Content from the Journal of the American Neurological Surgeons.
At the Society for Cardiothoracic Surgery in Great Britain and Ireland Annual Meeting, leading surgeons presented on cardiac revascularization. Dr. Tarun Mital, a consultant cardiothoracic radiologist at Harefield Hospital, UK, and honorary senior clinical lecturer at Imperial College London, delivered a presentation on “CT Imaging for Coronary Artery Disease.” He explored the challenges associated with imaging the heart, cardiac computed tomography (CT) indications, and electrocardiogram-gating. He also examined cardiac CT angiography…
CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Filipe Azenha, a thoracic surgeon at Hopital Fribourgeois (HFR), Fribourg, Switzerland and a fellow in robotic and minimally invasive surgery at Hôpital Saint Joseph, Marseille, France. They discussed Dr. Azenha’s winning Instructional Video Competition video titled “RATS Extended Left Upper Lobectomy With Intrapericardial Vascular Control and Bronchoplasty.” During their conversation, they delved into the specifics of the surgical procedure, emphasizing the technique employed and the tumor identified in the patient. Dr. Azenha also provided valuable insights and tips for ensuring safety during surgeries similar to this one, utilizing robotics, and…
In this video, the authors explain their technique for intrathoracic rib fixation as a treatment for rib pseudoarthrosis. They present the case of a 52-year-old female smoker with chronic obstructive pulmonary disease (COPD) who worked as a glassblower. She experienced a fall at home, impacting the left hemithorax, which resulted in fractures of the sixth to eighth left ribs. The patient was initially managed conservatively…
Tetralogy of Fallot (TOF) is one of the most common cyanotic congenital heart diseases, characterized by a constellation of anatomical abnormalities, including ventricular septal defect, right ventricular outflow tract (RVOT) obstruction, overriding aorta, and right ventricular hypertrophy. Complete surgical repair remains the definitive treatment, and a clear understanding of operative steps is essential for trainees beginning congenital cardiac surgery. The…
Before beginning, it is essential to review the imaging to confirm the correct side and indication for the procedure. Additionally, the labs needed to be reviewed to ensure that there is no underlying coagulopathy that requires correction. This information is then used to obtain informed consent. In this case, the patient was an 80-year-old female who was postoperative day five from a minimally…
A 57-year-old man presented with a two-year history of progressively worsening exertional dyspnea. Computed tomography revealed a 50 mm fusiform ascending aortic aneurysm. Echocardiography showed a heavily calcified bicuspid aortic valve with severe stenosis (peak/mean gradient 87/60 mmHg, aortic valve area 0.6 cm²) and preserved left ventricular ejection fraction (55 percent). Surgical Technique …
The authors present the case of a 71-year-old female former smoker who was referred for persistent right dorsal thoracic pain. Computed tomography (CT) and positron emission tomography (PET) scans revealed a 39 mm hypermetabolic tumor (SUVmax 10) in the apical segment of the right upper lobe, with direct invasion of the second rib. Preoperative staging, including endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), confirmed N0 status. With a clinical stage IIB (cT3N0M0) tumor, the patient…
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, engaged in a discussion with Dr. Bo Yang, a cardiovascular and thoracic surgeon at the University of Michigan Health in Ann Arbor, Michigan, USA, about aortic root enlargement. They explored Dr. Yang’s participation in a debate regarding the use of aortic root enlargement for…
At the Society for Cardiothoracic Surgery in Great Britain and Ireland Annual Meeting, leading surgeons presented on and debated over segmentectomy vs wedge resection. Dr. Alessandro Brunelli, a consultant thoracic surgeon and Honorary Clinical Associate Professor at St. James’s University Hospital, Leeds, UK, spoke on the topic of “Segmentectomy Is the Operation of Choice for Peripheral <2cm Stage I NSCLC.” He addressed the results of…
At the Society for Cardiothoracic Surgery in Great Britain and Ireland Annual Meeting, leading surgeons presented on the management of early-stage non-small cell lung cancer (NSCLC). Dr. Henrietta Wilson, a consultant thoracic surgeon at Barts Thorax Center, London, UK, delivered a presentation on “Are All Segments Equal?” She explored lung resection data and explored whether postoperative pulmonary function (PPF) varies depending on the segmentectomy and patient. She also discussed the JCOG0802 trial, preservation…
The authors present a robotic-assisted right bilobectomy performed for coexisting right upper lobe bronchiectasis and synchronous middle lobe adenocarcinoma, highlighting the management of dual pathology in the setting of dense inflammatory adhesions. A 45-year-old male with a longstanding history of cough and dyspnea was found to have localized bronchiectasis in the right upper lobe along with a suspicious lesion in…
At the Society for Cardiothoracic Surgery in Great Britain and Ireland Annual Meeting, leading surgeons presented on aortic dissection. Dr. Martin Czerny, a consultant cardiovascular surgeon at University Hospital Freiburg, Germany, delivered a presentation titled “Non-A Non-B Aortic Dissection: The Enemy of Both Worlds.” He explored the aorta as an organ, delving into the understanding of disease mechanisms and the German Registry for Acute Aortic Dissection…
Background and Rationale Coronary artery bypass graft (CABG) surgery remains a cornerstone treatment for advanced coronary heart disease. However, the long-term efficacy of CABG is frequently compromised by the failure of saphenous vein grafts (SVGs). Unlike arteries, veins are not physiologically adapted to the high-pressure arterial environment, leading to pathological tissue remodeling, neointimal hyperplasia, and…
Anatomic segmentectomy has emerged as an effective option for the management of early-stage lung cancer; however, the division of intersegmental parenchyma remains technically challenging. The authors describe and illustrate the exclusion technique, a bronchus-last strategy that utilizes an endoleader catheter to guide parenchymal division and simplify segmentectomy. Methods The exclusion technique involves dissection and division…
This is a case presentation of an eight-day-old female who presented with an anomalous left pulmonary artery (LPA) diagnosed by fetal ultrasound. A preoperative transthoracic echocardiogram demonstrated an anomalous LPA located 4 mm above the ascending aortic sinotubular junction, with right ventricular dilation, a mildly diminished right ventricular (RV) systolic volume of 29.6 percent, and RV hypertension (HTN) of 36.36 mmHG. Additionally, there was a patent right ductus arteriosus. This diagnosis was confirmed with a sagittal computed tomography angiography (CTA) scan. Due…
This video demonstrates a simplified ring-only mitral valve repair technique for patients with symmetrical bileaflet mitral valve prolapse, annular dilatation, and centrally directed multiple jets of mitral regurgitation. The technique is particularly suitable for minimally invasive mitral valve repair and serves as an alternative to sliding plasty in selected cases. The operative strategy was based on the implantation of the largest available annuloplasty ring to…
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