Tag: 2016

Total Arterial Revascularisation: how I decide

John Puskas of Icahn School of Medicine at Mount Sinai, United States discusses the evidence for using arterial grafts in coronary bypass surgery. He explores the reasons why overall usage of arterial grafts remains low.

Posted in Coronary Tagged with: , , , , , ,

Do UK surgeons deal with AF appropriately?

Samer Nashef of Papworth Hospital, Cambridge, UK discusses the indications for surgical treatment of atrial fibrillation and explores the reasons for a wide variation in practice. He gives preliminary findings from a UK trial.

Posted in Arrhythmias Tagged with: , , , ,

UK mini-mitral trial

E Akowuah, Middlesbrough, UK presents a proposal for a UK trial comparing conventional mitral valve surgery with a minimally-invasive approach.

Posted in Mitral valve Tagged with: , , , ,

Lone Atrial Fibrillation surgery – results for N-Contact device

C Blauth, Guy’s and St Thomas’ Hospital, London, UK gives a brief overview of the results from a hybrid minimally invasive approach (Convergent procedure) using the nContact/Atricure device.

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Robotic Thymectomy

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Minimally invasive complex lung resections

R Petersen (Copenhagen, Denmark describes his approach to difficult resections using a VATS approach. He uses several video clips to demonstrate his techniques.

Posted in Lung Tagged with: , , , ,

Two-stage hybrid atrial fibrillation ablation

G Haywood of Plymouth Hospitals NHS Trust, Plymouth, UK describes a hybrid surgical and catheter approach to the treatment of lone atrial fibrillation. He presents the outcomes at one year.

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Transoesophageal echocardiography of tricuspid valve: repair or not

J Bence (Leicester, UK) reviews the evidence for intervention on the tricuspid valve.

Posted in Right heart, Videos Tagged with: , , , , ,

Minimally invasive mitral intervention: catheter based approaches

Neil Moat of The Royal Brompton Hospital, London, UK presents a review of technologies being developed for transcatheter mitral valve repair and replacement.

Posted in Mitral valve, Videos Tagged with: , , , , , ,

Transoesophageal echocardiography of the right heart

A Denault (Montreal, Canada) discusses the use of TOE in right ventricular failure, considering RV anatomy and optimising the RV views.

Posted in Imaging, Right heart, Videos Tagged with: , , , ,

Update on catheter based lone trial fibrillation surgery

Guy Haywood of Plymouth Hospitals NHS Trust, Plymouth, UK considers the prevalence of atrial fibrillation and its complications. He looks at the outcomes of catheter-based ablation.

Posted in Arrhythmias Tagged with: , , , , ,

Thoraco-Abdominal Aneurysm repair – tips from Belgium

Marc Schepens of AZ Sint-Jan, Brugge, Belgium gives an overview of pitfalls and tips in the surgical management of thoraco-abdominal aneurysms.

Posted in Aorta Tagged with: , , , , ,

Does VATS improve outcomes over open lobectomy?

Douglas J Mathisen of the Massachusetts General Hospital, Boston, USA presents a detailed review of the current status of VATS lobectomy in comparison with open procedures.

Posted in Lung Tagged with: , , ,

Ganglionic plexi – Are surgeons missing a trick?

Mark LaMeir of University Hospital Brussels, Belgium discusses cardiac innervation in relation to atrial fibrillation. Ganglionic plexi ablation is described.

Posted in Arrhythmias Tagged with: , , , , ,

Electrosurgery in thoracic practice

Rene Petersen of Copenhagen University Hospital, Denmark discusses the advantages and disadvantages of different electrosurgical options. He uses several video clips to demonstrate his techniques.

Posted in Lung Tagged with: , , , , , ,

3D mini-mitral surgery: why would you need a robot?

Volkmar Falk (Berlin, Germany) discusses the benefits and drawbacks of using a robot for mitral valve surgery, presenting a surgical video of a 3D endoscopic mitral valve repair and answering audience questions.

Posted in Mitral valve Tagged with: , , , , ,

Tips for minimally invasive access for Atrial Fibrillation

Bart Van Putte of St. Antonius Hospital, Nieuwegein, The Netherlands describes his approach to lone atrial fibrillation, followed by a video demonstration of his operative technique.

Posted in Arrhythmias Tagged with: , , , ,

Minimally Invasive Mitral Valve Surgery without Aortic Cross-Clamping

Niv Ad of Inova Heart and Vascular Institute, Falls Church, VA, USA discusses the benefits of using a fibrillating heart technique in minimally-invasive mitral surgery. He illustrates his method using video examples and presents his results.

Posted in Mitral valve Tagged with: , , , , ,

Energy source options and optimal ablation patterns

Manuel Castella of Cirugia Cardiovascular Hospital Clínic, University of Barcelona, Spain discusses different strategies to achieve a satisfactory outcome in atrial fibrillation surgery.

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Hunt for the best ‘second’ conduit

D Taggart of John Radcliffe Hospital, Oxford looks at the evidence for alternative conduits as the second choice after the left internal mammary artery for coronary bypass grafting.

Posted in Coronary Tagged with: , , , , , , , ,

How can surgeons deal with lone atrial fibrillation?

Malcolm Dalrymple-Hay of Plymouth Hospitals NHS Trust, UK considers some of the practicalities of setting up a surgical lone atrial fibrillation programme.

Posted in Arrhythmias Tagged with: , , ,

Debate: Rib Fractures – fixation improves outcomes

Gonzalo Varela of Salamanca University Hospital, Spain reviews the evidence for the operative fixation of traumatic rib fractures.

Posted in Chest wall Tagged with: , , , ,

VATS surgery – where are we in 2016?

Professor Peter Licht of Odense University Hospital, Denmark considers the increasing uptake of the VATS approach and looks at potential future developments.

Posted in Lung Tagged with: , , , ,

Who should not have a mini-mitral procedure?

Professor Thierry Carrel of University Hospital Bern, Switzerland considers the outcomes from minimally-invasive mitral valve surgery and explores possible contraindications to this approach.

Posted in Mitral valve Tagged with: , , , , ,

VATS sympathectomy – is it of low clinical value?

P Rajesh (Birmingham, UK) considers the usefulness of VATS sympathectomy, showing his technique involving resection.

Posted in Pleura Tagged with: , , , , ,

Barlow’s Valve – my view

S Livesey (Southampton, UK) discusses the anatomy of Barlow’s mitral valve and considers options for correction. He demonstrates his repair technique with an operative video.

Posted in Mitral valve Tagged with: , , , , ,

Mesothelioma debate: surgery offers the best outcome

Paul Van Schil (Antwerp, Belgium) reviews the evidence from surgical trials, noting a shift in practice towards extended pleurectomy-decortication.

Posted in Pleura Tagged with: , , , , , ,

Mesothelioma – role of surgeon is to palliate only

Robert Rintoul of Papworth Hospital, Cambridge, UK, as part of a debate, reviews the outcomes of the major trials before concluding that currently all surgery for mesothelioma is palliative.

Posted in Pleura Tagged with: , , ,

My approach to functional mitral regurgitation

H-J Schaefers (Homburg/Saar, Germany) considers the pathophysiology of functional mitral regurgitation. He stresses the importance of addressing the ventricular component of the disease if one is to achieve a durable repair.

Posted in Mitral valve Tagged with: , , , , ,

Management of the mediastinal mass

D Van Raemdonck (Leuven, Belgium) presents an overview of mediastinal masses. He considers the commonest diagnoses in the different compartments and how these lesions should be managed.

Posted in Mediastinum, Videos Tagged with: , , ,

Superior sulcus tumour resection

Professor Philippe G Dartevelle of Marie Lannelongue Hospital and Paris-Sud University, France describes his anterior approach to these complex tumours.

Posted in Chest wall, Videos Tagged with: , , , ,

Tracheal substitution

P Dartevelle (Paris, France) considers the complex area of tracheal substitutes and gives a detailed description of tracheal replacement using a forearm free flap.

Posted in Airways, Videos Tagged with: , , , ,

My approach to Cox IV Cryoablation on bypass

N Ad (Virginia, USA) discusses his approach to the cryosurgical Cox Maze procedure. He describes procedural steps and shares clinical data.

Posted in Arrhythmias, Videos Tagged with: , , , , ,

Valve preserving root replacement

H Schäfers (Homburg/Saar, Germany) discusses the complexities in assessment of aortic valve structure. He compares the results of remodelling and reimplantation techniques in his institution, concluding that both are valid approaches to valve preservation.

Posted in Aorta, Videos Tagged with: , , , , , , , ,

Hannover experience with the Frozen Elephant Trunk

Professor Malakh Shrestha from the Division of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Germany describes his unit’s experience in using the Frozen Elephant Trunk technique for complex aortic arch surgery. He considers the indications, methods to reduce the

Posted in Aorta, Videos Tagged with: , , , , , ,

Sutureless aortic valve replacement via right anterior thoracotomy

V Bapat (London, UK) describes setting up a minimally invasive approach to aortic valve replacement in his unit. He considers the training required, the problems encountered and how these were overcome.

Posted in Aortic valve, Videos Tagged with: , , , , ,

My minimally invasive mitral challenges – tips and tricks

Prof T Doenst (Jena, Germany) argues in favour of a minimally invasive approach to mitral valve surgery in suitable cases. Using video demonstrations, he demonstrates his approach to a number of potentially challenging situations.

Posted in Mitral valve, Videos Tagged with: , , , ,

Tracheal surgery

Douglas Mathisen (Boston, USA) discusses the principles of tracheal resection. He focuses primarily on the areas of post-intubation stenosis and idiopathic subglottic stenosis.

Posted in Airways, Videos Tagged with: , , , , ,

Dealing with complications in VATS Surgery

S Blackmon (Rochester, USA) gives a very honest talk on the problem of bleeding in VATS lobectomies. Using video demonstrations, she describes her calm and logical approach to dealing with these potentially catastrophic situations.

Posted in Imaging, Videos Tagged with: , , , , ,

Hybrid Repairs of Arch Aneurysms

J Bavaria of the Hospital of the University of Pennsylvania, Philadelphia, USA considers the current and evolving role of hybrid aortic arch procedures. He explains landing zones and the different procedures available, before looking at the data which influences procedure

Posted in Aorta, Videos Tagged with: , , , , , , ,

Who should we ablate and why?

Mark La Meir of Academic Hospital, Maastricht, Netherlands explains the rationale for the surgical treatment of atrial fibrillation. He describes the pathophysiology before looking at the evidence for improved outcomes.

Posted in Arrhythmias, Videos Tagged with: , , ,

Palliation of Malignant Tracheal Conditions

M. Kalkat (Birmingham, UK) explains the different tracheal conditions requiring palliation. His structured approach considers the aims of palliation, the assessments required and the different options for management.

Posted in Airways, Videos Tagged with: , , , , ,

Mitral clefts, calcium and more

F Wells (Cambridge, UK) discusses the importance of mitral clefts. He reviews the development of the mitral valve, its saddle shape, and the use of annuloplasty rings. He considers the causes of SAM and how it can be avoided.

Posted in Mitral valve Tagged with: , , , , , ,

Aortic arch replacement: the Birmingham approach

J Mascaro (Birmingham, UK) reviews the different open and hybrid options to aortic arch repair. He then describes his unit’s approach and results, considering in detail how risk stratification determines the patient’s pathway.

Posted in Aorta Tagged with: , , , , , , ,

Superior transeptal approach

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Valve sparing aortic root replacement

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Redo Sternotomy

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Rigid Bronchoscopy

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Bullectomy

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