Content from the Journal of the American Neurological Surgeons.
The ability to completely drain the thoracic cavity, break up loculations of pleural fluid, completely visualize all aspects of the pleural space, and avoid the morbidity of a thoracotomy has made thoracoscopy attractive in the management of empyema and hemothorax. Patient Selection The ability to completely drain the thoracic cavity, break up loculations of pleural…
Throughout his career, Craig Miller, MD, has received many honors including, the Antoine Marfan Award from the National Marfans Foundation and three awards from the American Heart Association: the Eugene Braunwald Mentorship Award, the Distinguished Scientist Award, and the Distinguished Achievement Award. From 2007 to 2008, Dr. Miller was the president of the American Association of…
By Roberto Marsico, MD, Mohammed Nady, MD, Giuseppe Filiberto Serraino, MD, Giuseppe Musolino, MD, Federica Jiritano, MS, and Attilio Renzulli, MD, PhD Demonstrated is an anterior approach for Jarvik 2000 LVAD implantation with retro-auricular power supply. This video describes the authors’ surgical technique for the problem of gaining access and routing the power cable to…
The questions related to a 63 year old man who was diagnosed with a distal esophageal adenocarcinoma 9 months prior to referral, initially staged as T3N1 via EUS, CT, and PET. His general health at the time of diagnosis was good. He was not evaluated by a surgeon at that time, and underwent definitive…
Anomalous right coronary artery arising from the left aortic sinus is known to be associated with an increased risk of sudden death. Surgery is recommended for all adult patients who are symptomatic or who have evidence of exercise-induced myocardial ischemia. Several surgical techniques have been described to address this defect, such as coronary artery bypass…
Prior VATS lobectomy is a relative contraindication to ipsilateral repeat VATS lobectomy due to possible technical difficulties arising from adhesions and scarring, especially at the hilum. This video describes a VATS middle lobectomy in a 63 years old ex-smoker who in 2005 had a VATS right lower lobectomy for stage I squamous cell carcinoma. In…
The video outlines the salient clinical features of esophageal leioyomyoma and their thoracoscopic management. The pertinent surgical steps are outlined to demonstrate the surgical technique that is involved in this operation and will help surgeons adopt thoracoscopic resection as standard in the management of this benign condition.
Patient Selection Mitral valve repair is preferred whenever technically feasible over valve replacement. Mechanical and biologic prosthetic heart valves have distinct disadvantages. Anticoagulation is required to prevent thromboembolic complications for mechanical valves, and porcine valves have a relatively short life expectancy (7 to 14 years). Long-term data, now past 15 years of follow-up, support the…
Acute Type A aortic dissections can be challenging entities for cardiac surgeons and require close follow-up secondary to their propensity for aneurismal degeneration. A combined open and endovascular technique is described for treating the inital dissection and resultant complications. Introduction A Stanford type A aortic dissection is a life-threatening condition usually requiring emergent surgery. The…
Dr. Michael Mack is the current president of the Society of Thoracic Surgeons. He is Medical Director at Dallas Hospital where he has been a practicing surgeon for 28 years. He is on staff at several hospitals in Texas and has Visiting Professorships in China, Brazil, Egypt, and Sweden. Dr. Mack has given more than 150…
In this survey respondents were asked about their routine approach to assessment and management of patients with non-thymomatous myasthenia gravis (MG). The majority of respondents surgically manage myasthenia gravis. Two-thirds of them perform this operation via a full or partial sternotomy. About 20% of surgeons use VATS approaches, and transcervical and robotic approaches each…
A minimally invasive approach to resection of early stage lung cancers has been described and many favorable results validated. There is increased interest in pursuing a robotic approach as early experience indicates some potential advantages, including less pain in the early postoperative period and possibly more complete hilar and mediastinal lymph node dissection. A minimally…
Pascale Vouhe is Professor Pediatric Heart surgery at the Necker Hospital for sick children in Paris. He is the immediate Past President of the European Association of Cardiothoracic Surgery and has been part of many publications including the ESC guidelines on the management of grown up congenital heart disease, the creation of the Aristotle scoring…
By Heyman Luckraz, FRCS, Adam Szafranek, MD, Christine NH Tan, MD, and Peter A. O’Keefe, MS, FRCS Surgical strategies Relieve aortic stenosis Myocardial protection Without damaging the patent grafts Allow flow from LV via native and prosthetic valves, hence bigger EOA Avoiding damage to other structures Video:
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