Content from the Journal of the American Neurological Surgeons.
Lead surgeon, Dr. Feras Khaliel has generously shared his video of the first-ever robotic heart transplant. This video is in full resolution and shows his right chest approach with a 5 cm mini thoracotomy and anastomoses. This video also demonstrates how this is a highly feasible technique that is likely to be performed more times…
This patient in this video was a 55-year-old female who underwent a mitral valve repair for prolapse and had an anomalous right coronary artery as well. Dr. Vince Gaudiani begins this video by explaining the condition of anomalous right coronary artery and when it poses risks and when it does not. Dr. Gaudiani began the surgery…
This video shows a 55-year-old patient who underwent an open pulmonary valvotomy in 1967. He presented with a 10cm right atrium, free pulmonary regurgitation, tricuspid regurgitation, and mitral regurgitation. First, Dr. Gaudiani cannulated the femoral vein and performed a full sternotomy. He then placed a right superior pulmonary vein vent and cannulated the superior vena cava…
The authors present a robotic-assisted approach for first rib resection. Traditionally, first rib resection is performed through conventional open surgery, often using either a supraclavicular or transaxillary approach, each with its own advantages and disadvantages. A minimally invasive approach can solve many shortcomings of the conventional open approach, and in expert centers, proved superior in…
A 26-year-old male with Marfanoid features presented with severe interscapular pain. An ECG-gated CT aortogram (CTA) revealed acute dissection in the ascending aorta, and chronic dissection with complex tears, two false lumens, and a thrombus in the descending thoracic aorta (DTA) measuring 7.6 cm and involving the origin of the celiac artery. Tears were identified…
The patient was a 34-year-old male from Syria who presented with an incidental finding on his chest X-ray during a visa work up. Further testing revealed a 7.5 x 7.5 x 7 cm cyst in the left lower hemithorax, raising concern for either a bronchogenic cyst or a hydatid cyst. After an extensive infectious disease…
This video demonstrates the application of an AtriClip using the Intuitive XI robot. The authors believe this is the first case of its kind in the United Kingdom and Europe. The patient was an 82-year-old man with a very high BMI of 52. He had idiopathic thrombocytopenia and had experienced two spontaneous intracranial hemorrhages. He…
This video demonstrates a patient who experienced a failed attempt at MitraClip placement on the tricuspid valve. This led to severe tricuspid regurgitation (TR), heart failure, and a dilated mitral annulus that required repair. The procedure began with cannulation of the femoral vein, followed by a full sternotomy. Dr. Guadiani then placed a right superior…
In this video, Dr Vince Gaudiani demonstrates how to perform an Onyx Chord-X chordal repair of a prolapsing medial commissure of the mitral valve. The patient had a prolapsing P1, which is caused prolapse of A1 as a result. First, Dr. Gaudiani cannulated the femoral vein, then performed an upper ministernotomy before placing a right…
Since its introduction in 1982, the aortic root remodeling procedure, known as Yacoub’s procedure, has gained widespread recognition and acceptance. This can be attributed to its ability to circumvent the adverse consequences associated with anticoagulation therapy, replicate natural blood flow characteristics—particularly at the coronary ostia—alleviate shear stress on the aortic leaflets, and, most important, preserve…
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…
The minimally invasive approach has been utilized to correct numerous congenital cardiac anomalies, such as ASD, Partial AV canal, Subaortic web resection, VSD, and PAPVC with good results (1). This approach is described for the supracardiac TAPVC here. To the best of the authors’ knowledge, this is the first report pertaining to this particular type…
CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Dawn Jaroszewski about optimizing pectus surgery. Dr. Jaroszewski addressed key issues, amounts of bars used in the procedure, and suppressing displacement of bars. She also discussed stabilizers vs bridges, removing bars, cryoanalgesia, and so much more. Watch Dr. Jaroszewski perform a NUSS procedure at the Mayo Clinic…
A 64-year-old woman with a history of Stage IIIA adenocarcinoma of the left lower lobe underwent robotic-assisted left lower lobectomy and mediastinal node dissection in 2016, followed by adjuvant chemotherapy. Subsequently, she was found to have brain metastasis requiring SBRT and mediastinal adenopathy that was biopsy-proven recurrence in 2019. At that time, she started on…
The patient was a 27-year-old female with a history of postural orthostatic tachycardia syndrome and Ehlers Danlos syndrome who presented with dysphagia to solids since 2021. Her work up was negative for esophageal dysmotility and gastroparesis. She had previously developed non-ischemic angina and underwent computed tomography, which identified an aberrant right subclavian artery and 1.5cm…
In this video, Dr. Vince Gaudiani demonstrates how to perform an Onyx Chord-X chordal repair of a P1 prolapse. He began by cannulating the femoral vein and then performed an upper ministernotomy. Following this, he placed a right superior pulmonary vein vent and performed aortic cannulation with antegrade cardioplegia. The roof of the left atrium was…
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