Discussions about the most relevant topics in cardiothoracic surgery from CTSNet, the Cardiothoracic Surgery Network.
Episodes
Thursday Sep 19, 2024
Thursday Sep 19, 2024
This week on The Beat, Editor in Chief Joel Dunning speaks with Brian Houseman about VATS vs robotic lobectomy. They discuss training programs, the speed and efficiency of VATS, advanced chemotherapy cases, instruments used, safety, and the difference in pain for robotic-assisted surgery vs VATS.
Joel also discusses EACTS/STS guidelines for diagnosing and treating acute and chronic syndromes of the aortic organ, percutaneous versus surgical femoral cannulation in minimally invasive cardiac surgery, 2024 ESC guidelines for the management of chronic coronary syndromes, and transcatheter myotomy to reduce left ventricular outflow obstruction SESAME technique.
In addition, Joel highlights a robotic-assisted left lower lobectomy for NSCLC after neoadjuvant chemoimmunotherapy, chordal repair of P2 and P3 and left atrial appendage stapling through an upper mini sternotomy, and the Bookwalter retractor. Before closing, he shares upcoming events in CT surgery.
JANS Items Mentioned
1.) EACTS/STS Guidelines for Diagnosing and Treating Acute and Chronic Syndromes of the Aortic Organ
3.) 2024 ESC Guidelines for the Management of Chronic Coronary Syndromes
4.) Transcatheter Myotomy to Reduce Left Ventricular Outflow Obstruction
CTSNET Content Mentioned
1.) Robotic-Assisted Left Lower Lobectomy for NSCLC After Neoadjuvant Chemoimmunotherapy
2.) Chordal Repair of P2 and P3 and Left Atrial Appendage Stapling Through an Upper Mini Sternotomy
3.) The Bookwalter Retractor—A Resident’s Best Friend
Other Items Mentioned
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.
Thursday Sep 12, 2024
Thursday Sep 12, 2024
This week on The Beat, Editor in Chief Joel Dunning speaks with Ahmed Abbas about the recent 2024 Warith International Cardiology and Cardiothoracic Surgery Conference he organized at the University of Warith Al-Anbiyaa in Karbala, Iraq. They discuss the quality of heart surgery in Iraq, how many available facilities there are, how cardiothoracic surgery differs in Iraq from other countries, and the challenges of performing cardiothoracic surgery in Iraq. Additionally, Joel spoke with medical students to gain their perspectives on studying medicine in Iraq and their aspirations for the future.
He also discusses several JANS items including VATS thoracoscopic S1 segmentectomy, restoring discarded porcine lungs, emergent coronary revascularization with PCI and CABG, heart transplant for a patient with left superior vena cava, pathways to cardiothoracic surgery, defining resectability, and outcomes following heart valve surgery in patients with infective endocarditis.
In addition, Joel discusses a trans-subxiphoid robotic-assisted thymectomy, Apple Vision Pro spatial computing for endoscopic mitral valve, and the Aswan technique for extended septal myectomy. Before closing, Joel discusses upcoming events in CT surgery.
JANS Items Mentioned
1.) VATS Thoracoscopic S1 Segmentectomy, Right Upper Lobe: Alternative Posterior Approach
2.) Restoring Discarded Porcine Lungs by Ex Vivo Removal of Neutrophil Extracellular Traps
4.) Heart Transplant for a Patient With Left Superior Vena Cava—Case Report and Surgical Technique
5.) Pathway to Cardiothoracic Surgery: A Primer for Aspiring Students
6.) Defining Resectability: When Do You Try to Take It Out?
CTSNet Content Mentioned
1.) The Aswan Technique for Extended Septal Myectomy
2.) Apple Vision Pro Spatial Computing for Endoscopic Mitral Valve and VSD Surgery
3.) Trans-Subxiphoid Robotic-Assisted Thymectomy
Other Items Mentioned
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.
Thursday Aug 29, 2024
Thursday Aug 29, 2024
This week on The Beat, Editor in Chief Joel Dunning discusses the 38th EACTS Annual Meeting in Lisbon. He provides a comprehensive overview of the conference, including details about the featured speakers and the topics to be addressed by these distinguished surgeons.
He also discusses operating room extubation for patients undergoing cardiac surgery, how small airway brush gene expression predicts chronic lung allograft dysfunction and mortality, strategies to prevent and manage hemocompatibility-related adverse events in VAD patients, and mentoring pediatric heart surgeons.
In addition, Joel discusses a beating heart implant technique in donation after circulatory death, an excellent explanation of the full anatomy and physiology of the mitral valve, and neonatal aortic arch repair and the Warden procedure. Before closing, Joel discusses upcoming events in CT surgery.
The Beat is taking a quick break and will be back with a new episode on September 9, 2024!
JANS Items Mentioned
2.) Small Airway Brush Gene Expression Predicts Chronic Lung Allograft Dysfunction and Mortality
4.) Mentoring Pediatric Heart Surgeons: A Difficult Road for Both Mentors and Mentees
CTSNet Content Mentioned
2.) The Full Anatomy and Physiology of the Mitral Valve Explained
3.) Expert Techniques: Neonatal Aortic Arch Repair and the Warden Procedure
Other Items Mentioned
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.
Friday Aug 23, 2024
Friday Aug 23, 2024
This week on The Beat, Editor in Chief Joel Dunning speaks with Dr. Raja Flores about VATS lobectomy. They discuss his experience and studies in VATS lobectomy and Dr. Flores’s technique for this procedure.
He also discusses the evolution of the treatment of non-small cell lung cancer, percutaneous coronary intervention versus coronary artery bypass grafting for left main disease, current indications and surgical strategies for myocardial revascularization in patients with left ventricular dysfunction, and pneumonectomy following penetrating trauma with ECMO as postoperative support.
In addition, Joel discusses a bilateral internal mammary artery harvest using an SSi MANTRA, sinus venosus atrial septal defect repair using a beating heart technique, and another installment in Dr. Tristan Yan’s aortic repair series focused on mega-thoracic aortic aneurysm repair. Before closing, Joel discusses upcoming events in CT surgery.
JANS Items Mentioned
CTSNET Content Mentioned
Bilateral Internal Mammary Artery Harvest Using an SSi MANTRA
Sinus Venosus Atrial Septal Defect Repair Using a Beating Heart Technique
Deep Dive Into Aortic Surgery: Mega-Thoracic Aortic Aneurysm Repair
Other Items Mentioned
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.
Tuesday Aug 20, 2024
Tuesday Aug 20, 2024
In this month’s episode of The Atrium, host Dr. Alice Copperwheat speaks with Dr. Emily Farkas about median sternotomy. They discuss the indications and background of median sternotomy, patient preparation, the incision and its different variations, and preparation of the tissue. They also discuss osteotomy, spreading, and closure of median sternotomy.
A reminder that The Atrium airs once a month and presents foundational clinical and career-focused topics for residents and early career professionals across all cardiothoracic surgery subspecialties. Stay tuned for next month’s episode on chest drains!
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.
Thursday Aug 15, 2024
Thursday Aug 15, 2024
This week on The Beat, Editor in Chief Joel Dunning highlights the Diego Gonzalez Rivas Foundation mobile surgical unit on its first trip to Accra, Ghana. He discusses the different surgeries that were performed on the first day in this mobile unit and how the mobile hospital will travel throughout Africa offering minimally invasive surgery to those who cannot afford thoracic surgery.
He also discusses a cross-sectional study on structural heart training experiences, long-term durability of bioprosthetic aortic valve replacement, mechanical versus biological mitral valve replacement, and a paradigm change in surgical management of the apical hypertrophic cardiomyopathy.
In addition, Joel discusses robotic bilateral internal mammary artery dissection, total arterial revascularization for multivessel coronary artery disease, and another installment in Dr. Tristan Yan’s aortic repair series focused on mini-access branch-first total arch replacement and the frozen elephant trunk procedure. Before saying goodbye, Joel discusses upcoming events in CT surgery.
JANS Items Mentioned
Cross-Sectional Study on Structural Heart Training Experiences in Cardiothoracic Residency Programs
CTSNet Content Mentioned
Robotic Bilateral Internal Mammary Artery Dissection
Total Arterial Revascularization for Multi-Vessel Coronary Artery Disease
Other Items Mentioned
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.
Thursday Aug 08, 2024
Thursday Aug 08, 2024
This week on The Beat, Editor in Chief Joel Dunning discusses the RESTORE trial for individuals with pectus excavatum. He discusses the goals for this trial, Castor EDC vs REDCap, and the statistical plan.
He also discusses risk factors influencing postoperative pleural empyema in patients with pleural mesothelioma, pre- and postoperative functional outcome parameters in patients receiving laryngotracheal surgery, surgical management of large tracheoesophageal fistulas in infants after button battery ingestion, and the “Seattle Shawl” procedure.
In addition, Joel discusses atrial septal defect closure in the setting of severe pectus excavatum, the Ravitch procedure with external rib plating to maximize relief of cardiac compression, and another installment in Dr. Tristan Yan’s aortic repair series focused on how to assess aortic valve competency of the mini-access CAVIAAR procedure. Before saying goodbye, Joel discusses upcoming events in CT surgery.
JANS Items Mentioned
Surgical Management of Large Tracheoesophageal Fistula in Infants After Button Battery Ingestion
A Novel, Simplified Protected Ross Technique: The “Seattle Shawl” Procedure
CTSNet Content Mentioned
Atrial Septal Defect Closure in the Setting of Severe Pectus Excavatum: A Unique Case
The Ravitch Procedure With External Rib Plating to Maximize Relief of Cardiac Compression
Other Items Mentioned
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.
Friday Aug 02, 2024
Friday Aug 02, 2024
This week on The Beat, Editor in Chief Joel Dunning discusses the implementation of the Versius robotic surgical system for thoracic surgery and summarizes the ability of the Versius surgical system to successfully and safely complete a range of thoracic procedures aligned with phase 2a of the (Development) of the Idea, Development, Exploration, Assessment and Long-term follow-up (IDEAL) framework for surgical innovation.
He also discusses the perioperative tools to predict neurocognitive outcomes in congenital heart surgery, the differences in right heart function after pulmonary valve replacement in patients with pulmonary valve stenosis versus tetralogy of Fallot, and the left atrial appendage closure for stroke prevention in atrial fibrillation.
In addition, Joel discusses neoarotic valve repair with a subannular ring for complex trileaflet prolapse after an arterial switch operation, the use of the autologous innominate vein as a substitute for the pulmonary arteries, and another installment in Dr. Tristan Yan’s aortic repair series focused on the technical details of the mini-access David procedure. Before saying goodbye, Joel discusses upcoming events in CT surgery.
JANS Items Mentioned
Perioperative Tools to Predict Neurocognitive Outcome in Congenital Heart Surgery
CTSNet Content
Deep Dive Into Aortic Surgery: Mini-Access David Procedure—Endoscopic Assessment of Valve Competency
Other Items Mentioned
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.
Wednesday Jul 31, 2024
Wednesday Jul 31, 2024
In this month’s episode of The Atrium, host Dr. Alice Copperwheat speaks with Lorena Montes about saphenous vein harvesting. They discuss in what circumstances saphenous veins are harvested, anatomy and basics, opening and closing, and key steps. They also discuss novel strategies and harvesting veins endoscopically.
Don’t forget that The Atrium airs once a month presenting clinical and career-focused topics for residents and early career professionals across all cardiothoracic surgery subspecialties. Stay tuned for next month’s episode on sternotomy!
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.
Thursday Jul 25, 2024
Thursday Jul 25, 2024
This week on The Beat, Editor in Chief Joel Dunning discusses the best practice consensus guidelines from joint specialist societies for the treatment of patients with pectus abnormalities and summarizes the current evidence for the different treatment strategies for this condition, including supportive care, psychological support and nonsurgical techniques including bracing and vacuum bell therapy.
He also discusses the selection for transcatheter versus surgical aortic valve replacement, mechanical or biological prosthesis for aortic valve replacement, and wearable devices in patients with atrial fibrillation.
In addition, Joel discusses correction of complex aorta disease using frozen elephant trunk, aortic reconstruction with freestyle root, and another installment in Dr. Tristan Yan’s aortic repair series focused on the technical details of of the mini Bentall. procedure. Before saying goodbye, Joel discusses upcoming events in CT surgery.
JANS Items Mentioned
Mechanical or Biological Prosthesis for Aortic Valve Replacement in Patients Aged 45 to 74 Years
CTSNet Content Mentioned
Correction of Complex Aorta Disease Using the Frozen Elephant Trunk and Bentall’s Procedures
Aortic Reconstruction With Freestyle Root
Deep Dive Into Aortic Surgery: Everything You Need to Know About Mini-Bentall
Other Items Mentioned
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.