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176 Works

TAVR Approaches and Advances

Heyman Luckraz
Heyman Luckraz of the American Hospital Dubai, UAE, presents an overview of different access routes for transcatheter aortic valve replacement. He discusses the benefits and challenges of the different routes, including transfemoral, transapical, and transcaval.This presentation was originally given during the SCTS Ionescu University program at the 2017 Annual Meeting of the Society for Cardiothoracic Surgery in Great Britain and Ireland. This content is published with the permission of SCTS. Please click here for more...

Changing the Perceptions of Women in Cardiothoracic Surgery

Emily Farkas, Mara Antonoff, Meghana Helder & Melanie Edwards
Filmed at the STS 2017 Annual Meeting in Houston, Texas, Emily Farkas of ThedaCare Appleton Heart Institute in Wisconsin moderates a discussion on changing the perception of women in cardiothoracic surgery. Dr Farkas is joined by Mara Antonoff of MD Anderson Cancer Center in Houston, Texas, Meghana Helder of Mayo Clinic in Rochester, Minnesota, and Melanie Edwards of St Louis University School of Medicine in Missouri. They talk about the gains that have been made,...

Sutureless Aortic Valve Replacement Via Right Anterior Thoracotomy

Selim Isbir, Sinan Arsan, Yasar Birkan, Koray Ak, Alper Kararmaz, Nihal Kolbas & Elif Demirbas
The authors present a sutureless aortic valve replacement via a right anterior thoracotomy, using minimal extracorporeal circulation (MECC) in an 84-year-old patient with severe aortic stenosis.
Preoperative tomographic angiography showed a right-sided aorta. A 4 cm transverse incision was made through the right second intercostal space. Rib resection was not used. Femoral arterial and venous cannulation was used. MECC is known to reduce the deleterious effects of cardiopulmonary bypass, and the main advantages of MECC are...

The Mini-Ravitch Operation

Joel Dunning & Vivek Shrivastava
This video demonstrates a Ravitch procedure, and is intended for people with pectus abnormalities to be able to see this potential surgical solution. The authors hope it will also be useful for surgeons who are interested in this operation and are looking for ways to minimize its size. The authors welcome discussion from other surgeons on their ideas for reducing the morbidity of the Ravitch operation.
The authors call it a "mini" Ravitch, as the...

Intraoperative Complications in VATS

Herbert M.A. Decaluwe
Herbert Decaluwé of University Hospital Leuven in Belgium discusses complications during video-assisted thoracoscopic surgery (VATS). He presents a 2015 review of VATS complications at six European centers, discussing elements that were found to be associated with intraoperative complications, and the types of injuries that were noted in the study. He also shows video of VATS complications and near-misses, focusing on the approaches one could take to avoid or recover from them.This presentation was originally given...

The ORBITA Trial Results: What Do They Mean for Surgeons?

Patrick O. Myers, David P. Taggart & Michael J. Mack
Patrick Myers of Geneva University in Switzerland moderates a discussion on the recently published ORBITA trial. Dr Meyers is joined by David Taggart of the University of Oxford in the UK and Michael Mack of Baylor Scott and White Health in Dallas, Texas, US. The group discusses the importance of the sham-control design of the trial, ORBITA’s context within previous and upcoming trials, and what the results mean for cardiac surgeons.Read the paper here:Al-Lamee R,...

Outpatient Excision of a Large Symptomatic Mediastinal Cyst

Raul Caso & M. Blair Marshall
As thoracic surgery has progressed to more minimally invasive techniques, opportunities to continue innovation and change other aspects of these procedures have arisen. The author's current protocol for mediastinal surgery includes placement of a single lumen tube anesthesia. Lung isolation is achieved through capnothorax. If the dissection has been straightforward, the authors often opt not to place any type of chest tube. As the pleura is an absorptive surface, a small amount of fluid is...

Ischemic Mitral Regurgitation: Why, When, and How?

Michael A. Borger
Michael Borger of the Leipzig Heart Center in Germany presents an overview of surgical repair for ischemic mitral regurgitation (MR). He discusses the development and prevalence of ischemic MR, when repair is likely to benefit patients, and subvalvular techniques aimed at reducing the likelihood of recurrence.
This presentation was originally given during the SCTS Ionescu University program at the 2017 Annual Meeting of the Society for Cardiothoracic Surgery in Great Britain and Ireland. This content is...

Roundtable: How to Maximize Efficiency in Clinic and Practice

Shanda Blackmon, Brendon Stiles, Vinay Badhwar & Robert Cerfolio
Shanda Blackmon of the Mayo Clinic in Rochester, Minnesota, moderates a discussion - filmed at the 2017 STS Annual Meeting - on maximizing efficiency in a cardiothoracic surgery practice. Dr Blackmon is joined by Brendon Stiles of the New York-Presbyterian Weill Cornell Medical Center in New York City, Vinay Badhwar of West Virginia University in Morgantown, and Robert Cerfolio, now of New York University Langone Health in New York City. The panelists share the different...

Making a Difference: A Cardiac Surgery Mission to Enugu, Nigeria

Joel Dunning & Emily Farkas
This video was filmed during a cardiac surgery mission to Enugu, Nigeria, led by Emily Farkas and sponsored by CardioStart and the VOOM Foundation. It documents the important work that surgical mission groups perform, and hopefully provides insights into what it is like to be on a cardiac surgery mission in a developing country.

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Thoracoscopic Sublobar Resection for Pulmonary Sequestration

Karishma Chandarana, Edward Caruana, Jacob George, Hazem Fallouh & Sridhar Rathinam
The authors present the case of a 46-year-old woman with recurrent chest and urinary tract infections. Computed tomography of her chest demonstrated a right lower lobe intralobar pulmonary sequestration with an 8 mm systemic feeding vessel arising from the descending thoracic aorta.

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Should Surgeons Be Interested in the Effects of Bypass?

Jonathan Anderson
Jonathan Anderson of Hammersmith Hospital in London, UK, argues that surgeons should be interested in the effect that cardiopulmonary bypass has on a patient. He makes the case that even though cardiopulmonary bypass is safe, it should be continually improved to reduce its negative effects on the patient. Dr Anderson presents a brief history of early techniques for extracorporeal circulation and discusses more recent advances in minimally invasive circuits.
This presentation was originally given during the...

Interview: Betty Tong Discusses What Led Her to a CT Surgery Career

Joel Dunning & Betty Tong
Filmed at the 2017 STS Annual Meeting in Houston, Texas, Joel Dunning of the James Cook University Hospital in Middlesborough, UK, interviews Betty Tong of Duke University Medical Center in Durham, North Carolina, about her path to cardiothoracic surgery. They discuss how she chose to pursue medicine over engineering and thoracic surgery over otolaryngology, and why milestone-based training is important.
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Current Concepts in Surgical Myocardial Revascularization

Om P Yadava & Massimo Lemma
In this interview, O. P. Yadava of the National Heart Institute in New Delhi, India, and Massimo Lemma of the Jilin Heart Hospital in Changchun, China, discuss surgical myocardial revascularization. Dr Lemma stresses the importance of total arterial myocardial revascularization, commenting that both internal mammary arteries have equivalent patency rates and that the next best conduit of choice is the radial artery. They discuss why vein grafts are still used, given the superior patency of...

Five-on-a-Dice Port Technique for Robot-Assisted Right Upper Lobectomy for Hilar Lung Cancer

Min Kim & Edward Chan
This video demonstrates the case of a 54-year-old woman with a 3.5 cm hilar mass abutting the main pulmonary artery, and located between the posterior ascending and superior segmental arteries.
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Surgical Techniques for Functional Mitral Regurgitation

Joseph Lamelas
Joseph Lamelas of the Texas Heart Institute in Houston discusses different surgical techniques to address ventricular dysfunction in functional mitral regurgitation. He presents video of his prefered technique, termed "Ring & Sling," in which a graft draws the papillary muscles together.This presentation was originally given during the SCTS Ionescu University program at the 2017 Annual Meeting of the Society for Cardiothoracic Surgery in Great Britain and Ireland. This content is published with the permission of...

Thoracoscopic Right Apicoposterior Segmentectomy

Dominique Gossot, Agathe Sequin-Givelet, Madalina Grigoroiu, Emmanuel Brian & Akram Traibi
S2 and S1+2 segmentectomies are frequently indicated, as the location of a tumor or a nodule in S2 or at the border between S2 and S1 is not unusual. Preserving S3 rather than performing an upper lobectomy has two advantages: it spares respiratory function, and S3 is a large segment that occupies the pleural cavity and prevents reexpansion issues that can be encountered after an upper lobectomy, as illustrated in Video 1 and Figure 1.

Redo Valve-Sparing Ascending Aorta and Total Arch Replacement in a Young Patient With Loeys-Dietz Syndrome: A Challenging Procedure

Mateo Marin Cuartas, Juan Camilo Rendon & Juan Santiago Jaramillo
The authors present a successful surgical treatment in a 14-year-old girl with Loeys-Dietz syndrome; a redo aortic arch and ascending aorta replacement with a valve-sparing operation was performed. Special considerations were taken, and a well-established surgical plan was designed to reduce risk and improve outcomes in this complex aortic redo operation. Learn more:

Surgery for Stage IIIa N2 Disease

Douglas Mathisen, Erino Rendina & Leanne Harling
Filmed at the 2016 EACTS Annual Meeting in Barcelona, Spain, Leanne Harling of Imperial College in London, UK, moderates a discussion on the role of surgical therapy for N2 lung cancer. Doug Mathisen of Massachusettes General Hospital in Boston, Massachusetts, and Erino Rendina of the University La Sapienza in Rome, Italy, share and debate their approaches to staging, adjuvant therapy, persistent disease, and surgical removal of the primary tumor.

Surgery For T4 Tumors

Federico Venuta
Federico Venuta of the Sapienza University of Rome in Italy discusses surgical reconstruction techniques following resection of T4 lung cancer tumors. He focuses on surgical approaches for tumors that invade the atrium, the carina, and several of the great vessels including the aorta.This presentation was originally given during the SCTS Ionescu University program at the 2017 Annual Meeting of the Society for Cardiothoracic Surgery in Great Britain and Ireland. This content is published with the...

Repair of Postinfarction VSD: How I Teach It

George Tolis
The purpose of this video is to provide cardiac surgeons in training institutions with some helpful hints on teaching their residents how to repair a postinfarction ventricular septal defect. Even though the patients presenting with this pathology are usually sick, the operation can be taught safely to the surgeon in training provided that there are no concomitant procedures.

Preventing Recurrence: Optimal Surgical and Medical Management of Catamenial Pneumothorax

James M. Clark, Lisa M. Brown, Sarah Holmes, David T. Cooke & Elizabeth A. David
The authors describe the successful surgical and medical management of a young woman with recurrent catamenial pneumothoraxes. A 34-year-old woman was referred to thoracic surgery clinic for recurrent episodes of dyspnea. She stopped taking oral contraceptive pills at the age of 30, shortly after which she began having recurrent episodes of dyspnea, cough, and dysmenorrhea. She underwent a diagnostic laparoscopy with evidence of pelvic endometriosis. She was found to have a right pneumothorax and had...

Total Arterial Revascularization: The Case for Radial Artery Conduit

James Tatoulis
James Tatoulis of the Royal Melbourne Hospital in Australia presents the case for choosing the radial artery (RA) as a second or third graft in coronary artery bypass surgery. He discusses the benefits of RAs over saphenous veins and highlights technical considerations for optimal success with RA grafts.This presentation was originally given during the SCTS Ionescu University program at the 2017 Annual Meeting of the Society for Cardiothoracic Surgery in Great Britain and Ireland. This...

Sutureless Aortic Valves in Patients With a Bicuspid Aortic Valve

Mohamad Ali Bashir, Eric E. Roselli, Vinod H. Thourani & Malakh Lal Shrestha
Mohamad Bashir of the Blackpool Victoria Hospital in the UK moderates a discussion on the use of sutureless aortic valves in patients with bicuspid valve anatomy, which was filmed at the 2017 STS Annual Meeting in Houston, Texas. Dr Bashir is joined by Eric Roselli of the Cleveland Clinic Foundation in Ohio, US, Vinod Thourani of Medstar Heart Institute in Washington, DC, US, and Malakh Shrestha of Hannover Medical School in Germany. The panel focuses...

Marfan Syndrome: Single-Stage Surgical Repair of Pectus Excavatum Combined With Mitral Valve Repair and David Procedure

Andres Obeso, Jehad Ramahi & Olivier Jegaden
A 29-year-old male with a known history of Marfan syndrome was referred to the authors’ institute for surgical assessment. Physical examination showed a severe symmetric pectus excavatum, with a Haller Index of 7.8. Preoperative workup included a transesophageal echocardiography that revealed severe mitral valve regurgitation due to bileaflet mitral valve prolapse and a 5 cm aortic root dilatation involving the sinuses of Valsalva. The aortic valve was tricuspid and no alterations in flow were observed....

Resource Types

  • Audiovisual
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Publication Year

  • 2017

Registration Year

  • 2017

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