Content from the Journal of the American Neurological Surgeons.

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.…

Robotic Left Lower Lobectomy With Bronchoplasty

Introduction  The authors present the case of a 77-year-old male with a significant smoking history who underwent a robotic left lower lobectomy with bronchoplasty. Computed tomography (CT) imaging revealed a left lower lobe opacification and concern for malignancy, which was intensely fluorodeoxyglucose (FDG) avid on positron emission tomography (PET) scan. Bronchoscopy revealed an endobronchial mass…

Commando and Hemi-Commando Procedures for Prosthetic Valve Endocarditis Involving Mitral-Aortic Fibrosa

This video submission is from the 2025 CTSNet Instructional Video Competition. Watch all entries from the competition, including the winning videos.   Prosthetic valve endocarditis (PVE) is a life-threatening condition that often leads to re-do surgery due to the failure of medical treatment or extensive involvement of surrounding tissues. In particular, some cases of aortic or mitral…

Modified Re-Do Commando Procedure in a Patient With Septic Shock Due to Aortic and Mitral Valve Endocarditis

The patient, a 49-year-old female, had undergone aortic root replacement and mitral valve repair due to endocarditis in 2022. In 2023, she required percutaneous transluminal coronary angioplasty (PTCA) and implantation of a drug-eluting stent (DES) due to acute right interventricular artery (RIVA) occlusion. One month later, she presented with another episode of endocarditis affecting the…

Removal of a Right Atrial Myxoma From the IVC Junction With Patch Repair Using the Left Atrial Appendage 

In this video, Dr. Vince Gaudiani demonstrates how to remove a right atrial myxoma in a 45-year-old patient who presented with a cerebralvascular accident (CVA). He performed a sternotomy and highlighted the importance of not manipulating the heart until it was cross-clamped to prevent any debris from being displaced and embolized. He opened the venous…

Redo Sternotomy for the Removal of an Epicardial Pacemaker Wire Causing Life Impairment Symptoms

A 44-year-old male with a complex cardiac history presented to the hospital with persistent abdominal contractions that interfered with both breathing and speech. His cardiac history dated back to the age of 15 when he underwent surgical repair of an atrioventricular (AV) canal defect. The procedure was complicated by complete heart block, necessitating the implantation…

Birmingham Review Course 2024 | Etiology, Assessment, and Indications for Surgery for Aortic Valve Disease

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…

ASAIO 2025 | The VAD Road Map to the ACCU

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, Andrea Fasbinder, ventricular assist device nurse coordinator at Stanford Medicine…

Endoscopic Cardiac Surgeons Club | Lifetime Achievement Award

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. Ludwig Mueller, a consultant cardiac surgeon at the Medical University of Innsbruck, Austria,…

The World’s First Subxiphoid Robotic Heart Transplant: An Interview With Kenneth Liao

In this remarkable interview, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Kenneth Liao, professor of surgery and chief of the Division of Cardiothoracic Transplantation and Circulatory Support at Baylor College of Medicine, about performing the world’s first adult robotic heart surgery in the United States using a subxiphoid approach.   They discuss the details of…

Anomalous Origin of the RCA—Tailoring the Operative Strategy in Complex Aortic Pathology

This video submission is from the 2025 CTSNet Instructional Video Competition. Watch all entries from the competition, including the winning videos.   The anomalous origin of the right coronary artery (RCA) from the left sinus has an incidence of 0.33 percent. More cases are being identified as a result of increasing imaging screening. When intervention is required,…

Repair of Ruptured Right Coronary Artery Aneurysm

This video demonstrates the surgical repair of a ruptured right coronary artery aneurysm.  A 62-year-old man with hypertension presented with an acute onset of chest pain and was hemodynamically stable. His ischemic work-up was negative, but a computed tomography angiography (CTA) showed a right coronary artery aneurysm with hemopericardium. Coronary angiography showed a sufficient posterior…