This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Isaac George, CTSNet Board Member and Co-Director of the Structural Heart and Valve Center, Surgical Director of Structural Heart Disease, and Co-Director of the Mitral and Tricuspid Center at Columbia University Medical Center/NewYork-Presbyterian, NY, USA, about the lifetime management of aortic valve disease.…
Conventional transvenous pacing is standard care; however, patients with limited venous access often face a therapeutic dead end. The authors present a novel, minimally invasive thoracoscopic technique for right atrial access and septal lead implantation, targeting the left bundle branch (LBB) area—a solution that has not been previously described. The case involved a patient with…
This session shows leading surgeons presenting on tricuspid valve challenges at the Society for Cardiothoracic Surgery in Great Britain and Ireland Annual Meeting. Dr. Norman Briffa, a consultant cardiac surgeon at Sheffield Teaching Hospitals NHS Trust and a Reader at the University of Sheffield, UK, discussed “Challenges in Tricuspid Valve Management.” He addressed the goals…
This video demonstrates video-assisted thoracoscopic surgery lobectomies, providing step-by-step instructional videos that dissect important structures in a library format, organized by each specific lobe. 1. Left Upper Lobectomy A left upper lobectomy began with the dissection of the superior pulmonary vein. A ring forceps was used to safely pass behind the pulmonary vein. A 6…
Pectus excavatum is the most common congenital chest wall deformity, and severe cases may require operative correction to improve both physiological and cosmetic outcomes. The authors present the case of a 16-year-old male with severe symmetric pectus excavatum and a Haller index of 5.4 who underwent correction using a modified double-bar Pectus Up technique. Preoperative…
The authors present a video demonstrating the double-inclusion Ross technique in a 36-year-old patient with severe bicuspid aortic valve stenosis, aortopathy, and a significant mismatch between the aortic anulus/left ventricular outflow tract (LVOT) and the pulmonary autograft. Considering the mismatch and aneurysmal aorta, downsizing of the annulus and LVOT was performed to create appropriate media…
Bronchogenic cysts are congenital foregut malformations that commonly arise within the mediastinum. Surgical resection is recommended due to risks of infection, compression of adjacent structures, and potential complications. Minimally invasive thoracoscopic approaches have become the preferred method for resection. This video demonstrates the uniportal video-assisted thoracoscopic surgical (VATS) resection of a large posterior mediastinal bronchogenic…
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