Content from the Journal of the American Neurological Surgeons.

Multiportal Robotic Left Upper Trisegmentectomy With Aberrant B3 Arising From the Lingula—Tips and Tricks

In this video, the authors present the performance of a trisegmentectomy in the context of an anatomical variation, where the B3 bronchus arose from the lingular bronchus. They described the surgical procedure and shared technical tips to facilitate the successful completion of the operation.   This was a 73-year-old patient with three nodules in the…

Surgical Treatment of Acute Aortic Syndrome

This video submission is from the 2025 CTSNet Innovation Video Competition. Watch all entries from the competition, including the winning videos.   Initial Phases of the Procedure  The surgeons began by isolating and preparing the right axillary artery. A purse-string suture was placed using 4-0 polypropylene and a size 17 needle, followed by the cannulation of the…

Precision Lung Resection: A Video Guide to Thoracoscopic Segmentectomy of Segments 9 and 10 of the Lower Left Lobe

The authors present the case of a complex thoracoscopic segmentectomy of segments 9 and 10 of the left lower lobe in a 60-year-old male.  Preoperative computed tomography (CT) imaging revealed a 1.5 cm lesion involving segments 9 and 10. Pulmonary function tests were within normal limits, and the positron emission tomography (PET) scan showed no…

Multiportal Robot-Assisted Extended Lower Left Segmentectomy: Superior Segment S6 With Lateral S9 Resection

This video demonstrates a multiportal, robot-assisted left segmentectomy combining the superior segment (S6) with segment S9. A 68-year-old man had a 29 mm left lower lobe mass. His medical history included orthotopic liver transplantation on lifelong immunosuppression, chronic renal insufficiency, and prior contralateral lobectomy. Preoperative function was limited (forced expiratory volume in one second [FEV1]…

ISMICS 2025 | Robotic Carinal Resection With ECMO

In May 2025, the International Society for Minimally Invasive Cardiothoracic Surgery brought together professionals in the field of cardiothoracic surgery to discuss and share knowledge on minimally invasive techniques. Watch for more ISMICS 2025 videos in the coming weeks.   At the International Society for Minimally Invasive Cardiothoracic Surgery Annual Scientific Meeting 2025, Dr. Robert…

ASAIO 2025 | Impella 5.5 Is Safe in Small Ventricles

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. Andrew M. Acker, a cardiothoracic surgery resident at Penn…

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…