Content from the Journal of the American Neurological Surgeons.

Insights About the Aswan Technique for Common Arterial Trunk Repair: An Interview With Magdi Yacoub

In this engaging interview, Dr. Amr Alsalakawy, a cardiothoracic surgeon at Aswan Heart Center and Research, Magdi Yacoub Foundation, spoke with Dr. Magdi Yacoub, Professor of Cardiothoracic Surgery at the National Heart and Lung Institute at the Imperial College London, and Founder and Director of Research at the Harefield Heart Science Center, Magdi Yacoub Institute,…

Handling Vascular Injuries in Robotic Thoracic Surgery: Real-Life Cases Using a Fibrin-Based Hemostatic Technique

Vascular injuries during robotic thoracic surgery are rare but potentially life-threatening. Prompt control of bleeding is essential to avoid hemodynamic instability and the need for conversion to open surgery. This video presents a practical technique for managing vascular injuring using a collagen-based hemostatic patch while preserving the minimally invasive approach.  The patch consists of an absorbable…

Clampless Aortic Valve Replacement in a Partial Porcelain Aorta With Aortic Root Enlargement and CABG With Two Grafts

A 66-year-old 75 KG female presented with New York Heart Association functional classification II/III (NYHA2/3) due to moderate calcific aortic stenosis, estimated to be 60-70 percent. She had lesions in the right coronary artery (RCA) and left anterior descending artery (LAD). A computed tomography (CT) scan of the thorax showed a calcified arch and a…

Repeat Right Axillary Thoracotomy Is a Safe and Feasible Approach for Repair of Recurrent LAVVR After Previous AVSD Repair

This case demonstrated the repair of a recurrent left atrioventricular valve regurgitation via a repeat right axillary thoracotomy in a two-year-old girl who had previously undergone repair of a partial atrioventricular (AV) canal 10 months prior.   The patient was positioned in a modified left lateral decubitus position, with the right side up and the…

Endovascular Arch Repair With Triple Inner-Branch Custom-Made Device: A Step-by-Step Approach

Introduction   Endovascular arch repair is a progressive growth technique that has developed over the last 10-15 years, although open surgery remains the gold standard.   Clinical Case   This case involved a 67-year-old male with coronary disease and severe left ventricle (LV) depression. Computed tomography (CT) showed a penetrating aortic ulcer at zones 2 and…

Technique for Preserving Neo-Aortic Root Diameters and Valve Geometry in the Ross Operation

Patient Selection  Every patient with aortic valve disease (stenosis, insufficiency, or a combination of both) who is eligible for a Ross procedure can be considered. In children, the size of the pulmonary root must be adequate for an adult-size valve.   Operative Steps  Harvesting of the Pulmonary Autograft  The pulmonary artery was transected at the…

Video-Assisted Thoracoscopic First Rib Resection With Craniotome: A Novel Approach to Venous Thoracic Outlet Syndrome

Paget-Schroetter syndrome, also known as effort thrombosis, is a condition in which a thrombus forms in the subclavian vein due to an obstruction along its course, resulting in venous thoracic outlet syndrome (TOS). This obstruction is most commonly caused by a supernumerary rib but may also occur in athletes due to hypertrophy of the neck…

ASAIO 2025 | Development and Chronic Animal Implantation of the VenstraMedical Transcatheter pVAD System

In June 2025, the American Society for Artificial Internal Organs assembled leading cardiothoracic surgeons to share insights and expertise on advanced topics in cardiothoracic surgery. Watch for more ASAIO 2025 videos in the coming weeks.     At the American Society for Artificial Internal Organs (ASAIO) 2025 Annual Conference, Dr. Martin Cook, chief executive officer and cofounder of VenstraMedical,…

Birmingham Review Course 2024 | Transcatheter Aortic Valve Implantation (TAVI)

Currently in its 32nd year, the Birmingham Review Course is the longest-running course in the cardiothoracic specialty. The 2025 course promises an immersive learning experience featuring didactic lectures and interactive seminars on cardiac and thoracic topics, along with opportunities to engage with an international faculty. The 2025 Birmingham Review Course will take place from September…

The First In-Human BiVACOR Total Artificial Heart Implantation: An Interview With Alexis Shafii

In this remarkable interview, CTSNet Editor-in-Chief Joel Dunning speaks with Alexis Shafii, professor of surgery and surgical director of heart transplantation at The Texas Heart Institute at Baylor College of Medicine, about the first in-human BiVACOR total artificial heart implantation.   They discuss the preclinical work and the history behind the development of this innovative…

Robotic Mitral Valve Replacement in a Patient With Patent Bilateral Internal Mammary Grafts: A Case Video

This video is the third-place winner from the 2025 Innovation Video Competition. Watch all entries into the competition, including the other winning videos.   Objective  Reoperative cardiac surgery is often viewed as a relative contraindication for robotic approaches. Here, the authors report a case of a robotic mitral valve replacement in a patient who underwent…

Modified Bex-Nikaidoh Operation in a Neonate With D-TGA, VSD, and PS

The common approach to a Bex-Nikaidoh procedure in a symptomatic neonate with dextro-transposition of the great arteries (D-TGA), ventricular septal defect (VSD), and left ventricular outflow tract obstruction is initial palliation by systemic-to-pulmonary shunt, followed by complete correction at an older age (1-5). Currently there is limited experience with this complex procedure in the neonatal…

Palpation in Robotic Surgery: Compensating for Tactile Loss Through Visual Feedback

In open and video-assisted thoracic surgery (VATS) pulmonary surgery, direct palpation allows surgeons to locate small or deep pulmonary nodules with the sense of touch. However, in robotic-assisted thoracic surgery (RATS), the absence of tactile feedback represents a significant limitation. This video illustrates how visual strategies can be used to compensate for this loss.  By…