Arterial grafts remain the conduit of choice for most coronary surgeons. However, saphenous vein grafts are the most commonly used conduits. Endoscopic vein harvest (EVH) has become the procedure of choice in harvesting saphenous veins for coronary artery bypass grafting (CABG).
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June 18, 2009
A case of a 6-month-old female with stridor, dysphagia and bronchiolitis. Subsequent transthoracic echocardiography confirmed a double aortic with complete vascular ring with a dominant right arch, smaller anterior left and a Kommerell’s diverticulum connected to a ductal remnant. This video shows division of the ring through a left thoracotomy with a successful outcome.
June 15, 2009
This video shows the main surgical aspects of the Bentall-De Bono procedure with a new biological composite conduit. This is the case of a 76-year-old man with ascending aorta aneurysm and aortic valve cusp calcification. The composite conduit utilized for aortic root and aortic valve replacement is a prefabricated biological valve, called BioValsalva.
June 14, 2009
A premature baby girl was admitted to the Children’s Heart Centre Slovakia with signs of congestive heart failure and failure to thrive. On echo a common arterial trunk type A1-A2 (Van Praagh) associated with a patent foramen ovale with near confluent pulmonary arteries was diagnosed. The patient was referred for complete repair.
May 26, 2009
Pulmonary endoarterectomy is the treatment of choice in patients with chronic thromboembolic pulmonary hypertension. Traditionally, PEA is achieved by adopting periods of deep hypothermia at 18° Celsius and circulatory arrest. We present an alternative strategy, based on the application of a negative pressure in the left chambers and also in the superior vena cava.
May 6, 2009
It was a clear, cool fall morning of my first year in medical school. I had remembered that we were scheduled to have a special guest for our 8 AM lecture that morning, but little did I know how much that lecture would change my life.
May 6, 2009
The current “traditional” method for training cardiothoracic surgeons (five years of general surgery and two-three years of thoracic) dates back 80 years to a time in which the specialty consisted of operations for empyemas and tuberculosis. Needless to say, over the course of the last 80 years, the field of cardiothoracic surgery has changed dramatically.
March 24, 2009
Minimally invasive VATS enucleation of a proximal esophageal leiomyoma is a safe approach to treat this unusual benign esophageal tumor.
March 24, 2009
Surgical resection of carinal tumors can be safely accomplished via median sternotomy. Resection effectively alleviates airway obstruction. The transsternal approach provides excellent excellent exposure and should be considered for carinal tumors.
February 23, 2009
A multidisciplinary team approach is demonstrated to close coronary fistula in a 79-year old patient. All steps from diagnosis to treatment of this rare clinical case are shown.