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United Kingdom

65 Works

Left Atrial Appendage Closure Using the Xi Robotic System

Hamzah Mansoura & C. Patrick Murrah
This is a case presentation of a left atrial appendage closure using the Xi robotic system. The indication for the procedure was an elevated ChADVASC score and a contraindication to anticoagulation. The patient was placed supine with the left arm allowed to fall back to expose the left axilla. A left-sided double lumen tube was used. Transesophageal echocardiography was used intraoperatively to rule out LAA thrombus and to assess the LAAC.The majority of the 25...

Left Atrial Appendage Closure Using the Xi Robotic System

Hamzah Mansoura & C. Patrick Murrah
This is a case presentation of a left atrial appendage closure using the Xi robotic system. The indication for the procedure was an elevated ChADVASC score and a contraindication to anticoagulation. The patient was placed supine with the left arm allowed to fall back to expose the left axilla. A left-sided double lumen tube was used. Transesophageal echocardiography was used intraoperatively to rule out LAA thrombus and to assess the LAAC.The majority of the 25...

Robotic Lower Bilobectomy for an Endobronchial Mass: Suspicion of Carcinoid Tumor

Jean-Marc Baste, Valentin Soldea, Benjamin Bottet & Christophe Peillon
Compared to other bronchopulmonary cancers, carcinoid tumors represent a rare occurrence. Depending on the intrabronchial localization, the surgical treatment options range from a limited lung-sparing anatomical resection to a major pulmonary resection. This is the case of a 64-year-old male who presented with a hemoptoic cough. The CT scan found an intrabronchial mass. Bronchoscopy showed an uneasy intrabronchial localization, extending at the level of the intermediate bronchus right up to the S6 bronchus. The decision...

Atresia of the Aortic Arch: Repair by Single-stage Extra-anatomic Ascending-to-descending Aortic Bypass Graft Surgery

Alejandro Escobar, Mateo Marin, Juan Turizo & Rafael Meza
Atresia of the aortic arch is a rare condition among adults. It must be anatomically differentiated from an interrupted aortic arch (IAA), which is characterized by a complete lack of anatomic continuity between the transverse aortic arch or isthmus and the descending thoracic aorta (1-5). In atresia of the aortic arch, continuity between the segments is achieved by an imperforate, fibrous cord of variable length, although the hemodynamic and physiological effects may be identical in...

Robotic Lower Bilobectomy for an Endobronchial Mass: Suspicion of Carcinoid Tumor

Jean-Marc Baste, Valentin Soldea, Benjamin Bottet & Christophe Peillon
Compared to other bronchopulmonary cancers, carcinoid tumors represent a rare occurrence. Depending on the intrabronchial localization, the surgical treatment options range from a limited lung-sparing anatomical resection to a major pulmonary resection. This is the case of a 64-year-old male who presented with a hemoptoic cough. The CT scan found an intrabronchial mass. Bronchoscopy showed an uneasy intrabronchial localization, extending at the level of the intermediate bronchus right up to the S6 bronchus. The decision...

Uniportal Right Upper Lobe Sleeve Lobectomy

Arthur Vieira, Ricardo Oliveira & Paula Ugalde
The authors present the case of a 65-year-old male patient who, during an episode of pneumonia, underwent a bronchoscopy that revealed a right upper lobe (RUL) endobronchial lesion. The biopsy confirmed an epidermoid carcinoma. A chest computed tomography scan showed a central 4.2 cm lesion in the right upper lobe with endobronchial invasion. It also showed mediastinal and hilar lymph nodes smaller than 10 mm in the larger axis. Positron emission tomography confirmed a hypermetabolic...

How to Survive Residency

Amy Fiedler, Elizabeth Stephens, Hugh Auchincloss, Gregory Pattakos & Kristin Sell-Dottin
In a discussion filmed at the 2017 STS Annual Meeting in Houston, Texas, a panel of current cardiothoracic surgery residents share their tips and tricks for thriving during residency and fellowship. Amy Fiedler of the Massachusetts General Hospital is joined by Elizabeth Stephens of Columbia University, Hugh Auchincloss of the Massachusetts General Hospital, Gregory Pattakos of the Texas Heart Institute/ Baylor College of Medicine, and Kristin Sell-Dottin of the University of North Carolina Hospitals. The...

Atresia of the Aortic Arch: Repair by Single-stage Extra-anatomic Ascending-to-descending Aortic Bypass Graft Surgery

Alejandro Escobar, Mateo Marin, Juan Turizo & Rafael Meza
Atresia of the aortic arch is a rare condition among adults. It must be anatomically differentiated from an interrupted aortic arch (IAA), which is characterized by a complete lack of anatomic continuity between the transverse aortic arch or isthmus and the descending thoracic aorta (1-5). In atresia of the aortic arch, continuity between the segments is achieved by an imperforate, fibrous cord of variable length, although the hemodynamic and physiological effects may be identical in...

Uniportal Right Upper Lobe Sleeve Lobectomy

Arthur Vieira, Ricardo Oliveira & Paula Ugalde
The authors present the case of a 65-year-old male patient who, during an episode of pneumonia, underwent a bronchoscopy that revealed a right upper lobe (RUL) endobronchial lesion. The biopsy confirmed an epidermoid carcinoma. A chest computed tomography scan showed a central 4.2 cm lesion in the right upper lobe with endobronchial invasion. It also showed mediastinal and hilar lymph nodes smaller than 10 mm in the larger axis. Positron emission tomography confirmed a hypermetabolic...

How to Survive Residency

Amy Fiedler, Elizabeth Stephens, Hugh Auchincloss, Gregory Pattakos & Kristin Sell-Dottin
In a discussion filmed at the 2017 STS Annual Meeting in Houston, Texas, a panel of current cardiothoracic surgery residents share their tips and tricks for thriving during residency and fellowship. Amy Fiedler of the Massachusetts General Hospital is joined by Elizabeth Stephens of Columbia University, Hugh Auchincloss of the Massachusetts General Hospital, Gregory Pattakos of the Texas Heart Institute/ Baylor College of Medicine, and Kristin Sell-Dottin of the University of North Carolina Hospitals. The...

Giant Right Coronary Aneurysm: A Surgical Approach

Gianluca Torregrossa
A previously healthy 58-year-old man presented to the emergency department with 8/10 chest pain radiating to his back. His blood pressure was 160/100 mm Hg. The electrocardiogram showed anterolateral ST elevation consistent with acute myocardial infarction. A computer tomography scan with intravenous contrast ruled out aortic dissection, but it showed an aneurysm of the ascending aorta. Coronary angiography revealed a giant coronary aneurysm arising soon after the right coronary ostia, and severe coronary disease showed...

VATS Pericardial Patch: Minimally Invasive Stitching

Khalid Amer
This video presents the case of a 65-year-old woman with a neuroendocrine tumor in her left lower lobe. The tumor invaded the pericardium and was staged as M1a, for which curative resection was not recommended. An initial single port VATS biopsy confirmed the pericardial invasion and obtained the histology. The tumor had a Ki 67 proliferation index of 10-15%, which put it in a moderate degree of malignancy. The tumor was expected to be indolent,...

Giant Right Coronary Aneurysm: A Surgical Approach

Gianluca Torregrossa
A previously healthy 58-year-old man presented to the emergency department with 8/10 chest pain radiating to his back. His blood pressure was 160/100 mm Hg. The electrocardiogram showed anterolateral ST elevation consistent with acute myocardial infarction. A computer tomography scan with intravenous contrast ruled out aortic dissection, but it showed an aneurysm of the ascending aorta. Coronary angiography revealed a giant coronary aneurysm arising soon after the right coronary ostia, and severe coronary disease showed...

VATS Pericardial Patch: Minimally Invasive Stitching

Khalid Amer
This video presents the case of a 65-year-old woman with a neuroendocrine tumor in her left lower lobe. The tumor invaded the pericardium and was staged as M1a, for which curative resection was not recommended. An initial single port VATS biopsy confirmed the pericardial invasion and obtained the histology. The tumor had a Ki 67 proliferation index of 10-15%, which put it in a moderate degree of malignancy. The tumor was expected to be indolent,...

TCD and Validating Brain Perfusion

Zsolt Garami
Zsolt Garami of Houston Methodist in Houston, Texas, discusses Transcranial Doppler (TCD) use in cardiac and major vascular surgery, and the potential role of perfusionists in TCD monitoring.

This educational presentation was originally given during the 2016 New Orleans Conference and is published with the permission of the New Orleans Conference.

Robotic Assisted Wedge Resection for Pulmonary Nodule Using Intraoperative ICG Tattoo

Luis Alberton & Kimberly Costas
Indocyanine green (ICG) dye injection can be used to help identify nodules deep in the lung that would have been otherwise difficult to find. A surgeon can inject the ICG dye in the operating room using navigational bronchoscopy. This video presents the case of a 45-year-old female patient who underwent a robotic assisted wedge resection for a pulmonary nodule, using intraoperative navigational bronchoscopy and ICG tattoo of the nodule.

Minimally Invasive Mitral Valve Repair via Inferior Mini Sternotomy

Ahmad Abugameh, Ahmed Ghazy & F. Vahl
This step-by-step video shows how to perform a mitral valve repair via inferior mini sternotomy. Bretschneider cardioplegia was used. The length of the neochords should be determined by considering the following factors: orientation to the neighboring chordae, orientation to the corresponding leaflet, the mitral valve ring, and experience of the surgeon. In principle, there are no contraindications to this approach. In cases of re-do operations, however, the approach should be guided by the preoperative CT...

Controversies in Type A Aortic Dissection - Optimal Strategies and Surgical Interventions

Mohamad Bashir, Joseph Bavaria, Thoralf Sundt, Ali Khoynezhad & Martin Grabenwoger
The treatment of thoracic aortic dissection raises many controversies, including risk identification, strategies for the optimal treatment approach, and the appropriate surgical intervention. Mohamad Bashir of Barts Heart Centre moderates a discussion on these controversies with a panel of distinguished experts. Dr. Bashir is joined by Joseph Bavaria of the Hospital of the University of Pennsylvania, Thoralf Sundt of Massachusetts General Hospital, Ali Khoynezhad of Cedars-Sinai Heart Institute, Martin Grabenwoger of Hospital Hietzing, and Heinz...

Lung Volume Reduction Surgery for Emphysema

Jose Manuel Naranjo Gómez & Daniel Valdivia Concha
A 65-year-old patient was admitted to the author´s department to assess his inclusion in the lung transplantation program. The patient had a prior history of smoking (50-pack years) and emphysema (COPD GOLD IV). In the previous year, he had been treated with 2–4 lpm home oxygen, 24 hours a day. The patient commonly experienced severe dyspnea with daily routine activities and had some isolated exacerbation episodes in the previous three years.
The x-ray showed hyperinflation, and...

Minimally Invasive Mitral Valve Repair via Inferior Mini Sternotomy

Ahmad Abugameh, Ahmed Ghazy & F. Vahl
This step-by-step video shows how to perform a mitral valve repair via inferior mini sternotomy. Bretschneider cardioplegia was used. The length of the neochords should be determined by considering the following factors: orientation to the neighboring chordae, orientation to the corresponding leaflet, the mitral valve ring, and experience of the surgeon. In principle, there are no contraindications to this approach. In cases of re-do operations, however, the approach should be guided by the preoperative CT...

Robotic Assisted Wedge Resection for Pulmonary Nodule Using Intraoperative ICG Tattoo

Luis Alberton & Kimberly Costas
Indocyanine green (ICG) dye injection can be used to help identify nodules deep in the lung that would have been otherwise difficult to find. A surgeon can inject the ICG dye in the operating room using navigational bronchoscopy. This video presents the case of a 45-year-old female patient who underwent a robotic assisted wedge resection for a pulmonary nodule, using intraoperative navigational bronchoscopy and ICG tattoo of the nodule.

Controversies in Type A Aortic Dissection - Optimal Strategies and Surgical Interventions

Mohamad Bashir, Joseph Bavaria, Thoralf Sundt, Ali Khoynezhad & Martin Grabenwoger
The treatment of thoracic aortic dissection raises many controversies, including risk identification, strategies for the optimal treatment approach, and the appropriate surgical intervention. Mohamad Bashir of Barts Heart Centre moderates a discussion on these controversies with a panel of distinguished experts. Dr. Bashir is joined by Joseph Bavaria of the Hospital of the University of Pennsylvania, Thoralf Sundt of Massachusetts General Hospital, Ali Khoynezhad of Cedars-Sinai Heart Institute, Martin Grabenwoger of Hospital Hietzing, and Heinz...

A Rare Case of Paraganglioma Presenting as Anginal Pain

Palli Venkata Naresh Kumar
Case Report
A 39-year-old female patient presented with complaints of retrosternal chest pain and shortness of breath associated with giddiness for the five days preceding the visit. She also complained of weight loss over the past two months. Six months prior, she underwent a coronary angiogram for similar complaints, which revealed normal epicardial coronary arteries with no atherosclerosis and an arteriovenous (AV) fistula in the right coronary artery (RCA). The patient had a history of hypertension...

Uniportal VATS Left Lower Lobectomy to Treat Intralobar Pulmonary Sequestration

Firas Abu Akar, Tian Zhao, Li Ming Zhang, Tinglong Ma, Alonso Oviedo & Zhao Xiaogang
This video demonstrates a uniportal VATS left lower lobectomy to treat intralobar sequestration. Special attention should be given to the arterial branch that feeds the tumor during dissection. The arterial branch usually comes directly from the descending aorta.

A Rare Case of Paraganglioma Presenting as Anginal Pain

Palli Venkata Naresh Kumar
Case Report
A 39-year-old female patient presented with complaints of retrosternal chest pain and shortness of breath associated with giddiness for the five days preceding the visit. She also complained of weight loss over the past two months. Six months prior, she underwent a coronary angiogram for similar complaints, which revealed normal epicardial coronary arteries with no atherosclerosis and an arteriovenous (AV) fistula in the right coronary artery (RCA). The patient had a history of hypertension...

Resource Types

  • Audiovisual
    61
  • Collection
    4

Publication Year

  • 2017
    65

Data Centers

  • CTSNet | The Cardiothoracic Surgery Network
    65