The authors present a case of a 63-year-old female who developed a large inferior aneurysm following late presentation of myocardial infarction. This rare presentation is discussed with specific regard to imaging and surgical intervention. This patient demonstrates that not all pseudoaneurysms rupture rapidly.
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Cardiac
January 7, 2014
Results of bicuspid valve reconstruction for endocarditis have been suboptimal due to dehiscence of pericardial patches and other causes. This video illustrates complete replacement of destroyed bicuspid leaflets, using glutaraldehyde-fixed autologous pericardial leaflets.
January 2, 2014
CTSNet Co-Editor Joel Dunning interviews Duke Cameron, a leading cardiac surgeon specializing in the treatment of aortic aneurysm. In this interview, Dr. Cameron discusses aortic root replacement in patients with Marfan syndrome and his surgical techniques.
December 9, 2013
Friedrich W. Mohr, MD, PhD is the medical director of the Leipzig Heart Center, Leipzig, Germany, and an International Director of The Society of Thoracic Surgeons. Learn more about his amazing career in cardiothoracic surgery.
November 19, 2013
Left ventricular assist device implantation is an accepted treatment option for terminal heart failure. The standard surgical approach is a median sternotomy. This video shows an alternative implantation technique via a bilateral mini-thoracotomy, with ECMO as intraoperative circulatory support.
November 14, 2013
This video shows a 53-year-old male patient with severe COPD. His computed angiography showed a Crawford Type I thoracoabdominal aneurysm. His right kidney was atrophic, and the aneurysm was extending just proximal to the left renal artery.
October 7, 2013
This study of 389 pts receiving a continuous flow LVAD evaluated the risk of thromoembolic (TE)complications associated with preop AF. TE occured in 25% of pts; freedom from TE at 2 years was 46% in those with AF and 72% in those without AF (p<0.001). AF did not affect late survival.
October 3, 2013
Mini-sternotomy is being increasingly adopted for surgery of the aortic valve and ascending aorta. This adds greater complexity when compared to a standard median sternotomy approach. This video describes technical modifications that allow the surgeon to overcome these challenges in a case requiring deep hypothermic circulatory arrest (DHCA), aortic valve, and hemiarch repair.
September 20, 2013
Hybrid aortic procedures have the potential to reduce morbidity and mortality in patients that may not be reasonable candidates for a traditional open operation. This article examines a hybrid procedure performed on a 60-year-old male who had received four previous open-heart operations and who had numerous co-morbidities.
August 26, 2013
The number of ports used in minimally invasive cardiac surgery can be reduced to one with the assistance of the latest technologies and a custom-made instrument. The authors demonstrate a novel single incision technique, where no other ports for instruments and no small incision for femoral cannulation is required.