welcomes you to the new, improved website!Content from the Journal of the American Neurological Surgeons.
Stephan Schueler, MD, PhD
Professor Stephan Schueler was trained in Hanover. In 1981 he helped set up the Berlin Heart Centre. He then spent a year at Johns Hopkins where he received a PhD before spending 8 more years at the German Heart Centre in Berlin. He then went to the new Hospital in Dresden where he was the…
Video Assisted Thoracoscopic (VATS) Lobectomy following Neoadjuvant Chemoradiotherapy
Induction chemoradiotherapy is a relative contraindication to VATS lobectomy due to oncological concerns regarding completeness of resection and technical difficulties arising from treatment-related fibrosis. This video demonstrates a VATS lower lobectomy and radical systematic lymphadenectomy in a 53-year-old male who recurred locally following induction chemoradiotherapy. The patient was placed in a lateral decubitus position with…
Congenital Supravalvar Aortic Stenosis Repair
We present the operative steps in the repair of congenital supravalvar aortic stenosis in a 5 month old female of 8kg. Preoperative echocardiography and cardiac magnetic resonance imaging confirmed severe biventricular hypertrophy together with pulmonary stenosis and supravalvar aortic stenosis. We detail the steps for the three-patch technique of repair of the left ventricular outflow…
Transapical Transcatheter Aortic Valve Implantation
Transapical aortic valve implantation (TAVI) has become a feasible alternative to open techniques in high risk patients. Surgical technique and some critical tips and pitfalls are described. Introduction Aortic valve replacement (AVR) utilizing the open surgical techniques with the use of cardiopulmonary bypass (CPB) remains the standard of care for symptomatic patients with severe aortic…
John Dark, FRCS
Professor John Dark was the president of the International Society for Heart & Lung Transplantation (ISHLT) from 2010-2011. He is professor of cardiothoracic surgery at the Freeman Hospital and Newcastle University, where he has worked since 1987. 1987 was a special year in Newcastle as the first single-lung transplant in Europe was performed, and 3…
Orthotopic Heart Transplantation
By Gabriel Loor, MD, Alexis Shafii, MD, Brian Lima, MD, and Gonzalo Gonzalez-Stawinski, MD This video describes the basic steps involved in the recipient portion of an orthotopic heart transplant. The video provides details on the cannulation strategy and the recipient cardiectomy. This is followed by a step-by-step description of the individual venous and arterial…
The Novalung(R) iLA membrane ventilator: technical aspects
Introduction The Novalung Interventional Lung Assist (iLA) device is a membrane ventilator that allows for oxygen and carbon dioxide gas exchange to occur by simple diffusion. It has been used in patients with severe acute lung failure due to ARDS, inhalation injury, severe pneumonia, chest injury, foreign body aspiration, and after thoracic surgical interventions [1].…
Off Pump Coronary Artery Bypass (OPCAB)
Patient Selection Beginner Beating Heart Surgeon (< 50 beating heart cases) The beginner should consider avoiding patients with unfavorable characteristics, such as: Cardiomegaly (cardiothoracic ratio > 0.7) as this makes exposure of lateral and inferior walls of LV difficult. Small (<1.5 mm diameter), intramyocardial or diffusely diseased target vessels. Hemodynamically unstable patients. Patients with critical…