Content from the Journal of the American Neurological Surgeons.
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…
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…
Presented at the 2011 Society for Heart Valve Disease Meeting. Cardiac surgeons largely have converted to reparative procedures for tricuspid valve disease. Recent STS database studies now show that 95% of tricuspid valve operations concomitant to mitral surgery involve repair. Most tricuspid disease etiologies such as secondary functional, primary organic, endocarditis, and congenital currently have…
The 1st of April 2012 is the 20th Anniversary of VATS lobectomy at the Royal Infirmary of Edinburgh. The first left upper lobectomy was perfomed by Dr. William Walker, using a 3 port approach standing in the posterior position, using methods very similar to those he uses today. Dr. Walker is widely regarded as Europe’s…
The aortic translocation operation for d-TGV, VSD, and PS was first performed in June, 1983. Since then, the senior author has been directly involved in 24 such operations with one early death. 1. Full circumferential mobilization of the aortic root minimizes tension on the coronary arteries, thus avoiding the need for coronary artery re-implantation. 2.…
Patient Selection Patients at high risk for open repair of thoracoabdominal aortic aneurysms (TAAA) are often relegated to medical therapy. An alternative therapy involves extra-anatomic bypass followed by endovascular stentgrafting of the entire thoracic and abdominal aorta with standard thoracic stentgrafts [1]. This hybrid approach still carries a high risk because the “debranching” portion of…
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.…
