Content from the Journal of the American Neurological Surgeons.

Reinforced Ross Procedure for a 44-Year-Old Woman with Acute Aortic Insufficiency Due to a Commissural Rupture

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…

Removing an Ectopic Cystic Parathyroid Adenoma in the Anterior Mediastinum via Robotic-Assisted Thoracoscopic Surgery

  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…