improve cosmetic results, stimulate quicker return to the workforce, improve quality of life, and enable the…
Mitral valve repair is one of the most complicated and difficult procedures in cardiac surgery due to the complexity of the mitral valve and diversity of its pathology. Performing mitral valve repair through minimally invasive techniques (whether endoscopically, through direct vision, or with robotic-assistance) is even more difficult. Minimally invasive mitral valve repair (MIMVR) has…
Joel Dunning talks with Marc Gillinov, cardiac surgeon and Surgical Director of the Center for Atrial Fibrillation at Cleveland Clinic. In this interview, Mr. Dunning and Dr. Gillinov discuss mitral valve repair through minimally invasive and robotic techniques. Dr. Gillinov details his techniques for mitral valve repair, from the placement of the incision to resection…
Hugo Vanermen of the University of Leuven takes an in-depth look at the different options for mitral valve repair, including: quadrangular resection, triangular resection, and the “respect approach.” Dr. Vanermen evaluates the strengths and limitations of each method, and shares his own philosophy regarding minimally invasive mitral valve repair. This presentation was originally given during…
This video contains a brief description of the technical aspects of heart transplantation, and an operative video detailing the steps of performing a heart transplantation in a patient with an LVAD.
A 54-year-old male consulted for a cough. The computed tomography scan revealed a 3.8 cm mass in the left lower lobe. A bronchoscopy showed a mass in segment 6 of the left bronchus, and a biopsy revealed squamous cell carcinoma. A positron emission tomography scan showed high uptake in the left-lower lobe mass with no…
