Content from the Journal of the American Neurological Surgeons.
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…
Go directly to the video Left internal thoracic artery (ITA) grafting to the left anterior descending artery has long become the gold standard. There is a trend for bilateral ITA grafting, commonly to left-sided arteries. The video shows ITA skeletonization, with low harvesting time, and minimal chest and graft thermal trauma. The use of the…
Dr. Joel Dunning is joined by Dr. William Walker from Edinburgh, UK, Prof. Franca Melfi from the University of Pisa, Italy, Prof. Thomas Schmid from Innsbruck, Austria, Prof. Peter Licht from Odensee, Denmark and Dr. Peyman Sardari Nia, from Bremen, Netherlands. They discuss VATS and robotic lobectomy, sleeve lobectomy and pneumonectomy, new devices that may…
By Massimo Caputo, MD, Serban Stoica, FRCS, Andrew J Parry, FRCS, and Jose Pedro Da Silva, MD This video describes the cone procedure for tricuspid valve repair in a 35-year old NYHA class II patient with Ebstein anomaly presenting with reduced exercise tolerance and episodes of paroxysmal atrial fibrillation. Echocardiography and MRI confirmed the diagnosis…
Transaortic valve replacement is an alternative to the transfemoral and transapical approaches in an 83-year old male with ischemic heart disease, severe peripheral artery disease and severe symptomatic aortic stenosis. Percutaneous aortic valve replacement is increasingly used in patients with symptomatic severe aortic stenosis in whom surgical risk is not acceptable or is very high.…
Harold Clifton Urschel, Jr, passed away on November 12, 2012, aged 82. He was born in Toledo, Ohio on February 17, 1930 to Loma Elizabeth Powell Urschel and Harold Clifton Urschel Sr. His was an interesting and unusual childhood in large measure the harbinger of his remarkable life. His father was an engineer, an inventor…
For purposes of this survey, readers were asked to assume that they consulted on an otherwise healthy middle aged patient with a distal esophageal adenocarcinoma, T1bN0 by EUS. There were no contraindications to esophagectomy. A relatively small number of respondents participated in this survey, which perhaps reflects the small amount of penetration of MIE in…
