Content from the Journal of the American Neurological Surgeons.
This video is the third-place winner from CTSNet’s 2024 Resident Video Competition. Watch all entries into the competition, including the other winning videos. Clinical Vignette A 78-year-old male presented with worsening intermittent shortness of breath. Diagnostic imaging revealed severe mitral regurgitation with prolapse and extensive mitral annular calcification (MAC). A CT scan showed severe MAC with…
A 67-year-old marathon runner and Ironman competitor with a history of aortic valve replacement and ascending aortic aneurysm repair presented to an outside hospital with strep viridans endocarditis, leading to a root abscess and pseudoaneurysm. He experienced cardiac arrest with return of spontaneous circulation (ROSC), developed complete heart block requiring pacing, and acute kidney injury…
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 expert discussion videos in the coming weeks. In this in-depth discussion, CTSNet Senior Editors Drs. Vince Gaudiani and…
The aorta was cross-clamped, and the heart was arrested using antegrade cardioplegia. The aorta was transected and trimmed to the sinotubular junction. Commissural pledgeted stay sutures were placed, and the valve was carefully assessed. Once the valve was deemed suitable for preservation, the graft was sized using a Hegar dilator and measurement of the interleaflet…
This video is the second-place winner from CTSNet’s 2024 Resident Video Competition. Watch all entries into the competition, including the other winning videos. Clinical Presentation and Preoperative Course A 72-year-old male presented with significant weight loss and dysphagia for one month. His medical history included coronary artery disease (s/p LAD stent), NSTEMI (on Plavix), atrial fibrillation…
This video demonstrates Dr. Vince Gaudiani’s technique for performing an upper ministernotomy. The manubrium was opened, followed by a horizontal osteotomy through the third intercostal space. Bone wax was used to dry the incision, and a small anodized retractor was placed initially without towels to allow for complete mobilization of the pericardium. The pericardium was then…
At the 2024 EACTS Annual Meeting, CTSNet senior editors set out to interview the most knowledgeable CT surgeons from around the world. Stay tuned for more interviews from the meeting. At the 2024 EACTS Annual Meeting, Dr. Alice Copperwheat spoke with Kathryn Hewitt and Kathryn Gill about the role and utility of advanced clinical practitioners. They explored…
Aorto-atrial fistulas are rare anatomical anomalies that can arise from various etiologies, with endocardial infections being the most common cause in adults. Their true impact on the population is unknown. Mostly, they correspond to a fistula that communicates the aorta with the right atrium, and secondarily with the left atrium, with an incidence of 2…
A port catheter is a crucial instrument, particularly for chemotherapy patients. It is preferred due to its relatively simple placement, ease of maintenance, significant benefits for the patient, and prolonged usability with proper care. Under normal circumstances, venipuncture is ideally performed using imaging techniques, and catheter placement is confirmed via fluoroscopy. However, economic constraints may limit…
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. Both patients were taken to the operating room (OR) and positioned supine with a roll under the right side. General endotracheal anesthesia was initiated using…
This is the winning video from the 2024 CTSNet Resident Video Competition. Watch all entries into the competition, including the second and third place winners. Click here to watch Dr. Allen A. Razavi’s interview with CTSNet Editor-in-Chief Joel Dunning. The patient was a 77-year-old male with a history of asthma, type 2 diabetes, and end-stage interstitial…
In this video, Dr. Vince Gaudiani demonstrates his method for repairing bileaflet mitral valve prolapse through a rooftop incision in the left atrium using an upper ministernotomy. The repair is performed on a Barlow’s valve with prolapse of both the anterior and posterior mitral leaflets. There were no torn chords to the anterior leaflet, so chords…
At the 61st STS Annual Meeting, CTSNet senior editors set out to interview the most knowledgeable CT surgeons from around the world. Watch for more interviews from the meeting in the coming weeks. At the 2025 STS Annual Meeting, CTSNet Senior Editor Dr. Emily Farkas spoke with Dr. Dominique Vervoort about global cardiac surgery workforce planning.…
At the 10th Annual International Coronary Congress, renowned surgical experts gathered to discuss the latest developments and techniques in coronary surgery. Watch for more ICC 2024 videos in the coming weeks. At the 10th Annual International Coronary Congress, Dr. Christopher Lau delivered a presentation on “How to Do a Quick, Safe Posterior Pericardiotomy in Every Case.”…
Patient Selection The main indication for thoracic truncal vagotomy is recalcitrant marginal ulcer following previous gastric surgery (1,2). This procedure helps reduce gastric acid production, promoting ulcer healing and preventing further complications. Patients who experience persistent or recurrent ulcers despite prior interventions such as proton pump inhibitors or surgical procedures may benefit from this approach.…
At the 2024 EACTS Annual Meeting, CTSNet senior editors set out to interview the most knowledgeable CT surgeons from around the world. Stay tuned for more interviews from the meeting. At the 2024 EACTS Annual Meeting, CTSNet Senior Editor Dr. Lorena Montes spoke with Dr. Diyar Saeed about the guidelines for mechanical circulatory support and ventricular assist…
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