Content from the Journal of the American Neurological Surgeons.
Pectus excavatum is a thoracic deformity with mainly aesthetic repercussions in mild to moderate cases. However, in more serious cases, it can affect cardiorespiratory function and hemodynamic compromise may occur. The use of different surgical techniques and their approaches to treat this deformity are well known. Depending on the characteristics and severity of the case,…
Case Presentation: This is a case presentation of a 2-month-old female infant who was diagnosed postnatally with a 2/6 ejection murmur. A transesophageal echocardiogram indicated severe supravalvar aortic stenosis at the sinotubular (ST) junction, mild aortic insufficiency, and a patent foramen ovale. Further imaging by the cardiology team illustrated normal coronary arteries and a 68-mmHg…
This patient had an emergency mitral valve repair at another institution, but the repair failed early. This resulted in P1 and P2 prolapse and systolic anterior motion of the leaflets, with the anterior leaflet abutting the hypertrophied septum. After cannulation, cardioplegia, and cross-clamping, the aorta was opened, and a relatively conservative amount of the left…
To wrap up the CTSNet Guest Editor Series, Mastering Aortic Root Surgery—Learning From Top Surgeons, cardiac surgeon and CTSNet Senior Editor Dr. Lorena Montes was joined by top cardiac surgeons from around the world to discuss aortic root surgery in a recorded panel discussion. Dr. Montes and her colleagues discussed details of the five videos…
This video demonstrates a myectomy for hypertrophic cardiomyopathy in a 70-year-old woman with a 100-mmHg gradient in her LVOT. The right femoral vein was cannulated, followed by the aorta, then a RSPV vent was placed and cardioplegia was administered. When the aorta was opened, an aberrant papillary muscle was immediately observed pulling the anterior leaflet forward…
In May 2024, the Minimal Invasive Extracorporeal Technologies International Society celebrated its 10-year anniversary in Thessaloniki, Greece. Surgeons from around the world gathered to discuss MiECC in clinical practices and MiECC technology. Watch for more MiECTiS 2024 videos in the coming weeks. At the Minimal Invasive Extracorporeal Technologies International Society 2024 conference, leading surgeons delivered…
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 Y-Incision aortic annular enlargement (AAE) was developed in August 2020 (1) and there have been several modifications, including…
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…
