2,120 Works

Pediatric Orthotropic Heart Transplant

Erhan Urganci, Thomas Aschacher, Dominik Wiedemann, Judith Schiefer, Andreas Zuckermann, Günther Laufer, Ina Michel-Behnke & Daniel Zimpfer
Introduction
In pediatric patients with severe congenital heart disease and end-stage heart failure, cardiac transplant may be the only option. Especially in patients with a medical history of multiple open-heart surgeries, it is a technically demanding procedure and requires a well-trained team with experience in congenital heart disease (1). The first attempt of pediatric heart transplantation was made by Dr Adrian Kantrowitz in New York in 1967. Considerable progress has been made since that time in...

Early Use of 4K Surgical System to Perform Minimally Invasive Right Apical Segmentectomy

Moslem Abdelghafar & Felice Granato
This video documents the use of the IMAGE1 S™ 4K RUBINA™ system during a minimally invasive uniportal right upper lobe apical segmentectomy.
The IMAGE1 S™ 4K RUBINA™ system combines 4K imaging technology with NIR/ICG fluorescence imaging. This can be superimposed on the white light image (overlay mode), providing the user with valuable information. The system also allows for the marking of the segmental parenchymal division during surgery without loss of surrounding definition.The patient featured in this...

Minimally Invasive Aortic Valve Replacement by Thoracotomy: Step-by-Step Guide

Tom C. Nguyen & Juan B. Umana
The video provides a step-by-step guide for performing a minimally invasive aortic valve replacement via right thoracotomy, with an emphasis on the pearls and pitfalls. The implantation of a bioprosthetic tissue and sutureless valve is described. The video is organized according to the following phases of the operation: preoperative, cannulation, exposure, and implantation.
Dr Nguyen is a proctor for Edwards LifeSciences and Abbott.Learn more: https://www.ctsnet.org/article/minimally-invasive-aortic-valve-replacement-thoracotomy-step-step-guide

Roos Procedure for Thoracic Outlet Syndrome

, Karthik Panchanatheeswaran & B.V. Sai Chandran
The cervical rib is an extra rib that arises from the seventh cervical vertebra. It is present in approximately 1% of the general population, and it is bilateral in half of these patients. Women are affected more than men. It is clinically significant when it causes neurovascular compression in the thoracic outlet.
This video demonstrates a Roos procedure done for thoracic outlet syndrome (TOS) due to the presence of a left cervical rib in a...

Robotic Right Lower Lobe Anterobasal (S8) Segmentectomy

Keita Tokuishi, Takayuki Imakiire, Satoshi Yoneda & Toshihiko Sato
Segmentectomy is indicated in selected patients with non-small-cell lung cancer with peripheral nodules measuring ≤ 2 cm and a ≥ 50% ground-glass appearance on computed tomography (CT) (1). We report the case of an 80-year-old asymptomatic man with a history of symptomatic epilepsy, who underwent CT for an unrelated condition and was shown to have a peripheral lung nodule (1.5 cm) in the right S8 segment with a 50% ground-glass appearance. Positron emission tomography-CT revealed...

Redo AVR for Paravalvular Leak Following TAVR

Qasim Al Abri, Lamees I. El Nihum & Mahesh Ramchandani
This is an 82-year-old gentlemen with severe ostial LAD stenosis, paroxysmal atrial fibrillation, and para-valvular leak in a 2-year-old TAVR valve. The operation was performed via median sternotomy, which was followed by harvesting of the left internal mammary in a pedicle fashion. The pericardium was opened and suspended, and then heparin was given. After reaching an ACT of above 480, CPB was initiated via central aortic and venous cannulation. A retrograde cardioplegia catheter was inserted...

An interview With Nikki Stamp

Joel Dunning & Nikki Stamp
In this video, Joel Dunning of James Cook University Hospital in Middlesbrough, United Kingdom, interviews Nikki Stamp, a cardiothoracic surgeon from Perth, Australia. She presented a television program in Australia which showed live surgery, and she has authored two books: Can You Die of a Broken Heart? and Pretty Unhealthy. She has over 16,000 Twitter followers and campaigns on women's health issues, advocates for women in the workplace, and performs myth-busting for a host of...

VATS Pulmonary Artery Sealing: A Multi-Center Study

Joel Dunning, & Eric Goudie
Filmed at the 2017 STS Annual Meeting, Joel Dunning of James Cook University Hospital in Middlesbrough, United Kingdom, moderates a discussion with Moishe Liberman and Eric Goudie, both of the University of Montreal. They discuss Dr Liberman's method of dividing pulmonary vessels using an energy device and the multi-center study Dr Liberman and Mr Goudie are running to evaluate energy sealing on pulmonary arteries.
Learn more: https://www.ctsnet.org/article/vats-pulmonary-artery-sealing-multi-center-study

Aspergilloma Resection in a Partial Anomalous Pulmonary Venous Connection of the Left Upper Lobe

Francesco Petrella, Luca Bertolaccini, Riccardo Orlandi & Lorenzo Spaggiari
Partial anomalous pulmonary vein connection (PAPVC) is due to the failure of one or more of the pulmonary veins to be incorporated into the left atrium, thus flowing into the systemic circulation (1). The incidence of PAPVC at autopsy is between 0.6% - 0.7%, and on the right side is twice as common as PAPVC from the left lung. The most common form of PAPVC is the one in which a right upper pulmonary vein...

One Stage Thoracoscopic Segmentectomy and Transphrenic Adrenalectomy for Non-Small Cell Lung Cancer With Unique Metastasis

Patrick Bagan, JC Das Neves Pereira, B Dakhil & R Zaimi
Objective; Metastasis from non-small cell lung cancer (NSCLC) is traditionally considered as a contraindication to surgery. Favourable long-term survival following staged lung resection and resection of synchronous isolated adrenal metastasis has been reported in N0 patients. Considering the retroperitoneal location of the adrenal gland, the transdiaphragmatic approach offers an attractive alternative to standard approaches to adrenal tumors. We describe a technique of simultaneously completing a lung resection and adrenalectomy safely through the thoracic approach. Case...

Minimally Invasive Valve-Sparing Aortic Root Replacement

Derek Brinster & Jonathan Hemli
This video demonstrates the basics of the valve-sparing aortic root replacement (VSARR) procedure, including the dissection, graft measurement, and surgical tips for a competent and durable repair. Minimally invasive procedures are continuing to evolve with the goal of providing reduced morbidity to the patient and earlier return to the activities of daily living. The VSARR procedure performed through a 5 cm incision and upper hemisternotomy is the natural evolution of the basic minimally invasive aortic...

Minimally Invasive Valve-Sparing Aortic Root Replacement

Derek Brinster & Jonathan Hemli
This video demonstrates the basics of the valve-sparing aortic root replacement (VSARR) procedure, including the dissection, graft measurement, and surgical tips for a competent and durable repair. Minimally invasive procedures are continuing to evolve with the goal of providing reduced morbidity to the patient and earlier return to the activities of daily living. The VSARR procedure performed through a 5 cm incision and upper hemisternotomy is the natural evolution of the basic minimally invasive aortic...

Training in Cardiovascular Surgery: Thoughts of a Key Opinion Leader

Om P Yadava & Rui Manuel Almeida
Dr Om P. Yadava, CEO and Chief Cardiac Surgeon of the National Heart Institute in New Delhi, India, and Editor-in-Chief of the Indian Journal of Thoracic and Cardiovascular Surgery, and Professor Rui Almeida, President of the Brazilian Society of Cardiovascular Surgery, discuss the reasons for a lack of trainee interest in the specialty of cardiovascular surgery and the steps that the Brazilian Society of Cardiovascular Surgery has taken to address this issue.
Professor Almeida discusses...

Resection of Fibroelastoma in Left Ventricular Outflow Tract by Minimally Invasive Approach

Mariano Vrancic, Manuel Cervetti, Julian Benavidez, Mario Acosta, Manuel Chiappe, Mariano Camporrotondo, Fernando Piccinini & Daniel Navia
This video demonstrates the resection of a fibroelastoma in the left ventricular outflow tract using a minimally invasive approach. The 83-year-old female patient was asymptomatic. Her cardiovascular history included a stent for infrarenal aortic aneurysm. Computed tomography angiography showed no lesions. The transesophageal echocardiography showed a hyperechoic mobile image that protruded towards the left ventricular outflow tract, impacted the noncoronary valve, and was attached to the septum by a small pedicle. Mild aortic insufficiency was...

Recent Advances in Tracheal Surgery

Sacha Mussot
Sacha Mussot of the Marie Lannelongue Hospital in Le Plessis-Robinson, France, discusses tracheal resection. He focuses on advances in replacing or reconstructing the trachea in cases where too much tissue is removed for a tracheal anastomosis to be possible.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...

Minimally Invasive Stage I Elephant Trunk and Aortic Valve Repair

Konstadinos Plestis, Matthew Thomas, Oleg Orlov, Kristen Lee & Cinthia Orlov
Case Presentation A 70-year-old woman presented with a symptomatic aortic aneurysm and mild-to-moderate central aortic regurgitation. Preoperative CT-C showed enlargement of her ascending and descending aorta and her aortic arch. Her aortic root was not dilated. Transesophageal echocardiogram demonstrated a trileaflet aortic valve with mild-to-moderate central aortic regurgitation and preserved ejection fraction.
Procedure The patient underwent a “J-type” partial upper sternotomy with extension into the right fourth intercostal space. Her right axillary artery was...

Management of the Aortic Valve in Children

Patrick O. Myers, David Kalfa, Rudolf Mair & Christian P. R. Brizard
Filmed at the 2019 EACTS Annual Meeting in Lisbon, Portugal, Patrck O. Myers of the Lausanne University Hospital in Switzerland moderates a discussion on the different options for managing the aortic valve in children. He is joined by David Kalfa Columbia University in New York, Rudolf Mair of Linz, Austria, and Christian Brizard of Royal Children's Hospital in Parkville, Australia. They discuss the options of repair, reconstruction, and replacement.

Pediatric Orthotopic Heart Transplant

Erhan Urganci, Thomas Aschacher, Dominik Wiedemann, Judith Schiefer, Andreas Zuckermann, Günther Laufer, Ina Michel-Behnke & Daniel Zimpfer
Introduction
In pediatric patients with severe congenital heart disease and end-stage heart failure, cardiac transplant may be the only option. Especially in patients with a medical history of multiple open-heart surgeries, it is a technically demanding procedure and requires a well-trained team with experience in congenital heart disease (1). The first attempt of pediatric heart transplantation was made by Dr Adrian Kantrowitz in New York in 1967. Considerable progress has been made since that time in...

Surgical Treatment of a Huge Left Atrial Myxoma

Koray Ak, Yasin Guctekin, Yakup Tire, Fatih Ozturk, Altug Cincin & Sinan Arsan
Primary cardiac tumors are rarely seen and myxomas are the most common primary cardiac tumors. Over 75% of the cases, myxomas originate from the left atrium. Although the diagnosis might be done incidentally in some, almost 67% of patients have cardiac signs and symptoms related to the classic triad of obstruction, embolism and constitutional symptoms. Constitutional symptoms including malaise, anorexia, fever, arthralgia and weight loss are reported to be common in patients with atrial myxomas...

Robotic Left Upper Lobe Apicoposterior (S1 + S2) Segmentectomy: A Case Report and Discussion

Ankit Dhamija, , Alper Toker & Ghulam Abbas
The authors present the case of a 79-year-old man with a distant history of smoking who presented with a slowly enlarging 1 cm nodule. This was initially found on surveillance for a thoracic aortic aneurysm two years prior to resection and the authors were following it with repeat scans. On positron emission tomography (PET) scan, there was no metabolic activity in either the nodule or in the mediastinum. As monitoring continued, it began to grow...

Surgical Treatment of a Huge Left Atrial Myxoma

Koray Ak, Yasin Guctekin, Yakup Tire, Fatih Ozturk, Altug Cincin & Sinan Arsan
Primary cardiac tumors are rarely seen and myxomas are the most common primary cardiac tumors. Over 75% of the cases, myxomas originate from the left atrium. Although the diagnosis might be done incidentally in some, almost 67% of patients have cardiac signs and symptoms related to the classic triad of obstruction, embolism and constitutional symptoms. Constitutional symptoms including malaise, anorexia, fever, arthralgia and weight loss are reported to be common in patients with atrial myxomas...

Open Window Thoracostomy in a Patient With Broncopleural Fistula After Left Pneumonectomy

Lorenzo Spaggiari & Alessio Vincenzo Mariolo
IntroductionDr Oscar Clagett described the open window thoracostomy in 1963 for treating postpneumonectomy empyema. This technique is still used in the management of bronchopleural fistula after lung resection. The opening into the chest wall allows repeated drainage, irrigation, and dressing of the cavity, and it lets the wound granulate and close over time. It can also act as a bridge to secondary wound closure with muscle or omental flaps, once the infection of the pleural...

An interview With Nikki Stamp

Joel Dunning & Nikki Stamp
In this video, Joel Dunning of James Cook University Hospital in Middlesbrough, United Kingdom, interviews Nikki Stamp, a cardiothoracic surgeon from Perth, Australia. She presented a television program in Australia which showed live surgery, and she has authored two books: Can You Die of a Broken Heart? and Pretty Unhealthy. She has over 16,000 Twitter followers and campaigns on women's health issues, advocates for women in the workplace, and performs myth-busting for a host of...

Excision of a Complicated Posterior Mediastinal Goiter Using CPB

Vijit K Cherian, Sandip Duarah, Gopal Murugesan, Ravi Shivdasani, Gokulakrishnan M & Bagyaraj PS
Cervico-mediastinal tumors are commonly situated in the anterior mediastinum. However, 10 to 15 percent of them may be located in the posterior mediastinum. This video presents an unusual case of a complicated cervico-mediastinal extension of a goiter to the posterior mediastinum causing severe lower tracheal compression.

How Has the International Thymic Malignancy Interest Group Changed the Management of Thymoma?

Joseph Shrager
Joseph Shrager of Stanford University in California presents a discussion on the International Thymic Malignancy Interest Group's influence on the management of thymoma. He discusses the background and goals of the International Thymic Malignancy Interest Group and explains the steps they are taking do develop global standards and databases.
This presentation was originally given during the SCTS Ionescu University program at the 2019 Annual Meeting of the Society for Cardiothoracic Surgery in Great Britain and Ireland....

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