Content from the Journal of the American Neurological Surgeons.
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…
Extrapleural pneumonectomy is a surgical resection option for the treatment of malignant pleural mesothelioma. This video shows a right-sided extrapleural pneumonectomy on a 60-year-old woman with mesothelioma. The author describes the operative procedure in detail with video and audio narration. The patient did well postoperatively and was discharged from the hospital in one week. The…
Introduction A variety of approaches for surgical management of myasthenia gravis and thymoma have been described. There is a growing experience with VATS approaches to the management of each of these conditions. One approach to VATS thymectomy is described in this article and the accompanying videos. Patient Selection a. Nonthymomatous myasthenia gravisb. Small (< 2cm)…
Background Congenital cystic adenomatoid malformation (CCAM) of the lung is a rare congenital malformation.This anomaly has been rarely described in adults when in association with bronchial and vascular atresia. There are few reports in the literature describing thoracoscopic lobectomy in patients with this unusual anomaly. This video is the first report of a lung resection…
Dr. Jose Luis Pomar, EACTS President, discusses the highlights of the 2013 EACTS Annual Meeting taking place from October 5 – 9 in Vienna, Austria. This content is published with the permission of EACTS.
The patient was a 27-year-old male with a 5 cm ascending aneurysm, BAV and 3+ aortic insufficiency (AI). He underwent a mini-sternotomy using an 8 cm skin incision. He was centrally cannulated and cooled to 20 degrees Celsius while the aortic valve was repaired. Deep hypothermic circulatory arrest (DHCA) was initiated and the ascending and…
Hybrid aortic procedures have the potential to reduce morbidity and mortality in patients that may not be reasonable candidates for traditional open operation. Proposed advantages are: reduced mortality in patients with distal arch pathologies, obviating need for open second stage operation, reduced recurrent nerve injury, reduced bleeding, and pulmonary complications. 1. Hybrid aortic procedures are…
The patient is a 42-year-old male who presented to the emergency department with stridor. CT revealed a broad-based tumor 4 cm distal to the vocal cords and 7 cm proximal to the carina (Figure 1). The tumor was biopsied by bronchoscopy and pathology was suggestive of a schwannoma. A cervical approach was planned for the…
The main cause of pectus deformities is thought to be abnormal elongation and/or distorsion of the rib cartilages. In this video, a simplified open repair of both pectus excavatum and protruding deformities is described, based on the subperichondrial resection of the abnormal cartilages. The procedure is performed through a limited transversal or submammary incision in…
By Theodore Kofidis, MD, PD, Duc Thang Vu, MD, Lian-Kah Ti, MD, Edgar Tay, MBBS, Lee Chuen Neng, MD Background Minimally invasive cardiac surgery (MICS) is on the march and is becoming state of the art for a series of cardiac procedures [1]. With the advent of hybrid therapies, it even promises to play a…
This article is republished with the permission of the Asian Cardiovascular & Thoracic Annals. The narrative below on how the Asian Annals finally became indexed has not been previously published. The recent passing of Dr. Ferguson compelled me to pay tribute to the man who was instrumental in helping the Asian Annals achieve its most prized goals…
By Ikenna Omeje, MD, Georgi Christov, MD, Orsolya Friedrich, MD, and Martin Kostolny, MD Tricuspid valve regurgitation is not uncommon in patients with hypoplastic left heart syndrome and has been shown to be a significant factor affecting the success of staged surgical palliation in these patients. We present a video showing tricuspid valve repair in an…
By Diego Gonzalez Rivas, MD, Ricardo Fernandez, MD, Mercedes De La Torre, MD, and Lara Fontan, MD Totalis Situs inversus (SIT) is an extremely rare condition. There are few reports in literature describing thoracic surgery in patients with this unusual anomaly. This video is the first report of a thoracoscopic lung resection of a pulmonary…
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