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Techniques

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This article discusses the periareolar approach for minimally invasive cardiac surgery, a feasible and safe technique that has aesthetic benefits and gives appropriate surgical visualization.
February 14, 2014
The operating surgeons report an elderly female patient with a 7 cm ascending aorta aneurysm. The operating surgeons used a simple Dacron sleeve technique that avoided circulatory arrest and shortened the cross clamp and cardiopulmonary support time. Moreover, the single aortic suture line decreased the haemostasis problem.
February 11, 2014
Dual incision thoracoscopic (DIT) decortication for stage 2 fibrinopurulent effusion is a further reduction in the invasiveness of thoracoscopy. DIT decortication is less invasive in a patient who is already morbid with infection, and the limited incisions or ports further reduce nerve injury in a relatively crowded rib space.
January 10, 2014
The authors present a case of a 63-year-old female who developed a large inferior aneurysm following late presentation of myocardial infarction. This rare presentation is discussed with specific regard to imaging and surgical intervention. This patient demonstrates that not all pseudoaneurysms rupture rapidly.
November 21, 2013
This video demonstrates the clinical application of the lung lavage technique for the treatment of Pulmonary Alveolar Proteinosis (PAP).
October 24, 2013
A variety of approaches for surgical management of myasthenia gravis and thymoma have been described. There is a growing experience with VATS approaches to the management of each of these conditions. One approach to VATS thymectomy is described in this article and the accompanying videos.
October 18, 2013
Congenital cystic adenomatoid malformation (CCAM) of the lung is a rare congenital malformation.This anomaly has been rarely described in adults when in association with bronchial and vascular atresia. There are few reports in the literature describing thoracoscopic lobectomy in patients with this unusual anomaly. This video is the first report of a lung resection of a CCAM via a single-port thoracoscopy.
September 20, 2013
Hybrid aortic procedures have the potential to reduce morbidity and mortality in patients that may not be reasonable candidates for a traditional open operation. This article examines a hybrid procedure performed on a 60-year-old male who had received four previous open-heart operations and who had numerous co-morbidities.
August 26, 2013
The number of ports used in minimally invasive cardiac surgery can be reduced to one with the assistance of the latest technologies and a custom-made instrument. The authors demonstrate a novel single incision technique, where no other ports for instruments and no small incision for femoral cannulation is required.
May 8, 2013
Midesophageal diverticula are rare esophageal problems usually associated with granulomatous diseases and esophageal motility disorders. They are typically located at the subcarinal area with the wall of the diverticula adherent to the lymph nodes.
April 8, 2013
Mediastinoscopy is the ‘gold standard’ method for determining the presence of nodal metastases in the mediastinum. Generally performed as an outpatient surgical procedure, it is associated with a low rate of serious adverse effects (<1%) and the procedure is highly accurate, with false negative rates reported to be between 6% and 9%.

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