TSRA Operative Dictations in Cardiothoracic Surgery

✍ Scribed by David D. Odell, Damien J. LaPar, Shawn S Groth (editor), Michael P Robich (editor), Muhammd Aftab (editor), Ernest G. Chan (editor)

Publisher: CreateSpace Independent Publishing Platform
Year: 2014
Tongue: English
Leaves: 345
Edition: 1
Category: Library

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✦ Synopsis

The Thoracic Surgery Residents Association (TSRA) was established in 1997 under the guidance of the Thoracic Surgery Directors Association (TSDA) to create a unified voice to represent residents during cardiothoracic surgery training. The organization has developed as a core mission a focus on improving the quality, accessibility and utility of resident education. The current publication seeks to provide a resource which may be used in the surgeon’s daily practice as a resource for the review of the major steps of an operation as well as a guide to the appropriate documentation of the conduct of that operation. We hope that the text will be useful for both practicing surgeons and residents in training. While the list of operations included in the text is extensive it is by no means intended to be inclusive of the entire breadth of the field of cardiothoracic surgery. Additionally, the text provides descriptions of one approach to the operations included. We acknowledge that the approach to a given operation may vary among surgeons, and institutions. This text is not intended to establish a uniform ‘correct’ approach, nor is it intended as a surrogate for formal residency training.

✦ Table of Contents

I. General Thoracic Surgery
1. Flexible Bronchoscopy
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
2. Rigid Bronchoscopy
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
3. Esophagogastroduodonoscopy
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
4. Mediastinoscopy
Essential Operative Steps:
Potential Complications and Pitfalls:
Template Dictation
5. Chamberlain Procedure
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
6. Diagnositic Thoracoscopy
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
7. Tunneled Catheter Placement
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
8. Open Thoracostomy ⠀䔀氀漀攀猀猀攀爀䘀氀愀瀀愀渀搀䌀氀愀最攀琀琀圀椀渀搀漀眀)
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
9. Pleural Biopsy ⠀伀瀀攀渀⼀吀栀漀爀愀挀漀猀挀漀瀀椀挀)
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
10. Pleurectomy and Decortication
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
11. Pleural Decortication ⠀伀瀀攀渀⼀吀栀漀爀愀挀漀猀挀漀瀀椀挀)
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
12. Open Transthoracic Diaphragm Plication
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
13. Repair of Anterior Restrosternal ⠀䴀漀爀最愀最渀椀) and Posterolateral ⠀䈀漀挀栀搀愀氀攀欀) Diaphragm Hernias
Morgagni Hernia
Bochdalek Hernia
14. VATS Evacuation of Hemothorax
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
15. VATS Pericardial Window
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
16. Chest Wall Tumor Resection and Chest Wall Reconstruction
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
17. Pancoast Tumor
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
18. Tracheostomy
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
19. Tracheal Resection and Reconstruction
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
20. Esophageal Stent Placement
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
21. Laparoscopic Nissen Fundoplication
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
22. Laparoscopic Paraesophageal Hernia Repair
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
23. Transhiatal Esophagectomy
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
24. Open Modified Mckeown Esophagectomy
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
25. Open Ivor-Lewis Esophagectomy
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
26. Minimally Invasive Ivor-Lewis Esophagectomy
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
27. Lung Volume Reduction Surgery
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
28. VATS Wedge Resection
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
29. VATS Sympathectomy
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
30. VATS Thymectomy
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
31. Transcervical Thymectomy
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
32. Trans-Sternal Thymectomy
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
33. Open Lobectomies
Right Upper Lobectomy
Right Middle Lobectomy
Right Lower Lobectomy
Left Upper Lobectomy
Left Lower Lobectomy
34. Segmentectomy
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
35. Carinal Pneumonectomy
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
36. Extrapleural Pneumonectomy for Mesothelioma
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
37. Lung Procurement
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
38. Lung Transplantation
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
39. Bronchial and Arterial Sleeve Resection
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
II. Adult Cardiac Surgery
1. Aortic Root Replacement for Ascending Aortic Aneurysm
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
2. Aortic Root Replacement ⠀䔀渀搀漀挀愀爀搀椀琀椀猀)
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
3. Total Arch/Hemiarch Replacement with DHCA – Dissection
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
4. Elephant Trunk Part 1
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
5. Elephant Trunk Part 2
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
6. Endovascular Management of Acute Type B Dissection
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
7. Aortic Valve Replacement for Aortic Insufficiency or Aortic Stenosis
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
8. Aortic Valve Replacement with Aortic Root Enlargement
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
9. Biatrial Cox-Maze Ablation for Atrial Fibrillation
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
10. Coronary Artery Bypass Grafting with Cardiopulmonary Bypass
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
11. Coronary Artery Bypass Grafting with Mammary and Vein Grafts - Off Pump
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
12. Coronary Artery Bypass Grafting + Mitral Valve Repair VS Replacement
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
13. Coronary Artery Bypass Grafting with Aortic Valve Replacement
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
14. DeVega Tricuspid Valve Repair
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
15. Donor Heart Procurement
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
16. Hemiarch Replacement with DHCA – Aneurysm
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
17. Aortic Root Replacement with Homograft for Aortic Root Abscess ⠀一愀琀椀瘀攀䄀渀搀伀爀倀爀椀漀爀䈀攀渀琀愀氀氀)
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
18. Unexpected Intraoperative Complications
Massive Air Embolism
Intraoperative Aortic Dissection
19. LVAD – Heartware
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
20. LVAD – Heart Mate II
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
21. Minimally Invasive Directed Coronary Artery Bypass
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
22. Aortic Valve Surgery with Upper Hemisternotomy Approach
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
23. Mitral Valve Replacement
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
24. Minimally Invasive Mitral Surgery
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
25. Mitral Valve Repair for Bileaflet Prolapse
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
26. Orthotopic Heart Transplantation
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
27. Thoracoabdominal Aneurysm Repair
Essential Operative Steps
Potenital Complications and Pitfalls
Template Dication
28. Permanent Pacemaker Insertion
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
29. Repair of Post-Infarction Ventricular Septal Defect
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
30. Repair of Post-Infarction Ventricular Aneurysm ⠀䐀伀刀䔀渀搀漀瘀攀渀琀爀椀挀甀氀愀爀䌀椀爀挀甀氀愀爀倀愀琀挀栀倀氀愀猀琀礀 (EVCPP ⤀)
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
31. Pulmonary Embolectomy
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
32. Redo Sternotomy and Difficult Sternal Closure
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
33. Resection of Atrial Myxoma
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
34. Septal Myectomy
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
35. Endovascular Repair of Descending Thoracic Aortic Aneurysm ⠀吀䔀嘀䄀刀)
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
36. Total Arch Replacement with Deep Hypothermic Circulatory Arrest for Aneurysm
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
37. Total Artificial Heart
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
38. Transcatheter Aortic Valve Implantation ⠀吀䄀嘀䤀): ⠀吀爀愀渀猀昀攀洀漀爀愀氀ⴀ吀爀愀渀猀愀瀀椀挀愀氀䄀瀀瀀爀漀愀挀栀)
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
39. Valve Sparing Root Replacement
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
III. Congenital Cardiac Surgery
1. Repair of Atrial Septal Defect- Secundum Atrial Septal Defect
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
2. Ventricular Septal Defect: Perimembranous
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
3. Partial AV Canal Repair
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
4. Complete Atrioventricular Canal Repair
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
5. Repair of Partial Anomalous Pulmonary Venous Return
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
6. Supra-Cardiac Total Anomalous Pulmonary Venous Return ⠀吀䄀倀嘀刀)
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
7. Total Anomalous Pulmonary Venous Return ⠀吀䄀倀嘀刀) - Cardiac Type
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
8. Infra-Cardiac Total Anomalous Pulmonary Venous Return ⠀吀䄀倀嘀刀)
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
9. Patent Ductus Arteriosus Ligation
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
10. Aortic Coarctation Repair with Extended End-to-End Anastomosis
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
11. Division of Vascular Ring
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
12. Pulmonary Artery Banding
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
13. Modified Blalock-Taussig Shunt ⠀唀猀椀渀最䤀渀琀攀爀瀀漀猀椀琀椀漀渀䜀漀爀攀ⴀ吀攀砀吀甀戀攀䜀爀愀昀琀)
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
14. Norwood Procedure
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
15. Bidirectional Glenn Procedure
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
16. Completion Lateral Tunnel Fontan
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
17. Extra-Cardiac ⠀一漀渀ⴀ䘀攀渀攀猀琀爀愀琀攀搀) Completion Fontan Procedure
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
18. Repair of Supravalvular Aortic Stenosis
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
19. Ross Procedure for the Correction of Congenital Aortic Stenosis
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
20. Repair of Obstructive Hypertrophic Cardiomyopathy: ⠀匀攀瀀琀愀氀䴀礀漀洀攀挀琀漀洀礀)
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
21. Arterial Switch Procedure
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
22. Tetralogy of Fallot: Transventricular Repair
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
23. Tetralogy of Fallot Repair - Infundibular Sparing ⠀吀爀愀渀猀愀琀爀椀愀氀刀攀瀀愀椀爀)
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
24. Pulmonary Valve Replacement and Reconstruction of Right Ventricle Outflow Tract
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
25. Repair of Truncus Arteriousus ⠀吀䄀)
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
26. Cone Repair for Ebstein Malformation
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
27. Pediatric Lung Transplantation: Bilateral Sequential Lung Transplantation
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation
28. Pediatric Heart Transplantation
Essential Operative Steps
Potential Complications and Pitfalls
Template Dictation

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