Content from the Journal of the American Neurological Surgeons.
This article describes a safe and effective way to mobilize the cervical esophagus paying special attention to preservation of the recurrent laryngeal nerve. Patient Selection Exposure of the esophagus in the neck is required when an esophagectomy is being performed with a cervical anastomosis. Open three field esophagectomy, transhiatal esophagectomy and minimally-invasive three-field esophagectomy are…
This video demonstrates the technical aspects involved in a reoperative approach to the aortic root, ascending aorta and aortic arch. Cannulation strategies, pump management and valve/conduit choices are highlighted. The nature of this procedure is further complicated by its reoperative nature, demonstrating that inadequately tested procedures – such as aortic valve repair – and incomplete…
On the morning after his death, Dr. Bolooki was probably discussed and fondly remembered at scrub sinks all across the country as his trainees across the USA prepared to operate. He lives on through all of his students and trainees, and his teaching creates a legacy that will last into the foreseeable future. Dr. Bolooki…
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…
