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Cardiac Portal

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Four surgeons presented their biggest mistakes in CABG surgery and how they went about fixing them. They emphasized the importance of surgeons sharing their mistakes so others can learn from them.
July 17, 2012
For purposes of this survey, respondents were asked to assume they had recommended surgical therapy for a 63 year old man who had been diagnosed with a distal esophageal adenocarcinoma, clinically staged as T2N0 via EUS, CT, and PET. His general health was good. He had no prior abdominal or thoracic surgery, and he had no important comorbidities.
July 12, 2012
This video shows in detail skeletonization of the internal mammary artery using the Harmonic hook blade, with footage contrasting the pedicle technique and traditional skeletonization with the cautery tip as a dissector.
July 11, 2012
In this video, the authors demonstrate their current technique and the pitfalls encountered when performing bioprosthetic pulmonary valve replacement in the adult congenital patient.
July 11, 2012
The Ross procedure is a valuable alternative for the surgical treatment of aortic valve disease in adolescent and young adult. However, neo-aortic root dilatation resulting in valve regurgitation is not uncommon. This video demonstrates the authors' technical modification that prevents this complication.
July 11, 2012
The lack of an ideal valve substitute in the congenitally affected aortic valve has raised the interest in aortic valvuloplasty by leaflet extensions. Several techniques using native or xenopericardium have been described for aortic valve repair, however, the ideal material for leaflet extensions still remains controversial.
April 11, 2012
The first successful series of patients operated on with a left ventricular-to-right atrial shunt was reported by Frank Gerbode, a noted surgeon at Stanford University. Gerbode described two routes for blood to travel from the left ventricle to the right atrium.
April 10, 2012
Cardiac surgeons largely have converted to reparative procedures for tricuspid valve disease. Techniques that have been successful for mitral repair have facilitated the transition to repair. This video illustrates current repair methods in 8 patients with a variety of tricuspid valve disorders.
March 15, 2012
The aortic translocation operation for d-TGV, VSD, and PS was first performed in June, 1983. Since then, the senior author has been directly involved in 24 such operations with one early death.
March 7, 2012
Demonstrated in the video is a novel concept for facilitating extensive neochordal repair in mitral regurgitation based on the paradigm “respect rather than resect”. Both leaflet tissue and motion are respected. The leaflet is folded and the neochordae is tied, maintaining free margin and annulus edge-to-edge.

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