Content from the Journal of the American Neurological Surgeons.
Go directly to the video Three important golden rules for mitral valve repair were postulated by Carpentier and colleagues: preservation or restoration of normal leaflet motion, creation of a large surface of coaptation and stabilization of the entire annulus with a remodelling annuloplasty. Recently, a new paradigm has been proposed by Patrick Perier: “respect rather…
A young female with a single metastasis at the level of the upper portion of the sternum underwent surgical excision of the sternum followed by sternal allograft implantation. The use of a sternal allograft provides excellent functional and cosmetic results. Neoplastic involvement of the sternum is a challenging situation. Surgical treatment is indicated in the…
In this video the authors demonstrate the surgical strategy for repair of interrupted aortic arch using a reverse subclavian flap and common arterial trunk using an “aortopulmonary window” type of repair in a 3.7 kg baby. This video describes a surgical strategy for repairing interrupted aortic arch (IAA) associated with a common arterial trunk (CAT)…
Born in Rhodesia, Professor Stuart Jamieson attended medical school in London. He then went to Stanford where he started as a visiting fellow, and later became Director of the Heart-Lung Transplant Program. He was director of transplantation at Stanford from 1982-1986. At one point in his career, when he was only 34, he was the…
The use of mobile devices for professional applications has increased dramatically in the past 5 years. Such devices have the ability to speed information exchange, but may also create unfair expectations with regards to physician responsiveness and may extend actual work hours. The survey explored how physicians used these devices in their clinical practices.…
Patient Selection Patients with lung lesions located in the outer third of the lung are suitable candidates for uniportal VATS resection. When used for the diagnosis of interstitial lung diseases or in the treatment of primary pneumothorax, the procedure is facilitated by the immediate identification of the area to be resected. Pulmonary nodules can be…
Video A video is available below that demonstrates Phases II – IV of robotic thoracoscopic first rib resection. Patient Selection Robotic thoracoscopic first rib resection is indicated in patients diagnosed with Paget-Schroetter disease. In our patients, we have confirmed the diagnosis by clinical history, physical exam with dynamic upper extremity maneuvers (Adson and Wright tests),…
The RV-PA conduit or Sano modification, has recently been reintroduced into the Norwood armamentarium. Many centers, however, have been experiencing conduit obstruction with the Sano. This video demonstrates a modification of the technique used for the RV-PA conduit that has reduced the incidence of conduit obstruction at our institution. There has recently been a published…
10 things you might not know about starting out in academic cardiac surgery, but definitely should Caveat: The guy who wrote this (me) is barely into his third year out of training, so trust me when I say this is not a guide on how to be a wildly successful, world famous clinician-scientist. It’s just…
10. Check your ego at the door. Cardiothoracic surgery is one of the most competitive fields in medicine. Unlike some other fields of medicine where a shingle and an open door will lead to patients, we are 100% reliant on referrals. To succeed, you will have to be Available, Affable, and Able—and in that order.…
This video shows a “home-made” frozen elephant trunk technique for the treatment of a complex aortic disease involving the arch and the proximal descending aorta. A hybrid procedure was planned. During moderate hypothermia circulatory arrest the aortic arch was replaced with a branched Dacron graft utilizing the elephant trunk technique. After weaning from CPB, a…
This is a novel usage of an ultrasonic bone scalpel in cardiothoracic surgery used to operate on what is normally one of the most difficult situations that we face, namely the pericardiectomy of a calcified pericardium. A bone scalpel is atraumatic to soft tissues and causes no hyperthermic injury to soft tissue and therefore will…
This article describes how a HeartMate XVE left ventricular assist device may be exchanged for a HeartMate II axial-flow pump with low morbidity and mortality and without a full sternotomy. In the United States, at least 5 million persons have heart failure at any given time, and more than 550,000 new cases of heart failure…
Professor Sir Magdi Yacoub is reputed to have performed more heart transplants than anyone else in the world having restarted the transplant program at the Harefield in 1980. The Harefield has now performed over 2500 transplants. He is currently Professor of Cardiothoracic Surgery at Imperial College in London, leading over 60 researchers in tissue engineering,…
Breast implant complications after thoracic surgery are relatively rare. We present an unusual case of an intact implant migration into the pleural space after thoracoscopic surgery that was initially read as hemothorax on computed tomography of the chest. Background Breast augmentation with implants has been around since the 1960s and continues to gain popularity. As the recipients of breast…
Professor Hans Pilegaard is a consultant at the Thoracic and Cardiovascular Department at the Aarhus University Hospital in Denmark. He is Chairman of the Danish Surgical Lung Cancer group, and has been Chairman of the Danish Society of Thoracic Surgery. Dr. Pilegaard has performed over 1000 cardiac operations and 3000 thoracic operations including heart and…
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