Content from the Journal of the American Neurological Surgeons.

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,…

Cardiac Migration of Inferior Vena Cava Filter

A 64-year-old male, known to have diabetes with macrovascular complications, severe internal carotid artery (ICA) stenosis, and left ICA stenting, presented to the emergency room with right lower limb swelling and pain. Ultrasound showed extensive right lower lobe (RLL) deep vein thrombosis (DVT), which was confirmed with computed tomography (CT), revealing thrombosis in the superficial…

How to Perform the Konno-Rastan Aortic Root Enlargement Procedure

This video is the second-place cardiac winner from the 2025 CTSNet Instructional Video Competition. Watch all entries from the competition, including the other winning videos.   The Konno–Rastan procedure, also known as anterior aortoventriculoplasty, is a well-established technique for aortic valve replacement with annulus enlargement. First described by Rastan and Koncz and also by Konno et al.…

Excision of a Subvalvular Ring Followed by AVR With LVOT Enlargement

This video illustrates the excision of a subvalvular ring in a 59-year-old woman with aortic regurgitation. A femoral venous cannula and direct aortic cannulation were performed.  The aorta was cross-clamped and opened.  The valve was excised, which facilitated the assessment of the subvalvular ring.  She required a 27 mm biological valve, so a left ventricular outflow tract (LVOT)…

ISMICS 2025 | Presidential Address

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, President Husam…

The Ross Procedure Unveiled: Insights into Various Techniques and Modifications

This is the winning congenital video from the 2025 CTSNet Instructional Video Competition. Watch all entries from the competition, including the thoracic and cardiac first place winners.    Click here to watch Dr. Ali Mashadi’s interview with Senior Editor Vince Gaudiani. The authors present an instructional video demonstrating the techniques and modifications for autograft and right ventricular…

Robot-Assisted Intrapericardial Pneumonectomy With Bronchoplasty and Thymic Flap Post Neoadjuvant Chemo/IO

This is the winning thoracic video from the 2025 CTSNet Instructional Video Competition. Watch all entries from the competition, including the cardiac and congenital first place winners.    Click here to watch Dr. Edward Kim’s interview with CTSNet Editor-in-Chief Joel Dunning. This video showcases a complex, robot-assisted intrapericardial pneumonectomy with bronchoplasty and thymic flap reinforcement in a…

Minimally Invasive Enucleation of an Esophageal Leiomyoma Via a Right-Sided Robotic Approach

The authors present the case of a 40-year-old male with no prior medical history who reported progressive dysphagia to solids over several months. Imaging with CT and MRI revealed a submucosal esophageal lesion consistent with leiomyoma. The patient underwent a right-sided robot-assisted thoracoscopic surgery (RATS) for tumor resection. Intraoperative methylene blue test showed no mucosal…

Cardiac Surgical Arrest—An International Conversation, Part 1

This ongoing discussion of cardiac surgical resuscitation (CSR/CALS) management is a five-part series led by CTSNet Senior Editor—Clinical Care Providers 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, James Cook…

Direct Aortic Impella 5.5 in Post-Cardiotomy Shock

This is the winning cardiac video from the 2025 CTSNet Instructional Video Competition. Watch all entries from the competition, including the thoracic and congenital first place winners.    Click here to watch  Dr. Anthony Zaki’s interview with CTSNet Editor-in-Chief Joel Dunning.  Postcardiotomy cardiogenic shock presents a complex clinical challenge that demands prevention, timely recognition, and early consideration…

Obituary for Robert Lowery, MD

Robert Chesley Lowery Jr. was born on October 7, 1949. He was the first in his family to pursue higher education, earning a Bachelor of Science in Zoology from California State University at Los Angeles in 1972. He went on to earn a Doctor of Medicine from the University of San Francisco in 1976. While…

Challenging Pulmonary Arterial Reconstruction: Repeat Sternotomy With Completion Unifocalization and Extensive Pulmonary Arterial Reconstruction in ToF/PA/MAPCAs

This video is part of the Pulmonary Arterial Reconstruction Series. Click here to explore more videos in this series.   This case demonstrated a repeat sternotomy for unifocalization of a residual major aortopulmonary collateral artery (MAPCA) and relief of right ventricular outflow tract obstruction by reconstruction of the right pulmonary artery and conduit rereplacement.  A…

Totally Endoscopic Mitral Valve Replacement in a Redo Operation

This video showcases a totally endoscopic mitral valve replacement (TE-MVR) using a transcatheter device in a patient with a history of mitral commissurotomy. The procedure was performed using a minimally invasive, port-access approach, ensuring precision and reducing surgical trauma.  The patient, who had previously undergone mitral commissurotomy, presented with severe mitral valve dysfunction, necessitating valve…

Open Implantation of a Transcatheter Aortic Valve via Redo Sternotomy, Mitral Valve Replacement, and Tricuspid Valve Repair in a High-Risk-Patient

The patient, a 60-year-old male, had previously undergone aortic root replacement due to aortic insufficiency and a bicuspid valve. He suffered from increasing exertional dyspnea. Echocardiography revealed recurrent severe aortic insufficiency, secondary moderate-to-severe mitral insufficiency with marked leaflet tenting, and severe tricuspid insufficiency (pulmonary artery pressure: 70 mmHg). His medical history included heart failure with…