Content from the Journal of the American Neurological Surgeons.
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…
A previously healthy two-month-old infant born at thirty-six weeks presented with increasing fussiness, a respiratory rate of sixty breaths per minute and an oxygen saturation of 85 percent. A chest X-ray revealed significant cardiomegaly. A transthoracic echocardiogram demonstrated a severely dilated left ventricle with an ejection fraction of 26 percent. The patient’s hemodynamic stability was…
Costal margin reconstruction is a challenging technique but addresses the needs of slipping rib syndrome patients with complicating features including skeletal hypermobility disorders, multiple ipsilateral slipping ribs, rib deformities, and failed prior slipping rib operations. In this video, surgeons demonstrate the technique. To begin the surgery, a single-lumen endotracheal tube was placed. The patient was…
Transcatheter mitral valve-in-valve (ViV) is emerging as an alternative to surgery in patients with degenerated mitral valve bioprosthesis. One of the most common exclusion criteria for mitral ViV is left ventricular outflow tract obstruction (LVOTO) due to displacement of the anterior leaflet of the mitral valve prosthesis towards the septum, thus reducing the LVOT area.…
CTSNet is proud to present the webinar recording of “The Myth Behind Left Ventricular Outflow Tract Obstruction in Mitral Valve Replacement,” featuring panelists Dr. Tom Nguyen (Chief of Cardiothoracic Surgery, University of California, San Francisco), Dr. Dee Dee Wang (Cardiology/Structural Heart Imaging, Henry Ford Health), and Dr. Brian O’Neill (Inteventional Cardiology, Henry Ford Health). This discussion was broadcasted…
This video presents the case of a six-day-old boy with truncus arteriosus, interrupted aortic arch, ventricular septal defect (VSD), patent ductus arteriosus (PDA), and patent foramen ovale (PFO). A preoperative echocardiogram showed moderate to severe truncal valve regurgitation and a large ventricular septal defect. First, the truncal root was opened, and a complete transverse ascending…
This is a recorded session from the 2021 Birmingham Review Course. In this session, five expert thoracic surgeons came together to present on thoracic malignancy and its surgical solutions. In this talk, Dr. Alan Sihoe, a thoracic surgeon at CUHK Medical Centre in Hong Kong, discusses his perspective on surgical techniques for advanced lung cancer…
Management of severe posterior mitral annular calcification or posterior deep abscess can be challenging and carries significant risk. The use of the anterior mitral valve leaflet as a posterior annular patch was first reported in 1996, and the five reports since have lacked intraoperative color images. The objective of this article is to show this…
This video demonstrates a right upper lobectomy using the ArtiSential wristed instruments to recreate the authors’ approach to robotic surgery. When surgeons do not have access to robotic surgery, these wristed instruments can allow them to mimic a similar surgical technique using VATS. It also has a few other advantages, including tactile feedback at the…
This video demonstrates an efficient method for aortic hemiarch replacement termed the seven-minute technique. Elective aortic hemiarch replacement under hypothermic circulatory arrest is commonly performed for ascending aortic aneurysms with proximal aortic arch involvement. In general, the hypothermic circulatory arrest times in these cases are between eighteen and twenty minutes. With the seven-minute technique, the…
A sixty-six-year-old man who had recently undergone aortic valve replacement presented to the emergency department after out-of-hospital cardiac arrest. Coronary angiography ruled out any significant coronary disease, and an echocardiogram showed a large aortic pseudoaneurysm of the mitral-aortic intervalvular fibrosa, so a subsequent CT scan was performed to confirm the finding. A transesophageal echocardiogram evidenced…
This is a recorded session from the 2021 Birmingham Review Course. In this session, five expert cardiac surgeons came together to present on topics in aortic surgery. This talk from Dr. Pedro Catarino, surgeon at Papworth Hospital in Cambridge, United Kingdom, discusses different techniques for aortic arch surgery.In this session, five expert cardiac surgeons came…
Several studies have demonstrated the superiority of pulmonary resections coupled with bronchoplasty due to the possibility of preserving lung parenchyma in the context of a possible pneumonectomy. Likewise, the role minimal invasion has had in this approach has become significantly more prominent, with robotic assisted thoracic surgery (RATS) being the most promising. This is a…
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