Content from the Journal of the American Neurological Surgeons.
Cerebral malperfusion is a known complication of type A acute aortic dissection, which is linked to considerable perioperative mortality and morbidity. This article presents a case of Stanford acute type A aortic dissection (ATAAD) successfully managed by early percutaneous fenestration, transluminal angioplasty of the right carotid artery, and emergency central aortic repair of the ATAAD.…
The right axillary artery (AX) has been the authors’ standard cannulation site for elective aortic arch repair, acute aortic dissection repair, or complex redo aortic or cardiac cases (1,2). To begin the procedure, a 4-5 cm transverse skin incision is made approximately 1 cm below the middle and lateral part of the right clavicle (deltopectoral…
In response to the release of the updated 2023 AHA/ACC/ACCP/ASPC/NLA/PCNA Guideline for the Management of Patients With Chronic Coronary Disease, authors representing the AATS and STS came together to write a rebuttal explaining their perspective on the controversial guidelines. In an interview with CTSNet Editor in Chief Joel Dunning, revascularization specialist and AATS representative Dr.…
The patient is a sixty-seven-year-old woman, nonsmoker, with a history of ocular myasthenia gravis and a strong family history of autoimmune disease. First, a chest CT scan was performed, which demonstrated two nodular opacities in the anterior mediastinum, the largest measuring 5.9 mm. Given the concern for thymoma, the presence of mild to moderate myasthenia…
In March 2023, the Society for Cardiothoracic Surgery in Great Britain and Ireland brought together surgeons from around the world to discuss topics in CT surgery. In this talk, Dr. Joe Bavaria discusses risk factors in the management of thoracic aortic aneurysms and dissections that do not have to do with the size of the…
In March 2023, the Society for Cardiothoracic Surgery in Great Britain and Ireland brought together surgeons from around the world to discuss topics in CT surgery. This recording covers the session on innovative mitral valve surgical techniques. Use the time stamps on the video to direct yourself to each surgeon’s discussion. Imaging in Mitral Valve…
The patient was a nine-month-old, 8.8 kg infant who was born with anomalous origin of the right pulmonary artery (RPA) from the ascending aorta. She underwent an initial median sternotomy with translocation of the RPA to the main pulmonary artery and anterior translocation of the RPA. The patient developed stenosis of the RPA and underwent…
This video presents the management of a complex and infrequently encountered scenario. A sixty-nine-year-old patient had a large pulmonary artery aneurysm extending from the main pulmonary artery (PA) up to the bifurcation with further extension into the left PA and relative sparing of the right. The patient had a history of a heart murmur and…
Recently, a subxiphoid approach has become popular in thoracic surgery because it provides more freedom of movement, as there is no limitation by the ribs, and it avoids trauma to the intercostal nerves, thereby creating less postoperative pain. Although subxiphoid video-assisted bilateral anatomic resections have been successfully performed, to the authors’ knowledge, robotic-assisted thoracoscopic bilateral…
Colombia is a mountainous country in South America with a population of 52 million people. It is the fifth largest country in South America and, according to the World Health Organization, has the best healthcare in Latin America. Despite this, there is no official lung transplant program for surgical residents in Colombia, and only three…
The atrial myxoma is the most frequent cardiac tumor, located in the left atrium in 75 percent of the time (1). The most dangerous presentation is the papillary, which indicates is the surgical removal with the aim to avoid embolic complications (2-5). The minimally invasive approach (MICS) has shown to be a feasible technique. The…
In March 2023, the Society for Cardiothoracic Surgery in Great Britain and Ireland brought together surgeons from around the world to discuss topics in CT surgery. These recordings cover the two sessions focused on coronary surgery. Use the time stamps on each video to direct yourself to each surgeon’s discussion. Coronary Session 1: Technical Tips…
This video presents a case of a typical carcinoid tumor located in the distal part of bronchus intermedius. The patient is a fifty-six-year-old woman who is a nonsmoker. Her comorbidities included bronchial asthma, obesity, type 2 diabetes, and arterial hypertension. After a few weeks of wheezing and coughing, a chest CT scan was performed and…
Thoracic duct ligation is a proven, established procedure for chylothorax management refractory to medical management. However, intraoperative localization of the thoracic duct course or leakage is difficult, and there is a lack of consensus on the best intraoperative modality to visualize a thoracic duct. This video proposes that ICG can be used as the modality…
Do you have unanswered questions or underlying concerns regarding the discussion that took place during the ASAIO Journal and CTSNet webinar, “Extracorporeal Cardiopulmonary Resuscitation (ECPR): Building the Team for Success”? We’ve got you covered! For a total of 15 questions asked by the live audience, please refer to the below questions and answers that came…
The patient is an eighteen-year-old who underwent previous sternotomy for closure of a perimembranous ventricular septal defect and resection of subaortic membrane and presented with progressive aortic root dilation. He had strong family history of aortic dissection; therefore, surgery was recommended. Preoperative studies showed no residual intracardiac shunt and competent aortic valve with good biventricular…
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