28 Works

Valvular Heart Disease: Echocardiography Assessment for Surgeons

& Joel Dunning
Ademola Abiose of the North Ohio Heart Elyria Medical Center in Ohio presents an overview of standard echocardiography views and discusses echocardiographic evaluation of mitral and aortic valve disease.Echocardiography for Surgeons Part I: Standard ViewsEchocardiography for Surgeons Part II: The Mitral ValveEchocardiography for Surgeons Part III: Mitral Regurgitation and Mitral StenosisEchocardiography for Surgeons Part IV: The Aortic Valve, Other Structures, and 3D Imaging

Valvular Heart Disease: Echocardiography Assessment for Surgeons

& Joel Dunning
Ademola Abiose of the North Ohio Heart Elyria Medical Center in Ohio presents an overview of standard echocardiography views and discusses echocardiographic evaluation of mitral and aortic valve disease.Echocardiography for Surgeons Part I: Standard ViewsEchocardiography for Surgeons Part II: The Mitral ValveEchocardiography for Surgeons Part III: Mitral Regurgitation and Mitral StenosisEchocardiography for Surgeons Part IV: The Aortic Valve, Other Structures, and 3D Imaging

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...

Concomitant Closure of Atrial Septal Defect and Correction of Pectus Excavatum Deformity

Mustafa Yuksel, Didem Gungor Arslan, Onur Ermerak, Mehmet Yanartas &
This clinical case describes the concomitant closure of an atrial septal defect and correction of pectus excavatum in a patient with Holt-Oram Syndrome. View the full clinical case here: https://www.ctsnet.org/article/concomitant-closure-atrial-septal-defect-and-correction-pectus-excavatum.

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...

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.
The...

Another Complication of Peroral Endoscopic Myotomy

Marilou B. Page, , Michael Lazar & David B. Campbell
Peroral endoscopic myotomy is a safe and effective palliative procedure with acceptable known complications for achalasia. With its continuous practice, cardiac arrest secondary to tension pneumopericardium-induced tamponade is another adverse event coming to light. The authors present the case of a 72-year-old gentleman who suddenly went into pulseless electrical activity during the procedure with no other warning signs. Hemodynamic stability was achieved with urgent pericardiocentesis.Visit https://www.ctsnet.org/article/another-complication-peroral-endoscopic-myotomy for the full article.

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...

Unusual Presentation of an Inflammatory Myofibroblastic Tumor

Yousef Abu Asbeh, Inna Naroditsky, Amit Katz, Ori Haberfeld, Michael Orlovsky & Ran Kremer
AbstractInflammatory myofibroblastic tumors (IMT) are relatively benign tumors that can occur in the lung, and also arise from different anatomical locations. In the lung, an IMT can be a solitary pulmonary nodule or a locally invasive lesion. The authors share the case of a 15-year-old male patient who presented with occasional hemoptysis. A chest computed tomography (CT) scan showed a cavitary lesion in the right lower lung lobe. A thoracoscopic segmental resection was performed, and...

Current and Future Treatment of Mitral and Tricuspid Valve Disease

Randy Martin, Michael Borger, David Adams, & Ottavio R. Alfieri
Video 1:Filmed at the 2017 EACTS, this esteemed panel including Octavio Alfieri, David Adams, Vinay Bapat, Michael Borger, and Randy Martin discuss this exciting time in the treatment of degenerative and functional mitral disease and tricuspid repair.Video 2:The treatment of mitral and tricuspid disease is rapidly advancing to include transcatheter replacement and repair. This esteemed panel including Octavio Alfieri, David Adams, Vinay Bapat, Michael Borger, and Randy Martin discuss and debate the evolution and future...

Another Complication of Peroral Endoscopic Myotomy

Marilou B. Page, , Michael Lazar & David B. Campbell
Peroral endoscopic myotomy is a safe and effective palliative procedure with acceptable known complications for achalasia. With its continuous practice, cardiac arrest secondary to tension pneumopericardium-induced tamponade is another adverse event coming to light. The authors present the case of a 72-year-old gentleman who suddenly went into pulseless electrical activity during the procedure with no other warning signs. Hemodynamic stability was achieved with urgent pericardiocentesis.Visit https://www.ctsnet.org/article/another-complication-peroral-endoscopic-myotomy for the full article.

VATS Hand-Sewn Intrathoracic Esophagogastric Anastomosis

&
AbstractTotally endoscopic two-stage esophagectomy for carcinoma of the esophagus is a well-established procedure. There are currently many methods to perform the intrathoracic esophagogastric anastomosis by video-assisted thoracoscopic surgery (VATS). This article describes an entirely hand-sewn VATS intrathoracic esophagogastric anastomosis technique in a 64-year-old woman with a T2N0M0 adenocarcinoma of the lower third of the esophagus.
Preference card5 mm, 30 degree camera5 mm endoscopic needle holder4-0 polydiaxone (PDS) sutures5 mm endoscopic knot pusherTricks and PitfallsThe first layer...

Minimally Invasive Cardiac Surgery Through Periareolar Approach

Mateo Marin Cuartas, Lizeth Dayana Saldaña, Alberto Alejandro Quintero, Juan Santiago Jaramillo & Juan Camilo Rendon
IntroductionSince the early 1990s, minimally invasive cardiac surgery (MICS) has evolved worldwide. It started with mitral valve procedures and then gradually expanded towards other valve procedures, coronary artery bypass grafting and various types of simple congenital heart operations. There has been a growing interest for MICS given the association of this technique with decreased pain, shorter hospital stay, accelerated recuperation and cost effectiveness (1, 2). Recently, better aesthetic results have also been sought without compromising...

A Rare Case of Paraganglioma Presenting as Anginal Pain

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...

VATS Hand-Sewn Intrathoracic Esophagogastric Anastomosis

&
AbstractTotally endoscopic two-stage esophagectomy for carcinoma of the esophagus is a well-established procedure. There are currently many methods to perform the intrathoracic esophagogastric anastomosis by video-assisted thoracoscopic surgery (VATS). This article describes an entirely hand-sewn VATS intrathoracic esophagogastric anastomosis technique in a 64-year-old woman with a T2N0M0 adenocarcinoma of the lower third of the esophagus.
Preference card5 mm, 30 degree camera5 mm endoscopic needle holder4-0 polydiaxone (PDS) sutures5 mm endoscopic knot pusherTricks and PitfallsThe first layer...

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.
Learn more at: https://www.ctsnet.org/article/five-dice-port-technique-robot-assisted-right-upper-lobectomy-hilar-lung-cancer

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...

Current and Future Treatment of Mitral and Tricuspid Valve Disease

Randy Martin, Michael Borger, David Adams, & Ottavio R. Alfieri
Video 1:Filmed at the 2017 EACTS, this esteemed panel including Octavio Alfieri, David Adams, Vinay Bapat, Michael Borger, and Randy Martin discuss this exciting time in the treatment of degenerative and functional mitral disease and tricuspid repair.Video 2:The treatment of mitral and tricuspid disease is rapidly advancing to include transcatheter replacement and repair. This esteemed panel including Octavio Alfieri, David Adams, Vinay Bapat, Michael Borger, and Randy Martin discuss and debate the evolution and future...

Unusual Presentation of an Inflammatory Myofibroblastic Tumor

Yousef Abu Asbeh, Inna Naroditsky, Amit Katz, Ori Haberfeld, Michael Orlovsky & Ran Kremer
AbstractInflammatory myofibroblastic tumors (IMT) are relatively benign tumors that can occur in the lung, and also arise from different anatomical locations. In the lung, an IMT can be a solitary pulmonary nodule or a locally invasive lesion. The authors share the case of a 15-year-old male patient who presented with occasional hemoptysis. A chest computed tomography (CT) scan showed a cavitary lesion in the right lower lung lobe. A thoracoscopic segmental resection was performed, and...

Concomitant Closure of Atrial Septal Defect and Correction of Pectus Excavatum Deformity

Mustafa Yuksel, Didem Gungor Arslan, Onur Ermerak, Mehmet Yanartas &
This clinical case describes the concomitant closure of an atrial septal defect and correction of pectus excavatum in a patient with Holt-Oram Syndrome. View the full clinical case here: https://www.ctsnet.org/article/concomitant-closure-atrial-septal-defect-and-correction-pectus-excavatum.

Three Minute Review: Transthoracic and Transesophageal Echocardiography Standard Views

& Sunil Ohri
In these diagrams, the authors explain the rationale for the different echocardiographic views using simple drawings. Understanding the position of the probe relative to the heart in the different views will hopefully make it easier for the reader to reconstruct the view in their mind. Also, the analogous transesophageal or transthoracic view is presented, with the intent of making the views from each approach easier to memorize and recall.Images:
Glossary of TTE and TEE (TOE) Abbreviations.
TTE-Views1...

Three Minute Review: Transthoracic and Transesophageal Echocardiography Standard Views

& Sunil Ohri
In these diagrams, the authors explain the rationale for the different echocardiographic views using simple drawings. Understanding the position of the probe relative to the heart in the different views will hopefully make it easier for the reader to reconstruct the view in their mind. Also, the analogous transesophageal or transthoracic view is presented, with the intent of making the views from each approach easier to memorize and recall.Images:
Glossary of TTE and TEE (TOE) Abbreviations.
TTE-Views1...

On Location - Vietnam

The goal of the On Location series is to give a brief overview of the evolution of cardiac programs and voluntary cardiac surgery activities in developing countries and evolving economies. Hopefully, other individuals and organizations will share their own experience, results, and recommendations.The author reviews the current state of cardiac surgery in Vietnam: https://www.ctsnet.org/article/location-vietnam

On Location - Vietnam

The goal of the On Location series is to give a brief overview of the evolution of cardiac programs and voluntary cardiac surgery activities in developing countries and evolving economies. Hopefully, other individuals and organizations will share their own experience, results, and recommendations.The author reviews the current state of cardiac surgery in Vietnam: https://www.ctsnet.org/article/location-vietnam

Minimally Invasive Cardiac Surgery Through Periareolar Approach

Mateo Marin Cuartas, Lizeth Dayana Saldaña, Alberto Alejandro Quintero, Juan Santiago Jaramillo & Juan Camilo Rendon
IntroductionSince the early 1990s, minimally invasive cardiac surgery (MICS) has evolved worldwide. It started with mitral valve procedures and then gradually expanded towards other valve procedures, coronary artery bypass grafting and various types of simple congenital heart operations. There has been a growing interest for MICS given the association of this technique with decreased pain, shorter hospital stay, accelerated recuperation and cost effectiveness (1, 2). Recently, better aesthetic results have also been sought without compromising...

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  • 2018
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