A 52-year-old old male was diagnosed with acute coronary syndrome, specifically anterior wall myocardial infarction (MI) with moderate left ventricular (LV) dysfunction, and without congestive heart failure (CCF). He had a history of hypertension, diabetes, and an ischemic cerebrovascular accident (CVA) affecting the right cerebellum, but he exhibited no deficits. A coronary angiogram performed in…
This video demonstrates a robotic-assisted, right-sided minimally invasive coronary artery bypass using the right internal thoracic artery (RITA) to the right coronary artery (RCA) in a patient with an anomalous origin of the RCA. The patient was a 73-year-old man who presented with exertional chest discomfort. Coronary angiography revealed an anomalous origin of the RCA…
The authors present a case of a patient who underwent right anterior thoracotomy aortic valve replacement with concomitant ascending and hemiarch replacement. This video demonstrates the feasibility of combining a minimally invasive thoracotomy approach with complex aortic surgery. Key technical aspects included femoral cannulation, limited thoracotomy exposure, safe myocardial and cerebral protection strategies, and meticulous…
This video is part of CTSNet’s 2025 Resident Video Competition. Watch all entries into the competition, including the winning videos. Clinical Presentation and Preoperative Course The patient was a 56-year-old male with a history of hyperlipidemia, nephrolithiasis, and a recent episode of upper respiratory infection treated with antibiotics who presented with two months of persistent dyspnea. The patient had…
This video is part of CTSNet’s 2025 Resident Video Competition. Watch all entries into the competition, including the winning videos. Introduction Aneurysm of the right atrial appendage (RAA) is an extremely rare cardiac malformation, typically congenital, although it may also result from right atrial overload due to conditions such as pulmonary hypertension, a patent foramen ovale, or right heart…
Background In isolated pulmonary artery of ductal origin (IPADO), one or both pulmonary arteries arise from a ductus arteriosus, and it is observed in approximately 1.5 percent of patients with discontinuous pulmonary arteries (1,2). Embryologically, the condition is thought to result from involution of the proximal sixth aortic arch, resulting in the absence of the…
In this video, Dr. Vince Gaudiani discusses with Dr. Paul Shuttleworth how they set up a bypass circuit for aortic cases, in which hypothermic blood is perfused to the brain while the body is kept normothermic throughout the aortic surgery. They have been implementing this technique since 2007, and in this video, they explain the…
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