Content from the Journal of the American Neurological Surgeons.

CSV Retractor: The First Dedicated Minimally Invasive Retractor for The Right Atrium

This video is part of CTSNet’s 2023 Innovation Video Competition. Watch all entries into the competition, including the winning videos. Minimally invasive cardiac surgery has evolved and advanced over the last two decades. However, ever since the first right minithoracotomy approach for mitral repair performed by Alain Carpentier in 1996, the equipment used for these…

Repair of a Large Posterior Left Ventricular PSA Involving the Mitral Apparatus

A sixty-two-year-old former smoker with chronic obstructive pulmonary disease presented to the authors’ institution with multiple recent embolic strokes and worsening heart failure symptoms. Careful diagnostic evaluation revealed a large postmyocardial infarction left ventricular (LV) pseudoaneurysm (PSA). Multimodality imaging was used to further characterize the PSA, demonstrating a large outpouching of the posterior LV wall…

Cone Repair in a Non-Ebstein Disease Setting

This case was performed during a humanitarian mission in Paraguay in April 2023. The patient is a ten-year-old, 40 kg girl with severe tricuspid regurgitation. The surgical team found annular dilatation with no apical displacement, a large anterior leaflet, a restrictive posterior leaflet, and an absent septal leaflet with a remnant in the papillary muscle.…

Mediastinum Intubation and Decompression Technique for Management of Tension Pneumomediastinum

Tension pneumomediastinum is one of the life-threatening complications of COVID-19 (coronavirus disease 2019). The patient in this video is a sixty-six-year-old man with complaints of cough and high-grade fever for a week prior. He had systemic hypertension and type II diabetes mellitus. He tested positive for COVID-19 on a rapid PCR test. His high resolution…

Challenging Pulmonary Arterial Reconstruction: Pulmonary Arterioplasty Post-Arterial Switch

This case involves a ten-month-old infant who underwent an arterial switch as a neonate for transposition of the great arteries. He went on to develop progressive severe branch pulmonary artery stenoses and hypoplasia in addition to supravalvular main pulmonary artery stenosis. This resulted in systemic or suprasystemic right ventricular pressure on his cardiac catheterization. A…