Content from the Journal of the American Neurological Surgeons.
Management of Perioperative Anticoagulation Readers were asked to respond to questions regarding a clinical scenario in which a patient for major lung resection had coronary stents placed prior to surgery. The results were interesting, demonstrating a fair amount of variability in the management of this situation and a surprisingly liberal attitude towards the use of…
Management of Malignant Pleural Effusion READER COMMENTS View/Add Comments Home » Thoracic » Survey Results This survey was based on the scenario that participants were asked to consult on a hospitalized middle-aged patient who has been diagnosed with stage IV non-small cell lung cancer with a symptomatic uniloculated unilateral malignant pleural effusion (MPE). Most of…
By Gino Gerosa, MD, Gianluca Torregrossa M.D., Carlo Dal Lin M.D., Edward Buratto, Vincenzo Tarzia M.D., and Maurizio Rubino MD The CardioWest™ Total Artificial Heart (TAH) is a biventricular orthotopic pneumatic pulsatile pump that totally replaces the native ventricles and valves and is currently approved as a bridge to heart transplatation in selected patients. This video…
STSA Surgical Motion Picture 2009 Annual Meeting This case illustrates a combined video assisted right upper lobectomy followed by en bloc resection of involved chest wall and vertebral body through a posterior approach. It demonstrates that minimally invasive techniques may be applied to patients with advanced lung cancers to reduce patient morbidity. A 56 year old…
Introduction Left ventricular pseudoaneurysms represent a rare condition where cardiac rupture is contained by adherent pericardium or scar tissue. They most commonly occur after myocardial infarction (MI). We present here a case of a 78 year-old male with history of coronary artery revascularization who was found with a large pseudoaneurysm of the posterior wall of…
STSA Surgical Motion Picture 2009 Annual Meeting Most rheumatic mitral valves have undergone replacement in recent years, but replacement mortality remains significant at a time when repair mortality is approaching zero. Therefore, an effort was made to increase repair rates and efficacy in a single surgeon series of patients having operation for rheumatic mitral valve…
Pos. A. Equipment room Pos. B Examination room Pos C. Control room 1. Floor stand cabinet2. Generator3. Cable cabinet (option)4. System control cabinet5. Cooling unit 15. USV 6. Floor stand7. Patient table8. DCS PRO9. Floor stand overhead carriage14. LAF Ceiling16. Flexible radiation protection 10. Imaging System11. Control console12. Measuring station13. Hardcopy
We present a patient who underwent transhiatal esophagectomy with a gastric conduit placed in the anterior mediastinum, and subsequently developed dysphagia from compression of her conduit by the left sternoclavicular joint, necessitating corrective surgery. Introduction Transhiatal esophagectomy is an effective surgical approach to end-stage benign and malignant esophageal disease, which classically involves replacement of the…
Patient Selection In patients with nonthymomatous autoimmune myasthenia gravis (MG) thymectomy is recommended as an option to increase the probability of symptomatic improvement or remission. There is a consensus that all adults with generalized symptoms should have thymectomy, particularly if they are younger than 55 years. In elderly patients, in children, as well as in…
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…
Patient Selection VATS for major lung resection represents a new approach and not a new procedure. Therefore, the indications for VATS major lung resections remain the same as for conventional approaches to resection. In our institution, close to 80% of lung resections are for early, primary lung cancer, with the remaining for metastatic lung cancer…
Patient Selection Any anterior mediastinal mass (Figures 1, 2) must be considered suspect for germ cell tumor, especially in a young male. Errors in diagnosis are not uncommon and can result in mismanagement of a potentially curable patient. All patients with an anterior mediastinal mass should have alpha-fetoprotein (AFP), β-human chorionic gonadotropin (β-HCG), and lactate…
The HeartMate II is a continuous flow, second generation left ventricular assist device (LVAD). This pump has been implanted for bridge to transplant and destination therapy indications. This video describes the technical aspects involved in the surgical implantation of the HeartMate II LVAD. The concomitant closure of a patent foramen ovale is also performed in…
The HeartMate II is a continuous flow, second generation left ventricular assist device (LVAD). This pump has been implanted for bridge to transplant and destination therapy indications. This video describes the technical aspects involved in the surgical implantation of the HeartMate II LVAD. The concomitant closure of a patent foramen ovale is also performed in…
In patients with right sided lung cancer the superior mediastinum is either sampled or dissected completely. Patients with left sided cancer do not have this option due to technical difficulties imposed by the aortic arch. Mobilisation of the aortic arch and division of ductus arteriosus are essential maneuvers to dissect superior mediastinum in left sided lung cancer. A…
