Content from the Journal of the American Neurological Surgeons.
A seventy-six-year-old woman who is non-diabetic and a non-smoker presented with complaints of abdominal pain and was diagnosed with a thrombosed infrarenal abdominal aortic aneurysm. She was planned for open repair due to tortuosity of aneurysm and financial constraints. First, a midline laparotomy was done, and the bowel was retracted using warm, moist sponges. The…
This video presents the case of a thirty-seven-year-old woman with a history of aortic valve replacement and reconstruction of her aortomitral fibrosa and anterior leaflet of the mitral valve due to endocarditis. A bioprosthetic valve was used at the time due to concerns regarding compliance with coumadin. She is fully rehabilitated from drug abuse and…
The arterial switch operation, combined with the LeCompte maneuver, is the treatment of choice for transposition of great arteries. Right ventricular outflow tract (RVOT) obstruction remains one of the most frequently encountered long-term postoperative complications and is the most common cause for reintervention after an arterial switch operation. The Patient This video presents a case…
As a part of the 2023 Australian Thoracic Aortic Symposium, Dr. Edward Chen presented on his methods for valve repair in patients with a bicuspid aortic valve. Dr. Chen is a cardiothoracic surgeon at Duke University Medical Center in Durham, North Carolina. View Dr. Chen’s CTSNet profile for more of his articles and videos on…
This video shows the case of a thirty-eight-year-old patient with a previous history of colonic cancer and Lynch syndrome. She was referred to the thoracic surgery department because of a pulmonary mass in the right lower lobe. Chest computed tomography and holographic reconstruction disclosed a transdiaphragmatic feeding artery from the abdominal aorta entering the pulmonary…
In addition to the costovertebral and sternocostal joints, the three-dimensional structural integrity of the central chest wall is usually enhanced with additional connections between the anterior fifth through eighth ribs. These secondary costochondral joints, or bridging cartilages, are formed by an inferior projection of one rib that connects firmly to a superior projection of the…
The patient is a six-year-old boy with a known diagnosis of transposition of the great arteries, a ventricular septal defect, and pulmonary stenosis who presented with severe longstanding cyanosis. The VSD was subpulmonic, and the aorta was right and anterior to the pulmonary artery. As the routability of the VSD was doubtful, the surgical team…
Minimally invasive mitral valve repair surgery is an alternative procedure to a conventional median sternotomy for patients with mitral valves that are damaged but not severe enough to require replacement. This procedure requires a smaller incision and is associated with better cosmesis, quicker recovery, and fewer postoperative complications. This video presents the case of a…
As a part of the 2023 Australian Thoracic Aortic Symposium, Dr. Joe Coselli presented on his methods for open thoracoabdominal aortic aneurysm repair. Dr. Coselli is a cardiothoracic surgeon at the Texas Heart Institute and Baylor College of Medicine in Houston, Texas. View Dr. Coselli’s CTSNet profile for more of his articles and videos on…
CTSNet saw some very popular clinal videos in September, including a faster technique for aortic hemiarch replacement, using a Cabrol patch and Cooley fistula to control bleeding, and an endoscopic tricuspid valve replacement. 1. Aortic Hemiarch Replacement: The 7-Minute TechniqueBy Stephen Spindel, Elbert Williams September’s most popular video demonstrates a safe and simple technique for…
Severe mitral annular calcification remains a challenge for the mitral valve surgeon. The past decade has introduced promising new technologies in the mitral valve replacement space, and ongoing clinical trials are evaluating the use of percutaneous technologies for this purpose. Mitral valve repair can be achieved safely in the setting of mitral annular calcification (MAC)…
An eighty-eight-year-old man with a history of hypertension, pulmonary embolism, prostate cancer, and right hip and femur surgery came to the cardiology clinic with progressive shortness of breath in recent months. His physical examination revealed a grade IV systolic murmur and irregular heart rhythm. Electrocardiography confirmed atrial fibrillation. A cardiac ultrasound reported severe mitral regurgitation,…
This video demonstrates a step-by-step method for transaxillary transcatheter aortic valve implantation. The procedure utilizes the axillary artery, which lies beneath the clavipectoral fascia, medial, below, and lateral to the pectoralis minor muscle. To begin the procedure, a small horizontal infraclavicular incision was made at the junction of middle and outer third of the clavicle,…
CTSNet is happy to share a discussion held between premier planners of the upcoming 37th Annual European Association for Cardiothoracic Surgery (EACTS) Meeting! To sort out major questions of interest and concern among the cardiothoracic community, Patrick Myers, new EACTS Secretary General, and Rafael Sádaba, returning EACTS Chair of Education Committee, held a conversation to…
A fifty-one-year-old female patient was admitted to the hospital for a second opinion regarding surgical intervention. She had been diagnosed with small cell lung carcinoma of the right upper lobe that was crossing the oblique fissure. Previously, she underwent treatment with multiple cycles of chemo and radiotherapy with a good initial response. The treatment was…
In this recording from the 2023 Transcatheter Heart Valves Greece conference, Dr. Markus Kasel, an interventional cardiologist at University Hospital of Zurich, discusses his techniques and standards for lifetime management of aortic stenosis in a wide range of patients. Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors…
welcomes you to the new, improved website!