Content from the Journal of the American Neurological Surgeons.
Presented at the 2012 STS Annual Meeting Purpose: Increasing the use of autologous valve repair holds promise for improving the results of aortic valve surgery. In endocarditis cases with only one leaflet destroyed, preserving the normal leaflets and replacing the destroyed leaflet with autologous pericardium could be especially useful, since long-term valve-related complications have been…
CTSNet Co-Editor Joel Dunning interviews Duke Cameron, a leading cardiac surgeon specializing in the treatment of aortic aneurysm, at the 2011 STS Annual Meeting in San Diego. Dr. Cameron is the Chief of Cardiac Surgery and Director of the Albert “Cubby” and Dana Broccoli Aortic Surgery Center at Johns Hopkins Hospital, where he has worked…
Diego Gonzalez Rivas, MD, FETCS, is the creator of the uniportal VATS lobectomy procedure. Joel Dunning, FRCS, PhD sat down with Dr. Gonzalez Rivas at the 2013 Annual EACTS Meeting in Vienna, to discuss how this innovative procedure was developed. Dr. Gonzalez Rivas talks about the origin of the procedure, shares insights for successful uniportal…
Filmed at the 2013 EACTS Annual Meeting, this roundtable discussion focuses on Video Assisted Thoracoscopic Surgery (VATS), specifically VATS Lobectomy. Joel Dunning, FRCS, PhD moderates this discussion with Marco Scarci, MD, FRCS, and Peyman Sardari Nia, PhD. The panelists each share their preferred method of approach for VATS, share tips for successful procedures, and evaluate…
CTSNet is sad to announce the passing of Dr. Roy K. Greenberg. Dr. Greenberg, 49, died December 7, 2013 at his home on Lake Erie near Cleveland, OH. He was born in Ithaca, NY to Iris and Donald Greenberg on November 9, 1964. Roy obtained his Bachelor’s degree at Cornell University and his medical degree…
This video demonstrates a VATS diaphragm plication. The patient had phrenic nerve paralysis of the left hemidiaphragm from an unknown cause. The patient had to give up his job due to shortness of breath and had a restrictive defect that was 30% worse in supine lung function testing. Ventilation scanning also demonstrated only 20% left…
Friedrich W. Mohr, MD, PhD is the medical director of the Leipzig Heart Center, Leipzig, Germany, and an International Director of The Society of Thoracic Surgeons. Professor Mohr has also served as President of the German Society of Thoracic and Cardiovascular Surgery, President of the Society of Heart Valve Disease, and Congress-President of the German…
An intrathoracic esophago-gastric anastomosis has the potential to reduce morbidity and mortality in patients undergoing minimally invasive esophagectomy (MIE) for cancer. Esophageal squamous cell carcinoma (SCC) has a high incidence of early lymphatic spread and is usually located in the midthorax, in comparison to esophageal adenocarcinoma. Consequently, the anastomosis should be made high in the…
Uniportal VATS pulmonary resections are becoming more frequent in the age of minimally invasive approaches. When facing big, central tumors, surgeons sometimes find it difficult to control vascular structures, mainly arterial branches, especially in the presence of enlarged interlobar lymph nodes. This video shows a 49-year-old woman with a 3.8 cm right upper lobe tumor, surrounding…
This video demonstrates the clinical application of the lung lavage technique for the treatment of Pulmonary Alveolar Proteinosis (PAP) (1,2). Indications The main indication for lung lavage in patients with PAP is the limitation of activities due to dyspnoea. The threshold could be lower for patients who work as heavy laborers, than those who have…
This video illustrates an alternative technique for the implantation of a left ventricular assist device (LVAD) via a bilateral mini-thoracotomy instead of a standard median sternotomy. This approach has some theoretical advantages, such as: less surgical trauma and inflammation, better compliance of the thorax, improved pulmonary function, and better right heart protection. Therefore, this approach…
The treatment of thoracoabdominal aortic aneurysms continues to be a challenge in cardiovascular surgery. Recently, hybrid debranching and endovascular repair of extensive thoracoabdominal aneurysms became a suitable approach in those considered to be a high risk for open surgical repair. The procedure involves extra-anatomic bypasses to the celiac, renal, and superior mesenteric arteries based off…
This video demonstrates the technical details of an endoscopic radical resection of an endobronchial carcinoid by laser-assisted rigid bronchoscopy. A 35-year-old woman with a history of cough and asthma was referred for acute hemopysis. A chest CT scan disclosed a round, well-defined mass occluding the right main bronchus; no lymph nodal involvement or tracheo-bronchial wall…
Uniportal VATS pulmonary anatomical and wedge resections are becoming common worldwide, but there are difficulties associated with the procedure. For example, when the operating surgeon tries to find small undiagnosed intraparenchymal pulmonary nodules or performs left-upper lobectomies with totally fused fissures. Figure 1. This video shows a 73-year-old woman with a past history of gastric…
In organized stage 3 pleural effusions, the thickened visceral pleural layer entraps and collapses the lung resulting in lung volume loss with crowding of the intercostal spaces. The patient is a 56-year-old male previously treated for pulmonary tuberculosis with a left pleural effusion. A 4 cm single incision for thoracoscopy through the 4th intercostals space…
Advancements in imaging technology have inspired the development of minimally-invasive approaches to thoracic disease. These improvements in imaging, however, have also introduced challenging diagnostic and treatment considerations in the identification of an increasing number of small pulmonary nodules. Video-assisted thoracic surgery (VATS) provides a platform for obtaining a tissue diagnosis or achieving a satisfactory resection…
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