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Off-Pump Transapical Aortic Valve Implantation
STSA Surgical Motion Picture 2008 Annual Meeting
Content from the Journal of the American Neurological Surgeons.
Thoracoscopic Repair of Circumflex Right Aortic Arch
STSA Surgical Motion Picture 2008 Annual Meeting
Laparoscopic Repair of a Morgani Hernia in an Adult
STSA Surgical Motion Picture 2008 Annual Meeting
Parenchymal Sparing Resection of an Infected Pulmonary Intralobar Sequestration
Pulmonary sequestrations are rare congenital malformations of lung tissue that do not connect normally to the tracheobronchial tree and receive systemic blood supply … Although 10-15% of patients may remain asymptomatic, most experts recommend resection to establish a diagnosis and prevent future complications. Introduction Pulmonary sequestrations are rare congenital malformations of lung tissue that do…
Endovascular Technique for Percutaneous Stent Graft Repair of Subclavian Artery Pseudoaneurysm
Traumatic subclavian artery transection is a potentially lethal injury following either blunt or penetrating injury to the chest. In one series [1], it accounted for 9 of 39 (23%) cases of overall thoracic vascular injuries and 9 of 411 (2.1%) of overall vascular injuries and has the potential to result in hemothorax or exsanguinations with…
Ross Reversal: Returning the Pulmonary Autograft to its Native Position
STSA Surgical Motion Picture 2008 Annual Meeting
Heart Lung Machine (Setting up the extracorporeal circulation)
By A. Sampath Kumar, MD Video:
Intramural haematoma of the thoracic aorta. Aortic arch replacement + elephant trunk with antegrade selective cerebral perfusion and moderate hypothermia.
The video concerns a 48-year-old patient affected by acute aortic syndrome characterized by an intramural haematoma of the ascending aorta and aortic arch and a type B acute dissection who was referred to our hospital for surgical treatment. The innominate artery was used as a site for CPB arterial inflow and right brain perfusion during…
Cardiothoracic Surgery as a Career Path
Becoming a surgeon has been an enduring goal in my life. Last year I learned from my program director about the scholarship entitled “Looking to the Future” sponsored by The Society of Thoracic Surgeons (STS). I eventually applied for and was rewarded this fellowship, and I believe that it is one of the most valuable things that…
Off Pump Repair of a Pulmonary Artery Sling
18 month old girl Asthma like symptoms Stridor Echo, Bronchoscopy, CT angiography Final diagnosis of PA sling
Transcervical Thymectomy for Myasthenia Gravis
Patient Selection Patient selection for thymectomy begins with a referral from a neurologist managing the patient with myasthenia. The practice parameter reported by the American Academy of Neurology (Gronseth, 2000) states that “for patients with nonthymomatous autoimmune myasthenia gravis, thymectomy is recommended as an option to increase the probability of remission or improvement.” The strongest…
Completely endoscopic microwave ablation of atrial fibrillation on the beating heart using bilateral thoracoscopy
Patient Selection Alternative methods for treating atrial fibrillation with surgery have been gaining interest over the last few years. Multiple energy sources are being employed as surgeons seek to create impulse-blocking scars on the right and left atrium. Although most literature reports are small and uncontrolled, it appears that these new technologies are permitting surgeons…
Severe Diaphragmatic Eventration
Introduction The term ‘diaphragmatic eventration’ is used in common practice to describe a condition of relaxation of the diaphragmatic dome. It may present at birth as a congenital condition due to a defect of diaphragmatic development or in a later stage of life as an acquired condition (‘acquired diaphragmatic paralysis’ or ‘acquired diaphragmatic elevation’). We…
An Unusual Infection Presenting as a Chest Wall Mass
Patient Presentation The patient is a thin, 40-year-old smoker who presented to the Emergency Department complaining of chest discomfort and numbness. He noticed a new mass on his left chest wall, which had grown gradually larger over the last 3 months. More recently, he had developed paraesthesia in the skin overlying the mass and had…
Bronchial and Pulmonary Arterial Sleeve Resection
Patient Selection Figure 1 Computed tomography before (top) and after (bottom) induction chemotherapy. Despite marked shrinkage, the tumor still infiltrates the origin of the right upper lobe and possibly the superior vena cava. Mediastinoscopy was performed to rule out N2 nodal involvement. The indication for a sleeve resection for lung cancer is well established: a…
Use of Intravascular Ultrasound in Endovascular Stenting of Traumatic Rupture of the Descending Thoracic Aorta
Traumatic rupture of the thoracic aorta is a common cause of death after motor vehicle accidents. The gold standard for treatment of traumatic rupture of the descending thoracic aorta is a left thoraoctomy with replacement of the affected aorta. The endovascular treatment of aortic transection is an emerging alternative in multi-traumatized patients. Traumatic rupture of…