Content from the Journal of the American Neurological Surgeons.

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…

Hybrid Robotic-Assisted Tracheoesophageal Fistula Repair

Introduction   A 77-year-old male developed a small tracheoesophageal fistula following pill impaction, which was initially treated unsuccessfully with esophageal stents, a tracheal stent, and a gastrostomy tube with tube feeds. He was referred to the authors’ institution for further management due to ongoing cough and aspiration. A barium swallow demonstrated a persistent fistula approximately 5…

Pulmonary Artery Reduction Plasty for LMCA Compression Syndrome in a Case of Adult Congenital Heart Disease

This video is part of CTSNet’s 2024 Resident Video Competition. Watch all entries into the competition, including the winning videos.   Extrinsic left main coronary artery (LMCA) compression can be caused by pulmonary artery (PA) enlargement in the setting of pulmonary artery hypertension (PAH). Due to the proximity to the LMCA, a dilated PA trunk or aneurysm…

Femoral Cannulation for CPB During Minimally Invasive Cardiac Surgery

This video is part of CTSNet’s 2024 Resident Video Competition. Watch all entries into the competition, including the winning videos. This video demonstrates the technique of open cut down femoral vessel cannulation for cardiopulmonary bypass (CPB) during minimally invasive cardiac surgery procedures. The case involved a 36-year-old male patient with severe aortic regurgitation and preserved…

Totally Endoscopic Right Atrial Myxoma Resection

In this CTSNet series, Dr. Mario Castillo-Sang presents innovative, totally endoscopic cardiac procedures for a variety of conditions. Stay tuned for more series videos in the coming weeks.  The authors present the case of a 52-year-old male patient who presented with dyspnea on exertion and fatigue. The patient’s workup demonstrated a large 4 cm right atrial mass…

A Novel Subxiphoid Approach of Left Ventricular Apical Diverticulum Excision: A Video Illustration

Introduction  The Pentalogy of Cantrell is a constellation of multiple congenital anomalies that includes defects in supraumbilical peritoneum, anterior diaphragm, apical pericardium, and the lower end of the sternum. In this video, the authors describe a novel subxiphoid approach to address these challenges.   Case Presentation  An otherwise asymptomatic neonate presented with pulsatile epigastric mass.…