Content from the Journal of the American Neurological Surgeons.

Robotic Repair of Catamenial Pneumothorax

This video is part of CTSNet’s 2024 Resident Video Competition. Watch all entries into the competition, including the winning videos.   Catamenial pneumothorax (CP) can be defined as a recurrent spontaneous pneumothorax occurring within 24-72 hours of menses. CP is a common manifestation of thoracic endometriosis and is most commonly seen in women between the ages of…

Hybrid Approach for Complex Intrathoracic Goiter: Transcervical Open Surgery and Robotic-Assisted Intrathoracic Resection

A 35-year-old physically active female patient presented with exertional dyspnea and was referred from the otolaryngology department with a diagnosis of intrathoracic multinodular goiter. The CT scan illustrated a diffuse multinodular goiter with marked intrathoracic extension of the right thyroid lobe, forming a mass measuring approximately 89 x 63 x 62 mm. The goiter produced…

Aortic Valve Replacement With Mitral and Tricuspid Valve Repair Via a Right Anterior Thoracotomy

A 64-year-old male presented with complaints of severe dyspnea on minimal exertion, lower extremity edema, and weakness. The patient had a history of long-term atrial fibrillation (AF).  Echocardiography revealed reduced left ventricular ejection fraction, moderate to severe aortic valve stenosis with a mean gradient of 31 mmHg, and an aortic valve area (AVA) of 0.9…

Robotic Anterior Basilar Segmentectomy

This video is part of CTSNet’s 2024 Resident Video Competition. Watch all entries into the competition, including the winning videos.  Objective:  Segmentectomy for peripheral early-stage non-small cell lung cancer (NSCLC) has become common in many institutions. Anterior basilar, or S8 segmentectomy, is one of the most challenging pulmonary segmentectomies to perform. Variable peripheral bronchovascular anatomy and…

Recapturing Technique for TAVR Explant—A Safe Operative Method

Explantation of transcatheter aortic valve replacement (TAVR) prostheses is currently the fastest-growing operation in cardiac surgery. To date, the quoted morbidity and mortality rates are unacceptably high. Therefore, safe operative options are mandatory. The challenge is generally due to the extensive tissue ingrowth and fibrosis. In this video, the authors describe a novel chest tube…

Open Surgical Repair of a Giant Abdominal Aorta Aneurysm Filled With Multiple Stent Grafts

This video is part of CTSNet’s 2024 Resident Video Competition. Watch all entries into the competition, including the winning videos.   A 71-year-old male patient was admitted to the clinic with back pain, claudication, colic pain, and mild dyspnea. He had a past medical history of hypertension, abdominal aortic aneurysm, and umbilical hernia. He underwent umbilical hernia…

Featured Profile: Ahmad Ali Amirghofran

Dr. Ahmad Ali Amirghofran was born in Tehran, Iran, and later moved with his family to the historic city of Shiraz, where he lives and practices medicine. His cardiac surgery training consisted of two years at Shiraz University of Medical Sciences, followed by an additional two years in London, where he trained in congenital heart…

SCTS 2025 | Acute Aortic Dissection

In March 2025, the Society for Cardiothoracic Surgery in Great Britain and Ireland held its annual meeting, bringing together professionals in the field of cardiothoracic surgery to discuss the latest advancements in technologies and techniques. Watch for more SCTS 2025 videos in the coming weeks.   At the Society for Cardiothoracic Surgery in Great Britain…

Left Atrial Appendage Clip in Three Minutes

This video shows two examples of left video-assisted thoracoscopic surgery (VATS) left atrial appendage clipping, focusing on the three elements of port placement, pericardial opening, and perfect clip placement. This technique is increasingly used by surgeons as a standalone procedure or as part of surgical atrial fibrillation ablation in either the Convergent or totally thoracoscopic…

Optimal Management of Aortic Arch Coarctation With Large Pseudoaneurysm

This video is part of CTSNet’s 2024 Resident Video Competition. Watch all entries into the competition, including the winning videos.   A 50-year-old female presented with asymptomatic aortic coarctation and a large aortic arch pseudoaneurysm, which was discovered during a health screening. Her CT scan showed a 5 cm pseudoaneurysm in the mid-to-distal arch, with coarctation distal…

Robotic-Assisted Right Middle and Lower Lobe Bilobectomy for a Right Lower Lobe Carcinoid Tumor Invading the Bronchus Intermedius

This video is part of CTSNet’s 2024 Resident Video Competition. Watch all entries into the competition, including the winning videos.   The patient was a 67-year-old male with no significant past medical history who presented to the emergency department with acute on chronic hemoptysis. The patient reportedly had episodes of hemoptysis that lasted several days and occurred…

Surgical Technique of Exposing Intramyocardial Left Anterior Descending Artery

Coronary arteries often follow a subepicardial trajectory, penetrating the myocardium only near their conclusion. Occasionally, a portion of the epicardial artery may have an intramural trajectory, commonly termed as a myocardial bridge. The left anterior descending (LAD) artery is most likely to have an intramyocardial course compared to other coronary arteries (1).  In a completed…

Selective Cerebral Extracorporeal Circulation-Enhanced Total Endovascular Arch Replacement Using In Situ Fenestration

This video is part of CTSNet’s 2024 Resident Video Competition. Watch all entries into the competition, including the winning videos.   Total arch surgery is the gold standard procedure for the repair of entry tears and false lumen-related complications in patients who have previously undergone surgery for acute type A aortic dissections. Although satisfactory outcomes have been…