8 Works

Developing New Surgical Skills and Techniques as a Young Cardiothoracic Surgeon

Dimitrios V. Avgerinos
After finishing seven or eight years of general and cardiothoracic surgery training, the young cardiac or thoracic surgeon often faces the challenge of tailoring their practice to the new era. One of my mentors used to say that today he uses only about 25 to 30 percent of the techniques and skills that he learned during his training. This means that he had to develop new skills in order to be in line with new...

Patent Ductus Arteriosus and Left Coronary Ostium Stenosis: A Surgical Approach

Amir Khan, Azam Jan, , &
Introduction
Congenital heart disease in adults is a field in constant evolution, with a quest for optimal management of adult patients. In the authors’ part of the world, surgeons deal with all kinds of adult congenital heart diseases, such as atrial and ventricular septal defects, tetralogy of Fallot (TOF), and others. A study of adult TOF surgeries at Rehman Medical Institute in Peshawar, Pakistan, was conducted from 2002-2007. This was the second largest contemporary study...

Patent Ductus Arteriosus and Left Coronary Ostium Stenosis: A Surgical Approach

Amir Khan, Azam Jan, , &
Introduction
Congenital heart disease in adults is a field in constant evolution, with a quest for optimal management of adult patients. In the authors’ part of the world, surgeons deal with all kinds of adult congenital heart diseases, such as atrial and ventricular septal defects, tetralogy of Fallot (TOF), and others. A study of adult TOF surgeries at Rehman Medical Institute in Peshawar, Pakistan, was conducted from 2002-2007. This was the second largest contemporary study...

Developing New Surgical Skills and Techniques as a Young Cardiothoracic Surgeon

Dimitrios V. Avgerinos
After finishing seven or eight years of general and cardiothoracic surgery training, the young cardiac or thoracic surgeon often faces the challenge of tailoring their practice to the new era. One of my mentors used to say that today he uses only about 25 to 30 percent of the techniques and skills that he learned during his training. This means that he had to develop new skills in order to be in line with new...

The Norwood Procedure With Coronary Transfer to the Pulmonary Root: A Modification Proposed by Me or by God?

Mohammed Al-Jughiman
In 2014, I was a third year resident in a cardiac surgery residency program pursuing my academic enrichment year. By that time, I had already read several publications confirming and discussing the suboptimal coronary perfusion after the Norwood procedure [1-5]. Thus, in my academic year I started to think of a new modification that could address this concern. I had the opportunity to attend the pathology museum and examine some specimens of hypoplastic left heart...

Novel 360-Degree Tutorial of Minimally Invasive Mitral Valve Surgery

Victor J. Aguirre Gutierrez, James Edwards & Kirstin Marchand
This novel 360-degree video tutorial demonstrates mitral valve repair through a right antero-lateral minithoracotomy approach. Using integrative technology, the viewer can immerse themselves into the procedure by manipulating the directional viewpoint and magnification online via their computer’s mouse or finger scrolling on a tablet or smartphone device. The Procedure To start the procedure, anesthesia is provided per institution protocol. Single or double-lumen intubation is used, depending on case complexity. A transesophageal echocardiography (TOE) aids correct...

The Norwood Procedure With Coronary Transfer to the Pulmonary Root: A Modification Proposed by Me or by God?

Mohammed Al-Jughiman
In 2014, I was a third year resident in a cardiac surgery residency program pursuing my academic enrichment year. By that time, I had already read several publications confirming and discussing the suboptimal coronary perfusion after the Norwood procedure [1-5]. Thus, in my academic year I started to think of a new modification that could address this concern. I had the opportunity to attend the pathology museum and examine some specimens of hypoplastic left heart...

Novel 360-Degree Tutorial of Minimally Invasive Mitral Valve Surgery

Victor J. Aguirre Gutierrez, James Edwards & Kirstin Marchand
This novel 360-degree video tutorial demonstrates mitral valve repair through a right antero-lateral minithoracotomy approach. Using integrative technology, the viewer can immerse themselves into the procedure by manipulating the directional viewpoint and magnification online via their computer’s mouse or finger scrolling on a tablet or smartphone device. The Procedure To start the procedure, anesthesia is provided per institution protocol. Single or double-lumen intubation is used, depending on case complexity. A transesophageal echocardiography (TOE) aids correct...

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