Content from the Journal of the American Neurological Surgeons.
Complications of acute ischemic heart disease include ventricular septal rupture resulting in a defect and sudden left to right shunt. This results in pulmonary overcirculation and heart failure. The incidence has declined significantly in the era of rapid percutaneous intervention—from 1 to 3 percent of ST-segment elevation myocardial infarctions down to 0.17 to 0.31…
This quick video documents the first four cases of uniportal robotic surgery taught by Diego Gonalez Rivas in the UK. Patients and surgeons at James Cook University Hospital were very grateful for him taking the time to teach us this interesting technique. Look out for more videos on this technique as surgeons investigate its place…
This video shows a sixteen-year-old male patient who underwent two previous sternotomies for repair of a complete atrioventricular septal defect, followed by re-repair of the left atrioventricular valve (mitral valve) and resection of subaortic membrane. In addition, he had a known mild aortic coarctation that was followed over the years with no interventions. The patient…
Over the last two years, the Guest Editor Series has been a key vehicle in advancing CTSNet’s mission to educate and connect the global cardiothoracic surgery community. Recent guest editors such as Konstadinos Plestis, Marc Gerdish, Virginia Litle, Eduard Quintana, and Alan Sihoe have brought together top fellow experts in their fields to produce curated…
A fifteen-year-old girl (BMI 16.4 kg/m) with a two-year history of dysphagia, periprandial angina, and anorexia was referred to pediatric general surgery. A contrast swallow demonstrated a luminal obstruction to the esophagus, but the cause was not visible with this modality. Therefore, the patient underwent a CT scan of the thorax and abdomen, which…
This video shows a case in which a colonic interposition is performed to restore enteric continuity after a failed Ivor-Lewis esophagectomy in a sixty-one-year-old male. This initial surgery was performed to treat distal esophageal cancer. Because of a leak after the index esophagectomy, the patient required a cervical diverting esophagostomy. The video authors demonstrate the…
The patient is a twelve-month-old boy born at full term with a prenatal diagnosis of corrected transposition and intact ventricular septum with mild displacement of the tricuspid valve. He was admitted to the NICU for observation for three days, but developed progressive heart failure with severe right ventricular (RV) dysfunction and moderate to severe…
With the variation of skills and procedures present in cardiovascular surgery, a video or article with distinct and informative steps can clarify both simple and complex procedures. These five recent articles provide easy-to-follow approaches to popular cardiac surgical procedures. 1. How to Perform a MIDCAB Procedure Step-by-Step in Single Vessel DiseaseBy Vadim Kotowicz, Ricardo Posatini, Germán Fortunato,…
Postintubation tracheal laceration (PITL) remains a challenging and rare, yet persistent, problem around the world. It has increased in incidence, previously about 0.005 percent to currently almost 0.48 percent, related to the epidemic of SARS-CoV-2 (1,2). Although bronchoscopic management with tube placement might be effective in some cases, for some patients with ventilatory issues and…
Cone repair for Ebstein’s anomaly has become the preferred surgical strategy for the tricuspid valve. As the severity in the abnormalities of the posterior and septal tricuspid valve leaflet varies significantly in this condition, surgical techniques need to adapt and change accordingly. This video shows the surgical repair of Ebstein’s anomaly in a forty-three-year-old woman…
A giant mediastinal mass has traditionally been operated on using an open approach. However, a minimally invasive approach can be done with good results. Robotic surgery has been proven safe for mediastinal mass removal. In this case, the decision to operate by RATS was influenced by the surgeons’ expertise in this field, being a…
When Dr. Sameh Said came to the United States in 2005 for an advanced cardiovascular surgical fellowship at Mayo Clinic, he expected to return to his home country of Egypt, where he earned his medical degree and completed his residency, the following year. Instead, he spent the next thirteen years living and working in Minnesota…
The patient was a two-day-old, 3.6 kilogram neonate who was diagnosed prenatally with aortic coarctation. After birth, a prostaglandins infusion was initiated, and a transthoracic echocardiogram showed critical aortic coarctation with arch hypoplasia. There was also an atrial level shunt across a patent foramen ovale, as well as a large ductus arteriosus. The left…
This video presents a robotic left lateral basilar (S9) segmentectomy. The patient was a fifty-six-year-old female with a sixty-pack-per-year smoking history and a two-year history of left lower lobe nodule contained to the lateral basilar segment. The nodule demonstrated recent growth and had developed a central solid component. The patient’s preoperative FEV1 was 113 percent…
In June 2022, a panel of cardiothoracic surgery experts gathered at University Hospital Ospedali Riuniti in Ancona, Italy to discuss minimally invasive and transcatheter surgery. This live virtual course was directed by Professor Marco Di Eusanio. Each session broadcast a surgery from an OR and featured a discussion from surgeons. The videos that follow are…
When CTSNet brought together a panel of experts to discuss the often divisive subject of small aortic root replacement methods, webinar participants had a lot of questions. So many, in fact, that several had to go unanswered because of time constraints. Fortunately for us, panelist Dr. Bo Yang, a cardiothoracic surgeon at University of Michigan, generously…
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