73 Works

Uniportal VATS Anatomic Right Basal Segmentectomy (S7-10)

Julio Sesma, Carlos Galvez, , Sergio Bolufer &
Anatomic sublobar resections have been used primarily for benign pulmonary lesions, lung metastases, and early stage lung cancer. There are many recent studies that support the oncological results of anatomic sublobar resections compared to lobectomy in terms of recurrence and overall survival [1-8]. In addition, the procedure’s performance through minimally invasive procedures is possible by experienced teams [9, 10]. The authors present a sublobar resection performed for a 50-year-old woman who was diagnosed with a...

Uniportal VATS Anatomic Right Basal Segmentectomy (S7-10)

Julio Sesma, Carlos Galvez, , Sergio Bolufer Nadal &
Anatomic sublobar resections have been used primarily for benign pulmonary lesions, lung metastases, and early stage lung cancer. There are many recent studies that support the oncological results of anatomic sublobar resections compared to lobectomy in terms of recurrence and overall survival [1-8]. In addition, the procedure’s performance through minimally invasive procedures is possible by experienced teams [9, 10]. The authors present a sublobar resection performed for a 50-year-old woman who was diagnosed with a...

Mastering Bronchoscopy for Thoracic Surgery

Khalid Amer
This article shares 15 years’ worth of experience of bronchoscopy. Originally designed for cardiothoracic surgical trainees, others will find it resourceful. In particular, it's a good reference to have for pulmonologists and trainees, anesthetists, intensivists in the intensive care unit, and medical students interested in the details of the bronchial tree. The author intends these videos to be as comprehensive as the 15 years of experience, and the topic is divided into six chapters.Chapter 1...

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...

Global Cardiothoracic Surgery Advances and Challenges in Developing Countries and Emerging Economies

In 2010, a review of the global aspects of cardiothoracic (CT) surgery summarized the status of CT surgery from clinical, education, research, and administrative points of view. The present review expands the discussion to include these and other areas of concern and development.Learn more: https://www.ctsnet.org/article/global-cardiothoracic-surgery-advances-and-challenges-developing-countries-and-emerging

Expanding the Limits of Posterior Aortic Translocation

Viktor Hraska & Michael Madrzak
Currently the posterior translocation of the aorta, the Nikaidoh procedure, is utilized in:complete transposition of the great arteries (d-TGA) with ventricular septal defect (VSD) and left ventricular outflow tract obstruction (LVOTO) [1,2,3] (video 1),corrected TGA (ccTGA) with VSD and complex LVOTO [4,5], anddouble outlet right ventricle (DORV) - TGA type with complete atrioventricular septal defect (CAVC) and pulmonary stenosis [6] (video 2).A Nikaidoh procedure is considered if the anatomy is inadequate for an intraventricular baffle...

Surgery for Chronic Thromboembolic Pulmonary Hypertension: Thromboendarterectomy of the Pulmonary Artery

Azam Jan, Syed Mumtaz Shah, Amir Muhammad, , , Azam Khan & Kashif Anwar
Introduction Chronic thromboembolic pulmonary hypertension (CTEPH) is caused by proximal pulmonary artery thromboembolic occlusion or obstruction. Patients present with shortness of breath, early fatigue, and decreased exercise capacity. Once the obstruction sets in, it is accompanied by remodeling of the branches of the pulmonary artery. This causes pulmonary artery hypertension and subsequently leads to right ventricular (RV) dysfunction, which eventually leads to RV failure [1]. The American Heart Association makes a class 1 recommendation that...

Mastering Bronchoscopy for Thoracic Surgery

Khalid Amer
This article shares 15 years’ worth of experience of bronchoscopy. Originally designed for cardiothoracic surgical trainees, others will find it resourceful. In particular, it's a good reference to have for pulmonologists and trainees, anesthetists, intensivists in the intensive care unit, and medical students interested in the details of the bronchial tree. The author intends these videos to be as comprehensive as the 15 years of experience, and the topic is divided into six chapters.Chapter 1...

Southampton Reviews in Cardiothoracic Surgery Chapter One: Myocardial Protection

, Aiman Alassar, Theodore Velissaris & Sunil Ohri
Mr Abdelhadi Ismail of the Southampton University Hospitals Trust in the UK presents an educational series on myocardial protection. He discusses the history of myocardial protection and perfusion, presents some of the fundamental concepts underlying myocardial protection, and reviews techniques. These lectures are part of the Southampton Reviews in Cardiothoracic Surgery. In this series of online lectures, the authors cover many aspects of adult, pediatric, cardiac, and thoracic surgery. The aim of this series is...

Southampton Reviews in Cardiothoracic Surgery Chapter Two: Cardiopulmonary Bypass

, Szabolcs Miskolczi & Sunil Ohri
Abdelhadi Ismail of the Southampton University Hospitals Trust in the UK presents an educational series on cardiopulmonary bypass in which he discusses some of the fundamental concepts underlying cardiopulmonary bypass and reviews techniques.The optimal way to memorize a topic is to first classify it, then understand it, then forget it. Once you forget and recall it, you will never forget it again. In this second chapter of the Southampton Reviews in Cardiothoracic Surgery, the authors...

A Daily Video Blog From a Medical Mission to Ghana: February 23 to March 1, 2019

Joel Dunning, Enoch Akowuah & Emily Farkas
When we saw Dr Farkas' video on her experience in Nigeria, which was posted on CTSNet in 2017 [1], it made us feel that we needed to help in some way, and Dr Akowuah brought together a team of 12 people to embark on the task of setting up a medical mission to Kumasi, where his parents grew up.Now a year later, we are about to set off on our first mission, and we want...

Severe Right Atrial and Ventricular Compression From a Massive Morgagni Hernia and Paralyzed Right Hemidiaphragm

Yahya Alwatari &
A 57-year-old woman, with a history of pericardiectomy 20 years before, reported progressive dyspnea and orthopnea. A chest computed tomography scan showed a large anterior diaphragmatic (Morgagni) hernia containing a loop of transverse colon and omentum producing mass effect on the right atrium and ventricle. Significant right ventricular outflow obstruction and a small loculated pericardial effusion were confirmed on cardiac magnetic resonance imaging. A sniff test suggested minimal to no motion of the right hemidiaphragm.
Reduction...

Nontraumatic Chylothorax in the Setting of Superior Vena Cava Stenosis

Alicia Bonanno, Ryan Schenning & Brandon Tieu
IntroductionChylothorax is a rare but potentially morbid complication following thoracic surgery. Nontraumatic chylothorax is even less common and typically is due to malignancy, congenital or idiopathic disorders of the lymphatic system, systemic diseases, and infection [1]. Here, the authors present a case of nontraumatic chylothorax due to central venous stenosis.Case Presentation
A 57-year-old man with a history of renal failure and previous renal transplantation complicated by rejection requiring dialysis presented to the emergency room with the...

Subxiphoid Uniportal Lung Volume Reduction Surgery

Abraham Nash, Giuseppe Aresu & Aman Coonar
A 50-year-old woman with severe emphysema due to smoking underwent lung volume reduction surgery of her right upper lobe.
A subxiphoid incision measuring 2.5 cm was made, through which the telescope and video-assisted thoracoscopic instruments were introduced and the target lung was removed. Deflation of the target lung was facilitated by puncturing the lung with diathermy, though scissors may also be used. Excision was completed using reinforced staples that were administered utilizing a powered stapler. The...

Nontraumatic Chylothorax in the Setting of Superior Vena Cava Stenosis

Alicia Bonanno, Ryan Schenning & Brandon Tieu
IntroductionChylothorax is a rare but potentially morbid complication following thoracic surgery. Nontraumatic chylothorax is even less common and typically is due to malignancy, congenital or idiopathic disorders of the lymphatic system, systemic diseases, and infection [1]. Here, the authors present a case of nontraumatic chylothorax due to central venous stenosis.Case Presentation
A 57-year-old man with a history of renal failure and previous renal transplantation complicated by rejection requiring dialysis presented to the emergency room with the...

Moving the Needle: A Guide to Solving the Global Cardiac Surgery Puzzle for Surgeons, Societies, Students, and Researchers

Dominique Vervoort
Six billion people worldwide lack access to safe, timely, and affordable cardiac surgical care when needed; this article provides an overview and call to action for all stakeholders to start with global cardiac surgery research in order to map the global disparities and hold countries accountable for the existing gaps in cardiac care.

COVID-19: Chest Drains With Air Leak – The Silent ‘Super Spreader’?

, Alessandro Viviano, Igor Saftic & Andrea Billè
To date, one million confirmed cases of SARS-CoV-2 virus have been reported worldwide with a death toll of over 50,000 (1). Particular concern has been raised regarding the exposure of healthcare professionals. Early reports from the Wuhan province in China described up to 29% infection rates among healthcare professionals before the use of personal Protection equipment (PPE) was fully established (2). Several measures are being established with regard the correct use of PPE and reduction...

Subxiphoid Uniportal Lung Volume Reduction Surgery

Abraham Nash, Giuseppe Aresu & Aman Coonar
A 50-year-old woman with severe emphysema due to smoking underwent lung volume reduction surgery of her right upper lobe.
A subxiphoid incision measuring 2.5 cm was made, through which the telescope and video-assisted thoracoscopic instruments were introduced and the target lung was removed. Deflation of the target lung was facilitated by puncturing the lung with diathermy, though scissors may also be used. Excision was completed using reinforced staples that were administered utilizing a powered stapler. The...

Subxiphoid Uniportal Lung Volume Reduction Surgery

Abraham Nashaat, Giuseppe Aresu & Aman Coonar
A 50-year-old woman with severe emphysema due to smoking underwent lung volume reduction surgery of her right upper lobe.
A subxiphoid incision measuring 2.5 cm was made, through which the telescope and video-assisted thoracoscopic instruments were introduced and the target lung was removed. Deflation of the target lung was facilitated by puncturing the lung with diathermy, though scissors may also be used. Excision was completed using reinforced staples that were administered utilizing a powered stapler. The...

Management of Complex Paraesophageal Hernias

Shanda Blackmon
Paraesophageal hernias are complex and challenging when they occur with acute symptoms, in malnourished patients, or when there is gastric ischemia. Treatment should be individualized based on each patient’s clinical characteristics. Medical treatment is often offered to most patients without chronic symptoms. In elective patients with good preoperative performance, surgical repair should be performed to resolve potential gastric or esophageal problems. In emergent cases, initial resuscitation and decompression may allow the patient to stabilize, especially...

Robotic Right Upper Lobe Posterior Segmentectomy With ICG Guidance

Joel Dunning & Jason Trevis
This video demonstrates a robotic right upper lobe segmentectomy using indocyanine green (ICG) guidance. The patient was a 73-year-old woman who had a previous left lower lobectomy for squamous cell cancer and removal of a malignant station L8 lymph node. She presented with a new nodule in the posterior segment of her right upper lobe, which was thought to be a new primary cancer. Segmentectomy was therefore the procedure of choice in order to conserve...

Double Metal Foreign Body Inhalation

Susan Osman, Mohsen Saber Mohammed Ahmed, Khaled Abdelaal, Ayman Abdelgaffar, , Tarek Mahran, Essam Mokhtar, Essam Mohamed, & Mohamed Osman
The authors present the case of the extraction of a double metal foreign body following inhalation by a 4-year-old child (metal pin and metal spiral shaped object) in his right bronchus.A foreign body (FB) inhalation is a common event, especially among children and young adults. Two metallic FB inhalations in children have rarely been described. The authors report the child's case who presented to the accident and emergency department with a two-hour history of choking...

Double Metal Foreign Body Inhalation

Susan Osman, Mohsen Saber Mohammed Ahmed, Khaled Abdelaal, Ayman Abdelgaffar, , Tarek Mahran, Essam Mokhtar, Essam Mohamed, & Mohamed Osman
The authors present the case of the extraction of a double metal foreign body following inhalation by a 4-year-old child (metal pin and metal spiral shaped object) in his right bronchus.A foreign body (FB) inhalation is a common event, especially among children and young adults. Two metallic FB inhalations in children have rarely been described. The authors report the child's case who presented to the accident and emergency department with a two-hour history of choking...

Harmonic Shears for Skeletonized Internal Thoracic Arteries and Great Saphenous Vein Harvesting

Corrado Cavozza, Antonio Campanella & Andrea Audo
IntroductionAlthough the routine use of the internal thoracic artery (ITA) and great saphenous vein (SV) is well established among cardiac surgeons (1, 2), there is considerable debate regarding the optimal harvesting technique for these conduits (3, 4). The ITA can be harvested either by itself or as a pedicle. Likewise, the SV vein can be harvested either with an open procedure or endoscopically. There is an increasing interest in ultrasonic energy, because it provides several...

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...

Registration Year

  • 2020
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  • 2019
    40
  • 2018
    23
  • 2017
    6

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