Content from the Journal of the American Neurological Surgeons.
Editors Note Patient Selection The superior cavopulmonary anastomosis is the first of two operations used in a staged Fontan approach for definitive palliation of functionally single ventricle hearts. It was introduced into the palliative strategy to reduce the volume load on the hypertrophied single ventricle that pumps in parallel to the pulmonary and systemic circulations.…
Editors Note Patient Selection The completion Fontan operation is, as the name implies, the final stage of palliation for patients who have had previous surgery to address various types of single ventricle congenital heart disease. The first operation typically performed during infancy consists of techniques to regulate pulmonary blood flow (PBF) either with a pulmonary…
The anterior cervicothoracic approach was used to remove a desmoid tumor of the thoracic outlet in a 70-year-old male. The chest wall was reconstructed with titanium bars and a polytetrafluoroethylene-patch. The clavicle was fixed using a titanium clip. The postoperative period was uneventful. Desmoid tumors (DTs) are rare neoplasms belonging to the group of soft…
By Robert H. Anderson, MD, FRCPath Introductory Remarks The following collection of video presentations has been generated by Professor Robert H. Anderson, using specimens from the Farouk S. Idriss Cardiac Registry at Ann & Robert H. Lurie Children’s Hospital of Chicago (formerly Children’s Memorial Hospital).* The archive was assembled initially by Dr. Idriss, and has…
Introductory Remarks Video 1: Introduction [High bandwidth] The following collection of video presentations has been generated by Professor Robert H. Anderson, using specimens from the Farouk S. Idriss Cardiac Registry at the Children’s Memorial Hospital of Chicago. Rachid Idriss, the son of Farouk Idriss, is the curator of the archive, which was assembled initially by Dr.…
We first demonstrate the key features of congenitally corrected transposition, namely the discordant connections across both the atrioventricular and ventriculo-arterial junctions. The two discordant connections cancel each other out, so that potentially the circulations are congenitally corrected. In the heart shown in this videoclip, the septal structures are intact, so that indeed the circulations are…
In the second videoclip exploring congenitally corrected transposition, we show a specimen in which the potentially corrected circulatory patterns are uncorrected to a degree by the presence of a ventricular septal defect. More than half the patients with congenitally corrected transposition have deficient ventricular septation, and as in the heart shown, most usually the defects…
In one-third of patients with congenitally corrected transposition, there can be co-existing pulmonary stenosis. As explained, although it is stated that no heart exists in the Idriss archive with this lesion, this is not the case, and such a heart in shown in the next video clip. In this video, however, we show the extreme…
In this last video in the series, we examine three specimens with rarer lesions associated with congenitally corrected transposition. The first is an example of a heart with discordant atrioventricular, but concordant ventriculo-arterial connections. In this setting, the circulatory patterns are those of regular transposition, and such lesions are perfect for surgical correction using atrial…
Editors Note Patient Selection Figure 1. Infantile Aortic Coarctation with Transverse Arch Hypoplasia. Coarctation of the aorta occurs as a spectrum of disease and comprises approximately 5-8% of all congenital cardiac defects. Infantile coarctation often presents with diffuse tubular hypoplasia of the transverse aortic arch and isthmus with a discrete stenosis where the isthmus inserts…
This video demonstrates the ligation of the thoracic duct by a VATS approach. The patient suffered damage to the duct in the neck resulting in neck swelling and made local repair of the duct impossible. In this video the author demonstrates his technique for ligating the duct via a posterior VATS approach. Left ventricular assist…
For purposes of this survey, participants were asked to evaluate a 65 year old man with a 50 pack-year smoking history that he quit 6 months prior to the consultation. He had a 2.5 cm adenocarcinoma near the hilum of the right upper lobe. The lesion was not amenable to wedge or segmental resection. There…
At the 2013 STS Annual Meeting in Los Angeles, CA, CTSNet had the opportunity to host an exciting Video Roundtable with important perspectives on how valve clinic programs can assist in combating undertreated valvular heart disease by employing system-wide, quality-driven protocols within a hospital. The Roundtable panelists discuss how valve clinics—in adherence to widely accepted,…
Dr. Joerg Seeburger from the Heart Center, Leipzig University, leads a discussion on novel ideas in cardiac surgery and how to advance the specialty in the future. Dr. Joerg Seeburger from the Heart Center, Leipzig University, leads a discussion on novel ideas in cardiac surgery and how to advance the specialty in the future. He…
At EACTS 2012 in Barcelona, Dr. Joel Dunning led a discussion on second generation TAVI valves, transapical closure devices, transaortic TAVI, transapical mitral repair, and many more issues. Dr. Joel Dunning is joined by Dr. Hendrik Treede from the University Heart Centre in Hamburg, Germany, Dr. Hugo Vanermen, the creator of Techno-College, from Aalst in…
Christian Schreiber, from Munich, leads a discussion on the highlights of the EACTS 2012 conference in Barcelona with regard to congenital surgery. Prof. Christian Schreiber from Munich leads a discussion on the highlights of the EACTS conference with regard to congenital surgery. He is joined by William Braun, MD, domain chair for congenital surgery at…
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