CTSNet Podcasts

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Aamir Amin, a cardiothoracic surgery resident at Manchester University NHS Foundation Trust, UK, about humanoid robots and artificial intelligence (AI) in surgery.

Chapters 

00:00 Intro 

01:19 Quadruple-Organ Transplant 

02:12 Sublobar Resection NSCLC Consensus 

07:25 Ventricular Papillary MI Consensus 

14:23 Weather Triggers of Acute Aortic Dissection 

15:14 Perivascular Adipose ITA 

16:20 Video 1, VATS Hyperparathyroidism 

18:22 Video 2, Left VATS Pneumonectomy 

20:27 Dr. Amin, Humanoid AI in Surgery 

36:08 Upcoming Events 

37:17 Career Center 

Dr. Amin shares his insights from the Massachusetts Institute of Technology (MIT) (Cambridge, Massachusetts, USA) executive program on AI in healthcare, highlighting the program’s benefits and key takeaways. He also reviewed research on humanoid robots, including a paper titled “In Vivo Feasibility Study of Humanoid Robots in Surgery.” Additionally, they discussed the practical implementation of AI in surgery, its broader benefits, and its specific application within cardiothoracic and intraoperative settings. Finally, they explored the risks associated with humanoid robots and Dr. Amin provided guidance on the initial steps individuals can take to get involved with AI.

Joel also highlights recent JANS articles on the STS expert consensus document (2026) on addressing definition and practices of sublobar resection in non-small cell lung cancer, ventricular free-wall rupture, ventricular pseudoaneurysm, and papillary muscle rupture complicating acute myocardial infarction, a case-crossover study of 293 patients on weather-related triggers of acute aortic dissection, and perivascular adipose on relaxation of internal thoracic artery with surgical implications.

In addition, Joel explores a VATS solution for ectopic primary hyperparathyroidism, left VATS pneumonectomy, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Dr. Filip Casselman about aortic valve replacement.

Before closing, Joel highlights upcoming events in CT surgery.

JANS Items Mentioned

1. STS Expert Consensus Document (2026) on Addressing Definition and Practices of Sublobar Resection in Non-Small Cell Lung Cancer
2. Ventricular Free-Wall Rupture, Ventricular Pseudoaneurysm, and Papillary Muscle Rupture Complicating Acute Myocardial Infarction
3. Weather-Related Triggers of Acute Aortic Dissection: A Case-Crossover Study of 293 Patients
4. Perivascular Adipose on Relaxation of Internal Thoracic Artery With Surgical Implications: Better Antispastic Effect of Pedicle Than Skeletal Grafts

CTSNet Content Mentioned

1. Navigating the Mediastinum: A VATS Solution for Ectopic Primary Hyperparathyroidism
2. The Atrium: Aortic Valve Replacement
3. Left VATS Pneumonectomy

Other Items Mentioned

1. Humanoid Robots in the Operating Room: A Framework for Staged Integration of Embodied AI in Surgery
2. In Vivo Feasibility Study of Humanoid Robots in Surgery
3. Human–Robot Collaboration in Surgery at the Nexus of Knowledge, Agency, and Ownership
4. Northwestern Medicine Performs First Known Quadruple-Organ Transplant Involving Retransplanted Lungs
5. Career Center
6. CTSNet Events

 

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Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

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This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Ahmed Ghazy, Head of Minimally Invasive Surgery at Johannes Gutenberg University of Mainz, Germany, about robotic cardiac surgery adoption and training.

Chapters

00:00 Intro

01:06 SRS Conference

03:57 JANS 1, Surgical Left AA Closure

05:01 JANS 2, Mainstream CTS Research

06:20 JANS 3, Socioec Deprivation Aortic Outcomes

07:55 JANS 4, Standalone & Hybrid AF Ablation

09:54 Video 1, Type A AAR & PA Banding

11:32 Video 2, Off-Pump SVC Reconstruction

13:39 Video 3, Endarterectomy & Off-Pump CABG

14:29 Dr. Ghazy, Robotic Cardiac Training

29:48 Upcoming Events

Dr. Ghazy shares his experience working with Dr. M. M. Yusuf, a cardiothoracic and vascular surgeon at Apollo Hospitals in Chennai, India. Their conversation covers Dr. Ghazy’s hands-on experience with various robotic systems and simulators, the professional connections he made, and insights into India’s healthcare system. He also details the logistics of organizing the visit, including the application process and the specific procedures he performed. Furthermore, they discuss the difference between robotic systems and the difference between robotic-assisted and traditional minimally invasive surgery.

Joel also highlights recent JANS articles on methods and criteria for evaluating the success of surgical left atrial appendage closure, evaluating the mainstream influence of cardiothoracic surgical research, insights from a 20-year single-center cohort on the impact of socioeconomic deprivation on early and long-term outcomes after major aortic surgery, and safety and efficacy of stand-alone and hybrid thoracoscopic atrial fibrillation ablation.

In addition, Joel explores Type A interrupted aortic arch repair and pulmonary artery banding through a left posterolateral thoracotomy, off-pump superior vena cava reconstruction with mediastinal mass excision for SVC syndrome, and a 30-year-old bullet injury causing carotid stenosis—simultaneous carotid endarterectomy and off-pump CABG.

Before closing, Joel highlights upcoming events in CT surgery.

JANS Items Mentioned

1. Methods and Criteria for Evaluating the Success of Surgical Left Atrial Appendage Closure: A Systematic Review
2. Evaluating the Mainstream Influence of Cardiothoracic Surgical Research: An Analysis of Google Trends Data from 2004 to 2024
3. Impact of Socioeconomic Deprivation on Early and Long-­Term Outcomes After Major Aortic Surgery: Insights From a 20-Year Single­Centre Cohort 
4. Safety and Efficacy of Stand-Alone and Hybrid Thoracoscopic Atrial Fibrillation Ablation 

CTSNet Content Mentioned

1. Type A Interrupted Aortic Arch Repair and Pulmonary Artery Banding Through a Left Posterolateral Thoracotomy 
2. Off-Pump Superior Vena Cava Reconstruction With Mediastinal Mass Excision for SVC Syndrome 
3. A 30-Year-Old Bullet Injury Causing Carotid Stenosis—Simultaneous Carotid Endarterectomy and Off-Pump CABG

Other Items Mentioned

1. Innovation Video Competition
2. Career Center
3. CTSNet Events

 

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Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

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In this episode of The Atrium, host Dr. Alice Copperwheat speaks with Dr. Filip Casselman, Staff Surgeon and Co-Director of the Cardiovascular Center at OLV Clinic (AZORG), Aalst, Belgium, about aortic valve replacement (AVR).

Chapters

00:00 Intro

01:30 Why CT Surgery?

02:36 Anatomy

03:23 Pathology

06:15 History

09:06 Preoperative Planning

15:12 Indications

16:26 TAVR vs SAVR

20:25 Step-by-Step

41:25 Postop Management & Complications

46:32 Training Advice

The discussion explores the anatomy of the aortic valve, the pathology of aortic stenosis (AS) and aortic regurgitation (AR), and their respective echo grading, including complex cases like low-flow, low-gradient AS and bicuspid aortic valves. The conversation covers the history of AVR, preoperative planning—including prosthesis selection—and clinical indications for intervention in both symptomatic and asymptomatic severe aortic stenosis.

Furthermore, they compare transcatheter aortic valve replacement (TAVI) with surgical aortic valve replacement (SAVR). Technical aspects of the procedure were also addressed, from preparation and positioning to median or J-sternotomy approaches, cannulation, aortotomy, prosthesis sizing, managing patient-prosthesis mismatch, weaning from bypass, and chest closure. Finally, they provide insights into sutureless devices, postoperative management, and complications.

The Atrium is a monthly podcast presenting clinical and career-focused topics for residents and early career professionals across all cardiothoracic surgery subspecialties. Keep an eye out for next month’s episode.  

 

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Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

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This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Drs. Michael Mack and Tom Nguyen about the proposed US Centers for Medicare & Medicaid Services changes to how cardiologists and cardiac surgeons interact during transcatheter aortic valve replacement (TAVR) procedures.

Chapters

00:00 Intro
01:21 TAVR Heart Team
04:08 JANS 1+2, JACC TAVR vs SAVR
12:19 JANS 3, TAVR Short-Term Outcomes
14:06 JANS 4, SAVR Life Expectancy
17:44 JANS 5, WSJ TAVR Article
19:19 Video 1, Direct AA Cannulation Technique
21:23 Video 2, Endoscopic Redo TVR After CABG
24:25 Video 3, Gaudiani Cox-Maze III
27:33 Dr. Mack & Nguyen, TAVR Heart Team
51:12 Closing

Dr. Mack explained the current heart team system, established in 2011 through collaboration with the US Food and Drug Administration (FDA) and CMS, which has been highly successful in ensuring safe and effective TAVR implementation. He argues that the proposed CMS changes could potentially dismantle this collaborative approach by allowing asynchronous patient evaluation and procedures to be performed by single operators without surgeon involvement. Dr. Nguyen provided insights from a system leader's perspective, noting that while the proposed changes raise significant concerns about patient care and data collection, some cardiologists argue that surgeons are already not actively involved in many programs, making the single operator model the norm in practice. Both expressed concern that without mandatory surgeon participation and TAVR registry involvement, smaller programs may adopt practices that lack proper accountability and could lead to inappropriate patient selection and outcomes, potentially creating more contentious debates between TAVR and surgical approaches.

Joel also highlights recent JANS articles including a propensity-matched analysis comparing 10-year outcomes after SAPIEN 3 TAVR in the PARTNER 2 SAPIEN 3 Intermediate-risk Registry with surgery in the PARTNER 2A trial; a single-center retrospective study evaluated 61 patients who underwent cardiac surgery after prior TAVR during a 10-year period at a high-volume academic center; whether surgical aortic valve replacement (SAVR) should remain the first choice for aortic stenosis in patients with a life expectancy beyond five years; and an article examining the dramatic rise in the popularity of transcatheter aortic valves, early valve failure, and the impact it has on patients’ lives.

In addition, Joel explores axillary cannulation as a primary cannulation strategy, beating-heart endoscopic tricuspid valve replacement for high-risk redo patients after CABG and device-related tricuspid valve injury, and a Cox-Maze III operation combined with a left internal mammary artery (LIMA) to left anterior descending artery (LAD), as well as an ascending aortic replacement and aortic valve resuspension.

Before closing, Joel highlights upcoming events in CT surgery.

JANS Items Mentioned

1. 10-Year Outcomes of SAPIEN 3 Transcatheter Aortic Valve Replacement or Surgery in Intermediate-Risk Patients
2. A Decade of Cardiac Surgery After Transcatheter Aortic Valve Replacement: Short-Term Clinical Outcomes at a High-Volume Center
3. Great Debate: Surgical Aortic Valve Replacement Is First Choice for Aortic Stenosis in Patients With a Life Expectancy Beyond 5 Years
4. A Breakthrough Heart Procedure Comes With Risky Tradeoffs

CTSNet Content Mentioned

1. Direct Axillary Artery Cannulation With the Open Seldinger Technique
2. Endoscopic Redo Tricuspid Valve Replacement After CABG
3. The Cox-Maze III Procedure Combined With Valve-Sparing Aortic Surgery and CABG

Other Items Mentioned

1. Centers for Medicare & Medicaid Services Database—TAVR
2. Career Center
3. CTSNet Events

 

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Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Chris Malaisrie, a Professor of Surgery in the Division of Cardiac Surgery at Northwestern University and an Attending Cardiac Surgeon at Northwestern Medicine, about valve-sparing aortic root replacement techniques.

Chapters

00:00 Intro
02:25 TAVR Heart Team Coverage
03:52 JANS 1, TAVR vs SAVR Perspective
10:50 JANS 2, Gene-Edited Transplant Model
13:13 JANS 3, Long-Term Outcomes Atrial Fib
14:31 JANS 4, 147-Minute Drowning Circ Arrest
18:01 Video 1, Double Ann Enlargement Prosth Mis
20:48 Video 2, Reop Aortic Root Reconstruction
22:24 Video 3, Normothermic AA Aneurysm
24:22 Dr. Malaisrie, Aortic Root Replacement
41:42 Closing

The conversation covers a wide range of procedures, including the Bentall, Yacoub, and David operations, as well as the Ross procedure and personalized external aortic root support (PEARS). They further explore approaches to mitral and aortic valve repair, the management of diseased leaky valves, and the advantages of the Stanford modification of the David V procedure. Dr. Malaisrie concludes the discussion by offering advice to surgeons on refining their valve repair skills and shares his prediction for the future of valve repair surgery.

Joel also highlights recent JANS articles on age vs lifetime perspective on the transcatheter vs surgical aortic valve implantation, gene-edited pig cardiac xenotransplantation as a bridge to allotransplantation in infants, long-term outcomes of postoperative atrial fibrillation after cardiac surgery, and a case on ice water drowning survival after 147-minute submersion and 7 °C hypothermic circulatory arrest.

In addition, Joel explores double annular enlargement as an effective technique to overcome patient-prosthesis mismatch, reoperation for aortic root reconstruction, and normothermic treatment of an aortic arch aneurysm.

Before closing, Joel highlights upcoming events in CT surgery.

JANS Items Mentioned

1. Transcatheter vs Surgical Aortic Valve Implantation: Age vs Lifetime Perspective
2. Gene-Edited Pig Cardiac Xenotransplantation as a Bridge to Allotransplantation in Infants: Progress in a Pig-to-Baboon Model
3. Long-Term Outcomes of Postoperative Atrial Fibrillation After Cardiac Surgery: Results From 19,000 Patients
4. Ice Water Drowning Survival After 147-Minute Submersion and 7 °C Hypothermic Circulatory Arrest

CTSNet Content Mentioned

1. Double Annular Enlargement as an Effective Technique to Overcome Patient-Prosthesis Mismatch
2. Reoperation for Aortic Root Reconstruction
3. Normothermic Treatment of an Aortic Arch Aneurysm

Other Items Mentioned

1. Centers for Medicare & Medicaid Services Database—TAVR
2. Career Center
3. CTSNet Events

 

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Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

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In this episode of The Cardiac Recovery Room, moderator Dr. Rawn Salenger, Chief of Cardiac Surgery at the University of Maryland St. Joseph Medical Center, USA, spoke with Drs. V. Seenu Reddy, a cardiothoracic surgeon at HCA’s TriStar Cardiovascular Surgery in Nashville, TN, USA, and Kevin Lobdell, Professor and Director of Regional Cardiovascular and Thoracic Quality, Education, and Research at Atrium Health, NC, USA, about postoperative rehabilitation and readmission prevention.

Chapters 

00:00 Intro 

01:51 Readmission Risk Factors 

05:17 Discharging Patients Living Alone 

07:31 Importance of Readmission Reduction 

10:21 Reducing Readmissions 

15:45 Postop Rehabilitation 

19:36 Bringing Rehab to Patients 

23:43 Behavior Modification & Engagement 

25:55 Coordination of Care 

26:36 Personal Engagement 

They explore various factors influencing patient readmission following cardiac surgery, encompassing both medical and social determinants. A significant focus is placed on the challenges faced by patients living alone, the associated risks, and the mitigation strategies that can be implemented to support them, noting how success is higher if patients have a social structure around them. Furthermore, the conversation highlights the importance of reducing readmission rates and using remote monitoring. They also examine the survival benefits of rehabilitation and barriers of postoperative rehabilitation, including transportation.

The Cardiac Recovery Room is the place to hear the conversations colleagues are having after the meetings. Each month, a new episode will be released featuring a leadership panel from the ERAS Cardiac Society.  

 

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Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

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This week on The Beat, CTSNet Editor-in-Chief Joel Dunning discusses the Centers for Medicare & Medicaid Services proposed decision memo regarding the national coverage analysis for transcatheter aortic valve replacement (TAVR).

Chapters

00:00 Intro
01:17 TAVR National Coverage
06:05 JANS 1, EPOCH CardioLink-10 Trial
10:20 JANS 2, Dacron Ross Autograft Analysis
12:23 JANS 3, Mech vs Biopros Valve Outcomes
15:53 Video 1, Ross Procedure I/E Reduction
19:18 Video 2, Hemi-Commando Procedure
22:14 Video 3, Left VATS Enucleation Leiomyoma
24:15 Dr. Meguid, Intraop Molecular Imaging
35:52 Closing

He outlines crucial deadlines, actionable steps for surgeons, the importance of submitting public comments, and the necessity of data collection.

Additionally, he spoke with Dr. Robert Meguid, Professor of Surgery at the University of Colorado Anschutz Medical Campus, Aurora, CO, USA, about intraoperative molecular imaging. They explore how this technology identifies small nodules, the functionality and use cases of the specialized camera, the associated learning curve, and other available systems. The conversation also touches on robotics, lymph node staging, and cost. Furthermore, Dr. Meguid shares insights on his frequency of use of this technique.

Joel also highlights recent JANS articles on a systematic review and meta-analysis on how complete Dacron reinforcement of Ross autograft does not increase neo-aortic valve regurgitation, a randomized trial on superficial parasternal intercostal plane block with ropivacaine vs placebo for opioid exposure after cardiac surgery, and outcomes after conversion from mechanical to bioprosthetic valves for anticoagulation-related complications.

In addition, Joel explores the Ross procedure with internal and external reduction annuloplasty using autologous tissue rings, hemi-commando procedure for bioprosthetic aortic valve endocarditis, and left-sided uniportal VATS enucleation of a large esophageal leiomyoma.

Before closing, Joel highlights upcoming events in CT surgery.

JANS Items Mentioned

1. Complete Dacron Reinforcement of Ross Autograft Does Not Increase Neo-Aortic Valve Regurgitation: A Systematic Review and Meta-Analysis
2. Superficial Parasternal Intercostal Plane Block With Ropivacaine Versus Placebo for Opioid Exposure After Cardiac Surgery (EPOCH CardioLink-10): A Multicentre, Double-Blind, Randomised Trial
3. Outcomes After Conversion From Mechanical to Bioprosthetic Valves for Anticoagulation-Related Complications

CTSNet Content Mentioned

1. Ross Procedure With Internal and External Reduction Annuloplasty Using Autologous Tissue Rings
2. Hemi-Commando Procedure for Bioprosthetic Aortic Valve Endocarditis
3. Left-Sided Uniportal VATS Enucleation of a Large Esophageal Leiomyoma

Other Items Mentioned

1. Centers for Medicare & Medicaid Services Database—TAVR
2. Career Center
3. CTSNet Events

 

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Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

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In this edition of the CTSNet podcast, The Lifeline, host and nurse educator Jill Ley, Clinical Professor at the University of California San Francisco School of Nursing, Founder of the Essentials of Cardiac Surgical Resuscitation, and former Cardiac Surgery Clinical Nurse Specialist at California Pacific Medical Center in San Francisco, CA, USA, speaks with expert guest Amy Hackmann, adult cardiac surgeon at Brigham and Women's Hospital, Boston, MA, USA. Together, they explore extracorporeal membrane oxygenation (ECMO) vs emergency resternotomy for cardiac surgical arrest.

Chapters 

00:00 Intro 

01:36 Resuscitation Algorithm 

02:14 Current State of ECMO 

04:25 Speed, Quality Assurance 

08:28 ECMO Concerns 

12:16 Performance Metrics, Decision-Makers 

15:08 Prime Circuits 

15:24 Non-Surgical Arrest Training 

17:42 MCS Devices 

18:41 Instances to Avoid ECMO 

20:16 Time Targets 

21:58 Avoiding Complications, VIS Score 

25:09 Key Points 

The discussion covers quality assurance metrics, patient-specific decisions regarding ECMO vs resternotomy, and chest compressions. The experts also review the importance of advanced preparation, common causes of cardiac arrest following cardiac surgery, and small-incision surgeries, including the use of surgical saws. Furthermore, the discussion emphasizes the importance of mock drills and team training, as well as the use of ECMO on patients who have not experienced cardiac arrest. Finally, they explore scenarios where ECMO would not be used, vasoactive-inotropic score (VIS), and lactate levels.

Every month, The Lifeline features intensive care specialists sharing their expert insights into the rapid and effective management of critically ill cardiac surgical patients. Don’t miss next month’s episode!  

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Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

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This week on The Beat, CTSNet Editor-in-Chief Joel Dunning discusses the transcatheter aortic valve replacement (TAVR) heart team potentially losing a member. He explores the current composition of the TAVR heart team, proposed changes, the thoughts of cardiothoracic societies, and future actions regarding this issue.

Chapters 

00:00 Intro 

01:53 TAVR Heart Team 

07:48 JANS 1, Base Editing of PCSK9 

09:47 JANS 2, High Volume Valve Sparing ARR 

12:03 JANS 3, Western Rheumatic Heart Disease 

14:05 JANS 4, Non-Intubated Uniportal VATS SL 

15:38 Video 1, Miami Method-Bentall 

17:02 Video 2, ALCAPA Repair 

18:29 Video 3, Robotic Cardiac Podcast 

22:17 Dr. Sundt, Mantle Radiation Patients 

31:17 Upcoming Events 

Additionally, he spoke with Dr. Thoralf Sundt, Chief of the Division of Cardiac Surgery and Director of the Corrigan Minehan Heart Center at Massachusetts General Hospital, Boston, MA, USA, about patients who have undergone mantle radiation. They discuss the challenges these patients face postoperatively, including the mortality rate associated with reoperations. The conversation also highlights the significance of employing a heart team approach for these patients, emphasizing the importance of preoperative planning and the application of TAVR, which is potentially suitable for these patients. Furthermore, they touch upon topics such as mechanical valves, porcelain aorta, and the importance of conducting careful operations on these patients.

Joel also highlights recent JANS articles on in vivo base editing of PCSK9 with VERVE-102 for hypercholesterolemia, defining high-volume centers using prospective data for valve-sparing aortic root replacement, insights from the Netherlands Heart Registration on surgical care for rheumatic heart disease patients, and a cohort study on surgical techniques and outcome analysis of non-intubated uniportal VATS sleeve lobectomy.

In addition, Joel explores a step-by-step technique for a minimally invasive Bentall procedure via right axillary access, the repair of an anomalous left coronary artery from the pulmonary artery via direct coronary transfer, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Dr. Husam Balkhy about multi-spectrum robotic cardiac surgery. Before closing, Joel highlights upcoming events in CT surgery.

JANS Items Mentioned

1. In Vivo Base Editing of PCSK9 With VERVE-102 for Hypercholesterolemia
2. Valve-Sparing Aortic Root Replacement: Defining High-Volume Centres Using Prospective Data
3. Surgical Care for Rheumatic Heart Disease Patients: Insights From the Netherlands Heart Registration
4. Surgical Techniques and Outcome Analysis of Non-Intubated Uniportal VATS Sleeve Lobectomy: A Cohort Study

CTSNet Content Mentioned

1. Minimally Invasive Bentall Procedure via Right Axillary Access: A Step-by-Step Technique
2. Repair of Anomalous Left Coronary Artery From the Pulmonary Artery via Direct Coronary Transfer
3. The Atrium: Multi-Spectrum Robotic Cardiac Surgery

Other Items Mentioned

1. Cardiac Reoperations in Patients With Prior Thoracic Radiation: A Single-Center Analysis of Outcomes and Key Lessons
2. CTSNet Innovation Video Competition
3. Career Center
4. CTSNet Events

 

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Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

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This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Isaac George, CTSNet Board Member and Co-Director of the Structural Heart and Valve Center, Surgical Director of Structural Heart Disease, and Co-Director of the Mitral and Tricuspid Center at Columbia University Medical Center/NewYork-Presbyterian, NY, USA, about the lifetime management of aortic valve disease.

Chapters

00:00 Intro

02:11 AATS-CTSN Randomized Trials

04:37 JANS 1, Consensus Statement ALAD

10:28 JANS 2, Lung Re-Transplantation Outcomes

12:19 JANS 3, Aortic Homografts, EURECAH

15:15 JANS 4, Lobectomy Cost Analysis

18:10 Video 1, Anomalous L Coronary Artery

19:38 Video 2, Pulm Valve Replacement Reop

21:38 Video 3, Giant Pulm Artery Aneurysm

23:28 Dr. George Discussion

33:18 Upcoming Events

34:05 Closing

They explored the expansion of transcatheter aortic valve replacement (TAVR), emphasizing the crucial role of the heart valve team in this process. The discussion highlighted the necessity for surgeons to be actively involved in the decision-making process surrounding TAVR, particularly in the early stages. They also addressed the importance of lifetime management of the valve, selecting the appropriate valve, and valve durability. Additionally, they discussed the significance of providing patients with multiple surgical options, the Ross procedure, mechanical valves, and explored which procedures patients are choosing.

Joel also highlights recent JANS articles on the ISHLT consensus statement on acute lung allograft dysfunction, aortic homografts for native and prosthetic aortic valve and root endocarditis, how outcomes after lung re-transplantation for restrictive allograft syndrome have not improved over two decades, and the financial burden of postoperative adverse events following lobectomy.

In addition, Joel explores the surgical repair of an anomalous left coronary artery from the right pulmonary artery, minimally invasive pulmonary valve replacement in reoperative settings, and surgical management of giant pulmonary artery aneurysm using a T-shaped graft-valve strategy.

Before closing, Joel highlights upcoming events in CT surgery.

JANS Items Mentioned

1. ISHLT Consensus Statement on Acute Lung Allograft Dysfunction (ALAD): Definition, Etiology, Diagnostic and Therapeutic Approaches, and Research Priorities
2. Aortic Homografts for Native and Prosthetic Aortic Valve and Root Endocarditis: Results From the EUropean REgistry of Cryopreserved Aortic Homografts EURECAH
3. Outcomes After Lung Re-Transplantation for Restrictive Allograft Syndrome Have Not Improved Over Two Decades
4. Financial Burden of Postoperative Adverse Events Following Lobectomy: Cost Analysis From 10 High-Volume Canadian Hospitals

CTSNet Content Mentioned

1. Surgical Repair of an Anomalous Left Coronary Artery From the Right Pulmonary Artery
2. Minimally Invasive Pulmonary Valve Replacement in Reoperative Settings
3. Surgical Management of Giant Pulmonary Artery Aneurysm Using a T-Shaped Graft-Valve Strategy

Other Items Mentioned

1. CTSNet Innovation Video Competition
2. Career Center
3. CTSNet Events

 

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Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

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