1,054 Works

Transseptal VIV Edwards SAPIEN 3® TMVR

Ilir Hysi, Olivier Fabre, Max Pecheux, Yann Lefetz, Laurence Gautier, Bertrand Boutié & Mihai Radutoiu
The authors were faced with a patient who had previous double aortic and mitral valve replacements with two bioprosthesis (Perimount aortic 25 mm and Perimount mitral 29 mm) and presented with double structural valve degeneration. The patient was a 78-year-old woman who had major dyspnea and presented in 2019 with several hospitalizations for left heart failure. Surgery was considered of high risk. The heart team decided on a staged procedure for double endovascular treatment with...

Transseptal VIV Edwards SAPIEN 3® TMVR

Ilir Hysi, Olivier Fabre, Max Pecheux, Yann Lefetz, Laurence Gautier, Bertrand Boutié & Mihai Radutoiu
The authors were faced with a patient who had previous double aortic and mitral valve replacements with two bioprosthesis (Perimount aortic 25 mm and Perimount mitral 29 mm) and presented with double structural valve degeneration. The patient was a 78-year-old woman who had major dyspnea and presented in 2019 with several hospitalizations for left heart failure. Surgery was considered of high risk. The heart team decided on a staged procedure for double endovascular treatment with...

Open Resection of Multiple Pulmonary Metastasis Using the LEONARDO® Dual Wave 200W Laser System

Oliver Harrison & Lukacs Veres
Laser-assisted metastatectomy is a safe and validated technique for facilitating the resection of a large number of pulmonary metastases whilst maximizing lung tissue preservation (1). Here the authors present an open laser-assisted metastatectomy using the LEONARDO® Dual Wave 200W laser system, which is the first time this device has been used in the UK. The case in question is a 73-year-old man with a past history of duodenal carcinoma resected four years previously via the...

Open Resection of Multiple Pulmonary Metastasis Using the LEONARDO® Dual Wave 200W Laser System

Oliver Harrison & Lukacs Veres
Laser-assisted metastatectomy is a safe and validated technique for facilitating the resection of a large number of pulmonary metastases whilst maximizing lung tissue preservation (1). Here the authors present an open laser-assisted metastatectomy using the LEONARDO® Dual Wave 200W laser system, which is the first time this device has been used in the UK. The case in question is a 73-year-old man with a past history of duodenal carcinoma resected four years previously via the...

Lung Health Checks and Lung Cancer Screening Lessons Learned So Far

Richard Booton
Richard Booton of the Manchester University NHS Foundation in the United Kingdom presents a discussion on lung health checks and lung cancer screening. He discusses screening criteria, setting up lung health check stations for the community, and the results of their screening trials.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. This content is published with the...

Lung Health Checks and Lung Cancer Screening Lessons Learned So Far

Richard Booton
Richard Booton of the Manchester University NHS Foundation in the United Kingdom presents a discussion on lung health checks and lung cancer screening. He discusses screening criteria, setting up lung health check stations for the community, and the results of their screening trials.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. This content is published with the...

Posterior Tunnel Fontan and Senning-Type Pulmonary Venous Baffle

David Morales & Alan ODonnell
The patient was a 3-year, 1-month-old 12.2 kg girl with an antenatal diagnosis of complex congenital heart disease consisting of (S,L,L) dextroversion (atrial situs solitus with apex rightward) with a large inlet ventricular septal defect (with straddling tricuspid valve), severe right ventricular hypoplasia, and pulmonary atresia. On day of life six, the patient underwent a 3.5 mm central shunt (ascending aorta to right pulmonary artery) placement, main pulmonary artery transection, and patch reconstruction of left...

Posterior Tunnel Fontan and Senning-Type Pulmonary Venous Baffle

David Morales & Alan ODonnell
The patient was a 3-year, 1-month-old 12.2 kg girl with an antenatal diagnosis of complex congenital heart disease consisting of (S,L,L) dextroversion (atrial situs solitus with apex rightward) with a large inlet ventricular septal defect (with straddling tricuspid valve), severe right ventricular hypoplasia, and pulmonary atresia. On day of life six, the patient underwent a 3.5 mm central shunt (ascending aorta to right pulmonary artery) placement, main pulmonary artery transection, and patch reconstruction of left...

Minimally Invasive Complex Mitral Valve Repair After Healed Endocarditis

Mario Castillo-Sang
The authors present the case of complex mitral valve pathology resulting from healed endocarditis. The patient was a 52-year-old otherwise healthy man who presented with severe dyspnea on exertion and fatigue. He carried a diagnosis of remote bacterial endocarditis from a dental infection, which was treated with IV antibiotics. At presentation, his echocardiogram showed a complex pathology with anterior and posterior leaflet flails of the A2 and P2 as well as a patent foramen ovale....

Minimally Invasive Complex Mitral Valve Repair After Healed Endocarditis

Mario Castillo-Sang
The authors present the case of complex mitral valve pathology resulting from healed endocarditis. The patient was a 52-year-old otherwise healthy man who presented with severe dyspnea on exertion and fatigue. He carried a diagnosis of remote bacterial endocarditis from a dental infection, which was treated with IV antibiotics. At presentation, his echocardiogram showed a complex pathology with anterior and posterior leaflet flails of the A2 and P2 as well as a patent foramen ovale....

Cormatrix Patch Augmentation of the Tricuspid Valve Anterior Leaflet

Giuseppe Rescigno, Antonella Meraglia, Mauin Uddin & John Stephen Billing
Tricuspid regurgitation is most commonly treated by restrictive annuloplasty. However, this would not suffice for extreme annular dilatation and/or leaflet tethering. For these conditions, a patch augmentation of anterior or septal leaflets is sometimes necessary. In this video, the authors show their step-by-step approach to perform an anterior leaflet augmentation that allowed for the effective correction of a severe tricuspid regurgitation with annular dilation and complex tethering of the valve leaflets.
A 45-year-old woman was referred...

Ion Robotic Bronchoscopy and Da Vinci Robotic Resection for a Solitary Pulmonary Nodule

Matthew L. Inra & Janani S. Reisenauer
The authors present a case of Ion robotic bronchoscopy and robotic lung resection for a solitary pulmonary nodule. The patient was a 68-year-old man and never smoker who presented with an enlarging right lower lobe solitary pulmonary nodule. It was first seen on chest x-ray in 2016 and enlarged on serial imaging to its greatest size of 16 by 12 millimeters in 2019. The patient had a significant medical history of right shoulder melanoma that...

Thoracoscopic Repair of a Vascular Ring Formed by a Right Aortic Arch and a Left Ligamentum Arteriosum

Ana Pita Fernandez, Juan Carlos De Agustin-Asensio, Hugo Rodríguez-Abella, Maria Antonia Garcia Casillas, Ramon Perez-Caballero Martinez, Carlos Pardo Pardo, Diego Diaz Monzon & Juan-Miguel Gil-Jaurena
Introduction
Vascular ring is a congenital anomaly of the aortic arch that compresses the esophagus and/or trachea. It can be asymptomatic for life and not require any intervention. On the contrary, there are some vascular rings that are associated with respiratory (frequent infections, stridor, cough, distress) and esophageal (difficulty feeding, gastroesophageal reflux, dysphagia) symptoms. The most common vascular rings are double aortic arch and right aortic arch with left ligamentum arteriosum.
Case Report
The patient was a 4-year-old,...

Thoracoscopic Repair of a Vascular Ring Formed by a Right Aortic Arch and a Left Ligamentum Arteriosum

Ana Pita Fernandez, Juan Carlos De Agustin-Asensio, Hugo Rodríguez-Abella, Maria Antonia Garcia Casillas, Ramon Perez-Caballero Martinez, Carlos Pardo Pardo, Diego Diaz Monzon & Juan-Miguel Gil-Jaurena
Introduction
Vascular ring is a congenital anomaly of the aortic arch that compresses the esophagus and/or trachea. It can be asymptomatic for life and not require any intervention. On the contrary, there are some vascular rings that are associated with respiratory (frequent infections, stridor, cough, distress) and esophageal (difficulty feeding, gastroesophageal reflux, dysphagia) symptoms. The most common vascular rings are double aortic arch and right aortic arch with left ligamentum arteriosum.
Case Report
The patient was a 4-year-old,...

Acute Type A Aortic Dissection Repair

Shruti Jayakumar, Rachel Simon-Lee, Jason Varzaly & James Edwards
This video demonstrates the steps of an acute type A aortic dissection repair. The authors used a stented E-vita graft to replace the descending aorta and the arch. An aortic homograft was used to replace the aortic root and valve.
This video was produced in collaboration with Heartwork Videos.

Cor Triatriatum Sinister With an Intact Interatrial Septum and a Decompressing Vein in a Toddler

Ziyad M. Binsalamah, Luis E. De Leon, Lauren C. Kane & Jeffrey S. Heinle
ObjectivesCor triatriatum sinister is a very rare cardiac anomaly that may lead to pulmonary hypertension, right ventricular dilation, and eventually right heart failure.MethodsThe authors report a procedure performed for a toddler who was misdiagnosed with asthma as an infant. She had progressive respiratory symptoms and was found to have cor triatriatum sinister with a restrictive communication, decompressing vertical vein, severe tricuspid regurgitation, and severe right ventricular dysfunction.ResultsThe surgical repair, shown in the video, was uneventful...

Total Arterial Revascularization: The Case for Radial Artery Conduit

James Tatoulis
James Tatoulis of the Royal Melbourne Hospital in Australia presents the case for choosing the radial artery (RA) as a second or third graft in coronary artery bypass surgery. He discusses the benefits of RAs over saphenous veins and highlights technical considerations for optimal success with RA grafts.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...

Cardiac Paraganglioma Excision and Coronary Sinus Reconstruction

Kareem Bedeir, Luigino Nascimben, Anju Nohria & Sary Aranki
A 59-year-old woman presented with distressing palpitations. Workup revealed a paraganglioma in the posterior left atrioventricular groove. Resection was undertaken en bloc with part of the coronary sinus wall. Reconstruction with autologous pericardium was done. The patient had a smooth recovery.

Pulmonary Re-Expansion After Diaphragmatic Plication

Veronica Manolache, Natalia Motas, Teu Madalin, Vasile Cristian, Madalina Iliescu & Teodor Horvat
In this video, the authors present a diaphragmatic plication. Diaphragm paralysis can have a wide variety of causes such as trauma, malignant pathologies, or infectious diseases. Sometimes it can be idiopathic. Usually, the patient presents with dyspnea, thoracic pain, and persistent dry cough. The investigations performed range from chest x-rays and computed tomography (CT) scans to lung function tests and magnetic resonance imaging.
A 78-year-old man presented to the authors’ clinic with severe dyspnea and a...

Debate: Ablate All Mitral Valve Patients in Atrial Fibrillation

Niv Ad
Niv Ad of the West Virginia University Heart and Vascular Institute in Morgantown, USA, argues for surgical ablation for mitral valve surgery patients with atrial fibrillation. He discusses what it means for a patient to be "in atrial fibrillation," stresses that surgeons should be specifically trained in ablation techniques, and argues for cryoablation rather than ablation using combination energy.
This presentation was originally given during the SCTS Ionescu University program at the 2018 Annual Meeting of...

Debate: Tissue Engineered Valves Will Dominate in the Future

Magdi Yacoub & Patrick Serruys
Sir Magdi Yacoub of the Imperial College London in the UK and Patrick Serruys of the Thoraxcenter Erasmus University in Rotterdam, Netherlands, discuss the use of tissue-engineered valves versus endogenous tissue restoration.
This debate was presented at the Heart Valve Society (HVS) Annual Meeting 2019 in Sitges, Spain, and is presented here with permission from HVS. For more information on upcoming events, please visit the HVS website.

Giants of Cardiothoracic Surgery: An Interview With W. Randolph Chitwood Jr.

Joel Dunning, W. Randolph Chitwood & Emel Dubar
In this Giants of Cardiothoracic Surgery Interview, Joel Dunning speaks with W. Randolph Chitwood Jr., the first surgeon to perform robotic mitral valve operations in the United States, and he has trained over 600 surgeons on this technique. He has also been the president of ISMICS, the Heart Valve Society, and the Society of Thoracic Surgeons.

Giants of Cardiothoracic Surgery: An Interview With W. Randolph Chitwood Jr.

Joel Dunning, W. Randolph Chitwood & Emel Dubar
In this Giants of Cardiothoracic Surgery Interview, Joel Dunning speaks with W. Randolph Chitwood Jr., the first surgeon to perform robotic mitral valve operations in the United States, and he has trained over 600 surgeons on this technique. He has also been the president of ISMICS, the Heart Valve Society, and the Society of Thoracic Surgeons.

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...

Surgery for Mesothelioma in the MARS II Era

Apostolos Nakas
Apostolos Nakas of the Glenfield Hospital in Leicester, UK, presents an overview of the surgical treatment of mesothelioma. Dr Nakas focuses on extended pleurectomy decortication, which is being evaluated in the MARS II trial, and he discusses other existing and upcoming studies on surgical and combination therapies.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...

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