Content from the Journal of the American Neurological Surgeons.

Utilizing Indocyanine Green During Robotic-Assisted Thoracoscopic Surgery for Pulmonary Sequestration

This video submission is from the 2025 CTSNet Instructional Video Competition. Watch all entries from the competition, including the winning videos.   Pulmonary sequestrations are rare congenital anomalies that result in a segment of nonfunctional lung tissue with a lack of a direct connection to the tracheobronchial tree. They are classified into two categories: intralobar and extralobar…

Book Review: Endoscopic Cardiac Surgery

Abstract  “Endoscopic Cardiac Surgery” (2023) by Dr. Joseph Zacharias is a comprehensive and authoritative guide to minimally invasive cardiac surgery. This landmark text combines foundational principles with the latest advancements in endoscopic techniques, offering in-depth insights into perioperative management, valve surgeries, coronary artery bypass grafting, and training innovations. Featuring contributions from global experts, the book…

Cardiac Surgical Arrest—An International Conversation, Part 2

This ongoing discussion of cardiac surgical resuscitation (CSR/CALS) management is a five-part series led by Jill Ley, Nurse Educator at Essentials of Cardiac Surgical Resuscitation, featuring a panel of international experts including Tara Bartley, Corporate Lead for Advanced Practice, University Hospitals Sussex; Cristina Ruiz Segria, Surgical Care Practitioner, Jame Cook University Hosptial; and John Whitlock,…

Unifocalization of Major Aortopulmonary Collateral Arteries

This video is the third-place congenital winner from the 2025 CTSNet Instructional Video Competition. Watch all entries from the competition, including the other winning videos.   This is a case presentation of a 17-month-old male infant born with tetralogy of Fallot, with five distinct major aortopulmonary collateral arteries (MAPCA).   A three-dimensional rendering of the patient’s complex…

VATS Intrapericardial Left Pneumonectomy for Centrally Located Lung Tumor: Step-by-Step Approach With Technical Pearls

This video is the third-place thoracic winner from the 2025 CTSNet Instructional Video Competition. Watch all entries from the competition, including the other winning videos.   This clinical video presents a step-by-step demonstration of a video-assisted thoracoscopic surgery (VATS) intrapericardial left pneumonectomy performed for a centrally located non-small cell lung carcinoma (NSCLC). The patient presented with a…

ESTS 2025 | Presidential Address

In May 2025, the European Society of Thoracic Surgeons held its 33rd Annual Meeting in Budapest, where leading surgeons discussed the latest advancements and innovations in thoracic surgery.   At the European Society of Thoracic Surgeons (ESTS) 33rd Annual Meeting, Dr. Pierre-Emmanuel Falcoz, professor of thoracic surgery at New Civil Hospital in France, introduced the…

RIMA Inflow for Venous Sequential Graft in a Hostile Aorta

Finding a heavily calcified and/or atheromatous aorta after sternotomy in a coronary bypass grafting (CABG) operation can be extremely unpleasant. The ideal treatment is a multiarterial off-pump surgery that avoids any aortic manipulation; however, this can be technically challenging for surgeons with limited exposure to the use of sequential arterial grafts. During the last 20…

Open Technique for Radial Artery Harvesting

This video is the third-place cardiac winner from the 2025 CTSNet Instructional Video Competition. Watch all entries from the competition, including the other winning videos.   After painting and draping, the radial artery pulsation between the tendons of the flexor carpi radialis and brachioradialis muscles, the brachial artery pulsation medial to the biceps brachii tendon, and the…

Bentall and Hemiarch Replacement: Technical Nuances of a Continuous Suture Technique

The Bentall procedure with hemiarch replacement utilizing a continuous suture technique for the proximal anastomosis offers significant advantages in complex aortic surgery. This method allows for faster and more efficient anastomosis, reducing ischemic and cardiopulmonary bypass times. The continuous suture line provides uniform tension distribution, enhancing the security of the anastomosis and minimizing the risk…

Practical Safeguards for Repair of Sinus Venosus ASD With PAPVD—The Warden Procedure

This video is the second-place congenital winner from the 2025 CTSNet Instructional Video Competition. Watch all entries from the competition, including the other winning videos.   A superior sinus venosus atrial septal defect (ASD) is located superior to the superior limbic band of the fossa ovalis. The superior vena cava (SVC) typically overrides the defect and is…

Vessel Sealer-Assisted Robotic Thymectomy

Robotic thymectomy is an effective therapeutic approach for the treatment of thymic epithelial tumors, offering a low complication rate and favorable oncological outcomes (1). Several techniques have been described for performing robotic thymectomy, including unilateral, bilateral, and subxiphoid approaches (2). Commonly used instruments include the robotic hook or Maryland dissector and fenestrated bipolar forceps.  The…

Augmented Reality–Assisted Robotic Segmentectomy Using Open-Source Tools: A Practical and Low-Cost Solution

This video is the second-place thoracic winner from the 2025 CTSNet Instructional Video Competition. Watch all entries from the competition, including the other winning videos.   The patient was a 69-year-old woman, a former smoker, with bilateral subsolid pulmonary lesions smaller than 2 cm and impaired pulmonary function (forced expiratory volume in 1 second (FEV1) 68 percent,…