Content from the Journal of the American Neurological Surgeons.
Minimally invasive surgery is a reality in most surgical specialties. With new technological improvements, new instruments, better video support, anesthesia refinement, and robotic platforms allowing 3D view and extension of the surgeon’s hands, challenging cases are now suitable to this approach. Although rare, the esophageal leiomyoma is the most common benign tumor of the esophagus…
This surgical video demonstrates the technical details of robotic aortic valve replacement in a sixty-eight-year-old man with bicuspid aortic valve and severe aortic insufficiency. The surgical set-up was the same as in robotic mitral surgery. First, right femoral arterial and venous cannulations were performed for cardiopulmonary bypass. A 3 cm access incision was made along…
This is a video of an operation with the ArtiSential wristed instruments in VATS surgery. The operation featured a monopolar precise dissector. The author had not used a monopolar Maryland style grasper before and found it to be to his liking. Often, bipolar instruments short out if they do not have enough tissue in the…
In this recording from the 2023 Transcatheter Heart Valves Greece conference, Dr. Michael J. Reardon, a cardiothoracic surgeon at Methodist DeBaket Heart and Vascular Center, discusses varying confidence in the shift in TAVI guidelines from operative risk to age. Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors…
At the 2023 EACTS Annual Meeting, CTSNet Editor in Chief Joel Dunning and 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 Editor in Chief Joel Dunning spoke with Dr. Peyman Sardari Nia during his port-access mitral valve repair…
This video demonstrates a thoracoscopic left superior segmentectomy. The patient is a fifty-eight-year-old woman with a superior segmental FDG avid lung nodule, concerning for pulmonary malignancy. The use of indocyanine green (ICG) in identifying the intersegmental plane is also demonstrated. There has been recent enthusiasm for the use of limited resection for the management of…
This video demonstrates a robotic diaphragm plication with a focus on technique and technical pearls. The patient is a seventy-two-year-old woman with a history of phrenic nerve paralysis secondary to surgical division during a mediastinal mass resection in 1999. Following this operation, she had persistent dyspnea on exertion and worsened when supine. In 2020, she…
This video illustrates surgical repair of double aortic arch through a sternotomy. Double aortic arch is the most common type of vascular ring malformation. It involves complete encirclement of the trachea and esophagus by the aortic arch or its branches. There are three types of double aortic arch: 80 percent are dominant right arches, 10…
Substernal goiter is a challenging disease. Surgical treatment is the standard based on symptoms, or for the risk of occult malignancy and the natural history of progressive enlargement (1). Resection can be managed through a cervical incision in the majority of cases; however, middle or posterior substernal extension may require a hybrid approach with a…
As a part of the 2023 Australian Thoracic Aortic Symposium, Dr. John Elefteriades presented on his state-of-the-art research on the genetics of inheritable aortic diseases. Dr. Elefteriades is a cardiothoracic surgeon at the Yale University School of Medicine in New Haven, United States. View Dr. Elefteriades’ CTSNet profile for more of his articles and videos…
At the 2023 EACTS Annual Meeting, CTSNet Editor in Chief Joel Dunning and CTSNet senior editors set out to interview the most knowledgeable CT surgeons from around the world. Stay tuned for more interviews from the meeting. In anticipation of the 2023 World Congress on Rheumatic Heart Disease, Senior Editor Dr. Emily Farkas spoke with…
An isolated left atrial (LA) aneurysm is a rare congenital abnormality. It can involve the left atrium or very rarely, the entire left atrium (1). The main concerns about the LA aneurysm are the possible complications such as atrial arrhythmias, thromboembolic events, and CHF symptoms caused by pressure effect malfunction of cardiac structures, mainly the…
This video demonstrates the first anatomical lung resection performed by the team at Southampton Hospital with the new Versius robotic system from CMR Surgical. The team has previous experience with the Intuitive system and now have a second robotic platform to address their large volume of operations. In this video, surgeons used the three-arm bedside…
October was a superstar month for surgical content, including versatile congenital techniques, a minimally invasive mitral valve repair, and hybrid aortic arch treatment. Articles published this month also included interviews with technique experts and important CT surgery news items. 1. Nikaidoh Procedure for TGA, VSD, and PS in a ChildBy Shyamadeep Borgohain The most popular…
Radial artery use as a second conduit in coronary artery surgery has amassed more than fifty years of experience with waxing and waning levels of enthusiasm. Initial use in the Carpentier case series found a high rate of graft occlusion, but subsequent improvements in technique and understanding of graft failure led to its establishment as…
ERAS Cardiac Society conducted a joint webinar with CTSNet on October 26, 2023, bringing about pivotal insights and questions on the topic, “Enhancing Recovery in Minimally Invasive Cardiac Surgery.” The session premiered individual presentations from anesthesia and critical care consultant Dr. Jeroen Vandenbrande and chief of cardiothoracic surgery Dr. Marc Gerdisch. In addition, Dr. V.…
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