Content from the Journal of the American Neurological Surgeons.
Although they are not as common as other thoracic surgeries, esophageal procedures are an important part of every thoracic surgeon’s repertoire. These five popular videos from CTSNet demonstrate different techniques for esophagectomy, hiatal hernia repair, and more. Do you have a favorite esophageal procedure video on CTSNet? Let us know in the comments. 1. The…
The treatment of superior sulcus tumors (Pancoast tumors) has evolved over the past seventy years. Initial treatment was resection followed by irradiation (1). Now, the established trimodal treatment popularized by Shaw and Paulson involves neoadjuvant chemoradiation followed by thoracotomy with right upper lobectomy and resection of the involved ribs (2). The five-year survival with node-negative…
A 44-year-old female with no past medical history presented with acute onset chest pain and new heart failure. A workup revealed severe aortic insufficiency (AI) with a bicuspid aortic valve that appeared to be prolapsing. The patient was stabilized and deemed a suitable candidate for the Ross procedure (1,2). After a median sternotomy, cardiopulmonary bypass…
This video demonstrates a case of a seventy-four-year-old woman found to have persistent primary hyperparathyroidism after bilateral neck exploration, implicating an anterior mediastinal cyst as an ectopic parathyroid adenoma. The patient underwent anterior mediastinal mass resection via a left-sided robot-assisted thoracoscopic approach that resulted in normalization of her hypercalcemia. The Surgery First, a 12…
A variety of procedures make up CTSNet’s catalog of heart valve content, which has continued to expand as surgeons increasingly focus on perfecting valve surgeries. Read on to explore five of the most popular heart valve videos on the site in the past year and let us know your favorite in the comments. 1. Mechanical…
After the donor heart arrives (see Orthotopic Heart Transplant Using Bicaval Technique Part 1: Recipient Cardiectomy for that procedure), additional cardioplegia is given. The anatomy, such as the patent foramen ovale, is inspected before implantation. Left atrial (LA) anastomosis using 3-0 MH needle starts at the level of the left upper pulmonary vein of the…
To begin the cardiectomy, the sternum is opened in a standard full sternotomy. The ascending aorta, superior vena cava (SVC) and inferior vena cava (IVC) are isolated and umbilical tape snares are passed around them. After heparin administration, the ascending aorta is cannulated using a 20 Fr cannula as distal as possible, as is SVC…
Total minimally invasive Ivor Lewis esophagectomy can be a feasible approach in patients with history of multiple intraabdominal surgeries, as demonstrated in the video below. This suggests generalizability of the authors’ approach to improve the surgical treatment of esophageal cancer. The Patient The patient had a history of multiple intraabdominal surgeries and needed to…
Scimitar syndrome is a rare congenital heart defect that occurs in one to three out of every hundred thousand births. Congenital pulmonary venolobar syndrome and vena cava bronchovascular syndrome are two of its many nomenclature. The defect was first described in an autopsy of an infant by George Cooper in 1836; however, the first diagnosis…
The SimuForm™ ring provides semi-rigid posterior remodeling while offering a flexible anterior portion to accommodate anterior motion. Watch as Dr. Meindert Palmen, from Leiden University Medical Center, performs and annotates a robotic mitral repair using the SimuForm™ Annuloplasty Ring. Want to learn more about the SimuForm Ring? Visit Medtronic.com/SimuForm to review evidence and learn about…
February was a busy month for CTSNet. This month’s list of top ten content includes the release of our 25th Anniversary celebration video, a collection pulled together for Congenital Heart Defect Awareness Week, webinars, and more educational videos. 1. Valve Replacement for Mitral Annular CalcificationBy Gorav Ailawadi, Yoyo Wang, Aldin Ahmetovic The most popular video…
Last year’s 2022 Society for Cardiothoracic Surgery in Great Britain and Ireland (SCTS) Annual Meeting hosted a variety of cardiothoracic professionals from around the world to present on debuting and developing topics. Furthermore, the program provided a space for social events, networking, training sessions, and other educational sessions that aid medical professionals at all levels…
The patient was a sixty-one-year-old man with a medical history of coronary artery disease, STEMI treated with a drug-eluting stent in 2014, an abdominal aortic aneurysm, an aortic root aneurysm, and trace aortic insufficiency. In March 2012, the patient suffered a type B aortic dissection with compromise of his superior mesenteric artery, causing mesenteric…
Valvular heart disease (VHD) is a leading and growing form of cardiovascular disease worldwide. VHD presents in many forms, but its epidemiology is predominantly driven by chronic noncommunicable disease origins—calcific aortic stenosis and degenerative mitral valve disease—and chronic sequelae from acute communicable disease origins—rheumatic heart disease (RHD) following untreated acute rheumatic fever (1). Whereas calcific…
The video demonstrates a case of uniportal VATS right segmentectomy from S7 to S10 with indocyanine green imaging. The patient is a healthy thirty-nine-year-old woman with a typical endobronchial carcinoid which occluded the common bronchus of B8 to B10. The bronchus segments B6 and B7 were not affected. Using a uniportal approach, the basal…
This video shows a rare case of clinical catamenial pneumothorax with intraoperative visualization of pleural peritoneal windows in a previously healthy thirty-eight-year-old woman. She presented with a nonresolving right-sided pneumothorax. Her history was significant for a progesterone implant contraceptive, which she reported as no longer functioning as well. When taken for VATS, pleural peritoneal…
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