Content from the Journal of the American Neurological Surgeons.
By J. Scott Rankin, MD Presented at the Society for Heart Valve Disease Meeting in Berlin, June 2009 This video reviews techniques of artificial chordal replacement (ACR) as a component of complex mitral repair. A brief summary of ACR history is given, as well as basic techniques of ACR placement and length adjustment. Several cases…
Salvatore L. Nigro had trained with Willis J. Potts at the Children’s Hospital in Chicago before he continued his residency with William E. Adams at the University of Chicago. With the University of Chicago Group, he investigated lung transplantation and showed that a single reimplanted lung could sustain life [1]. He then practiced General Thoracic…
There are several scattered reports in the English literature describing successful repair of aortoesophageal fistulae. In most cases, the patients have had prior surgery involving the esophagus or the descending thoracic aorta, with an intrathoracic anastomosis in close proximity to the descending thoracic aorta. Introduction There are several scattered reports in the English literature describing successful…
Patient Selection Resection and reconstruction of the superior vena cava (SVC) is still considered a surgical challenge; the numerous problems related to patient selection, choice of the appropriate surgical strategy and technique, the most suitable material for replacement, and the number of potential complications definitely show an impact on prognosis. However, with the appropriate indications…
Patient Selection One of the most devastating complications of myocardial infarction is postinfarction ventricular septal rupture. The incidence is approximately 1-2% after acute myocardial infarction.1, 2 The majority of cases involve the anteroapical septum secondary to occlusion of the left anterior descending artery. In the minority, occlusion of a dominant right coronary artery or a…
Patient Selection Most patients who have a high volume chylothorax and who require operative repair have an iatrogenic chylothorax. This most commonly occurs after esophagectomy. This is because the chylothorax is secondary to an injury to the main thoracic duct. The patient who has a chylothorax after a pulmonary resection rarely requires re-operation because the…
Ligation of the thoracic duct is indicated in any patient with a traumatic or iatrogenic chylothorax who has not responded to a brief trial of conservative management such as a low-fat diet, medium-chain triglycerides, total parenteral nutrition, and/or octreotide. Patient Selection Ligation of the thoracic duct is indicated in any patient with a traumatic or…
When asked to describe my life, I often reply, “It is organized chaos.” I have a very full life including an academic cardiac surgery clinical practice and a busy family life including a spouse who is an otolaryngologist, a 7-year-old son, and a 3-year-old daughter. This makes for a very fulfilling and rewarding life. Nothing…
Double aortic arch is the most common of the complete vascular rings, causing tracheo-esophageal compression. This is a case report of a double aortic arch with balanced aortic arches, presenting with extrinsic tracheobronchial obstruction. Introduction Double aortic arch is the most common of the complete vascular rings, causing tracheo-esophageal compression. This is a case report…
Johann Leopold Friedrich Ehrenhaft, M.D., called “Hans” by his friends, died in Iowa City, Iowa, on June 17, 2009, at age 93. He had a long and distinguished career as an educator, physician and pioneer in vascular and cardiothoracic surgery at the University of Iowa. At his request, no services were held. Born in Vienna…
The patient is a 16-year-old male who was a restrained passenger in a car that collided with a guardrail at high speed. He was initially admitted to the referring hospital with no respiratory symptoms and with oxygen saturations over 90%. The patient is a 16-year-old male who was a restrained passenger in a car that…
A 62-year-old Ukrainian man presented with facial swelling, chest wall varices, and a large mediastinal mass. He underwent core biopsy that demonstrated a mixed thymoma. Nine years previously, the patient had undergone an anterior thoracotomy and excisional biopsy of a mediastinal mass demonstrating necrotic tissue and no definitive diagnosis was made. A 62-year-old Ukrainian man…
This video was filmed from the perspective of a medical student investigating a career in cardiothoracic surgery. With each video chapter, he aims to provide information that answers many of the questions students and residents have about the field of CT surgery. Candid interviews and action reels of surgeons-at-work are used to illustrate many of…
Patient Selection Sarot first described the technique of extrapleural pneumonectomy (EPP) for the treatment of tuberculous empyema in 1949 [1]. During the last 30 years, EPP has been performed almost exclusively for malignant pleural mesothelioma (MPM). Early series reported high perioperative morbidity and mortality [2]. However, with improvements in patient selection, intraoperative management, and postoperative…
To Melba, the Willman family, friends, colleagues and admirers of Val Willman: I wish to share, with deep appreciation and regret, some recollections about Val Willman, a physician and surgeon who walked prayerfully with his God in a joyful journey of great achievement. Joy, said C.S. Lewis, is the serious business of Heaven, and Val…
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