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Combined Open Proximal and Stent Graft Distal Repair for Complex Arch Aneurysm
By Andreas Zierer, MD, Luis A. Sanchez, MD and Marc R. Moon, MD STSA 2007
Content from the Journal of the American Neurological Surgeons.
Minimally Invasive Mitral Valve Repair, with Pre & Post-Op Echo Results
The authors present a case of a 55 year old male with known mitral valve insufficiency. By transesophageal echo the patient was found to have a ruptured chordae on the P2 segment of the posterior leaflet of the mitral valve. The patient had coronary angiography done which revealed no evidence of coronary artery disease. He…
Transhiatal Esophagectomy
Patient Selection Transhiatal esophagectomy (THE) may be used to treat patients with either benign or malignant esophageal disease because the reconstructive result cervical esophagogastric anastomosis yields an excellent functional result with a minimum of gastroesophageal reflux. In practice, the majority of patients who require esophagectomy have malignant disease. No single esophagectomy approach is ideally suited…
Pediatric Left VATS Upper Lobectomy for Infected Congenital Cystic Malformation
This video describes a left Video-Assisted Thoracoscopic (VATS) upper lobectomy in an 18-month old child with infected congenital cystic adenamatoid malformation (CCAM). CCAM was diagnosed prenatally and then confirmed at birth by CXR and CT scan of the thorax which showed a large hyperinflated left upper lobe cyst with mediastinal shift to the right and compression…
Techniques of Aortic Valve Repair
STSA Surgical Motion Picture 2010 Annual Meeting Newer methods of aortic valve repair are achieving excellent long-term outcomes (Aicher et al. Eur J Cardiothorac Surg 2010;37:127-132) with an 88% freedom from valve-related complications at 10 years (a marked improvement over the 4-5% per year complication rate with biologic or mechanical prostheses). The goal of this…
Video-Assisted Harvest of an Intercostal Muscle Flap
The intercostal muscle is a reliable buttress for the bronchial stump following pneumonectomy and lobectomy in high risk patients. We describe a technique for flap harvest to buttress the bronchial stump after lobectomy using video assisted thoracoscopic surgery. Patient Selection The intercostal muscle (ICM) flap has proven to be a reliable buttress for the bronchial…
Video-Assisted Harvest of an Intercostal Muscle Flap
Video 1a. Mobilizing the superior aspect of the ICM thorough the working incision. Video 1b. Mobilizing the ICM anteriorly using the thoracoscope. Video 2. Mobilizing ICM through the working incision. Video 3. Mobilization of the inferior aspect of the ICM. Video 4. Mobilization of the superior aspect of the ICM. Video 5. Full length of…
Tirone E. David, MD
University of Parana in 1968. He then trained in cardiovascular and thoracic surgery from 1970 to 1975 at the Cleveland Clinic in Ohio. Afterward, he immigrated to Canada, where he became a cardiovascular surgeon at the Toronto General Hospital, where he is now professor and head of the division of Cardiovascular Surgery. Dr. David proposed…
Thoracoscopic Management of Spontaneous Pneumothorax
Patients who have had a second episode of spontaneous pneumothorax are those most likely to be considered for thoracoscopic pleurectomy and apical blebectomy. Patient Selection Patients who have had a second episode of spontaneous pneumothorax are those most likely to be considered for thoracoscopic pleurectomy and apical blebectomy. However, patients with a first episode of…
A. Pieter Kappetein, MD
A. Pieter Kappetein is a professor at the Erasmus University in Rotterdam.He has established himself as a cardiac, thoracic, and transplant surgeon. Currently, Dr. Kappetein is Secretary General of EACTS, Secretary of CTSNet, and a principal investigator of the SYNTAX and EXCEL studies. Here, Dr. Kappetein discusses SYNTAX and its 1- and 2-year results. Also,…
Result Summary for Survey:Thoracic Portal Survey – VATS Lobectomy Training and Instruction
The most familiar scoring systems were ASA, APACHE, and ThoraScore; about 70% of respondents were familiar with the first two. Despite this level of familiarity, about half of respondents don’t use the systems routinely. The primary reasons for lack of use include no familiarity with systems, general or patient-specific inaccuracy, and difficulty of calculating…
Valve Sparing Aortic Root Replacement in a Patient with Bicuspid Aortic Valve
STSA Surgical Motion Picture 2009 Annual Meeting Bicuspid aortic valve is commonly found in association with aneurysms of the aortic root. The reimplantation technique of valve sparing aortic root replacement has been developed through a series of operations pioneered by Dr. Tirone David. It has emerged as an alternative to conventional aortic root replacement and…
The Frozen Elephant Trunk Technique Using a Hybrid Prosthesis
The Frozen Elephant Trunk Technique using a Hybrid Prosthesis is presented as a collaborative Expert Technique by the Heart Center Leipzig and the West-German Heart Center Essen. The keys to successful implementation of this technology are discussed within the spectrum of patient evaluation to postoperative management. Introduction Surgical management of patients with extensive thoracic aortic…
Paul Sergeant, MD
Dr. Sergeant is a past EACTS president and has served on a host of committess for multiple organisations including EACTS, CTSNET, BACTS, AND ASCVS. His research interests include outcome analysis using complex mathematical modeling, quality control and auditing of clinical data, and study of multimodal transfer of tacit and codified knowledge and his PhD was in…
Bicameral Repair of Ruptured Sinus of Valsalva Aneurysm
Congenital sinus of Valsalva aneurysms are a rare entity. In an unknown percentage of patients, the aneurysms rupture into various cardiac chambers leading to symptoms of heart failure. This video demonstrates the technique of repairing a ruptured right coronary sinus aneurysm into the right atrium. Although the approach may vary depending on the site of…
Tom Treasure, MD
Professor Tom Treasure was trained in Cambridge and London in the UK, and received a Hunterian professorship from the Royal College of Surgery in 1983. He was first at St. Georges Hospital in London and then became Professor of Cardiothoracic Surgery at Guy’s Hospital in 2001. Currently, he is a professor with the Clinical Operational…