Content from the Journal of the American Neurological Surgeons.

Mitral Valve Repair of an A1-P1 Prolapse With the Chord-X System Through an Upper Ministernotomy and Atrial Rooftop Incision 

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…

Yacoub II Valve Conserving Operation for Aortic Root Remodeling

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…

TCHVG 2024 | Mitral Valve Session I

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…

Robotic-Assisted Salvage Completion Left Pneumonectomy After Chemo-Immunotherapy and SBRT

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…

Robotic-Assisted Ligation of the Aberrant Right Subclavian Artery for Dysphagia Lusoria

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…

TCHVG 2024 | TAVI Session IV

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…

Chest Wall Reconstruction Techniques

After chest wall resection, large defects are created in the bony structure of the chest. To preserve the integrity of the chest wall, a reconstruction procedure is often required. Multiple techniques have been described, such as using soft or rigid patches, rib plates, implants and 3-dimensional print parts.  In this video, the authors demonstrate three…

Re-Commando Procedure for Recurrent Endocarditis

A 41-year-old male patient was admitted to the hospital with complaints of shortness of breath at rest, fever, and weakness. His medical history included aortic and mitral valve replacements in 2019 due to infective endocarditis (IE). Subsequently, from 2019 to 2021, he experienced multiple episodes of severe fatigue and high fever, each requiring treatment with…

Common Arterial Trunk Type I Repair Using Autologous Arterial Tissue

Introduction Common arterial trunk (CAT) requires early surgical treatment to prevent high mortality and morbidity rates. The unopposed pulmonary overflow accelerates the deleterious effects of left-to-right shunting. Moreover, unprotected pulmonary circulation can lead to irreversible pulmonary hypertension, which increases the operative and postoperative risks. Therefore, repair in early infancy offers the best prognosis. The surgical…

Robotic-Assisted Left Lower Lobectomy for NSCLC After Neoadjuvant Chemoimmunotherapy

Since the publication of the results of the CheckMate 816 trial (1), neoadjuvant chemoimmunotherapy has been introduced as a standard of care for stage IB-IIIA resectable NSCLC without mutations. The use of minimally invasive approaches for this group of patients is still debated. The video highlights the enhanced precision and safety of robotic technology, especially…

Chordal Repair of P2 and P3 and Left Atrial Appendage Stapling Through an Upper Ministernotomy

In this video, Dr. Vince Gaudiani demonstrates how to perform an Onyx Chord-X chordal repair for a P2/P3 prolapse. He began by cannulating the femoral vein, then performed an upper ministernotomy before placing a right superior pulmonary vein vent and aortic cannulation with antegrade cardioplegia. The roof of the left atrium was then opened, and stay sutures…