Content from the Journal of the American Neurological Surgeons.
Introduction This is the case of a 54-year-old woman who presented with progressive breathlessness. Diagnostic workup revealed an unruptured sinus of Valsalva aneurysm (SVA) originating from the right coronary sinus, causing significant right ventricular outflow tract obstruction (RVOTO). The aneurysm was associated with thrombus formation and calcification at the aortic commissures and the ostium of…
This video demonstrates the case of an 84-year-old woman who had previously undergone aortic valve replacement and CABG x 3, and who then developed severe mitral valve regurgitation. All the grafts were left sided, and the right ventricle was stuck to the back of the sternum on the CT scan. The femoral artery and vein…
Aneurysm and dissection are among the most prevalent conditions that impact the ascending aorta (1). The standard treatment approach for these issues is graft replacement, a surgical procedure that has consistently demonstrated outstanding outcomes in both the short and long term (2). In particular, when the problem is localized to the ascending aorta and the…
A 73-year-old male with a 30-pack-per-year smoking history was found to have a 1 cm spiculated nodule in the right lower lobe on a lung cancer screening CT chest. His workup included a PET-CT scan, which demonstrated low FDG avidity in the nodule, and an endobronchial ultrasound (EBUS) with transbronchial biopsy of both the nodule…
CTSNet hosted a webinar on January 18, 2025, featuring a transatlantic panel of cardiologists and cardiac surgeons discussing the topic “Unifying Revascularization Guidelines Across Continents and Specialties.” Panelists included cardiothoracic surgeons Torsten Doenst, MD, PhD, Head of Department of Cardiothoracic Surgery, University Hospital Jena; and Dawn Hui, MD, Professor of Cardiothoracic Surgery, University of Texas…
Recently, hybrid approaches for the treatment of thoracic aortic pathologies have gained popularity as a means to decrease morbidity and mortality associate with conventional total aortic arch replacement. In this video, the authors provide insights into their surgical approach for hybrid management of an aneurysm in the aortic arch and thoracic aorta secondary to Stanford…
This is a case of an 82-year-old woman who initially underwent a mitral valve repair followed by a biological mitral valve replacement. However, she later presented with mitral regurgitation, and possible vegetations on the valve led cardiologists to avoid placing a transcatheter valve. The patient also had a pacing wire in place, and this operation…
This interview features the winner of the 2024 CTSNet Innovation Video Competition. Watch the winning video and all other competition entries. CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Jessica Hungate about her novel pericardial patch for mitral valve replacement in the setting of mitral annular calcification (MAC), as demonstrated in “The Mitral Patch Technique for Mitral…
Truncus arteriosus surgery has a mortality rate of 6.9 percent to 12 percent, with a long-term survival rate of 75 percent at 20 years. It is often performed alongside other cardiovascular repairs in neonates. Challenging cases involve valve insufficiency or coronary anomalies (1,2). Regardless of the conduit type used during the initial repair, a subsequent…
At the 2024 Women in Thoracic Surgery Inaugural Annual Conference, CTSNet interviewed some of the most accomplished women in cardiothoracic surgery from around the globe. Stay tuned for more interviews from the meeting. At the 2024 WTS conference, Dr. Ammara Watkins spoke with Dr. Deniz Piyadeoğlu about her research on gender differences in ergonomics within cardiothoracic surgery.…
This is part of an ongoing series following the recovery of a patient who was previously seen for correction of pentalogy of Cantrell. This segment of the series occurred prior to discharge from the CVICU and two months postoperation, aimed at maintaining proper sinus rhythm. As of now, the patient has been fully discharged to…
This video shows Dr. Vince Gaudiani demonstrating how the MitraClips had failed in an 88-year-old patient prior to removing them and performing a mitral valve replacement via a hemisternotomy. The MitraClips were initially successful, but after a year, the patient developed heart failure and severe mitral regurgitation. Dr. Gaudiani performed a hemisternotomy with femoral venous…
The authors present the case of an 81-year-old man who, after an inferior myocardial infarction in 1990, underwent heart surgery involving three coronary artery bypasses. The right internal thoracic artery was used for the left anterior descending artery, the left internal mammary artery for the obtuse marginal, and a saphenous vein graft for the right…
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. Sameh Said spoke with Dr. Ali Dodge-Khatami about his study on minimally invasive repairs of congenital heart…
Owing to its excellent hemodynamic properties without necessity of anticoagulation treatment, the Ross procedure is an attractive option for nonelderly adults with aortic valve pathology. Although this is a well-established procedure in experienced hands, autograft dilatation had remained a concern, requiring reoperation, including valve replacement. In 2001, Starnes and colleagues adopted the pulmonary autograft inclusion…
The patient was a 68-year-old man who initially presented with symptoms of asthma, but it was later determined to be shortness of breath due to rheumatic mitral valve disease. Dr. Vince Gaudiani used an upper hemisternotomy, femoral vein cannulation, and an incision through the roof of the left atrium. Dr. Gaudiani believes this approach provides…
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