Content from the Journal of the American Neurological Surgeons.
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…
Learn how the unique native design of the Mosaic™ mitral valve and proper orientation help to reduce the risk for LVOT obstruction during this new educational video from Prof. Yanai Ben Gal from Tel Aviv Souraski Medical Center. Review Mosaic mitral valve risks: bit.ly/MosiacISW Disclaimer The information in this video is intended only for healthcare…
Introduction The standard of care for patients with advanced non-small cell lung cancer without mediastinal lymph node invasion is up-front surgical resection, if feasible (1). This can sometimes be difficult to achieve using a minimally invasive method due to tumor size, expected margins, invaded structures, and potential intraoperative injuries. Several authors have shown safety and…
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 Mara Antonoff spoke with Dr. Marianna Papageorge about her research on the number of diversity, equity, and inclusion (DEI)-focused presentations at major…
This is a three-year-old girl with cyanosis and clubbing. She was born with a double outlet right ventricle and a complete atrioventricular septal defect with a straddling left atrioventricular valve. She underwent an initial main pulmonary artery band but was lost to follow-up. Other associated anomalies include situs ambiguous, left isomerism with polysplenia, and interrupted…
The dogma traditionally proposed to avoid paravalvular leak is that each pair of sutures should be very close to the neighboring suture, with a maximum distance of 1 mm. This dogma was challenged with the use of only nine pairs of sutures without pledget placed equidistant along the aortic annulus, arguing that the force distribution…
This patient had a severely calcified valve which then became infected with endocarditis with abscess cavities under the left main coronary artery and right coronary artery. To begin the procedure, the patient was placed on bypass and retrograde cardioplegia was given. The aorta was resected, and two large abscess cavities were found disrupting the aortoventricular…
The patient in this video is a fit and active seventy-six-year-old man. Twenty-five years previously, he had a Ross procedure, but now presents with aortic root dilation. A percutaneous femoral vein cannula was used and the chest was opened. A very high aortic cannulation in the arch was used to provide space for the distal…
This video demonstrates one way to arrest the heart in a mini-access aortic root replacement procedure. The method described is suitable for patients with aortic regurgitation. The 5 cm incision provides adequate access for distal ascending aortic cannulation, aortic cross-clamping, and antegrade cardioplegia delivery via an aortic root needle. The venous drainage is achieved via…
This video provides a simple explanation of mitral regurgitation pathophysiology and the technique developed by the author over the past 10 years, known as KISS. This visual presentation provides a thorough understanding of mitral regurgitation and advanced surgical techniques explained through an old-school doodle. This technique combines three essential elements, including linear reconstruction, prefabricated neochords,…
The Patient The patient was a seventy-three-year-old man with known epiphrenic diverticula for 13 years. He presented with worsening dysphagia to solid foods, nocturnal coughing, and regurgitation. His relevant past medical history includes achalasia and hiatal hernia. His relevant past surgical history includes esophageal dilations for presumed nonrelaxing sphincter. The patient’s preoperative Eckardt score was…
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. Senior Editor Mara Antonoff spoke with Dr. Cecilia Pompili, an expert on patient-reported outcomes in cardiothoracic surgery, on the recently published results of the CheckMate…
First, note that there are many accepted strategies for wound closure. The technique will vary based on the weight of the patient and complexity of the wound. Regardless of the weight of the patient, the midsternal incision should be closed in three distinct layers. These include the deep, presternal fascia layer, the dermal layer, and…
This video demonstrates a right upper lobectomy. Although there is never a perfect case, the authors believe they are doing many things correctly with this technique. First, this is a training case. The authors try to train as much as possible without causing delays. They achieve this by having the training surgeon complete bedside stapling…
This is the case of a sixty-eight-year-old man who had an acute aortic dissection 10 years previously and had quite a small prosthetic aortic tube grafted onto a relatively large distal aorta. He presented with severe aortic regurgitation. First, percutaneous femoral vein cannulation was performed and the innominate artery was cannulated with a 14 Fr…
This fifty-five-year-old, 125 kg patient had a previous aortic valve replacement and presented with endocarditis with heart failure with a CVP of 30. It was determined unsafe to give antegrade cardioplegia due to the concern over embolizing endocarditis debris down the coronary arteries, so percutaneous femoral vein cannulation and SVC venous cannulation were performed. A…
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