Content from the Journal of the American Neurological Surgeons.
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 Board Member Marjan Jahangiri spoke with Dr. Joseph E. Bavaria about the different approaches to bicuspid aortic valve repair. Dr. Bavaria addressed tips for…
The authors present a case of a neoaortic valve repair with a HAART ring in a twenty-seven-year-old patient born with transposition of great arteries who underwent an arterial switch operation as a neonate. Indication for surgery was moderate-to-severe aortic insufficiency (AI), severe left ventricular (LV) dilation, and mild LV dysfunction. A redo median sternotomy was…
Surgically repairing pulmonary atresia is a challenging problem when there is complete absence of pulmonary arteries. To restore the continuity and confluence of the lung hila, a tubal structure is required. Although different types of biologic or nonbiologic materials have been used for this purpose, calcification, thrombosis, peeling formation by intimal hyperplasia, shrinkage, fibrosis,strictures, and…
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 2024 SCTS Annual Conference, Aung Oo delivered a speech on AMDS and FET in acute…
Valve sparing root replacement requires meticulous surgical techniques to restore aortic valve function. Several methods have been used to assess aortic valve competency post reconstruction, including visual inspection, water injection, and measurement of effective heights. However, it remains difficult to evaluate leaflet coaptation and degree of cusp prolapse when the aortic root is not pressurized.…
Introduction As the main source of cardiogenic emboli, left atrial appendage (LAA), accounts for more than 90 percent of embolic strokes (1, 2). It has been referred to as the most “lethal human attachment” (2). Various shapes, namely cactus, chicken wing, windsock, and cauliflower, have been described in the literature (3). These descriptions, however, have…
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 Jill Ley spoke with Dr. Jonathan W. Haft about his presentation on determining brain death in ECMO patients. With ECMO use on…
To begin, a standard median sternotomy was performed and both pleural spaces are widely opened. The anterior diaphragmatic attachments at the pericardium were taken down. The phrenic nerve was identified on the left side. The caudal aspect of the left sided pericardium was taken down to within a few centimeters of the phrenic nerve. Prior…
In this continued series of webinars, CTSNet hosted a discussion on, “Advanced Aortic Root Surgery—Series 3: Evolving surgical techniques with Cardioroot in Bio-Bentall and David procedures,” in collaboration with Getinge. The webinar was broadcasted to a live audience on July 10, 2024. The panel featured moderator Laurent De Kerchove (Cliniques Universitaires Saint-Luc), speaker Alexander Kaminski…
Even with the recent progress in the surgical treatment of complex diseases of the aorta, these operations remain challenging for most surgeons (1-4). Nevertheless, complex diseases of the ascending thoracic aorta (ATA), descending thoracic aorta (DTA), and the aortic arch (ARC) are associated with higher morbimortality. One-step surgical correction of these conditions with the use…
This patient had a severely calcified aorta with severe aortic regurgitation, calcified ascending aorta, and an occluded distal aorta with claudication. The aorta had to be cannulated at the back with an 18 Fr seldinger cannula due to a bank of calcium, and then the root was excised. It was measured on TEE as 17…
This video presents a forty-seven year-old woman who, when she was two years old, had a balloon valvuloplasty, then, as a teen, she had a Ross procedure. This procedure failed, so she had a freestyle biological root replacement. During the next 15 years, this developed severe calcification. The pulmonary valve had received a melody catheter…
Introduction The United States prides itself on its rich ethnic and racial diversity, a trait that is yet to be fully mirrored within the realm of cardiothoracic (CT) surgery (1). Despite the clear benefits of workforce diversity, including enhanced patient outcomes, academic achievements, and career fulfillment, CT surgery lags in accurately representing the nation’s demographic…
The Bentall procedure is a cardiac surgical operation involving composite graft replacement of the aortic valve, aortic root, and ascending aorta, with reimplantation of the coronary arteries into the graft. This technique was first described by Hugh Bentall and Antony De Bono in 1968, using a median sternotomy approach (1). To minimize surgical trauma and…
An important goal in modern cardiovascular and thoracic surgery is reducing surgical trauma to achieve faster recovery for patients. More surgeons are comfortable with aortic valve replacement via upper hemi-sternotomy or right mini thoracotomy. Naturally, there is a growing interest in performing proximal aortic surgery via a minimal access incision. This video article describes the…
While complete atrioventricular septal defect covers a wide spectrum of malformations and pathophysiologies, there are several phenotypic features common in all of them. The phenotypic features are the commonality of the atrioventricular junction, the atrioventricular valve leaflets inserted at same level of crux, unwedged and anteriorly displaced aortic valve, an elongated left ventricular outflow tract…
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