Content from the Journal of the American Neurological Surgeons.
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…
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…
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 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,…
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…
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 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…
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…
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…
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…
In this article the authors describe the steps in performing TEMLA as it is currently practiced in their institution. Videos are included to enhance its utility. Patient Selection Transcervical extended mediastinal lymphadenectomy (TEMLA) was developed to enhance lymph node sampling obtained by conventional mediastinoscopy1. Even though mediastinoscopy is accurate, false positive and false negative results still occur2. In an…
UPDATE: A follow-up video has been added that demonstrates how to manufacture the chordae system. The AHA/ACC guidelines for treatment of valvular heart disease state that mitral valve repair is the treatment of choice for patients with symptomatic severe MR. However, it is unfortunate that in USA and Europe the valve is repaired in only 50%…
Introduction Chordomas are rare, slow-growing neoplasms derived from notochord remnants which form the early spine in fetal development. Most of the notochord is replaced by spine during the first six months of maturity, but small areas can remain and form chordomas accounting for 1-4% of all skeletal tumors [1]. These occur in the mid-line of…
Patient Selection Surgical interruption of intrathoracic autonomic neural pathways has several useful clinical applications, particularly thoracic sympathectomy for upper limb hyperhidrosis and splanchnicectomy for relief of pancreatic pain. The advent of video-thoracoscopy has lead to an explosion in the application of this minimally invasive technology for this purpose. Endoscopic thoracic sympathectomy (ETS) has been proved…
Introduction Recent developments in cardiac care have led to new therapies integrating surgical procedures with skin incisions and interventions, e.g. transcatheter techniques with the puncture of a vessel. To allow these procedures, integrated operating rooms have to be installed. These hybrid operating rooms need in excess of surgical equipment high-end imaging equipment equivalent to the…
Patient Selection Flail chest complicates about 10% to 20% of patients with blunt chest trauma and is associated with a mortality rate ranging from 10% to 35% [1-4]. The management of severe flail chest has gradually changed over years, as a consequence of improved ventilatory techniques and better understanding of the pathophysiology of the complex…
