Content from the Journal of the American Neurological Surgeons.
This article is part of CTSNet’s Guest Editor Series, “Mastering Aortic Root Surgery—Learning From Top Surgeons”. Dr. Lorena Montes invited top cardiac surgeons from around the world to contribute clinical videos on various aortic root surgery techniques. This is a highly novel way for performing an aortic root replacement. The main principle of this technique is…
This article is part of CTSNet’s Guest Editor Series, “Mastering Aortic Root Surgery—Learning From Top Surgeons”. Dr. Lorena Montes invited top cardiac surgeons from around the world to contribute clinical videos on various aortic root surgery techniques. As described in the late 1960s, the Ross procedure entails aortic valve replacement with a pulmonary valve autograft…
This article is part of CTSNet’s Guest Editor Series, “Mastering Aortic Root Surgery—Learning From Top Surgeons”. Dr. Lorena Montes invited top cardiac surgeons from around the world to contribute clinical videos on various aortic root surgery techniques. The authors present the case of a 39-year-old woman with a diagnosis of Marfan syndrome and a mutation…
This article is part of CTSNet’s Guest Editor Series, “Mastering Aortic Root Surgery—Learning From Top Surgeons”. Dr. Lorena Montes invited top cardiac surgeons from around the world to contribute clinical videos on various aortic root surgery techniques. This video demonstrates an 82-year-old male with chronic renal insufficiency, who was admitted for decompensated heart failure. The echocardiogram showed…
In this video, Dr Vince Gaudiani demonstrates a Cox maze III procedure and how to perform a complex repair of a calcified posterior leaflet. He began by performing a full sternotomy and aortic and venous cannulation. He then administered antegrade cardioplegia and placed a right superior pulmonary vein vent. The Cox maze III procedure was started…
In this video, Dr. Vince Gaudiani demonstrates how to perform a complex repair of a calcified posterior leaflet. He first cannulated the femoral vein, then performed an upper ministernotomy before conducting aortic cannulation. He then administered antegrade cardioplegia and placed a right superior pulmonary vein vent. The roof of the left atrium was then opened,…
In May 2024, The Diagnostic and Therapeutic Center of Athens Hygeia organized the Transcatheter Heart Valves Greece 2024. The conference featured pivotal specialty insights from both local faculty and internationally renowned professionals. Watch for more TCHVG 2024 videos in the coming weeks. At the Transcatheter Heart Valves Greece 2024 conference, leading surgeons delivered presentations on various…
Conduction abnormalities of the heart are common in post-cardiac surgery patients and also in some congenital heart abnormalities. The epicardial PPI procedure was designed to address specific situations where traditional transvenous pacing was challenging or contraindicated such as complex congenital cardiac defects or limited venous access in childhood and the availability of hardware sizes (5).…
The patient was a 51-year-old female who presented with shortness of breath, low appetite, weight loss, and thoracic discomfort for a year. A CT scan of the thorax revealed an esophageal mass measuring 5cm, with no other specific pathology. She underwent a gastroscopy, which demonstrated a submucosal finding at a depth of 20 cm, with…
This is a case presentation of a full-term infant female who was prenatally diagnosed with pentalogy of Cantrell and a cardiac diagnosis of ectopia cordis, a Tet-type double outlet right ventricle (DORV) with two large subaortic and inlet ventricular septal defects (VSD), left superior vena cava (LSVC) to left atrium (LA) without a bridging vein,…
The patient was a 68-year-old male with a history of type 3 paraesophageal hernia (PEH) recurrence post receiving a Nissen fundoplication and an attempted robotic repair one year prior. The repair was aborted intraoperatively due to respiratory decline and hypercapnia. His past medical history was also notable for Cameron’s ulcers, chronic obstructive pulmonary disease (COPD),…
Dr. Vince Gaudiani demonstrates how to perform a complex repair of a mitral valve with a heavily calcified posterior leaflet. He began by cannulating the femoral vein and then performed a sternotomy. Following this, he placed a right superior pulmonary vein vent and performed aortic cannulation with antegrade cardioplegia. The roof of the left atrium…
This video shows an 80-year-old patient who had severe mitral and tricuspid regurgitation with pulmonary hypertension and, intraoperatively, was found to have a sinus venosus defect. Dr. Vince Gaudiani found the sinus venous defect when he was ready to place a right superior vein vent and discovered that the right superior pulmonary vein (RSPV) was…
In the latest CTSNet Guest Editor Series, Mastering Aortic Root Surgery—Learning From Top Surgeons, cardiac surgeon and CTSNet Senior Editor Dr. Lorena Montes invited top cardiac surgeons from around the world to contribute clinical videos on various aortic root surgery techniques, such as the David procedure for aortic regurgitation, the Ross procedure for aortic stenosis,…
To begin, a 5-6 cm incision was made in the right 3rd intercostal space, with the fourth rib sheared at the costochondral junction. The specific intercostal space used can be tailored to the patient. The authors prefer using the standard, centrally placed ascending aortic cannula with angled high superior vena cava (SVC) cannulation and a…
Conventional robotic-assisted subxiphoid thymectomy provides excellent visualization to both the phrenic nerve and the superior horn of the thymus gland, allowing the surgeon to effectively perform a radical thymectomy. However, this technique requires a 3 cm incision for subxiphoid dissection, and VATS dissection has some risk of injury to branches of the musculophrenic artery, the…
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