Mattia Glauber of Instituto Clinico Sant’ Amgrogio, Milan argues in favour of the right anterior mini-thoracotomy approach for the performance of minimally invasive aortic valve replacement. He uses a short video to illustrate the technique of sutureless valve insertion.
John Pepper of the Royal Brompton and Harefield Hospitals, London, United Kingdom, as part of a debate, puts forward the alternate view that there is not yet the evidence for superiority of minimally invasive aortic valve replacement over a full…
Christopher Young of St Thomas’ Hospital, London, UK reviews the evidence for minimally-invasive AVR. He argues that the advantages of this approach over full sternotomy can be seen particularly in the outcomes of high risk patients.
Eric Lim of the Royal Brompton Hospital, London, UK describes the benefits of using an endochamelon camera in performing VATS lobectomy. He includes an operative video of a sleeve resection.
S. Westaby (Oxford, UK) gives an overview of the use of temporary mechanical support for post cardiotomy failure.
Joseph Zacharias of the Lancashire Cardiac Centre, Blackpool, UK gives an overview of the evidence for the use of ablation for atrial fibrillation in minimal access mitral valve surgery. He demonstrates his use of cryoablation and reviews his results.
R. Venkateswaran (Manchester, UK) discusses temporary mechanical circulatory support as a bridge to transplantation in cardiogenic shock, considering the pathophysiology and the strategies which help decision-making.
W. Klepetko (Vienna, Austria) explains in detail the options available for complex airway resections in a variety of conditions.
J Zacharias (Blackpool, UK) shows a video demonstration of the technique before reviewing the evidence for and against endoscopic vein harvest.
D Souza (Örebro, Sweden) argues that an open vein harvest technique including peri-adventitial fat is best to optimise long-term patency.
J Pepper (London, UK) considers the causes of vein graft occlusion before looking at possible ways to improve results.
G. Angelini (London, UK) describes surgical techniques to improve vein graft patency rates.
G Di Giammarco (Chieti, Italy) describes his experience in graft flow measurement to improve patency outcomes.
M Ruel (Ottawa, Canada) discusses whether single internal mammary artery grafts can adequately supply the heart.
D Taggart (Oxford, UK) argues that CABG remains the best therapy for coronary artery disease in 2015.
F Melfi (Pisa, Italy) gives an overview of the evidence for the benefits of robotic surgery in the management of mediastinal disease.
G Rocco (Naples, Italy) considers the difficulties of defining the high risk patient for lung resection. He explains why he thinks that wedge resection remains a valid option is some cases and looks at the increasing importance of minimally-invasive approaches.
A Toker (Istanbul, Turkey) explains his views on the use of VATS and robotics for lung resection.
G Rocco (Turin, Italy) describes materials and techniques for chest wall reconstruction after resection.
D Taggart (Oxford, UK) reviews the evidence for using the radial artery as the first choice of second conduit in coronary bypass surgery.
P Kolh (Liege, Belgium) considers whether the SYNTAX trial has changed coronary artery disease practice in Europe. He reviews the results, examines the guidelines and emphasises the importance of risk models.
A Nakas (Leicester, UK) gives an overview of the surgical options before concluding that extended pleurectomy decortication should be used in suitable cases.
M Snee (Leeds, UK) explains how Stereotactic Ablative Radiotherapy (SABR) works and considers which patients are suitable for this treatment.
W Klepetko (Vienna, Austria) gives an overview of aspects of lung transplantation. He looks in detail at surgical techniques, donor organ utilisation, expanding the indications for surgery and the organisation of a service.
F Wells (Cambridge, UK) argues against the routine use of a minimal-access approach to mitral valve surgery. He recognises that good results for non-complex disease can be achieved in expert hands but believes that the open appoach is more appropriate…
P-E Falcoz (Strasburg, France) gives a detailed overview of the use of extracorporeal membrane oxygenation (ECMO) in thoracic surgery. He describes the different cannulation options and looks at future possibilities.
J Sabik (Cleveland, USA), as part of a debate, argues that off-pump CABG should be abandoned as our default procedure. He reviews results from the major trials as well as metaanalyses to support his view.
D Waller (Leicester, UK) argues that lung volume reduction surgery remains the gold standard intervention for emphysema. He reviews the NETT trial and the evidence for valves and coils, before presenting data from his own unit.
P Dartevelle (Paris, France) gives a detailed description of tracheal replacement using a forearm free flap.
J Sabik (Cleveland, USA) considers the evidence for bilateral internal mammary artery usage in coronary bypass surgery. He uses data from the large Cleveland clinic registry to explore the importance of time, coronary vessel anastomosed, conduit used and patient factors…
F Melfi (Pisa, Italy) describes her experience in the use of robotics in thoracic surgery. She looks at the history of robotic developments before explaining the potential advantages. She gives a detailed review of the literature in this area and…
A Macnab (Manchester, UK) gives a detailed description of the desirable TOE views in the assessment of the mitral valve.
S Ray (Manchester, UK) gives an overview of TOE use in assessing mitral regurgitation with normal leaflet motion.
S Reeves (Charleston, USA) reviews the SCA/ASE 2014 Perioperative Transoesophageal Echocardiography Guidelines.
L Winslow (Manchester, UK) explains the mechanisms leading to right heart problems in the adult congenital population.
A Denault (Montreal, Canada) describes in detail the current modalities available for cerebral monitoring.
J Ender (Leipzig, Germany) discusses the use of transoesophageal echocardiography in the setting of mechanical circulatory support.
K Görlinger (Essen, Germany) gives an overview on the management of postoperative coagulopathy based on ROTEM results.
J Thachil (Manchester, UK) gives some new insights into the coagulation cascade and the pathogenisis of bleeding after cardiac surgery.
M Bewsher (Manchester, UK) considers how TOE can help in the management of the postoperative unstable cardiac surgical patient.
V Bapat (London, UK) describes the Edwards transcatheter mitral valve replacement system, including a video animation and presentation of his early results.
A Vahanian (Paris, France) reviews the current status of percutaneous mitral valve repair and considers how this field may develop in the future.
A Macnab (Manchester ,UK) shows a variety of cases from the catheter laboratory illustrated with echo imaging.
T Richards (London, UK) details the importance of iron and its transport mechanisms. He then reviews the history of intravenous iron administration and looks at novel options.
P Perier (Bad Neustadt/Saale, Germany) reviews the evolution of minimally-invasive mitral valve surgery.
J Ender (Leipzig, Germany) considers functional restrictive mitral regurgitation, looking at mechanisms, measurements and therapeutic options.
A Klein (Cambridge, UK) reviews the incidence and causes of anaemia.
C von Heymann (Berlin, Germany) reviews the incidence of preoperative anaemia in cardiac surgery and considers its contribution to adverse outcomes.
G Sandhu (London, UK) explains the causes and describes his approach to managing airway stenoses in the adult.
C Royse (Melbourne, Australia) discusses the potential routine use of transthoracic echocardiography, as well as other ultrasound techniques, in preoperative assessment in the outpatient setting. <iframe width=”560″ height=”315″ src=”https://www.youtube-nocookie.com/embed/Wxiu7MbhS9M?rel=0&showinfo=0″ frameborder=”0″ allowfullscreen></iframe>
R Gill (Southampton, UK) discusses the role of fibrinogen in coagulation and the REPLACE trial of its use in complex cardiovascular surgery.
H Grocott (Winnipeg, Canada) explains the physiology of cerebral blood flow, looking at options for measurement and interventions to improve flow.
K Khan (Middlesbrough, UK) discusses his approach to anaesthesia in minimally-invasive mitral valve surgery, describing tips and tricks based on his unit’s experience.
M Buch (Manchester, UK) looks at the current indications and outcomes for the Mitraclip, including consideration of the Everest II trial and the 2012 European Valve Guidelines.
S Popat (London, UK) reviews the evidence for the use of chemotherapy in malignant mesothelioma and explores developing therapeutic options.
M Bennett (Plymouth, UK) considers how gaseous micro-emboli occur, what there effects might be, and how they might be prevented.
T McLeod (Birmingham, UK) discusses anaesthetic aspects of difficult airway management.
A Brunelli (Leeds, UK) reviews the evidence for electronic digital drainage systems. He explains the mechanism and benefits of regulated suction.
D Mazer (Toronto, Canada) discusses the pharmacological prevention of coagulopathy, looking in detail at the evidence for and against the use of tranexamic acid and aprotinin.
D Mazer (Toronto, Canada) considers the management of postoperative bleeding, looking in particular at the emerging evidence for component therapy.
JF Sabik (Cleveland, USA) considers whether the SYNTAX trial has changed practice in the USA and, if not, why not? He reviews the trial design and results before looking at registry data to inform about current patterns of coronary artery…
R Petersen (Copenhagen, Denmark) describes some difficult situations in VATS lobectomy before addressing training and the learning curve.
M Munavvar (Preston, UK) describes the use of semi-rigid thoracoscopy under sedation for the diagnosis and management of pleural diseases.
M Lemma (Milan, Italy) puts forward the argument in favour of off-pump coronary bypass surgery.
N Curzen (Southampton, UK) explains the importance of physiological ischaemia and FFR in deciding optimal management for coronary disease.
C Royse (Melbourne, Australia) explains why he believes that the key to reducing risk of stroke is aortic assessment.
A Brunelli (Leeds, UK) explains the use of digital drains in thoracic surgery and looks at the evidence for their benefits.
A Baker (Glasgow, UK) explains the potential use of gene therapy in improving the outcomes of coronary bypass grafts.
P Van Schil (Antwerp, Belgium) stresses the importance of correct terminology before reviewing the results of landmark trials of surgery in the management of mesothelioma.
F Guarracino (Pisa, Italy) explains how ultrasound can be used in the diagnosis of intra-thoracic diseases.
E Orion (Tel Aviv, Israel), the co-inventor of the device, looks at the evidence for using an external support to improve vein graft patency.
G. Angelini (London, UK) considers the evidence for single versus multiple arterial grafts in coronary bypass surgery, looking to explain why saphenous vein remains the second conduit of choice in the majority of cases worldwide.
P Quax (Leiden, Netherlands) describes the basic science behind vein graft remodelling, considering what factors trigger the inflammatory response.
J Brennan (Liverpool, UK) discusses the use of endovascular stenting in the treatment of acute aortic syndromes.
A Toker (Istanbul, Turkey) gives an overview of pulmonary infections which may require surgical intervention.
G Massard (Strasbourg, France) discusses the causes of a residual pleural space and considers the options for management.
D Taggart (Oxford, UK) looks at the evidence for external stenting of vein grafts to optimise long-term outcomes.
A. Newby (Bristol, UK) discusses the incidence and causes of vein graft failure. He considers options to improve outcomes, in particular the use of periadventitial human stem cells.
A Toker (Istanbul, Turkey) gives an overview of the surgical options for treating intra-pleural sepsis, emphasising the potential uses of VAC therapy.
J Elefteriades (New Haven, USA) gives ten clearly illustrated technical tips for use in aortic surgery.
T Yan (Sydney, Australia), with the aid of video clips, describes the mini-Bentall procedure through a partial upper sternotomy.
P Dartevelle (Paris, France) argues in favour of thoracotomy as the best approach for lung resections.