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CTSNet

Discussions about the most relevant topics in cardiothoracic surgery from CTSNet, the Cardiothoracic Surgery Network.

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#314
Yesterday · 40 min
The Lifeline: Postoperative Pearls in Adults With Congenital Heart Disease, Part 1
In this episode 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, California, USA, speaks with Sameh Said, Chief of the Division of Pediatric and Adult Congenital Cardiac Surgery at Maria Fareri Children’s Hospital in Valhalla, New York, USA. Together, they analyze the postoperative pearls in adults with congenital heart disease. Chapters 00:00 Growing Patient Population 03:06 Diverse, Complex Anatomy 04:53 Adult Cardiac Problems 08:13 Case Study 1, Assessment 14:11 Reaching One Diagnosis 18:03 Blood Gas Management 21:51 Ventilator Management 25:18 Case Study 2, Assessment 30:39 Assessing Shunt, Defect 32:28 Pulmonary Circulation Concerns 37:13 Fundamentals & Takeaways The discussion explores the challenges of managing adults with congenital heart disease and its unique clinical considerations. It features two detailed case studies. The first examines a patient with tetralogy of Fallot, focusing on Dr. Said’s approach to managing a patient with a complex surgical history. Key topics include right ventricular function, the selection of appropriate inotropes, strategies for ventilator and blood gas management. The second case involves a 56-year-old patient with a history ventricular septal defect (VSD) patch repair and a moderate left-to-right shunt. This analysis covers methods for quantifying the magnitude and determining the direction of the shunt. Dr. Said concludes with clinical advice, emphasizing the importance of teamwork, establishing a thorough understanding of the patient’s baseline, and maintaining composure in complex clinical scenarios. 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 and stay tuned for part 2! 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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#313
Friday · 27 min
The Beat With Joel Dunning Ep. 172: Intraoperative AI Copilot in Robotic Cardiac Surgery
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Jacques Kpodonu, a cardiac surgeon at Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA, and Assistant Professor of Surgery at Harvard Medical School, Boston, Massachusetts, USA, about the use of intraoperative artificial intelligence (AI) copilots in robotic cardiac surgery. Chapters 00:00 Intro 01:29 JANS 1, Pediatric Shunts 02:34 JANS 2, Ruptured Aortic Arch Repair 03:43 JANS 3, Pulm Valve Replacement Guidelines 04:43 JANS 4, Stress in the OR 05:48 JANS 5, Adjustable Pulm Valve Feasability 07:21 Video 1, OBAS Simulator 08:11 Video 2, Routine LAVV Augmentation 08:41 Video 3, Transaortic Alfieri Stitch 09:51 Dr. Kpodonu, Robotics AI Copilot 26:41 TAVR Heart Team Webinar They discussed building data sets for future robotic autonomy, the process of training AI copilots for robotic surgery, and utilizing these systems for teaching and coaching. The conversation also covered creating operative reports with AI copilots and robotics in low-resource countries. Furthermore, they explored the costs of robotics, the role of automated tasks in assisting surgeons, the development of physical AI in humanoid robots, utilizing AI to create annotations, and how surgeons can become actively involved in the field of AI. Joel also highlights recent JANS articles on a systematic review and meta-analysis of cryopreserved and antibiotic-preserved saphenous vein homografts versus polytetrafluoroethylene grafts for systemic-to-pulmonary artery shunts in pediatric patients; single-stage repair of ruptured aortic arch with coarctation using dual perfusion strategy; the 2026 expert consensus document on timing, indications, and options for pulmonary valve replacement in children with repaired tetralogy of Fallot; the role of self-regulation and leadership in dealing with pressures in the operating room; and one-year outcomes of novel size-adjustable pulmonary valve US early feasibility study. In addition, Joel explores redefining the two-patch technique for complete AV canal repair, transaortic Alfieri stitch for mitral valve repair, modified Bentall, and hemiarch repair, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Dr. Traves Crabtree about the Oral Board AI Simulator (OBAS). Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned The Battle of the Shunts: A Systematic Review and Meta-Analysis of Cryopreserved and Antibiotic-Preserved Saphenous Vein Homografts Versus Polytetrafluoroethylene Grafts for Systemic-to-Pulmonary Artery Shunts in Pediatric Patients Single-Stage Repair of Ruptured Aortic Arch With Coarctation Using Dual Perfusion Strategy The Society of Thoracic Surgeons / World Society for Pediatric and Congenital Heart Surgery / European Congenital Heart Surgeons Association 2026 Expert Consensus Document on Timing, Indications, and Options for Pulmonary Valve Replacement in Children With Repaired Tetralogy of Fallot Performance Under Pressure: The Role of Self-Regulation and Leadership in Dealing With Pressures in the OR Novel Size-Adjustable Pulmonary Valve US Early Feasibility Study: One-Year Outcomes CTSNet Content Mentioned The Atrium: Oral Board AI Simulator Redefining the Two-Patch Technique for Complete AV Canal Repair: Routine LAVV Augmentation Alfieri Stitch for Mitral Valve Repair, Modified Bentall, and Hemiarch Repair Other Items Mentioned The TAVR Heart Team in 2026: Navigating the CMS Decision | CTSNet Webinar Oral Board AI Simulator CTSNet Innovation Video Competition Career Center CTSNet Events 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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#312
August 27 · 31 min
The Beat With Joel Dunning Ep. 171: Online Quiz League for Residents
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Timur Kyashif, a cardiac resident at Jena University Hospital in Jena, Germany, about the German Society for Thoracic, Cardiac, and Vascular Surgery Quiz League. Chapters 00:00 Intro 01:17 Oral Board Simulator 01:51 Debate, Talc in Recurrent Pneumothorax 06:08 JANS 1, Multimodal Treatment of PM Guidelines 07:53 JANS 2, En Bloc Stapling Outcomes 10:31 JANS 3, Iatrogenic Atrial Dysfunction 12:57 JANS 4, Excimer Laser Assisted CABG System 14:57 JANS 5, Third Gen Stented Bovine PB 16:48 Video 1, Advances in Thoracic Surgery 17:49 Video 2, Simplified Bentall 18:48 Video 3, Extracardiac Completion Fontan 20:49 Dr. Kyashif, Residents Quiz League 30:49 Competition, Career Center They provide an overview of the league, detailing its structure, frequency, and purpose. The discussion also covers the performance of last year’s inaugural competition and previews what participants can expect from this year’s sessions, including the topics to be covered and the start date. Additionally, Dr. Kyashi highlights other initiatives he is currently developing for medical students. Joel also highlights recent JANS articles on the Society of Thoracic Surgeons 2026 expert consensus on the multimodal treatment of pleural mesothelioma, a retrospective study on the contemporary outcomes of en bloc stapling of the pulmonary artery, bronchus, and lymph nodes during lobectomy for non-small cell lung cancer, iatrogenic atrial dysfunction after prophylactic left atrial appendage exclusion, and the first prospective safety and effectiveness trial of the excimer laser assisted nonocclusive anastomosis system in coronary artery bypass grafting. In addition, Joel explores robot-assisted left pneumonectomy for post-chemoimmunotherapy proximal adenocarcinoma, off-pump extracardiac completion Fontan, and presentations on the advancements in robotic and complex thoracic surgery from the International Society for Minimally Invasive Cardiothoracic Surgery Annual Scientific Meeting 2026. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned The Society of Thoracic Surgeons 2026 Expert Consensus on the Multimodal Treatment of Pleural Mesothelioma Contemporary Outcomes of En Bloc Stapling of the Pulmonary Artery, Bronchus, and Lymph Nodes During Lobectomy for Non-Small Cell Lung Cancer: A Retrospective Study Iatrogenic Atrial Dysfunction After Prophylactic Left Atrial Appendage Exclusion: A Proposed Post-Procedural Atrial Phenotype The First Prospective Safety and Effectiveness Trial of the Excimer Laser Assisted Nonocclusive Anastomosis System in Coronary Artery Bypass Grafting CTSNet Content Mentioned ISMICS 2026 | Advancements in Robotic and Complex Thoracic Surgery Robot-Assisted Left Pneumonectomy for Post-Chemoimmunotherapy Proximal Adenocarcinoma Off-Pump Extracardiac Completion Fontan Other Items Mentioned German Society for Thoracic, Cardiac, and Vascular Surgery Quiz League Oral Board AI Simulator CTSNet Innovation Video Competition Career Center CTSNet Events 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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#311
August 25 · 26 min
The Atrium: Oral Board AI Simulator
In this episode of The Atrium, host Alice Copperwheat speaks with Traves Crabtree, Professor and Chair of the Division of Cardiothoracic Surgery and Medical Director of the Surgical Skills Laboratory at the Memorial Learning Center at Southern Illinois University School of Medicine in Springfield, Illinois, USA, about the Oral Board AI Simulator (OBAS), which just launched on CTSNet. Chapters 00:00 Intro 01:14 Why CT Surgery? 02:58 Simulation-Education Background 06:07 Issue of Finding Examiners 07:39 Need for Verbal Practice 08:18 OBAS Overview 09:38 Guiding the AI, Surgeon Verification 12:41 Grading, Feedback 16:17 Simulator Improvements 18:29 Engaging the Examiner 19:50 Progressive Case Difficulty 21:44 Trialing, Data Utilization 24:13 CTSNet Launch 24:56 Surgery Training Advice They discuss the inspiration behind the project, provide an overview of its functionality, and detail its development. Dr. Crabtree explains the challenges of building the simulator, including the complexities of using AI to generate precise, intended results and the process of developing its question bank. They also explore the creation of the grading rubric, the importance of user feedback to facilitate continuous growth, and the implementation of the simulator in small group sessions. Finally, they discuss the groups that have utilized the tool thus far and the future direction of the project, including the potential incorporation of a performance dashboard. 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. Related Resources Oral Board AI Simulator 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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#310
August 20 · 39 min
The Beat With Joel Dunning Ep. 170: 2026 Expert Consensus on the Multimodal Treatment of Pleural Mesothelioma
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Jeffrey Velotta, Assistant Clinical Professor of Surgery at the University of California, San Francisco School of Medicine in San Francisco, California, USA, and a thoracic surgeon at Kaiser Permanente Oakland Medical Center, in Oakland, California, USA, about The Society of Thoracic Surgeons 2026 Expert Consensus on the Multimodal Treatment of Pleural Mesothelioma. Chapters 00:00 Intro 01:11 JANS 1, Global Cardiac Surgery 02:42 JANS 2, Predicting Postop AF After CABG 05:23 JANS 3, MV Surgery in Octogenarians 07:07 JANS 4, CABG Multiart Grafting & Survival 10:06 Video 1, World's First Robotic Implant 12:12 Video 2, Axillary Impella 5.5 Insertion 13:00 Video 3, Min Inv AVR, MVR, & Rhythm Surgery 15:37 Dr. Velotta, MMT Pleural Meso 38:14 Upcoming Events They emphasize the importance of thorough patient selection, specifically highlighting the necessity of surgical biopsy and the role of mediastinal staging, such as endobronchial ultrasound (EBUS). The discussion also covers neoadjuvant and adjuvant therapies, the critical need for surgeon expertise in mesothelioma, and the key elements for successful mesothelioma procedures. Furthermore, they address subjects such as diaphragm, phrenic nerve, pericardium, and isolated recurrences. The conversation also shifts to clinical outcomes, prioritizing survival extension over quality-of-life, and explores the future of mesothelioma treatment. Additionally, throughout the discussion, they also reflect on other research from major trials such as the MARS 2 trial. Joel also highlights recent JANS articles on cardiac surgery uniting for global impact, pericardial fluid cardiac troponin I predicting postoperative atrial fibrillation after coronary artery bypass grafting, whether mitral valve surgery is safe and effective in octogenarians, and an instrumental variable analysis on multiarterial grafting and survival after coronary artery bypass grafting. In addition, Joel explores a step-by-step guide to transaxillary minimally invasive aortic valve replacement, mitral valve repair, and rhythm surgery, insertion of the axillary Impella 5.5, and the first in human experience of robotic-assisted biventricular durable assist device implantation. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned From Declaration to Delivery: Cardiac Surgery Unites for Global Impact Pericardial Fluid Cardiac Troponin I Predicts Postoperative Atrial Fibrillation After Coronary Artery Bypass Grafting Pushing the Age Limit: Mitral Valve Surgery Is Safe and Effective in Octogenarians Multiarterial Grafting and Survival After Coronary Artery Bypass Grafting: An Instrumental Variable Analysis CTSNet Content Mentioned A Step-by-Step Guide to Transaxillary Minimally Invasive Aortic Valve Replacement, Mitral Valve Repair, and Rhythm Surgery Insertion of the Axillary Impella 5.5 Robotic-Assisted Biventricular Durable Assist Device Implantation: The First In Human Experience  Other Items Mentioned The Society of Thoracic Surgeons 2026 Expert Consensus on the Multimodal Treatment of Pleural Mesothelioma Career Center CTSNet Events 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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#309
August 19 · 16 min
The Cardiac Recovery Room: Surgical Site Infection and Prevention
In this episode of The Cardiac Recovery Room, moderator Amanda Rea, a nurse practitioner and Lead of Advanced Practice and Clinical Program Manager in the Division of Cardiac Surgery at the University of Maryland St. Joseph Medical Center in Townson, Maryland, USA, spoke with Cheryl Crisalfi, coordinator nurse at Baystate Medical Center, Springfield, Massachusetts, USA, about surgical site infection and prevention. Chapters 00:00 Intro 01:13 SSI Turnkey Order Set 02:20 Risk Factors 03:15 Mitigation Efforts 06:17 Antibiotics 08:17 Preop Patient Prep 08:56 Intraop Measures 10:14 Role of Culture 10:52 Postop Priorities 11:52 Dressings 12:11 Patient Education 13:29 Post-Hospital Prevention 14:43 SSI Prevention They explore turnkey order sets and its goals, as well as the patient risk factors that increase susceptibility to surgical site infections. They detail essential mitigation strategies, emphasizing both surgeon-led interventions and patient-directed actions, such as smoking cessation and glycemic control. Furthermore, they discuss clinical protocols—including screening for staphylococcus nasal colonization and appropriate antibiotic administration—as well as key intraoperative measures to maintain a sterile field and minimized operating room contamination. Finally, they emphasize the importance of patient education and follow-up care. The Cardiac Recovery Room is the place to hear the conversations colleagues are having after the meetings. Each month, a new episode featuring a leadership panel from the ERAS Cardiac Society is released. 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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#308
August 13 · 37 min
The Beat With Joel Dunning Ep. 169: CSIA Conference and Global Cardiothoracic Surgery
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with CTSNet Senior Editor—Global Emily Farkas, Associate Director of Global Health in Surgery at the Indiana University School of Medicine, about the upcoming Cardiac Surgery Intersociety Alliance (CSIA) conference and global cardiothoracic surgery. Chapters 00:00 Intro 01:16 Passing of Dr. Taggart 05:18 JANS 1, Humanoid OR Robots 09:17 JANS 2, ENDOASC Study 12:12 JANS 3, QUACS Study & Prediction Model 15:38 JANS 4, Neopulm Valve Reconstruction 17:14 Video 1, Direct View Double Valve 19:21 Video 2, 3D AVR w Extended Myectomy 20:38 Video 3, Aorto-Mitral Angle 22:51 Dr. Farkas, CSIA Conference & Global Surgery 35:50 Upcoming Events In their interview, they discuss details of the upcoming conference, including its primary goals, covered topics, the keynote address, and the featured speakers. They also explore the history of the CSIA, available courses at the conference, and opportunities for trainees and residents, as well as the first steps for those looking to support surgical care in developing countries. Joel also reflects on the recent passing of Professor David Taggart, sharing his personal connection to him and highlighting Dr. Taggart’s significant professional career and accomplishments. In addition, Joel highlights recent JANS articles on humanoid robots in the operating room, the ENDOASC multicenter global study on the total endovascular repair of ascending aortic pathology, the QUACS study and benefit prediction model, and neopulmonary valve reconstruction using autologous right atrial appendage. Furthermore, Joel explores a step-by-step procedural guide on the transaxillary direct-view double valve surgery, 3D endoscopic aortic valve replacement combined with extended septal myectomy via right lateral minithoracotomy, and aorto-mitral angle determining ease of mitral valve repair. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned Humanoid Robots in the Operating Room: A Framework for Staged Integration of Embodied AI in Surgery Total Endovascular Repair of Ascending Aortic Pathology: The ENDOASC Multicentre Global Study Quality of Life After Cardiac Surgery: The QUACS Study and Benefit Prediction Model Neopulmonary Valve Reconstruction Using Autologous Right Atrial Appendage: Early Single-Center Results CTSNet Content Mentioned Transaxillary Direct-View Double Valve Surgery: A Step-by-Step Procedural Guide 3D Endoscopic Aortic Valve Replacement Combined With Extended Septal Myectomy via Right Lateral Minithoracotomy Aorto-Mitral Angle Determines Ease of Mitral Valve Repair: Essential Anatomical Considerations Other Items Mentioned From Declaration to Delivery: Cardiac Surgery Unites for Global Impact Register for the Inaugural ‘In Africa for Africa’ Cardio-Thoracic Conference in Cape Town! David Taggart, MD Innovation Video Competition Career Center CTSNet Events 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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#307
August 12 · 24 min
The Lifeline: Management of Acute Aortic Emergencies
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 CTSNet Associate Editor—Cardiac Andrea Steely, an Assistant Professor of Cardiac Surgery in the Division of Cardiothoracic Surgery at the University of Utah Health, Salt Lake City, Utah, USA. Together, they examine the management of acute aortic emergencies. Chapters 00:00 Intro 00:44 Emergent Conditions 04:07 Symptoms for Diagnosis 09:19 Left vs Right Arm Blood Pressure 10:37 Preop Management Quality Assurance 15:45 Intraoperative Management 20:04 At-Risk Patients 22:34 Summarizing Points The discussion covers clinical management of emergency conditions, Type A vs Type B dissection, and imaging. Key topics included diagnostic strategies to ensure early detection, clinical symptoms for conditions, and the importance of measuring both left and right arm blood pressure. The session also addressed heart rate and blood pressure control in preoperative settings, the importance of a multidisciplinary approach, intraoperative management, and fluid management. Finally, they cover at-risk patients. 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! 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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#305
August 6 · 37 min
The Beat With Joel Dunning Ep. 168: Humanoid Robots and AI in Surgery
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 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 Weather-Related Triggers of Acute Aortic Dissection: A Case-Crossover Study of 293 Patients Perivascular Adipose on Relaxation of Internal Thoracic Artery With Surgical Implications: Better Antispastic Effect of Pedicle Than Skeletal Grafts CTSNet Content Mentioned Navigating the Mediastinum: A VATS Solution for Ectopic Primary Hyperparathyroidism The Atrium: Aortic Valve Replacement Left VATS Pneumonectomy Other Items Mentioned Humanoid Robots in the Operating Room: A Framework for Staged Integration of Embodied AI in Surgery In Vivo Feasibility Study of Humanoid Robots in Surgery Human–Robot Collaboration in Surgery at the Nexus of Knowledge, Agency, and Ownership Northwestern Medicine Performs First Known Quadruple-Organ Transplant Involving Retransplanted Lungs Career Center CTSNet Events 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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#304
July 30 · 31 min
The Beat With Joel Dunning Ep. 167: Insights on Robotic Cardiac Surgery Adoption and Training
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 Methods and Criteria for Evaluating the Success of Surgical Left Atrial Appendage Closure: A Systematic Review Evaluating the Mainstream Influence of Cardiothoracic Surgical Research: An Analysis of Google Trends Data from 2004 to 2024 Impact of Socioeconomic Deprivation on Early and Long-Term Outcomes After Major Aortic Surgery: Insights From a 20-Year SingleCentre Cohort  Safety and Efficacy of Stand-Alone and Hybrid Thoracoscopic Atrial Fibrillation Ablation  CTSNet Content Mentioned 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  A 30-Year-Old Bullet Injury Causing Carotid Stenosis—Simultaneous Carotid Endarterectomy and Off-Pump CABG Other Items Mentioned Innovation Video Competition Career Center CTSNet Events 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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#303
July 28 · 50 min
The Atrium: Aortic Valve Replacement
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. 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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#302
July 24 · 53 min
The Beat With Joel Dunning Ep. 166: The TAVR Heart Team at Risk
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 10-Year Outcomes of SAPIEN 3 Transcatheter Aortic Valve Replacement or Surgery in Intermediate-Risk Patients A Decade of Cardiac Surgery After Transcatheter Aortic Valve Replacement: Short-Term Clinical Outcomes at a High-Volume Center Great Debate: Surgical Aortic Valve Replacement Is First Choice for Aortic Stenosis in Patients With a Life Expectancy Beyond 5 Years A Breakthrough Heart Procedure Comes With Risky Tradeoffs CTSNet Content Mentioned Direct Axillary Artery Cannulation With the Open Seldinger Technique Endoscopic Redo Tricuspid Valve Replacement After CABG The Cox-Maze III Procedure Combined With Valve-Sparing Aortic Surgery and CABG Other Items Mentioned Centers for Medicare & Medicaid Services Database—TAVR Career Center CTSNet Events 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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#301
July 16 · 42 min
The Beat With Joel Dunning Ep. 165: Valve-Sparing Aortic Root Replacement Techniques
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 Transcatheter vs Surgical Aortic Valve Implantation: Age vs Lifetime Perspective Gene-Edited Pig Cardiac Xenotransplantation as a Bridge to Allotransplantation in Infants: Progress in a Pig-to-Baboon Model Long-Term Outcomes of Postoperative Atrial Fibrillation After Cardiac Surgery: Results From 19,000 Patients Ice Water Drowning Survival After 147-Minute Submersion and 7 °C Hypothermic Circulatory Arrest CTSNet Content Mentioned Double Annular Enlargement as an Effective Technique to Overcome Patient-Prosthesis Mismatch Reoperation for Aortic Root Reconstruction Normothermic Treatment of an Aortic Arch Aneurysm Other Items Mentioned Centers for Medicare & Medicaid Services Database—TAVR Career Center CTSNet Events 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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#300
July 15 · 27 min
The Cardiac Recovery Room: Readmissions and Rehabilitation
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. 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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#299
July 10 · 36 min
The Beat With Joel Dunning Ep. 164: TAVR National Coverage Analysis
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 Complete Dacron Reinforcement of Ross Autograft Does Not Increase Neo-Aortic Valve Regurgitation: A Systematic Review and Meta-Analysis Superficial Parasternal Intercostal Plane Block With Ropivacaine Versus Placebo for Opioid Exposure After Cardiac Surgery (EPOCH CardioLink-10): A Multicentre, Double-Blind, Randomised Trial Outcomes After Conversion From Mechanical to Bioprosthetic Valves for Anticoagulation-Related Complications CTSNet Content Mentioned Ross Procedure With Internal and External Reduction Annuloplasty Using Autologous Tissue Rings Hemi-Commando Procedure for Bioprosthetic Aortic Valve Endocarditis Left-Sided Uniportal VATS Enucleation of a Large Esophageal Leiomyoma Other Items Mentioned Centers for Medicare & Medicaid Services Database—TAVR Career Center CTSNet Events 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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#298
July 8 · 28 min
The Lifeline: ECMO vs Emergency Resternotomy for Cardiac Surgical Arrest
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! 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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#297
July 2 · 32 min
The Beat With Joel Dunning Ep. 163: Is the TAVR Heart Team About to Lose a Member?
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 In Vivo Base Editing of PCSK9 With VERVE-102 for Hypercholesterolemia Valve-Sparing Aortic Root Replacement: Defining High-Volume Centres Using Prospective Data Surgical Care for Rheumatic Heart Disease Patients: Insights From the Netherlands Heart Registration Surgical Techniques and Outcome Analysis of Non-Intubated Uniportal VATS Sleeve Lobectomy: A Cohort Study CTSNet Content Mentioned Minimally Invasive Bentall Procedure via Right Axillary Access: A Step-by-Step Technique Repair of Anomalous Left Coronary Artery From the Pulmonary Artery via Direct Coronary Transfer The Atrium: Multi-Spectrum Robotic Cardiac Surgery Other Items Mentioned Cardiac Reoperations in Patients With Prior Thoracic Radiation: A Single-Center Analysis of Outcomes and Key Lessons CTSNet Innovation Video Competition Career Center CTSNet Events 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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#296
June 25 · 34 min
The Beat With Joel Dunning Ep. 162: Lifetime Management of Aortic Valve Disease
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 ISHLT Consensus Statement on Acute Lung Allograft Dysfunction (ALAD): Definition, Etiology, Diagnostic and Therapeutic Approaches, and Research Priorities Aortic Homografts for Native and Prosthetic Aortic Valve and Root Endocarditis: Results From the EUropean REgistry of Cryopreserved Aortic Homografts EURECAH Outcomes After Lung Re-Transplantation for Restrictive Allograft Syndrome Have Not Improved Over Two Decades Financial Burden of Postoperative Adverse Events Following Lobectomy: Cost Analysis From 10 High-Volume Canadian Hospitals CTSNet Content Mentioned Surgical Repair of an Anomalous Left Coronary Artery From the Right Pulmonary Artery Minimally Invasive Pulmonary Valve Replacement in Reoperative Settings Surgical Management of Giant Pulmonary Artery Aneurysm Using a T-Shaped Graft-Valve Strategy Other Items Mentioned CTSNet Innovation Video Competition Career Center CTSNet Events 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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#295
June 23 · 51 min
The Atrium: Multi-Spectrum Robotic Cardiac Surgery
In this episode of The Atrium, host Dr. Alice Copperwheat speaks with Dr. Husam Balkhy, Professor of Surgery and Director of Robotic and Minimally Invasive Cardiac Surgery at the University of Chicago, IL, USA, about multi-spectrum robotic cardiac surgery. Chapters 00:00 Intro 01:04 Why CT Surgery? 04:08 History 08:09 Benefits 10:00 Challenges 13:56 Multispectrum Robotic Surgery 16:15 Patient Selection 24:33 Work Up, Port Placement 29:47 Valve Surgery 31:11 Coronary Surgery 32:38 Other Surgery 37:15 Complications 39:13 Training, Simulations 45:07 Future of Robotics 49:00 Key Takeaways 49:34 Surgery Training Advice The discussion focuses on the history of robotics in cardiac surgery, emphasizing the benefits and challenges associated with robotic surgery. It explores the concept of multi-spectrum robotic cardiac surgery and provides an overview of robotic surgery as it currently stands, including the types of valves involved and the various approaches utilized. The conversation also highlights specific techniques in robotic surgery, such as totally endoscopic coronary artery bypass (TECAB). Additionally, it addresses potential complications, including peripheral cannulation injuries and phrenic nerve injury. Furthermore, they discussed training in robotics and the future of robotics. 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. Related Resources Multi-Spectrum Robotic Cardiac Surgery: Early Outcomes 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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#294
June 18 · 31 min
The Beat With Joel Dunning Ep. 161: Thoracoabdominal Aortic Aneurysm Repair
This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Joseph Coselli, Executive Vice-Chair of the Michael E. DeBakey Department of Surgery, the Cullen Foundation Endowed Chair, and a Professor in the Division of Cardiothoracic Surgery at Baylor College of Medicine, Houston, TX, USA, about thoracoabdominal aortic aneurysm repair. Chapters 00:00 Intro 02:21 JANS 1, Ethical Leadership in CTS 07:36 JANS 2, Dual Antiplatelet RCT 10:27 JANS 3, Robotic MV Program 12:00 JANS 4, Time of Day Outcomes 15:34 Video 1, MI AV Replacement via RAM 17:04 Video 2, LA & Pulm Cuff Dissection 18:34 Video 3, LVOTE Master Class 21:09 Dr. Coselli Discussion 29:35 Upcoming Events 29:59 CTSNet Profiles Update They discussed the increasing use of endovascular techniques and the declining prevalence of open surgery. Additionally, they emphasized the necessity of maintaining open surgery skills for certain cases and provided specific examples where these skills are essential. The conversation also covered the best spinal protection treatment, preconditioning the spinal cord, and hybrid approaches that combine open and endovascular techniques. Furthermore, they highlighted the importance of surgeons being involved in patient follow-up. Dr. Coselli also shared insights on future approaches and recommendations for individuals considering which subspecialty to pursue in cardiothoracic surgery. Joel also highlights recent JANS articles on ethical leadership in cardiothoracic surgery in an era of consolidation, efficacy of dual antiplatelet therapy for three months vs 12 months after coronary artery bypass grafting, outcomes following the first 100 cases of a new robotic mitral valve program, and time of day of cardiac surgery and postoperative outcomes in the UK. In addition, Joel explores minimally invasive aortic valve replacement via right anterior minithoracotomy, left atrial and pulmonary cuff dissection after heart and lung en-bloc procurement, and a master class with Drs. Sameh Said and Vince Gaudiani on the Konno procedure and left ventricular outflow tract enlargement. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned Ethical Leadership in Cardiothoracic Surgery in an Era of Consolidation: A Framework for Trust, Transparency, and Workforce Stability Efficacy of Dual Antiplatelet Therapy for Three Months Versus 12 months After Coronary Artery Bypass Grafting: Multicentre, Double Blinded, Randomised Controlled Trial Outcomes Following the First 100 Cases of a New Robotic Mitral Valve Program Time of Day of Cardiac Surgery and Postoperative Outcomes in the UK: A Secondary Analysis of Linked National Datasets CTSNet Content Mentioned Minimally Invasive Aortic Valve Replacement via Right Anterior Minithoracotomy Left Atrial and Pulmonary Cuff Dissection After Heart and Lung En-Bloc Procurement Master Class: The Konno Procedure and LVOT Enlargement With Sameh Said and Vince Gaudiani Other Items Mentioned Career Center CTSNet Events 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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