Content from the Journal of the American Neurological Surgeons.

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,…

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…