Episodes

Friday Aug 23, 2024
The Beat With Joel Dunning Ep. 69: VATS Lobectomy
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
The Atrium: Median Sternotomy
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
The Beat With Joel Dunning Ep. 68: Mobile Surgery Unit in Ghana
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
The Beat With Joel Dunning Ep. 67: Randomized Controlled Trial Research
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
The Beat With Joel Dunning Ep. 66: Implementing New Surgery Procedures
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
The Atrium: Saphenous Vein Harvesting
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
The Beat With Joel Dunning Ep. 65
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.

Thursday Jul 18, 2024
The Beat With Joel Dunning Ep. 64
Thursday Jul 18, 2024
Thursday Jul 18, 2024
This week on The Beat, Editor in Chief Joel Dunning speaks with Enoch Akowuah and the cardiac surgery team operating in Ghana as they visit the James Cook University Hospital in England. They discuss mission trips in Ghana, the training that is involved, and the impact the program has.
Joel also talks about the outcomes of emergency intraprocedural surgical conversion during TAVI, axillary versus femoral arterial cannulation, and the preconditioning drugs that can reduce side effects of cardiac surgery.
He also discusses another installment in Dr. Tristan Yan’s aortic repair series on descending aortic intimal flap fenestration and myocardial protection during a 5 cm access aortic surgery.
JANS Items Mentioned
Preconditioning Drug Offers Potential to Reduce Side Effects of Cardiac Surgery
CTSNet Content Mentioned
Mitral Regurgitation and KISS Repair: A Doodle Journey
Deep Dive Into Aortic Surgery: 5 cm Access Aortic Surgery and Myocardial Protection
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 Jul 05, 2024
The Beat With Joel Dunning Ep. 63
Friday Jul 05, 2024
Friday Jul 05, 2024
This week on The Beat, Editor in Chief Joel Dunning speaks with Dr. Albert Jauregui Abularach about his work as a pioneer in robotic lung transplantation.
Joel also talks about cardiac shockwave therapy with CABG, the results of an esophageal cancer trial, and acute aortic dissection controversies.
He also discusses another installment in Dr. Tristan Yan’s aortic repair series on aortic dissection repair, internal thoracic harvesting and grafting, and a pediatric orthotopic heart transplant. Before wrapping up, Joel discusses upcoming events in CT surgery.
The Beat is taking a sumer break and will be back with a new episode on August 1, 2024!
JANS Items Mentioned
Cardiac Shockwave Therapy in Addition to CABG Improves Myocardial Function in Ischemic Heart Failure: The CAST-HF Trial
Clinical T2 N0 M0 Esophageal Cancer: Identifying Predictive Factors of Upstaging
AMDS or FET in Acute Aortic Dissection Indications and Controversies
CTSNet Content Mentioned
Deep Dive Into Aortic Surgery: Acute Type A Dissection—Aortic Rupture
Secrets of Bilateral Internal Thoracic Harvesting and Grafting
How I Do It: Pediatric Orthotopic Heart Transplant
Other Items Mentioned
CTSNet Events Calendar
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 Jun 28, 2024
The Beat With Joel Dunning Ep. 62
Friday Jun 28, 2024
Friday Jun 28, 2024
This week on The Beat, Editor in Chief Joel Dunning discusses the recently published MARS 2 trial, an AATS consensus document on management of subsolid lung nodules, and the long-term outcomes of permanent pacemaker implantation.
Joel also talks about videos demonstrating the commando procedure for endocarditis, a new aortic surgery video from Prof. Tristan Yan, and a demonstration of aortic and pulmonary homograft harvesting. Before wrapping up, Joel discusses upcoming events in CT surgery.
JANS Items Mentioned
Extended Pleurectomy Decortication and Chemotherapy Versus Chemotherapy Alone for Pleural Mesothelioma (MARS 2): A Phase 3 Randomized Controlled Trial
CTSNet Content Mentioned
Commando Procedure in a Patient With Aortic and Mitral Valve Prostheses: Fourth Intervention for Bacterial Endocarditis
Deep Dive Into Aortic Surgery: Visceral Pericardium—A Forgotten Layer
Harvesting Aortic and Pulmonary Homograft Valves From the Human Cadaveric Heart
Other Items Mentioned
CTSNet Events Calendar
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.