2,278 Works

Early Migration of a Self-Expanding Transcatheter Aortic Valve Prosthesis Causing Coronary Occlusion: A Practical Technique for Surgical Explantation

Jordan P. Bloom, Michael Kwon & George Tolis
ObjectivesTranscatheter aortic valve replacement (TAVR) has become the standard of care for high-risk patients and is growing in popularity for lower risk patients. The authors report a case of early migration of a self-expanding transcatheter aortic valve prosthesis causing coronary obstruction and myocardial infarction.MethodsA 76-year-old woman with renal failure underwent an uncomplicated TAVR. Thirty-two days later she presented with acute angina, ruled-in for myocardial infarction, and was found to have iatrogenic coronary obstruction from the...

Life-Threatening Left Subclavian Arterial Rupture Following Blunt Thoracic Trauma: A Case Report

Introduction Traumatic subclavian arterial rupture represents an uncommon complication of blunt chest trauma. Arterial rupture usually causes massive hemorrhages, and it must be quickly and properly confirmed by physical examination. Although it is uncommon, it is a challenging surgical problem and many surgeons have limited experience with its management [3, 4]. In recent years, complex subclavian injuries have been increasingly managed through endovascular intervention that is applied for patients who are hemodynamically stable at presentation...

Shared Mental Model in VATS Lobectomy

René Horsleben Petersen
Since the introduction of video-assisted thoracoscopic lobectomy more than 25 years ago, the focus for thoracic surgeons has been to enhance the surgeon’s technical skills. This has been implemented with success across the world, and a minimal invasive approach to lung cancer is standard of care in many units today. However, major intraoperative complications occur occasionally. To improve patient outcome and safety, it is important that the entire team perform at a high level.
Teamwork...

Team Training and Crisis Resource Management in Robot-Assisted Thoracic Surgery

, Benjamin Bottet, Antoine Lefevre-Scelles, Cedric Damm, Sébastien Francina & Jean-Pierre Henry
To deal with nontechnical skills (Notechs) is a matter of culture and is hard to implement in surgical training. Communication, cooperation, decision-making, leadership, and situational awareness are concepts for many and their application in surgical practice is challenging. The competency framework in cardiothoracic surgery has evolved towards wider components including Notechs as a cornerstone in surgeon training. However, knowledge of Notechs should be associated with practical sessions, using simulation as an innovative teaching tool.In this...

The COAPT Trial

& François Obadia
Blase Carabello of the East Carolina Heart Institute in Greenville North Carolina, USA, and Jean-François Obadia of the Hopital Cardiothoracique Louis Pradel in Lyon, France, discuss the COAPT and the Mitra fr trials. Both trials investigated the use of the MitraClip for secondary mitral regurgitation, but they found strikingly different results on patient outcomes. Drs Carabello and Obadia discuss the differences between the trials that may be responsible for the difference in outcomes, and they...

Practicing for Emergencies in the Cath Lab: The REACT Protocol

Joel Dunning, Madhav Menon, Brian Chan, Lea Collins, David Lizotte, Rob Sinclair, &
This is a video on how the authors are working as a team to improve the outcomes of people who arrest or have an acute emergency in the catheterization laboratory (cath lab) during procedures of all types including transcatheter aortic valve replacement (TAVR), percutaneous coronary intervention, pacing, atrial fibrillation ablation, and soon transcatheter mitral valve replacement. A team based in New Zealand together with a cardiothoracic team experienced in emergency planning have collaborated to develop...

Off-Pump Coronary Artery Bypass With Bilateral Internal Mammary Arteries

Fernando Barbosa
Editorial note: The video in version 1 of this article is of disputed ownership. Version 2 or later should be referenced.
The bilateral internal mammary arteries technique for off-pump coronary artery bypass is a safe technique with long-term patency and low morbidity and mortality. The author usually uses total arterial myocardial revascularization using bilateral internal mammary arteries for patients younger than 75 years old. The left and right mammary arteries have the longest patency described of...

ERAS Guidelines for Perioperative Care in Cardiac Surgery

Daniel Engelman, Louis Perrault, Marc Gerdisch, Michael Grant & Judson Williams
Filmed at the 2019 AATS Annual Meeting in Toronto, Canada, Daniel Engelman of Baystate Medical Center in Springfield, Massachusetts, USA, moderates a discussion on enhanced recovery after surgery (ERAS) for cardiac surgery guidelines for perioperative care. Dr Engelman, who is also the President of the ERAS Cardiac Society, is joined by Louis Perrault of the Montreal Heart Institute in Quebec, Canada, Marc Gerdisch of Franciscan St. Francis Heart Center in Indianapolis, Indiana, USA, Michael Grant...

Right Extrapleural Pneumonectomy for Malignant Pleural Mesothelioma

Tristan D. Yan
Welcome to this series of CTSNet videos on Thoracic Surgical Oncology - Technical Approaches, by Professor Tristan D. Yan.
Surgical management of malignant pleural mesothelioma remains a challenging task. This video tutorial demonstrates the surgical anatomy along the extrapleural plane in the right chest, the pathological features of malignant pleural mesothelioma and the techniques of cytoreductive surgery, ie. extrapleural pneumonectomy for a patient with right-sided malignant pleural mesothelioma. Extrapleural pneumonectomy consists of apical extrapleural dissection,...

Right Extrapleural Pneumonectomy for Malignant Pleural Mesothelioma

Tristan D. Yan
Welcome to this series of CTSNet videos on Thoracic Surgical Oncology - Technical Approaches, by Professor Tristan D. Yan.
Surgical management of malignant pleural mesothelioma remains a challenging task. This video tutorial demonstrates the surgical anatomy along the extrapleural plane in the right chest, the pathological features of malignant pleural mesothelioma and the techniques of cytoreductive surgery, ie. extrapleural pneumonectomy for a patient with right-sided malignant pleural mesothelioma. Extrapleural pneumonectomy consists of apical extrapleural dissection,...

ASAIO Journal/CTSNet Webinar – ECMO for COVID ARDS

Mark Slaughter, Adam Protos, Daniel Brodie, Matthew Bacchetta, Ashok Kumar Coimbatore Jeyakumar & Jonathan Haft
On April 22, 2021, CTSNet and ASAIO collaborated to host an inaugural joint live webinar entitled "ECMO for COVID-19 ARDS." The recorded event is now available.
Mark S. Slaughter, MD, editor-in-chief of the ASAIO Journal and professor and chair of Cardiovascular and Thoracic Surgery at the University of Louisville, presents the first ASAIO Journal and CTSNet webinar. Co-moderator Adam Protos, MD, division chief of Adult Cardiac Surgery at the University of Mississippi Medical Center, along with...

Left Lower Lobe Bronchiectasis After Rare Abnormal Migration of Ventriculoperitoneal Shunt in a Hydrocephalic Child

Mohamed El Adel & Mohamed Alaa Nady
The ventriculoperitoneal (VP) shunt is a commonly used treatment for hydrocephalus. Shunt malfunctions such as obstruction and disconnection are common; however, migration of the distal catheter out of the abdomen is less frequent. Recurrent chest infection in a hydrocephalic child should be taken in serious consideration. The authors report a very rare case of distal migration of a VP shunt catheter into the left lower lobe of the lung. This is the first case in...

Minimally Invasive ToF Repair in 2 Month Old Child

Dmytro Babliak, Anton Marchenko, Volodymyr Demianenko & Oleksandr Babliak
We are presenting the case of the minimally invasive total repair of Tetralogy of Fallot in a 2 months old male patient.
Echocardiography showed good LV contractility, open permanent ductus arteriosus (PDA), open permanent foramen ovale (PFO), large ventricular septal defect (VSD), severe infundibular stenosis and hypoplastic main pulmonary artery (PA) and PA branches
Our operation plan was: Right axillary minithoracotomy in 4th intercostal space; Thymectomy; Central cardiopulmonary bypass (CPB) cannulation; PDA closure; Aortic cross-clamp...

Advances in Arterial CABG

Patrick O. Myers, Michael J. Mack, John D. Puskas & Mario F. L. Gaudino
Filmed at the 2019 STS Annual Meeting in San Diego, California, Patrick Myers of the Lausanne University Hospital in Switzerland moderates a discussion on the usage of arterial grafts in coronary artery bypass surgery (CABG). Dr Myers is joined by John Puskas of the Icahn School of Medicine at Mount Sinai in New York, New York, USA, Mario Gaudino of Weill Cornell Medical College in New York, and Michael Mack of the Baylor Health Care...

Practicing for Emergencies in the Cath Lab: The REACT Protocol

Joel Dunning, Madhav Menon, Brian Chan, Lea Collins, David Lizotte, Rob Sinclair, &
This is a video on how the authors are working as a team to improve the outcomes of people who arrest or have an acute emergency in the catheterization laboratory (cath lab) during procedures of all types including transcatheter aortic valve replacement (TAVR), percutaneous coronary intervention, pacing, atrial fibrillation ablation, and soon transcatheter mitral valve replacement. A team based in New Zealand together with a cardiothoracic team experienced in emergency planning have collaborated to develop...

Totally 3D Endoscopic Minimally Invasive Double Valve Procedure

Riku Kato, Soh Hosoba & Toshiaki Ito
A 79-year-old female presented with dyspnea. She had a history of interstitial pneumonia on oral steroid therapy. Further workup revealed severe mitral regurgitation from the anterior leaflet and severe central aortic regurgitation. She was a high-risk candidate with EuroScoreⅡ 6.6 %. She was considered as a totally endoscopic MICS candidate for aortic valve replacement and mitral valve repair.

The patient was placed in thirty-degree left lateral decubitus position with the right arm fixed over the...

Tips for Building a Practice in Early Career

Mara Antonoff, Damien J. LaPar & David D. Odell
Filmed at the 2019 STS Annual Meeting in San Diego, California, Mara Antonoff of the University of Texas MD Anderson Cancer Center in Houston, USA, moderates a discussion on the tips for building a practice in early career. Dr Antonoff is joined by Damien LaPar of Columbia University in New York, USA, and David Odell of Northwestern University in Chicago, Illinois, USA. The panel discusses the importance of seeking mentorship, building relationships with referring physicians,...

Totally Endoscopic Port-Access Artial Myxoma Resection Without Robotic Assistance

Nguyen Cong Huu
The video presents the technique of surgical excision of the right atrial myxoma using a totally endoscopic port-access without robotic assistance.
A 51-years-old female was admitted to the hospital because of chest pain just one day before. She had a normal medical history. Transthoracic echocardiography revealed a giant neoplasm in the right atrium, a mass measuring 48x36 mm had a stalk attached to the interatrial septum. The computed tomography for metastatic workup was negative....

Left Subclavian Artery and Jugular Vein Replacement With Chest Wall Resection and Reconstruction for Pre-Treated Ewing Sarcoma

Leonardo Duranti, Marco Nardini & Luigi Rolli
This is the case of a 53 year old woman, non smoker, diagnosed with Ewing sarcoma of the left thoracic outlet. The lesion involved the subclavian vessels, first left 2 ribs, and brachial plexus, possible involvement of the apex of the left lung. No distant metastasis were evident on the scans.
The patient underwent induction chemotherapy (5 cycles of VAC regimen) according to the multidisciplinary evaluation. The lesion was reduced from 66x80x65 mm to...

Robotic Right Lower and Middle Bilobectomy

Giacomo Argento & Joel Dunning
The authors present a procedure performed for a woman who had a peripheral nodule in the lower lobe of her right lung, together with a significant hilar lymphadenopathy, PET-positive, which encased the bronchus intermedius, thus requiring a lower and middle bilobectomy.
The operation was performed with the Intuitive da Vinci Si robotic system. Interestingly, during the operation the authors found a variant of venous anatomy, consisting of an aberrant venous branch leading from the posterior...

Giants of Cardiothoracic Surgery: An Interview With Gail Darling

& Gail Darling
In this Giants of Cardiothoracic Surgery interview, Vaibhav Gupta of the University of Toronto in Ontario, Canada, speaks with Gail Darling, Professor of Surgery and the Crest Family Chair in Esophageal Cancer Research at the University of Toronto. Dr Darling shares her path to thoracic surgery, and to esophageal surgery in particular. They discuss her work in esophageal cancer research, her leadership in health policy for thoracic oncology care, and her service as director of...

Transapical Off-Pump Mitral Valve Repair With NeoChord DS1000 Device

Paulo Neves, Daniel Martins, José Ribeiro, Pedro Braga & Luis Vouga
The transapical artificial chord implantation technique using the NeoChord DS1000™ (NeoChord, Inc., St. Louis Park, MN, USA) system allows re-establishment of normal leaflet motion under real-time two-dimensional (2D) and three-dimensional (3D) transesophageal echocardiography guidance. With this technique, chord implantation and adjustment of their length is achievable without the use of cardiopulmonary bypass and without sternotomy.The NeoChord DS 1000™ system consists of a single-use device which allows the capture of the valve leaflet, as well as...

Ancona Virtual Live Course: Minimally Invasive and Transcatheter Cardiac Surgery From Theory to Practice, Episode II

Marco Di Eusanio
The recording from the Ancona Live Virtual Course – Minimally Invasive and Trans-Catheter Cardiac Surgery – Episode II, presented on June 7 and 8, 2021, is now available!Watch the recording using this link: https://www.minicardiacsurgery-univpm-research.com/2021-course-recordings/
Dear Friends and Colleagues,
With 5332 devices connected from 81 countries, the Ancona Live Virtual Course – Minimally Invasive and Trans-Catheter Cardiac Surgery – Episode II has been a great success. The meeting was an exceptional opportunity to learn from international key opinion...

Minimally Invasive Mitral Valve Repair With Situs Inversus

Bryon Boulton & Aanandi Munshi
This video shows a minimally invasive mitral valve repair on a patient with situs inversus. The patient is a 66 year old male presenting with progressive dyspnea on exertion, paroxysmal nocturnal dyspnea and orthopnea, who had a recent heart failure admission and was diagnosed with severe mitral valve regurgitation. The patient underwent a diagnostic workup. He had a known history of situs inversus and was referred for surgical correction of severe mitral valve regurgitation. Intra-operatively...

Robotic Assisted Repair of a Morgagni Diaphragmatic Hernia Utilizing a Thoracic Approach

G. Kimble Jett, Anthony Tran & Lee Hafen
Morgagni hernia is a rare congenital diaphragmatic hernia comprising 2.6% of all diaphragmatic hernias (1). It is a defect between the costal and sternal attachments of the diaphragm muscle anteriorly and is most common on the right but also can be found on the left or on both sides (2). Abdominal contents can herniate into the thoracic cavity.Morgagni hernia can be asymptomatic and discovered as an incidental finding. Most frequent symptoms include pulmonary, chest or...

Registration Year

  • 2022
    173
  • 2021
    430
  • 2020
    499
  • 2019
    513
  • 2018
    452
  • 2017
    211

Resource Types

  • Audiovisual
    2,160
  • Dataset
    73
  • Collection
    28
  • Text
    8
  • Image
    7
  • Other
    2