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Minimally Invasive Portal

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Presented at the 64th Annual Meeting of the STSA, this video demonstrates a minimally invasive technique to plicate, narrow, and straighten the esophagus.
August 2, 2011
The present a case of a 55 year old male with known mitral valve insufficiency. By transesophageal echo the patient was found to have a ruptured chordae on the P2 segment of the posterior leaflet of the mitral valve. He underwent minimally invasive mitral valve repair via right thoracotomy.
April 10, 2011
Patient Selection
April 10, 2011
UPDATE: A follow-up video has been added that demonstrates how to manufacture the chordae system. Through a port-access incision, this video demonstrates a technique for placing an echocardiographically pre-measured chordae system to properly suspend the whole of the prolapsed anterior leaflet to its normal level of coaptation.
November 8, 2010
This video demonstrates the technical details of videothoracoscopic parietal pleurectomy and decortication for tuberculosis empyema in a 24-year old male patient suffering from dyspnea.
August 30, 2010
Hemodynamically stable patients with an undiagnosed pericardial effusion are well suited for a thoracoscopic window. When pericardial, pleural, or pulmonary pathology co-exist and require diagnosis or therapy, a thoracoscopic approach is ideal.
October 6, 2009
Ligation of the thoracic duct is indicated in any patient with a traumatic or iatrogenic chylothorax who has not responded to a brief trial of conservative management such as a low-fat diet, medium-chain triglycerides, total parenteral nutrition, and/or octreotide.
June 15, 2009
Percutaneous mitral repair using the MitraClip® system is a method derived from the edge-to-edge surgical procedure. The MitraClip® system replaces suturing with a clip to join the free edges of the opposing leaflets at the site of regurgitation.

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