Clinical Techniques Headlines

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Aortic Translocation Operation with Minimal Prosthetic Material
16-March-2012

The aortic translocation operation for d-TGV, VSD, and PS was first performed in June, 1983. Since then, the senior author has been directly involved in 24 such operations with one early death.

Technique for Upper Sternal Allograft Implantation
24-February-2012

A young female with a single metastasis at the level of the upper portion of the sternum underwent surgical excision of the sternum followed by sternal allograft implantation. The use of a sternal allograft provides excellent functional and cosmetic results.

Reverse Subclavian Flap and "Aorto-Pulmonary Window" Technique for Repair of Interrupted Aortic Arch and Common Arterial Trunk
20-February-2012

In this video the authors demonstrate the surgical strategy for repair of interrupted aortic arch using a reverse subclavian flap and common arterial trunk using an "aortopulmonary window" type of repair in a 3.7 kg baby.

Stuart Jamieson, MD
15-February-2012

Professor Stuart Jamieson has performed over 2600 pulmonary thromboendarterectomies–more than the rest of the world combined. He has trained most of the surgeons who perform this technique. In this interview he describes the way he performs this technique, who is suitable, and also talks about emergency pulmonary embolectomy.

Robotic Thoracoscopic First Rib Resection for Paget Schroetter Disease
03-February-2012

A robotic technique is described for first rib resection for Paget Schroetter Disease or "effort thrombosis" of the subclavian vein that allows for en bloc resection of the offending portion of the first rib while minimizing the risk of neurovascular injury.

A New Concept For Extensive Use of Neochordae: "The Folding Leaflet"
19-January-2012

A technique for the treatment of a complex aortic disease is demonstrated in this video. The aortic arch was replaced followed by deployment of a thoracic stent-graft through the branch of a Dacron graft.

Thoracic Literature Watch - Fourth Quarter 2011
17-January-2012

The 2011 Fourth Quarter Literature Watch is now available. It contains a collection of articles on thoracic topics collected by Dr. Ferguson, editor of the Cardiac Portal.

Aortic Arch Replacement With Branched Dacron Graft And Antegrade Stent-Graft Deployment
12-January-2012

Thoracic Literature Watch - Third Quarter 2011
11-January-2012

Each quarter Dr. Mark Ferguson, editor of the Cardiac Portal, collects articles pertinent to thoracic topics. The articles are taken from medical and surgical journals other than those found on CTSNet. The 2011 Third Quarter Literature Watch is now available.

Hans Pilegaard, MD
16-December-2011

Hans Pilegaard has performed almost 1,000 procedures using a novel method of Nuss bar insertion that uses a short-bar technique. In this latest interview of the Innovators in cardiothoracic surgery, Pilegaard describes the short-bar technique. Intraoperative video is included of Dr. Pilegaard performing the operation at the Edinburgh Royal Infirmary.

Intrathoracic Migration Of Breast Implant After Thoracoscopic Surgery
09-December-2011

Breast implant complications after thoracic surgery are relatively rare. We present an unusual case of an intact implant migration into the pleural space after thoracoscopic surgery that was initially read as hemothorax on computed tomography of the chest.

Jarvik 2000 LVAD Implantation Through Median Sternotomy With Retroauricular Power Supply
03-December-2011

The authors describe their surgical technique for the problem of gaining access and routing the power cable to the retro-auricular area by using a median sternotomy approach.

New Vignette in the CTSNet Safety Reporting System
09-November-2011

Read the new safety reporting vignette entitled, "Arterial Line Air Embolism Due To Low Venous Reservoir Level," along with a safety analysis. Then, leave a comment about the report or the safety analysis.

Unroofing Procedure for Correction of an Anomalous Right Coronary Artery From the Left Aortic Sinus
09-November-2011

Anomalous right coronary artery arising from the left aortic sinus is a rare malformation, which is known to be associated with an increased risk of sudden death. This video shows the currently favored approach for anatomical repair by an unroofing procedure that results in relocation of the coronary artery into the appropriate aortic sinus.

New Vignette in the CTSNet Safety Reporting System
03-November-2011

A new vignette entitled, “Pressurized Cardiotomy Resulting in Air Embolism,” along with a safety analysis, has been posted on the CTSNet Safety Reporting System. Take a look and leave a comment.

VATS Middle Lobectomy Following a Previous VATS Right Lower Lobectomy
26-October-2011

Prior VATS lobectomy is a relative contraindication to ipsilateral repeat VATS lobectomy due to possible technical difficulties arising from adhesions and scarring, especially at the hilum. This video describes a VATS middle lobectomy in a 63 years old ex-smoker who had a previous VATS right lower lobectomy and pulmonary tuberculosis of the right upper lobe.

Michael Mack, MD
27-September-2011

Dr. Mack describes his techniques and provides tips for coronary artery bypass grafting in his second interview by Dr. Dunning.

Management of a Complex Aortic Dissection with Combined Open and Endovascular Techniques
23-September-2011

Acute Type A aortic dissections can be challenging entities for cardiac surgeons and require close follow-up secondary to their propensity for aneurismal degeneration. A combined open and endovascular technique is described for treating the inital dissection and resultant complications.

Robotic Right Upper Lobectomy
13-September-2011

A minimally invasive approach to resection of early stage lung cancers has been described and many favorable results validated. There is increased interest in pursuing a robotic approach as early experience indicates some potential advantages.

Pascal R. Vouhe, MD
31-August-2011

Interviewed by CTSNet Editor Marko Turina, Dr. Vouhe discusses the switch operation for transposition of the great arteries, with many valuable hints and tips.