Laparoscopic Appendectomy
VA Boston Healthcare System
Marco Fisichella, MD, MBA, FACS
Assistant Professor of Surgery, Harvard Medical School
Associate Chief of Surgery, VA Boston Healthcare System
A 66-year-old man with a history of polyps has undergone colonoscopic surveillance every 3 years. After the recent discovery of an adenoma at the patient’s appendiceal orifice, Dr. Marco Fisichella performs a laparoscopic appendectomy.
Minimally Invasive Direct Coronary Artery Bypass (MIDCAB)
VA Boston Healthcare System
Marco Zenati, MD
Chief of Cardiothoracic Surgery, VA Boston Healthcare System & Professor of Surgery, Harvard Medical School
After experiencing chest pressure while exercising, a 72-year-old patient tested positive in both a stress test and nuclear medicine study, triggering a left heart catheterization that revealed a high grade lesion of the proximal left anterior descending coronary artery. His cardiologist determined the lesion would not be amenable to angioplasty or stenting, so Dr. Marco Zenati performs a minimally invasive coronary artery bypass (MIDCAB).
Cox-MAZE IV with Coronary Artery Bypass Graft and Mitral Valve Replacement
VA Boston Healthcare System
Marco Zenati, MD
Chief of Cardiothoracic Surgery, VA Boston Healthcare System & Professor of Surgery, Harvard Medical School
In this long and complicated case, Dr. Marco Zenati performs a full, biatrial Cox-MAZE IV procedure with coronary artery bypass grafting (CABG) and a mitral valve replacement (MVR), moving between the three procedures as necessary to minimize time on the ischemic heart. The patient suffers from congestive heart failure that recently escalated from class II to class III.