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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…
Thoracic Portal Survey Results – Minimally Invasive Esophagectomy
For purposes of this survey, respondents were asked to assume they had recommended surgical therapy for a 63 year old man who had been diagnosed with a distal esophageal adenocarcinoma, clinically staged as T2N0 via EUS, CT, and PET. His general health was good. He had no prior abdominal or thoracic surgery, and he had…
Skeletonization of the Internal Mammary Artery with the Harmonic Hook Blade
This video shows in detail skeletonization of the internal mammary artery using the Harmonic hook blade, with footage contrasting the pedicle technique and traditional skeletonization with the cautery tip as a dissector. This video demonstrates the skeletonization harvest technique of the internal mammary artery using the harmonic hook blade. Skeletonization allows for a greater length…
Skeletonization of the Internal Mammary Artery with the Harmonic Hook Blade – Script
« Return to the video page As results of the SYNTAX trial comparing PCI and CABG surgery for treatment of de novo triple vessel and/or left main coronary artery disease are published, CABG surgery is enjoying renewed attention. However the preferred internal mammary artery (IMA) grafts are avoided for many reasons among which include: their finite…
Ross Procedure With Pulmonary Autograft Reinforcement
The Ross procedure is a valuable alternative for the surgical treatment of aortic valve disease in adolescent and young adult. However, neo-aortic root dilatation resulting in valve regurgitation is not uncommon. This video demonstrates the authors’ technical modification that prevents this complication. We present the operative steps in the Ross procedure with pulmonary autograft reinforcement…
(I,D,D) Segmental Anatomy with Ventricular Septal Defect, Mitral Valve Cleft and Left Ventricular Outflow Tract Obstruction: Double Switch, Mitral Valve Repair, VSD Closure and Resection of Left Ventricular Outflow Tract
This video demonstrates the repair of (I,D,D) segmental anatomy with left ventricular outflow tract obstruction(LVOTO) due to accessory tissue related to a cleft anterior leaflet of the mitral valve. The relief of LVOTO is shown, as are the technical features of the Senning procedure and arterial switch operation.
Adult Congenital Pulmonary Valve Replacement: A Simple, Effective, and Reproducible Technique
Presented at the STSA 2010 Annual Meeting Pulmonary valve replacement is a relatively uncommon operation in adults, with the exception of those patients operated on previously for congenital heart disease. In children with lesions involving pulmonary stenosis, the pulmonary valve is often excised and the right ventricular outflow tract is augmented with a transannular outflow…
Valvuloplasty by Polytetrafluorethylene Leaflet Extensions for Bicuspid Aortic Valve in a 17-Year-Old Patient
The lack of an ideal valve substitute in the congenitally affected aortic valve has raised the interest in aortic valvuloplasty by leaflet extensions. Several techniques using native or xenopericardium have been described for aortic valve repair, however, the ideal material for leaflet extensions still remains controversial. In our presentation we show a video of aortic…
Randas J. Vilela Batista, MD
Randas Batista went to Boston in 1972 to specialize in general surgery. After spending six years there, he went to Canada, England and France to learn new cardiac surgical techniques. In 1983 he returned to his native town, Curitiba, south of Rio de Janeiro. Since then he has lived in the small town, content to…
The Gerbode Defect: A Ventriculo-Atrial Defect
Introduction The first description of a direct communication between the left ventricle and the right atrium was reported by Buhl in 1857 [1]. The first successful closure of such a defect was first reported by Kirby (using hypothermia and inflow occlusion) at the Hospital of the University of Pennsylvania in 1956 [2]. The first successful…