Content from the Journal of the American Neurological Surgeons.
For children facing the challenges of aortic valve disease, the surgical landscape has historically presented limited options, each with its own set of long-term uncertainties. The Ross procedure, often considered the gold standard, carries its own complexities. This intricate surgery involves the transfer of the pulmonary valve to the aortic position, followed by the replacement…
The authors present the case of a 59-year-old man with a medical history of dilated cardiomyopathy and heart transplantation 10 years prior following aortic valve replacement and simultaneous implantation of a left ventricular assist device (LVAD). At the time of the transplant, the donor heart had a bicuspid valve and normal aortic diameters. During the…
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. This case included aortic valve replacement (AVR), mitral valve repair (MVr), and tricuspid valve repair (TVr) during triple valve surgery (TVS). The patient was a 68-year-old male with…
The Ross procedure has demonstrated excellent mid- and long-term outcomes (1), establishing it as the preferred aortic valve replacement for young patients in many centers. However, its primary limitation remains the reliance on a homograft in the pulmonary position, which frequently necessitates future reinterventions. This raises a critical question: Can a native tissue valve be…
This video features a 42-year-old male patient who received an On-X mechanical valve. An aortotomy was performed after a hemisternotomy, and then the leaflets were removed as closely to the annulus as possible. Dr. Gaudiani notes that the On-X valve is large; therefore, the sizer must fit easily into the annulus. Additionally, he mentions that…
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 mechanical mitral valve repair in a 57-year-old female patient who had previously undergone mitral valve replacement with an…
CTSNet partnered with Women in Thoracic Surgery (WTS) and the European Society of Thoracic Surgery (ESTS) Women in General Thoracic Surgery (WGTS) Committee to host the second annual three-part webinar series, Women in Cardiothoracic Surgery—Advancement Through Collaboration. In Part 2 of this series, leaders discussed regions of the world in need of more women…
This case features a 58-year-old male with a dilated aorta and sever aortic regurgitation. The procedure began with an incision through the manubrium and upper sternum extending to the third intercostal space, followed by a T-shaped incision. The pericardium was carefully tucked under the retractor, bringing the aorta up using an Estech retractor. A high aortic…
Objective The arterial switch operation has now largely replaced the atrial switch procedures developed by Mustard and Senning in the management of d-transposition of the great arteries (D-TGA) (1, 2). Currently, most patients who undergo the arterial switch operation survive into adulthood, with a 20-year survival rate of nearly 90 percent (3). However, pathologies of…
This video is part of CTSNet’s 2024 Resident Video Competition. Watch all entries into the competition, including the winning videos. Pectus excavatum is a thoracic deformity with mainly aesthetic repercussions in mild to moderate cases; however, in more serious cases, it can affect cardiorespiratory function, and hemodynamic compromise may occur. The use of different surgical techniques…
In this series, CTSNet invites top cardiothoracic surgeons from around the world to engage in in-depth discussions about important topics in the field of CT surgery by examining specific cases in detail. Watch for more insightful master class videos in the coming weeks. In this in-depth discussion, CTSNet Senior Editor Dr. Vince Gaudiani and Dr.…
This video from CTSNet Editor-in-Chief Dr. Joel Dunning presents a repair for acquired asphyxiating thoracic dystrophy involving a person who underwent a Ravitch operation at the age of four. Unfortunately, this intervention inhibited the growth of the thoracic cavity, resulting in severe shortness of breath due to a very small thoracic cavity. The third to…
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 totally endoscopic atrial septal defect (ASD) closure and tricuspid valve repair in a 28-year-old male who had presented with…
In this new CTSNet President’s Series, Dr. Husam Balkhy, president of ISMICS, showcases cutting-edge, totally endoscopic cardiac procedures from the University of Chicago. Watch for more videos in this series coming soon. The first case involves an 82-year-old man who underwent MitraClip implantation for severe mitral regurgitation (MR) six months ago. The second case is a 75-year-old…
Introduction Due to certain limitations of video thoracoscopy compared to robotics, such as the mobilization of forceps and 3D vision, the robotic technique has been gaining ground and showing promising results. Several authors have demonstrated the safety and feasibility of resection in locally advanced lung cancer using a robotic-assisted approach (2, 3). In this video,…
In this video, Dr. Vince Gaudiani demonstrates his technique for managing a complex case of endocarditis in a 59-year-old patient with a history of aortic and ascending aortic replacements. The video begins with a discussion about how to avoid pushing infected material to the patient’s brain or down the coronaries. Procedure After clamping and administering…
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