Content from the Journal of the American Neurological Surgeons.

Step-by-Step Pulmonary Thromboendarterectomy for Chronic Thromboembolic Disease

Introduction  Pulmonary thromboendarterectomy (PTE) is an effective but complex procedure for treating chronic thromboembolic pulmonary disease. Learning to perform PTE is crucial for cardiothoracic surgeons in training; however, the exposure and depth of the dissection plane can make this arduous. Technical descriptions of PTE often rely on text or poor-quality media that were not intended…

Mastering Aortic Valve Replacement

This video demonstrates the Gaudiani technique for aortic valve replacement in a cadaveric porcine specimen. The aortotomy was made, and the valve excision and suture placement are shown with advice on using pledgeted sutures and where to place them.  A bioprosthesis was placed, and a single layer of 3-0 Prolene was used to close the aorta.…

MIDCABG Multiple Total Arterial: 2024 London Core Review Cardiothoracic Surgery Course

In this session from the 2024 London Core Review Cardiothoracic Surgery Course, Dr. Venkatachalam Chandrasekaran discusses minimally invasive direct coronary artery bypass grafting (MIDCABG) with a focus on total arterial approaches. He examines off-pump total arterial revascularization (TAR), the use of a single internal mammary artery (SIMA) along with saphenous vein grafts (SVG), bilateral internal…

Norwood-Sano Stage I Palliation for Hypoplastic Left Heart Syndrome: The Modified Birmingham Technique

This video is part of CTSNet’s 2024 Resident Video Competition. Watch all entries from the competition, including the winning videos.   The patient was a 2.4 kg neonate diagnosed with hypoplastic left heart syndrome. The Birmingham technique of arch reconstruction in Stage I palliation aims to simplify the process of arch reconstruction during the Norwood procedure. This…

Surgical Management of Giant Left Anterior Descending Artery Aneurysm Post Stent

A 68-year-old male presented with chest pain and breathlessness on exertion during the preceding 10 days. He had undergone percutaneous transluminal coronary angioplasty (PTCA) of the left anterior descending artery (LAD) the previous year and had a history of hypertension (HTN) and hypothyroidism, with no history of fever. Preoperative evaluation, including a CT coronary angiogram,…

Minimally Invasive (VATS) Management of Pulmonary Arterial Bleeding in Segment 9

This video is part of CTSNet’s 2024 Resident Video Competition. Watch all entries from the competition, including the winning videos.   An 81-year-old female patient was admitted for surgical treatment of early-stage non-small cell lung cancer (NSCLC) in the right lower lobe for which a minimally invasive resection of segment 10 was indicated.  Bleeding occurred during the…

Robotic Beating-Heart Totally Endoscopic Coronary Bypass (TECAB): LIMA to LAD

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.     Introduction  This video presents a robotic beating-heart totally endoscopic coronary bypass (TECAB) procedure involving a single vessel, specifically, the left internal mammary artery (LIMA) to…

Post-Myocardial Infarction Ventricular Septal Defect Repair and Coronary Revascularization Via a Left Anterior Minithoracotomy

The authors present a case of post-myocardial infarction ventricular septal defect repair with coronary artery bypass grafting performed via minimally invasive access—a left anterior minithoracotomy through the fourth intercostal space. Closure of the ventricular septal defect (VSD) was performed using the infarct exclusion technique with xenopericardium, as introduced by David in 1987 (1).  A 68-year-old…

Webinar Recording: Evidence-Based Update on Women in CT Surgery

CTSNet recently 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 1 of this series, experts reviewed the last 12-18 months of presentations and publications on…

Surgical Treatments of Aortic Root Aneurysms: 2024 London Core Review Cardiothoracic Surgery Course

In this session from the 2024 London Core Review Cardiothoracic Surgery Course, Dr. Tirone David discusses the surgical treatments of aortic root aneurysms. He examines the anatomy of the aortic root and thoracic aorta, the pathology of the aortic root and ascending aorta, primary and secondary aortic root aneurysms, and aortic root aneurysms associated with…