Content from the Journal of the American Neurological Surgeons.
In March 2024, the Society for Cardiothoracic Surgery in Great Britain and Ireland brought together surgeons from around the world to discuss CT surgery topics and share knowledge. Watch for more SCTS 2024 videos in the coming weeks. At the Society for Cardiothoracic Surgery Annual Meeting 2024, Patrick Klein presented “Durability/Stroke/PVL/PPM—TAVI and SAVR Head-to-Head.” In his presentation,…
It is now common to encounter patients who underwent complex mitral valve repair—incorporating mitral rings, leaflet patches, ultrasonic annular decalcification, and multiple sets of artificial chords—20-30 years ago with no more valve dysfunction. Such is the advantage of autologous valve repair. Instead of a “lifetime management” approach to valve disease, the goal of the valve…
The patient was an 18-year-old male who presented with fatigue and exercise intolerance. He was born with dextrocardia and a functional single ventricle secondary to severely unbalanced complete atrioventricular septal defect with transposition of the great arteries and pulmonary atresia. He had undergone all three stages of palliation as a neonate, at two years, and…
The authors present a tricuspid valve repair utilizing autologous pericardium in a 29-year-old male with a history of drug injection (PWID). The intraoperative transesophageal echocardiogram (TEE) revealed a large mass attached to the anterior leaflet of the tricuspid valve, resulting in severe tricuspid regurgitation (TR). Following the establishment of cardiopulmonary bypass (CPB), a right atriotomy…
At the 2024 AATS 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. CTSNet Senior Editor Sameh Said spoke with Stefan Elde about total beating heart transplants. Dr. Elde addressed the three techniques for heart transplants and their outcomes, and…
Hypertrophic obstructive cardiomyopathy (HOCM) predisposes to left ventricular outflow tract obstruction (LVOTO), which can significantly reduce quality of life and is associated with sudden cardiac death. It is important to note that the LVOTO in HOCM patients is not solely caused by the hypertrophied interventricular septum (IVS), but rather is multifactorial. Therefore, a thorough understanding…
This five-minute video demonstrates how to prepare your own single Gore-Tex chord for mitral repair or how to use premade On-X chordal loops in a mitral repair. Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page…
In this video, Dr. Vince Gaudiani demonstrates a simple triangular resection of the mitral valve for a sixty-eight-year-old male with P2 prolapse. He uses an upper hemisternotomy with a femoral vein cannula and direct aortic cannulation, and a left atrial vent with antegrade cardiolplegia. He also shows how to access the mitral valve through the roof of…
The patient is a seventy-eight-year-old male with a complex cardiac history, including a 3-vessel coronary artery bypass graft surgery (CABG), a Watchman device for atrial fibrillation, and a transcatheter mitral valve replacement for severe mitral regurgitation (MR). He also underwent an Amplatzer occluder replacement for iatrogenic atrial septal defect (ASD) creation. Over the last year,…
A three-year-old 14.6 kg child presented with a severe left ventricular outflow tract (LVOT) obstruction secondary to a subaortic membrane. Prebypass echocardiogram showed that the membrane was below the aortic valve with significant flow acceleration into the LVOT. The Surgery The procedure was performed through a vertical right axillary thoracotomy (VRAT). The right chest was entered,…
In March 2024, the Society for Cardiothoracic Surgery in Great Britain and Ireland brought together surgeons from around the world to discuss CT surgery topics and share knowledge. Watch for more SCTS 2024 videos in the coming weeks. At the Society for Cardiothoracic Surgery Annual Meeting 2024, Oleksandr Babliak presented “How to Start Routine Minimally Invasive CABG.”…
Videos of the CT scan, transesophageal echocardiography, and coronary angiography were acquired with an iPhone 15 Pro and transferred to the Vision Pro device through the AirDrop application. Windows were opened in the space surrounding the endoscopic system. This made intraoperative consultation of imaging tests with gestures and sharing of the procedure via steaming possible. …
The radial artery has gained importance as a graft in coronary artery bypass surgery and is frequently considered a preferable alternative to the saphenous vein for additional grafting by surgeons worldwide. Its use is strongly recommended in the current European and U.S. cardiothoracic guidelines on operative myocardial revascularization. The radial artery has greater long-term durability…
In a standard donation after circulatory death (DCD) heart transplant, there are two cycles of ischemic reperfusion period. The first one is in the donor hospital and the second one is in the recipient hospital. In general, DCD heart transplant will show a 10-20 percent higher primary graft dysfunction rate compared to a brain death…
Cardiac surgeon and CTSNet Senior Editor Dr. Vince Gaudiani shares a detailed and fascinating explanation of the anatomy and physiology of the mitral valve. He explains why the mitral valve has been created to function as it does and how, in fact, its design is a great solution for the heart as it transitions from…
In this video, cardiac surgeon and CTSNet Senior Editor Dr. Vince Gaudiani introduces and explains the videos in his series exploring mitral valve repair. He also discusses the importance of fully understanding the anatomy of the mitral valve when considering techniques to repair it. Disclaimer The information and views presented on CTSNet.org represent the views…
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