Content from the Journal of the American Neurological Surgeons.
A 28-year-old female initially presented in 2022 with a persistent cough. Computed tomography (CT) imaging demonstrated features consistent with pulmonary sarcoidosis, which was subsequently confirmed by bronchoscopic biopsy. She was evaluated for lung transplantation and subsequently listed under the super-urgent category. Her past medical history was unremarkable. As part of the preoperative assessment, CT imaging…
Surgical repair of anomalous left coronary artery from the right pulmonary artery is indicated once diagnosed, especially in infants presenting with severe ventricular dysfunction, with or without mitral regurgitation or myocardial ischemia. Case Presentation A 4-month-old male infant (6.3 kg) presented with heart failure symptoms. Preoperative transthoracic echocardiography showed: Hyperechoic mitral papillary muscle Dilated left…
The authors present a case of reoperative settings using a minimally invasive approach in an 11-year-old girl with a complex congenital heart defect. The procedure consisted of pulmonary valve replacement via a left anterior minithoracotomy in the second intercostal space, indicated for severe pulmonary valve insufficiency. The patient was born with a complex congenital heart…
At the 2026 American Association for Thoracic Surgery (AATS) Annual Meeting, CTSNet JANS Editor Dr. Mujtaba Mubashir, a cardiothoracic fellow at Beth Israel Deaconess Medical Center, Boston, MA, USA, engaged in a thought-provoking discussion with Dr. Faiz Bhora, Professor of Surgery at the Hackensack Meridian School of Medicine and Regional Chair of Surgery and Chief…
At the 2026 American Association for Thoracic Surgery (AATS) Annual Meeting, CTSNet Senior Editor—Congenital, Dr. Sameh Said, Chief of the Division of Pediatric and Adult Congenital Cardiac Surgery at Maria Fareri Children’s Hospital in Valhalla, NY, USA, spoke with Dr. Igor Konstantinov, a consultant cardiothoracic surgeon at The Royal Children’s Hospital, Melbourne, Australia, about truncal…
At the Society for Cardiothoracic Surgery in Great Britain and Ireland Annual Meeting, Dr. Laurens Ceulemans, a thoracic and transplant surgeon and Associate Professor of Surgery at UZ/KU Leuven, Belgium, delivered a presentation titled “Lung Transplant: Daytime Surgery.” He discussed the impact of ischemic time and temperature on lung presentation, presented on a pilot study that utilized 10 degrees Celsius to intentionally delay transplantation, as well as a…
At the Society for Cardiothoracic Surgery in Great Britain and Ireland Annual Meeting, leading surgeons presented on mesenchymal stem cells and transplants. Dr. Laurens Ceulemans, a thoracic and transplant surgeon and Associate Professor of Surgery at UZ/KU Leuven, Belgium, delivered a presentation titled “Lung Transplant: Daytime Surgery.” He discussed the impact of ischemic time and temperature on lung presentation, presented on a pilot study that utilized 10 degrees Celsius to intentionally delay transplantation, as well as a prospective randomized…
A 60-year-old man with hypertension and hyperlipidemia was diagnosed with multivessel coronary artery disease and underwent cardiac catheterization, which revealed significant stenoses in the left main, circumflex, ramus, and right coronary arteries. During the procedure, he developed hypotension and chest pain, requiring intra-aortic balloon pump support and urgent referral for coronary artery bypass grafting. Coronary angiography, performed using standard catheters (JR4, JL4),…
At the Society for Cardiothoracic Surgery in Great Britain and Ireland Annual Meeting, leading surgeons presented on arrhythmia surgery. Professor Aldo Rinaldi, consultant cardiologist and clinical lead for electrophysiology at St. Guy’s and Thomas’ Hospitals, London, delivered a presentation titled “When Catheter Ablation Fails: How to Select Patients for Surgical Intervention.” He discussed various surgical treatments for atrial fibrillation (AF), including surgical AF ablation and the Cox-Maze procedure. He…
In this in-depth discussion, CTSNet Senior Editors Dr. Vince Gaudiani, Associate Professor of Cardiothoracic Surgery at Stanford University in Stanford, California, USA, and Dr. Sameh Said, Chief of the Division of Pediatric and Adult Congenital Cardiac Surgery at Maria Fareri Children’s Hospital in Valhalla, New York, USA, delve into the Konno procedure and left ventricular outflow tract (LVOT) enlargement. They explore several key topics, including the use of small prostheses,…
Valve-sparing aortic root replacement (VSRR) in grown-up congenital heart (GUCH) patients is a complex but feasible approach. The authors present their experience performing the David procedure in two adult patients with challenging congenital histories and failing neoaortic valves. Case 1: Post-Arterial Switch Operation An 18-year-old male presented with a history of arterial switch and coarctation repair in 2006. He exhibited severe bicuspid neoaortic valve regurgitation, neoaortic root dilation, and aortic arch kinking, with early…
The preparation of the right atrial (RA) appendage was done by incising the trabeculae under vision and everting the excised appendage over a Hegar dilator, so that the smooth external aspect of the RA appendage was in the path of blood. Eversion over the Hegar dilator also made dividing the trabeculae safer and the repair of any inadvertent perforation easier. After clearing the right ventricular outflow tract (RVOT) and closing the ventricular septal defect (VSD) from the…
This video shows a step-by-step demonstration of minimally invasive aortic valve replacement through a right anterior minithoracotomy. It focuses on the key technical steps, highlighting practical nuances and explaining the advantages of this approach. The case presented involved a 79-year-old man who developed progressive dyspnea while hiking in the Alps. Echocardiography showed severe aortic valve stenosis with preserved left ventricular function. Coronary…
Anomalous origins of the coronary arteries are rare, occurring in 1-2 percent of the general population. While anomalous aortic origin of the coronary artery alone is less often problematic (for example, right coronary artery (RCA) arising cranial to the sinotubular junction (STJ)), anomalous origin with an anomalous proximal course (interarterial or intramuscular) is more likely to be associated with ischemia. While RCA origin from the left coronary sinus is the most…
This video demonstrates the robotic resection of a giant superior mediastinal mass. The patient was a middle-aged male who had been referred to the authors’ clinic for evaluation of a mediastinal mass discovered on magnetic resonance imaging (MRI) during workup for dorsalgia. Imaging originally demonstrated a large, approximately 7 cm mass in the right upper mediastinum associated with tracheal deviation. Further workup with computed tomography (CT) of the chest demonstrated similar findings and a small, central, coarse calcification. Positron emission…
At the 2026 American Association for Thoracic Surgery (AATS) Annual Meeting, CTSNet Editor-in-Chief, Joel Dunning, a cardiothoracic surgeon at James Cook University Hospital in Middlesbrough, UK, spoke with Dr. Philip Linden, a thoracic surgeon at University Hospitals Cleveland Medical Center, Cleveland, OH, USA. Their conversation focused on the newly released AATS expert consensus document on the evaluation and management of N2+ non-small cell lung cancer. During their discussion, they explored several statements from the expert consensus document regarding the proper use…
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