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Atlas of Cardiac Surgery
CTSNet is dedicated to the development of surgical techniques through video, the most effective tool for teaching and learning outside the operating room. Cardiac surgeon Vince Gaudiani assembled this extraordinary collection of videos covering most of the adult cardiac repertoire. Experienced surgeons are invited to submit videos to expand this valuable learning resource.
Select a chapter from the list for easy access
Safe Cerebral Protection
…In this video, Dr. Vince Gaudiani discusses with Dr. Paul Shuttleworth how they set up...
…This video details how to enter the sternum when patients have undergone previous sternotomy. This...
…This patient required a double valve replacement, but she had grade V atheroma in the...
…The patient is a sixty-eight-year-old man with a history of chronic aortic dissection 10 years...
…To begin, the innominate artery was cannulated with a 14 or 16 Fr pediatric cannula....
…This introductory video describes the Gaudiani technique of cerebral perfusion at hypothermia, while the body...
Basics
…In this video, Dr. Vince Gaudiani demonstrates his closure technique for an upper ministernotomy. He...
This video demonstrates Dr. Vince Gaudiani’s technique for performing an upper ministernotomy. The manubrium was...
This video highlights important hints, tips, and techniques for performing a reoperative sternotomy. In this...
Aortic Root Reconstruction
…This video demonstrates a redo operation in a patient in their 60s who had a...
…This patient had a severely calcified aorta with severe aortic regurgitation, calcified ascending aorta, and...
…This video presents a forty-seven year-old woman who, when she was two years old, had...
…This patient had a severely calcified valve which then became infected with endocarditis with abscess...
…The patient in this video is a fit and active seventy-six-year-old man. Twenty-five years previously,...
…This is the case of a sixty-eight-year-old man who had an acute aortic dissection 10...
…This fifty-five-year-old, 125 kg patient had a previous aortic valve replacement and presented with endocarditis...
…This video shows the case of a forty-year-old man who presented with a large 6...
…This is a video of a sixty-five-year-old man who presented with atrial fibrillation, a critical...
…Dr. Vince Gaudiani introduces his series on different techniques for aortic root reconstruction. The patient...
Mitral Valve Repair
…In this video, Dr. Vince Gaudiani demonstrates his method for repairing bileaflet mitral valve prolapse...
This video highlights important hints, tips, and techniques for performing a reoperative sternotomy. In this...
…This patient had an emergency mitral valve repair at another institution, but the repair failed...
…This video demonstrates a myectomy for hypertrophic cardiomyopathy in a 70-year-old woman with a 100-mmHg...
…In this video, Dr Vince Gaudiani demonstrates a Cox maze III procedure and how to...
…In this video, Dr. Vince Gaudiani demonstrates how to perform a complex repair of a...
…Dr. Vince Gaudiani demonstrates how to perform a complex repair of a mitral valve with...
…This video shows an 80-year-old patient who had severe mitral and tricuspid regurgitation with pulmonary...
…This patient in this video was a 55-year-old female who underwent a mitral valve repair...
…This video shows a 55-year-old patient who underwent an open pulmonary valvotomy in 1967. He...
…This video demonstrates a patient who experienced a failed attempt at MitraClip placement on the...
…In this video, Dr Vince Gaudiani demonstrates how to perform an Onyx Chord-X chordal repair...
…In this video, Dr. Vince Gaudiani demonstrates how to perform an Onyx Chord-X chordal repair...
…In this video Dr. Vince Gaudiani demonstrates how to perform an Onyx Chord-X chordal repair...
…In this video, Dr. Vince Gaudiani demonstrates how to perform an Onyx Chord-X chordal repair...
…In this video, Dr. Vince Gaudiani demonstrates how to perform a simple chordal repair of...
This five-minute video demonstrates how to prepare your own single Gore-Tex chord for mitral repair...
…In this video, Dr. Vince Gaudiani demonstrates a simple triangular resection of the mitral valve...
Cardiac surgeon and CTSNet Senior Editor Dr. Vince Gaudiani shares a detailed and fascinating explanation...
In this video, cardiac surgeon and CTSNet Senior Editor Dr. Vince Gaudiani introduces and explains...
Mitral Valve Replacement
The patient was a healthy 88-year-old male who had been in atrial fibrillation (AF) for...
…The patient was suffering from hemolysis and mitral regurgitation. A hemisternotomy was performed after femoral...
…The patient had a 23 mm mechanical MVR and LIMA to LAD and SV to...
In this video, Dr. Vince Gaudiani demonstrates how to replace a mitral valve that is...
…In this video, Dr. Vince Gaudiani uses a pig heart to provide hints and tips...
…This video demonstrates the case of a 48-year-old man who had a Mitral valve repair...
…This video demonstrates the case of an 84-year-old woman who had previously undergone aortic valve...
…This is a case of an 82-year-old woman who initially underwent a mitral valve repair...
…This video shows Dr. Vince Gaudiani demonstrating how the MitraClips had failed in an 88-year-old...
…The patient was a 68-year-old man who initially presented with symptoms of asthma, but it...
Aortic Valve Replacement 101/201
…This video demonstrates a Cox-Maze III operation combined with a left internal mammary artery (LIMA)...
…This video demonstrates a redo operation in a patient in their 60s who had a...
…This case involved a 59-year-old woman who had previously undergone aortic valve replacement (AVR) and...
…This video demonstrates the case of a 60-year-old male patient who had streptococcus viridans endocarditis...
…The case presented involves a 34-year-old male who had a 21 mm St. Jude valve...
…This video shows an operation on a patient who had previously undergone a biological aortic...
…This video describes a 73-year-old woman with severe aortic and tricuspid regurgitation due to rheumatic...
…This video features a patient who needed a left internal mammary artery (LIMA) graft to...
…This video describes how to perform a left ventricular outflow tract enlargement in a pig...
…The patient was a 52-year-old man with a 5.2 cm aorta. A femoral vein cannula...
…The patient was a 50-year-old man who had undergone a 27 mm Mosaic aortic valve...
…This video features a 42-year-old male patient who received an On-X mechanical valve. An aortotomy...
…This case features a 58-year-old male with a dilated aorta and sever aortic regurgitation. The...
…In this video, Dr. Vince Gaudiani demonstrates his technique for managing a complex case of...
…This introductory video describes the Gaudiani technique for a straightforward aortic valve replacement. The patient...
…In this video, Dr. Vince Gaudiani demonstrates his technique for performing aortic valve replacement with...
…This video demonstrates the Gaudiani technique for aortic valve replacement with ascending aortic replacement in...
…In this video, Dr. Vince Gaudiani demonstrates his technique for aortic valve replacement with a...
…This video demonstrates the Gaudiani technique for aortic valve replacement in a cadaveric porcine specimen....
…This video describes Dr. Vince Gaudiani’s technique for a standard aortic valve replacement. The patient...
…This video introduces the aortic valve replacement series and includes a discussion of the rationale...
Coronary Artery Disease
…In this video, Dr. Vince Gaudiani demonstrates the practice of a long LAD endarterectomy. He...
Transcatheter Aortic Valve Replacement/Aortic Valve Replacement Removal
…The 79-year-old male patient had a transcatheter aortic valve replacement (TAVR) placed at another institution...
In this special guest lecture for the 2026 Society of Thoracic Surgery of Thailand, Dr....
…This article is part of CTSNet’s series, Perfecting TAVR Removal | Skills Sharpening With Vince...
…This article is part of CTSNet’s series, Perfecting TAVR Removal | Skills Sharpening With Vince...
This article is part of CTSNet’s series, Perfecting TAVR Removal | Skills Sharpening With Vince...
…This article is part of CTSNet’s series, Perfecting TAVR Removal | Skills Sharpening With Vince...
This article is part of CTSNet’s series, Perfecting TAVR Removal | Skills Sharpening With Vince...
…This article is part of CTSNet’s series, Perfecting TAVR Removal | Skills Sharpening With Vince...
…This article is part of CTSNet’s series, Perfecting TAVR Removal | Skills Sharpening With Vince...
This article is part of CTSNet’s series, Perfecting TAVR Removal | Skills Sharpening With Vince...
…This article is part of CTSNet’s series, Perfecting TAVR Removal | Skills Sharpening With Vince...
Subvalvular Aortic Rings
…This video documents the investigation and treatment of a male patient who was referred with...
…This video demonstrates the excision of subvalvular ring in a 34-year-old woman who was five...
…This video illustrates the excision of a subvalvular ring in a 59-year-old woman with aortic...
Adult Anomalous Right Coronary Artery
…This video is part of Dr. Vince Gaudiani’s Anomalous Right Coronary Artery Series. View more...
…This video is part of Dr. Vince Gaudiani’s Anomalous Right Coronary Artery Series. View more...
…This video is part of Dr. Vince Gaudiani’s Anomalous Right Coronary Artery Series. View more...
Atrial Tumors Resection
…In this video, Dr. Vince Gaudiani demonstrates how to remove a right atrial myxoma in...
…This video features Dr. Vince Gaudiani demonstrating the technique he uses for removing a left...
Aortic Arch Reconstruction
…The patient is a sixty-eight-year-old man with a history of chronic aortic dissection 10 years...
…To begin, the innominate artery was cannulated with a 14 or 16 Fr pediatric cannula....
Aortic Dissection
…This video shows an 85-year-old woman who presented to the emergency room with chest pain...
Atrial Septal Defect Repair
The patient was a healthy 88-year-old male who had been in atrial fibrillation (AF) for...
…This video shows an 80-year-old patient who had severe mitral and tricuspid regurgitation with pulmonary...
Aortic Valve Replacement/Mitral Valve Repair
…The 79-year-old male patient had a transcatheter aortic valve replacement (TAVR) placed at another institution...
…This article is part of CTSNet’s series, Perfecting TAVR Removal | Skills Sharpening With Vince...
…This patient required a double valve replacement, but she had grade V atheroma in the...
Cox Maze
…This video demonstrates a redo operation in a patient in their 60s who had a...
…In this video, Dr Vince Gaudiani demonstrates a Cox maze III procedure and how to...
…This is a video of a sixty-five-year-old man who presented with atrial fibrillation, a critical...
Dangerous Reentry
…This video presents a forty-seven year-old woman who, when she was two years old, had...
…This video details how to enter the sternum when patients have undergone previous sternotomy. This...
Endocarditis
…This article is part of CTSNet’s series, Perfecting TAVR Removal | Skills Sharpening With Vince...
…This case involved a 59-year-old woman who had previously undergone aortic valve replacement (AVR) and...
…This video demonstrates the case of a 60-year-old male patient who had streptococcus viridans endocarditis...
…This patient had a severely calcified valve which then became infected with endocarditis with abscess...
…This fifty-five-year-old, 125 kg patient had a previous aortic valve replacement and presented with endocarditis...
LV Myotomy Myectomy
…This patient had an emergency mitral valve repair at another institution, but the repair failed...
…This video demonstrates a myectomy for hypertrophic cardiomyopathy in a 70-year-old woman with a 100-mmHg...
Post-Infarct Ventricular Septal Defect Repair
…This video demonstrates the repair of a post-infarction ventricular septal defect (VSD). Initially, attempts were...
Tricuspid Valve Operation
The patient was a healthy 88-year-old male who had been in atrial fibrillation (AF) for...
…This video shows a 55-year-old patient who underwent an open pulmonary valvotomy in 1967. He...
…This fifty-five-year-old, 125 kg patient had a previous aortic valve replacement and presented with endocarditis...