Content from the Journal of the American Neurological Surgeons.

A Eulogy for Willard A. Fry

Distinguished thoracic surgeon Dr. Willard A. Fry died on April 29, 2025. Beginning in 1966, he established a remarkable career at Evanston Hospital, Illinois, USA, where he became the chief of general thoracic surgery until his retirement after approximately 40 years. His professional mentor was William E. Adams, professor of surgery at the University of…

Bilateral Orthotopic Lung Transplantation After Prior Cut and Sew MAZE

Bilateral lung transplantation after prior cut and sew MAZE presents a challenging technical scenario because severe calcifications within the left atrium and pulmonary veins make it difficult to safely clamp and sew the pulmonary vein anastomosis. To safely perform the pulmonary vein anastomosis, the surgeons converted a typical venoarterial extracorporeal membrane oxygenation (VA-ECMO) approach to…

Head-First Graft Technique in Aortic Arch Replacement

This video is part of CTSNet’s 2024 Resident Video Competition. Watch all entries into the competition, including the winning videos.   This video demonstrates a 63-year-old male with a prior type A aortic dissection status post repair, who presented with a residual type B dissection and an aneurysm.   The key steps of the procedure are outlined and…

Drain, Patch, Unload: Post-Infarction Myocardial Rupture Treated With Surgical Repair and Graded Mechanical Support

This video is part of CTSNet’s 2024 Resident Video Competition. Watch all entries into the competition, including the winning videos.   Left ventricular free wall rupture (LVFWR) following acute myocardial infarction is a lethal complication that necessitates emergent surgical intervention due to the sequelae of cardiac tamponade and cardiogenic shock. Achieving durable surgical repair is technically challenging…

Thoracoabdominal Approach for Chest Wall Chondrosarcoma Resection

Primary chest wall sarcomas are rare malignancies that require complete surgical resection, which remains the mainstay of treatment (1). Different histological subtypes, such as chondrosarcoma and Ewing sarcoma, exhibit distinct biological characteristics, therapeutic approaches, and prognoses. The margins of resection are crucial, as R0 resection is associated with significantly better overall survival compared to positive…

On-Pump Beating Heart Mitral Valve Repair Through Right Anterior Mini Thoracotomy

This video is part of CTSNet’s 2024 Resident Video Competition. Watch all entries into the competition, including the winning videos.   The authors present a case of an on-pump beating heart mitral valve repair performed minimally invasively through a small right anterior thoracotomy.  The patient was a 74-year-old male with a prior history of coronary artery bypass grafting…

Case Review of a TAVI Migration to the Left Ventricle

This video is part of CTSNet’s 2024 Resident Video Competition. Watch all entries into the competition, including the winning videos.   Proper management of uncommon transcatheter aortic valve implantation (TAVI) complications, such as retrograde embolization to the left ventricle, gained particular importance as their incidencec continued to increase. The authors describe a high-risk patient in whom a…

Redo Aortic Valve Replacement and Ascending Aortic Replacement With LVOT Enlargement Due to Endocarditis

This case involved a 59-year-old woman who had previously undergone aortic valve replacement (AVR) and ascending aortic replacement and developed Staphylococcus epidermidis endocarditis. The operation began by commencing venous drainage of the patient, followed by application of the cross-clamp before starting aortic perfusion to stop any debris from dislodging to the brain. Upon opening the…