Content from the Journal of the American Neurological Surgeons.
Ebstein’s anomaly is a rare malformation involving the tricuspid valve and the right ventricle (1). The main features are: (a) failure of leaflets delamination; (b) atrialization of part of the right ventricle; (c) apicalization of the functional tricuspid anulus; (d) interatrial shunt. Natural history is burdened by a high mortality rate, reaching 50 percent at…
Surgical treatment in mitral valve infective endocarditis (MVE) is indicated in patients with severe mitral regurgitation. Mitral valve replacement has traditionally been considered the standard treatment for MVE cases that are unresponsive to antibiotic therapy. This is due to concerns regarding the durability of mitral valve repair, recurrence of IE, and mitral regurgitation. Since the…
Can you believe it’s already July? In the first half of 2022, CTSNet has had surgeons from countless parts of the world share their valuable experience and expertise with our community of CT surgeons in the form of clinical and surgical videos. For your convenience, we’ve rounded up six of the most popular in the…
Watch the June 18 recording of the ISMICS 2022 Thoracic Masters Session 3A: My Favorite Case. Topics discussed include robotic-assisted VATS apical segmentectomy with NIR imaging, UVATS basal segmentectomy for the removal of a large intralobar sequestration, MIS approaches to complex hernias, robotic litigation of double aortic arch, robotic bronchoplasty, uniportal VATS lobectomy, and lung-sparing…
An eight-month-old, 7.8 kg infant with a base line oxygen saturation measuring in the high 80% range was diagnosed with a double outlet right ventricle (DORV) prenatally. There was also suspicion of right ventricular outflow tract (RVOT) obstruction. Associated anomalies included bilateral superior venae cavae with no bridging vein, presence of patent foramen ovale, and…
The case involved a thirty-three-year-old male with a seventeen-year history of postprandial nausea, vomiting, and epigastric pain. He also suffered from chronic abdominal pain from a past motorcycle accident. The previous workup included a negative EGD. An abdominal CT and mesenteric artery duplex revealed evidence of left renal vein compression and hemodynamically significant distal celiac…
It’s already halfway through the year, and surgeons across the globe have shared a huge amount of valuable cardiothoracic surgery expertise with the CTSNet community in the form of clinical and surgical videos. We’ve rounded up the six most popular videos in the thoracic specialty published so far this year. Do you have a favorite?…
Watch the June 17 recording of the ISMICS 2022 Cardiac Masters Session 2A: Aortic Valve and Aorta. Topics discussed include minimally invasive cardiac surgery aortic valve replacement (MICS AVR), truly endoscopic aortic valve replacement (TEAVR), endoscopic robotic aortic valve replacement with percutaneous cannulation, thoracotomy minimally invasive AVR and MVR repair, partial upper sternotomy, and TAVR…
This is Joel Dunning’s first look at uniportal thoracic robotic surgery. He trialed this surgical technique to see how it works. By the end, he felt he had learned a fair amount. With this video, his intention was not to create a “how-to” presentation but rather to stimulate discussion and help his peers progress together…
CTSNet presents the recording of “Addressing the Complex Aortic Root Patient: Streamlining the Bentall Procedure.” This webinar was live broadcasted on Wednesday, June 15 by CTSNet in collaboration with Edwards Lifesciences. The event was a discussion covering early experiences with the KONECT RESILIA aortic valved conduit and RESILIA tissue treatment data with new learnings. Insights…
A segmentectomy is typically defined as a sublobar anatomic resection containing a segment—or a group of segments—by means of an individual approach to the artery, vein, and bronchus. This video presents a uniportal video-assisted thoracic surgery left lower posterobasal anatomic segmentectomy S10. The incision is performed in the fifth intercostal space between the anterior and…
This video demonstrates the feasibility of a MV repair, also one in the setting of destruent infective process, and proposes a physiological technique to restore the natural geometry of the valve. In experienced centers, complex and extensive repair are doable in a completely endoscopic fashion. A fifty-five-year-old man with past medical history consistent for heart…
Pulmonary malignancies represent one of the most common neoplasms and cancer related deaths worldwide. As patients may present with a history of atrial fibrillation (AF) and a contraindication to anticoagulation, resection of left-sided pulmonary cancers presents a unique opportunity to address the sequelae of the underlying arrhythmia simultaneously. The accompanying video demonstrates placement of an…
This video presents the clinical case of atrial septal defect repair through right axillary minithoracotomy. The patient was a seven-year old girl with no symptoms. The physical examination was uneventful. An echocardiogram showed secondary ASD with diameter 10-15 mm and left to right shunt. pulmonary-to-systemic flow ratio (Qp/Qs) was 3. Left ventricular function was preserved.…
This is a video of thoracic surgeon Joel Dunning’s dream operating room. He was able to bring an intraoperative CT scanner called the Cios-Spin into his robotic theater so he could mark nodules himself prior to robotic resection. In addition, he has Innersight Labs 3D reconstruction of his CT scans as guidance for the surgery.…
This is the case of thirty-four-year-old woman who presented with a long-term history of left flank pain, groin pain, and proteinuria. She underwent a venography, angiography, and CT scan. The cause of her symptoms was identified as nutcracker syndrome (left renal vein entrapment). The Surgery The abdomen was entered via the laparoscopic approach. The dissection…
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