Content from the Journal of the American Neurological Surgeons.

ASAIO 2025 | Aortic Pulsatility Index Predicts Post VA-ECMO Survival

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. Clauden Louis, cardiothoracic surgeon at the Cardiothoracic Surgery BayCare…

Totally Endoscopic Mitral Valve Replacement With Tricuspid Valve Repair in a Patient With Unpredictable Adhesive Process

This video presents the case of a 79-year-old male with an unpredictable adhesive process in the pericardium, which was discovered during an elective totally endoscopic mitral valve replacement with tricuspid valve repair. The patient was diagnosed with severe multiple comorbidities, including stage four chronic kidney disease (CKD G-4) and chronic obstructive pulmonary disease (COPD), along…

A Tailored Approach to Supra-Commissural Left Coronary Ostium During Valve-Sparing and Tricuspid Aortic Valve Repair

This video submission is from the 2025 CTSNet Instructional Video Competition. Watch all entries from the competition, including the winning videos.   Aortic valve repair and valve-sparing aortic root replacement are excellent approaches to treating aortic root aneurysm and severe aortic regurgitation when valve repair is feasible (1, 2). Congenitally abnormal supra-commissural coronary ostia are rare conditions;…

Minimally Invasive ASD Closure: Direct Cannulation

The strategies and approaches to cardiopulmonary bypass (CPB) access have evolved as surgeons gain experience in minimally invasive cardiac surgery (MICS) procedures. Femoral artery cannulation is convenient but carries risks of retrograde dissection, embolization, stroke, and ipsilateral limb ischemia. In contrast, central aortic cannulation has the advantage of antegrade flow.  An incision was made 1…

Atrial Septal Defect Closure Through a Right Lateral Thoracotomy

This video submission is from the 2025 CTSNet Instructional Video Competition. Watch all entries from the competition, including the winning videos.   This video illustrates the approach for closing an atrial septal defect (ASD) via a right lateral thoracotomy.  A transesophageal echocardiogram (TEE) revealed a large atrial septal defect approximately 3 cm in diameter lacking an aortic…

How to Perform PEARS: A Comprehensive Guide to Personalized External Aortic Root Support

This video submission is from the 2025 CTSNet Instructional Video Competition. Watch all entries from the competition, including the winning videos.   This instructional guide presents a comprehensive overview of the personalized external aortic root support (PEARS) procedure. The purpose is to provide cardiac surgeons and trainees with a detailed resource covering case selection, preoperative planning, technical…

Combined Ravitch and Valve-Sparing Root Replacement

This video showcases a case involving a combined Ravitch procedure for severe pectus excavatum and valve-sparing root replacement, along with mitral valve repair, performed at the Bristol Children’s Hospital.  The patient was a 15-year-old with Marfan syndrome who presented with an enlarged aortic root and mitral valve prolapse, in addition to a severe pectus excavatum…

Birmingham Review Course 2024 | Etiology, Definition, and Assessment of Mitral Regurgitation

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…

Endoscopic Cardiac Surgeons Club | Moving From Direct Vision to Endoscopic Mitral and Tricuspid Surgery Safely

The Endoscopic Cardiac Surgeons Club is dedicated to raising global awareness of the benefits of endoscopic cardiac surgery among patients, surgeons, and industry partners. Stay tuned for more ECSC videos in the coming weeks.      At the Endoscopic Cardiac Surgeons Club Meeting 2024, Dr. Tomas Holubec, Professor of Minimally Invasive Cardiac Surgery in the Department of Cardiovascular…

ISMICS 2025 | My Journey From Heart Surgeon to Maker of Robots

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. Sudhir…

Improving Institutional Processes and Metrics: An Interview With Robert Cerfolio

In this exceptional interview, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Robert Cerfolio, Chief of the Division of Thoracic Surgery at NYU Langone Health, about NYU Langone Health’s rise in hospital rankings.   They discuss the process that contributed to this improvement, including the efficiency quality index and the benefits of discharging patients on postoperative…

Right Ventricular Outflow Tract Injury During Deep Dissection in Valve-Sparing Aortic Root Replacement

For valve-sparing aortic root replacement (VSARR), including reimplantation and remodeling, deep surgical dissection around the aorta allows the graft to encase the basal ring, preventing basal dilation, cusp prolapse, and subsequent aortic insufficiency. However, deep periaortic dissection is often avoided due to the risk of injury to surrounding structures, such as the right ventricular outflow…

Pneumopexy After Open Right Upper Lobe Lobectomy

This video submission is from the 2025 CTSNet Instructional Video Competition. Watch all entries from the competition, including the winning videos.   This video shows a pneumopexy performed after an open right upper lobectomy. The patient had a past medical history of insulin-dependent diabetes, valley fever, and a 25 pack/year smoking history.  A CT scan at an…

Master Class: Double Patch Technique for Aortic & Mitral Valve Replacement With John MacArthur and Vince Gaudiani

In this series, CTSNet invites top cardiothoracic surgeons from around the world to engage in in-depth discussions about important topics in the field of CT surgery by examining specific cases in detail. Watch for more insightful master class videos in the coming weeks.   In this in-depth discussion, CTSNet Senior Editor Dr. Vince Gaudiani and Dr.…