Discussions about the most relevant topics in cardiothoracic surgery from CTSNet, the Cardiothoracic Surgery Network.
Episodes
Friday Nov 01, 2024
Friday Nov 01, 2024
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning had the opportunity to speak with Dr. Donald Nuss about the NUSS procedure at the 24th Annual Congress: Chest Wall International Group and Phoenix Advanced Pectus Course 2024. They discussed how this procedure was created, how it has evolved, and bar stabilization. They also discuss treatments for pectus excavatum and the Ravitch procedure.
Joel also reviews recent JANS articles on real-world outcomes of lobectomy, segmentectomy and wedge resection for the treatment of stage C-IA lung carcinoma, branched stented anastomosis frozen elephant trunk repair, selection for transcatheter versus surgical aortic valve replacement and mid-term survival, and treatment patterns and clinical outcomes of patients with resectable non-small cell lung cancer receiving neoadjuvant immunochemotherapy.
In addition, Joel explores the Chrysalis technique, updates on Y-incision aortic annular enlargement, and redo mitral valve repair and left ventricular myectomy. Before closing, he shares upcoming events in CT surgery.
JANS Items Mentioned
CTSNET Content Mentioned
1.) The Chrysalis Technique: A Unique New Way to Perform an Aortic Root Replacement
2.) Updates on Y-Incision Aortic Annular Enlargement
3.) Redo Mitral Valve Repair and Left Ventricular Myectomy
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 Oct 30, 2024
Wednesday Oct 30, 2024
In this month’s episode of The Atrium, Dr. Alice Copperwheat explores cannulation with expert guest Dr. Vince Gaudiani. They discuss preparation, aortic cannulation, aortic cannulation complications, and aortic root vents. They also discuss atrial and venous cannulation, atrial cannulation complications, final steps, and central versus peripheral cannulation.
Don’t forget that The Atrium is a monthly podcast presenting clinical and career-focused topics for residents and early career professionals across all cardiothoracic surgery subspecialties. Watch for next month’s episode on bronchoscopy.
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 Oct 24, 2024
Thursday Oct 24, 2024
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning explores the value of working together. He discusses the importance of working not only with others in your own specialty but with teams outside your comfort zone. He also shares examples of these situations and explains how you can learn from them.
Joel also reviews recent JANS articles on the impact of incomplete revascularization on long-term survival based on revascularization strategy, impact of residual entry tears in the descending aorta after type A dissection, aortic valve replacement versus conservative treatment in asymptomatic severe aortic stenosis, and potassium supplementation and prevention of atrial fibrillation after cardiac surgery.
In addition, Joel explores aortic valve reimplantation in a Marfan syndrome patient, aortic root replacement with a Bio-Bentall, and Cox maze III procedure and complex mitral valve repair of a calcified annulus. Before closing, he shares upcoming events in CT surgery.
JANS Items Mentioned
1.) Impact of Incomplete Revascularization on Long-Term Survival Based on Revascularization Strategy
2.) Impact of Residual Entry Tears in the Descending Aorta After Type A Dissection
CTSNET Content Mentioned
1.) Aortic Valve Reimplantation in a Marfan Syndrome Patient
2.) Aortic Root Replacement With a Bio-Bentall
3.) Cox Maze III Procedure and Complex Mitral Valve Repair of a Calcified Annulus
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 Oct 18, 2024
Friday Oct 18, 2024
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning discusses the highlights of the 38th EACTS Annual Meeting and reviews several important presentations. He discusses the presentation from engineer Amy Kertok on the interdisciplinary intersection of medicine and technology, and the presidential speech delivered by Franca Melfi on perseverance. He also shares the guidelines that were presented at the meeting, including blood management, perioperative medications, myocardial revascularization and aortic.
Joel also reviews recent JANS articles on ultrasonic emulsification of severe mitral annular calcification to enable mitral valve repair, the perceval sutureless bioprosthetic aortic valve, impact of radiological follow-up frequency on resected lung cancer, heart transplantation after donation after circulatory death, and more.
In addition, Joel explores the world's first robotic heart transplant at the King Faisal Hospital in Riyadh, direct cannulation through right anterior mini thoracotomy for aortic valve replacement, an indigenous technique of surgical management in a case of acute on chronic type A and type B aortic dissection, and robotic-assisted left first rib resection. Before closing, he shares upcoming events in CT surgery.
JANS Items Mentioned
1.) Ultrasonic Emulsification of Severe Mitral Annular Calcification to Enable Mitral Valve Repair
2.) The Perceval Sutureless Bioprosthetic Aortic Valve: Evolution of Surgical Valve Technology
4.) Heart Transplantation After Donation After Circulatory Death: Early United States Experience
7.) Composite End Points and Competing Risks Analysis
8.) Increased Lung Cancer Recurrence Following Transthoracic Needle Biopsy
CTSNET Content Mentioned
1.) The World’s First Robotic Heart Transplant at the King Faisal Hospital in Riyadh
2.) Direct Cannulation Through Right Anterior Mini Thoracotomy for Aortic Valve Replacement
4.) Robotic-Assisted Left First Rib Resection
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 Oct 04, 2024
Friday Oct 04, 2024
This week on The Beat, CTSNet Editor in Chief Joel Dunning speaks with EACTS Secretary General Patrick Myers about the highlights of the upcoming 38th EACTS Annual Meeting. They discuss what speakers they are looking forward to hearing from and the compelling topics that will be covered. They also share information about EACTS TV and hints and tips for those attending the meeting.
Joel also reviews recent JANS articles on mitral leaflet shortening as an ancillary procedure in obstructive hypertrophic cardiomyopathy and priorities and strategy for the implementation of enhanced recovery after surgery (ERAS) in thoracic surgery.
In addition, Joel explores a Yacoub II valve conserving operation for aortic root remodeling, robotic application of an AtriClip, and tricuspid replacement and mitral valve repair after a failed MitraClip to the tricuspid leaflets. Before closing, he shares upcoming events in CT surgery.
The Beat is taking a quick break and will return with a new episode on October 18, 2024.
JANS Items Mentioned
1.) Mitral Leaflet Shortening as an Ancillary Procedure in Obstructive Hypertrophic Cardiomyopathy
CTSNET Content Mentioned
1.) Yacoub II Valve Conserving Operation for Aortic Root Remodeling
2.) Robotic Application of an AtriClip for Chronic Atrial Fibrillation
3.) Tricuspid Replacement and Mitral Valve Repair After a Failed MitraClip to the Tricuspid Leaflets
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 Sep 27, 2024
Friday Sep 27, 2024
This week on The Beat, CTSNet Editor in Chief Joel Dunning speaks with lead surgeon Feras Khaliel about the world's first fully robotic heart transplant. They explore the steps taken before and after the procedure, provide details of the operation itself, and share clips of this procedure. They also discuss the history of King Faisal Specialist Hospital and Research Centre (KFSHRC) and Khaleil’s experience in robotic-assisted surgery.
Joel also shares more about how Riyadh KFSHRC performed the world's first fully robotic heart transplant, multiarterial vs single-arterial coronary surgery, current indications and surgical strategies for myocardial revascularization in patients with left ventricular dysfunction, and simulation training for emergency sternotomy in the cardiovascular intensive care unit.
In addition, Joel highlights a re-commando procedure for recurrent endocarditis, chest wall reconstruction techniques, and robotic-assisted ligation of the aberrant right subclavian artery for dysphagia lusoria. Before closing, he shares upcoming events in CT surgery.
JANS Items Mentioned
1.) Riyadh KFSHRC Performs World's First Fully Robotic Heart Transplant
2.) Multiarterial vs Single-Arterial Coronary Surgery: Ten-Year Follow-Up of One Million Patients
4.) Simulation Training for Emergency Sternotomy in the Cardiovascular Intensive Care Unit
CTSNet Content Mentioned
1.) Re-Commando Procedure for Recurrent Endocarditis
2.) Chest Wall Reconstruction Techniques
3.) Robotic-Assisted Ligation of the Aberrant Right Subclavian Artery for Dysphagia Lusoria
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 Sep 25, 2024
Wednesday Sep 25, 2024
In this month’s episode of The Atrium, Dr. Alice Copperwheat explores chest drains with Leanne Ashrafian, thoracic surgeon and CTSNet Senior Editor. They discuss patient considerations, equipment used, positioning of the patient, and how to identify landmarks. They also discuss the steps required when performing chest drains, removal of chest tubes, complications, and so much more.
Don’t forget that The Atrium is a monthly podcast presenting clinical and career-focused topics for residents and early career professionals across all cardiothoracic surgery subspecialties. Watch for next month’s episode on cannulation.
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 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.