This week on The Beat, CTSNet Editor-in-Chief Joel Dunning had the opportunity to speak with Professor Mark Redmond about the ROSS procedure at the 2024 Birmingham Review Course. They discuss the current status of the ROSS procedure, the evolution of this procedure, and its benefits. They also discuss the steps for a surgeon to become experienced enough to perform the ROSS procedure and how trainee techniques have changed.    Joel also reviews recent JANS articles on rigid sternal fixation and enhanced recovery for opioid-free analgesia after cardiac surgery, long-term health outcomes of young patients with low complexity coronary disease, evaluation of the nonstapling bullectomy by manual suturing for young men with primary spontaneous pneumothorax, and risk factors and early outcomes associated with prolonged pleural effusion/chylothorax after pediatric cardiac surgery.   In addition, Joel explores the Bedi-IMA buttress, transfer technique from femoro-jugular veno-venous ECMO to veno-pulmonary ECMO with a ProtekDuo cannula, and modified Lecompte combined with pulmonary valve replacement and reduction pulmonary arterioplasty for TOF/APV-like syndrome. He also shows a recent clip from Professor Enoch Akowuah and his colleagues about their first day in Ghana. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Rigid Sternal Fixation and Enhanced Recovery for Opioid-Free Analgesia After Cardiac Surgery  2.) Long-Term Health Outcomes of Young Patients With Low Complexity Coronary Disease: A Weighted Analysis According to Revascularization Strategy  3.) Evaluation of the Nonstapling Bullectomy by Manual Suturing for Young Men With Primary Spontaneous Pneumothorax  4.) Risk Factors and Early Outcomes Associated With Prolonged Pleural Effusion/Chylothorax After Paediatric Cardiac Surgery  CTSNET Content Mentioned  1.) The Bedi-IMA Buttress  2.) Transfer Technique From Femoro-Jugular Veno-Venous ECMO to Veno-Pulmonary ECMO With a ProtekDuo Cannula: Step-by-Step  3.) Modified Lecompte Combined With Pulmonary Valve Replacement and Reduction Pulmonary Arterioplasty for TOF/APV-Like Syndrome  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.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning had the opportunity to speak with Professor Enoch Akowuah about challenges facing cardiothoracic surgery. They discuss the importance of clinical trials, the best aortic valve replacement technique, and the vision for the future of cardiothoracic surgery. They also discuss how to improve the specialty, what changes are needed in training, and the great part about being a member of a national society.   Joel also reviews recent JANS articles on better survival with lobectomy versus sublobar resection in patients with hypermetabolic c-stage IA lung cancer on positron emission tomography/computed tomography, right anterior minithoracotomy approach for aortic valve replacement, clinical and financial outcomes of pulmonary resection for lung cancer in safety net hospitals, and the 10 commandments for proximal anastomosis during CABG.   In addition, Joel celebrates the winners of the 2024 CTSNet Innovation Video Competition: “How to Perform MIDCAB Using BIMA,” “Mitral Valve Replacement and Coronary Revascularization Via the Left Anterior Minithoracotomy,” and “The Mitral Patch Technique for Mitral Annular Calcification (MAC).” He also discusses a recent interview with professor and surgeon Dr. Shaf Keshavjee. Before closing, he shares upcoming events in CT surgery.   JANS Items Mentioned  1.) Better Survival With Lobectomy Versus Sublobar Resection in Patients With Hypermetabolic C-Stage IA Lung Cancer on Positron Emission Tomography/Computed Tomography    2.) Right Anterior Minithoracotomy Approach for Aortic Valve Replacement  3.) Clinical and Financial Outcomes of Pulmonary Resection for Lung Cancer in Safety-Net Hospitals  4.) The 10 Commandments for Proximal Anastomosis During CABG: Techniques and Technologies for Vein and Arterial Grafts  CTSNET Content Mentioned  1.) How to Perform MIDCAB Using BIMA  2.) Mitral Valve Replacement and Coronary Revascularization Via the Left Anterior Minithoracotomy  3.) The Mitral Patch Technique for Mitral Annular Calcification (MAC)  4.) Keynote Speech: An Interview With Shaf Keshavjee  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.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning had the opportunity to speak with Dr. Hazem Fallouh about his latest invention for diagnosing cardiac tamponade at the 2024 Birmingham Review Course. They discussed the purpose of this invention, how it went from an idea to being created, and how Dr. Hazem will get this product on the market.   Joel also reviews recent JANS articles on initial experience with transcatheter aortic valve replacement before and after lung transplant, a report of salaries of academic cardiothoracic surgeons based on race and ethnicity, chest wall resection and reconstruction for primary chest wall sarcomas, and seven-year outcomes following aortic valve replacement with a novel tissue bioprosthesis.   In addition, Joel explores an introduction to redo sternotomy, emergency VATS esophagectomy for T4 esophageal cancer with massive hematemesis in an elderly patient, and pectus excavatum with hemodynamic repercussion corrected by the cross-bar technique with cryoanalgesia. Before closing, he shares upcoming events in CT surgery.  JANS Items Mentioned 1.) Initial Experience With Transcatheter Aortic Valve Replacement Before and After Lung Transplant  2.) A Report of Salaries of Academic Cardiothoracic Surgeons Based on Race and Ethnicity  3.) Chest Wall Resection and Reconstruction for Primary Chest Wall Sarcomas: Analysis of Survival, Predictors of Outcome, and Long-Term Functional Status  4.) Seven-Year Outcomes Following Aortic Valve Replacement With a Novel Tissue Bioprosthesis. THE COMMENCE Trial - Looking at RESILIA   CTSNet Content Mentioned  1.) An Introduction to Redo Sternotomy   2.) Emergency VATS Esophagectomy for T4 Esophageal Cancer With Massive Hematemesis in an Elderly Patient  3.) Pectus Excavatum With Hemodynamic Repercussion Corrected by the Cross-Bar Technique With Cryoanalgesia  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.

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 1.) Real-World Outcomes of Lobectomy, Segmentectomy and Wedge Resection for the Treatment of Stage C-IA Lung Carcinoma 2.) Branched Stented Anastomosis Frozen Elephant Trunk Repair: Early Results From a Physician-Sponsored Investigational Device Exemption Study 3.) Selection for Transcatheter Versus Surgical Aortic Valve Replacement and Mid-Term Survival: Results of the AUTHEARTVISIT Study 4.) Treatment Patterns and Clinical Outcomes of Patients With Resectable Non–Small Cell Lung Cancer Receiving Neoadjuvant Immunochemotherapy: A Large-Scale, Multicenter, Real-World Study (NeoR-World) 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 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.

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.

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  3.) Aortic Valve Replacement vs Conservative Treatment in Asymptomatic Severe Aortic Stenosis: Long-Term Follow-Up of the AVATAR  4.) Potassium Supplementation and Prevention of Atrial Fibrillation After Cardiac Surgery—The TIGHT K Randomized Clinical Trial  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  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.

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  3.) Impact of Radiological Follow-Up Frequency on Resected Lung Cancer: A Propensity Score Matching Analysis  4.) Heart Transplantation After Donation After Circulatory Death: Early United States Experience  5.) Surgical Myocardial Revascularization with a Composite T-graft from the Left Internal Mammary Artery—Comparison of the Great Saphenous Vein with the Radial Artery  6.) SURgical vs. PERcutaneous ACCESS in Transfemoral Transcatheter Aortic Valve Implantation (SU-PER-ACCESS Study)  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  3.) An Indigenous Technique of Surgical Management in a Case of Acute on Chronic Type A and Type B Aortic Dissection  4.) Robotic-Assisted Left First Rib Resection  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.

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  2.) Priorities and Strategy for the Implementation of Enhanced Recovery After Surgery (ERAS) in Thoracic Surgery  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  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.

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  3.) Current Indications and Surgical Strategies for Myocardial Revascularization in Patients With Left Ventricular Dysfunction  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  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.

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.

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  2.) Percutaneous Versus Surgical Femoral Cannulation in Minimally Invasive Cardiac Surgery: A Systematic Review and Meta-Analysis  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  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.

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  3.) Emergent Coronary Revascularization With PCI and CABG in Patients Receiving Extracorporeal Cardiopulmonary Resuscitation  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? 7.) Outcomes Following Heart Valve Surgery in Patients With Infective Endocarditis and Preoperative Septic Cerebral Embolism  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 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.

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 1.) Operating Room Extubation for Patients Undergoing Cardiac Surgery: A National Society of Thoracic Surgeons Database Analysis  2.) Small Airway Brush Gene Expression Predicts Chronic Lung Allograft Dysfunction and Mortality  3.) ISHLT Consensus Statement on Strategies to Prevent and Manage Hemocompatibility Related Adverse Events in VAD Patients  4.) Mentoring Pediatric Heart Surgeons: A Difficult Road for Both Mentors and Mentees CTSNet Content Mentioned 1.) Beating Heart Implant Technique in Donation After Circulatory Death Utilizing Ex Vivo Normothermic Organ Perfusion  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 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.

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  1.) The Evolution of the Treatment of Non-Small Cell Lung Cancer: A Shift in Surgical Paradigm to a More Individualized Approach  2.) Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting for Left Main Disease According to Age  3.) Current Indications and Surgical Strategies for Myocardial Revascularization in Patients With Left Ventricular Dysfunction  4.) Pneumonectomy Following Penetrating Trauma With ECMO as Postoperative Support: Case Report—(Lung Trauma and ECMO)  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  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.

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.

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 Long Term Durability of Bioprosthetic Aortic Valve Replacement in Young Patients With Bicuspid Aortic Stenosis   Mechanical Versus Biological Mitral Valve Replacement: Insights From Propensity Score Matching on Survival and Reoperation Rates  Commentary: A Paradigm Change in Surgical Management of the Apical Hypertrophic Cardiomyopathy to Avoid Heart Transplantation  CTSNet Content Mentioned Robotic Bilateral Internal Mammary Artery Dissection   Total Arterial Revascularization for Multi-Vessel Coronary Artery Disease  Deep Dive Into Aortic Surgery: Mini-Access Branch-First Total Arch Replacement and Frozen Elephant Trunk Procedure  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.

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 Risk Factors Influencing Postoperative Pleural Empyema in Patients With Pleural Mesothelioma: A Single-Centre Analysis  In-Depth Analysis of Pre- and Postoperative Functional Outcome Parameters in Patients Receiving Laryngotracheal Surgery  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   Deep Dive Into Aortic Surgery: Mini-Access CAVIAAR Procedure, Part 1: How to Assess Aortic Valve Competency 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.

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 Implementation of the Versius Robotic Surgical System for Thoracic Surgery: First Clinical Evaluation of Feasibility and Performance  Perioperative Tools to Predict Neurocognitive Outcome in Congenital Heart Surgery  Differences in Right Heart Function After Pulmonary Valve Replacement in Patients With Pulmonary Valve Stenosis Versus Tetralogy of Fallot  Left Atrial Appendage Closure for Stroke Prevention in Atrial Fibrillation: Current Status and Perspectives  CTSNet Content  Neoaortic Valve Repair With a Subannular Ring for Complex Trileaflet Prolapse After an Arterial Switch Operation  Deep Dive Into Aortic Surgery: Mini-Access David Procedure—Endoscopic Assessment of Valve Competency   The Use of the Autologous Innominate Vein as a Substitute for the Pulmonary Arteries in Pulmonary Atresia and Absent PAs  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.

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.

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 Selection for Transcatheter Versus Surgical Aortic Valve Replacement and Mid-Term Survival: Results of the Autheartvisit Study  The Pectus Care Guidelines: Best Practice Consensus Guidelines From the Joint Specialist Societies SCTS/MF/CWIG/BOA/BAPS for the Treatment of Patients With Pectus Abnormalities 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 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.

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 Incidence and Outcomes of Emergency Intraprocedural Surgical Conversion During TAVI: A Multicentric Analysis Axillary Versus Femoral Arterial Cannulation in Acute Type A Dissection: International Multicenter Data Preconditioning Drug Offers Potential to Reduce Side Effects of Cardiac Surgery CTSNet Content Mentioned Breaking the Broken Dogma in Aortic Valve Replacement: The Nine Suture With Interstitch Pledget AVR Technique Mitral Regurgitation and KISS Repair: A Doodle Journey Deep Dive Into Aortic Surgery: 5 cm Access Aortic Surgery and Myocardial Protection 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.

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.

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  The 2023 American Association for Thoracic Surgery (AATS) Expert Consensus Document: Management of Subsolid Lung Nodules  Permanent Pacemaker Implantation and Long-Term Outcomes of Patients Undergoing Concomitant Mitral and Tricuspid Valve Surgery  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.

This week on The Beat, Editor in Chief Joel Dunning discusses a new cardiothoracic surgery conference in Iraq and his insights on the newest surgical robot technology. Joel also talks about the benefits of minimally invasive ECMO in cardiac surgery patients, the history and importance of the Thoracic Surgical Oncology Group, and a trial determining thresholds for drain removal after anatomic lung resection. He also features the first episode of The Atrium, a new CTSNet resident-focused podcast, a video on the history of aortic surgery, and a video demonstrating minimally invasive mitral valve replacement. Before wrapping up, Joel discusses upcoming events in CT surgery. JANS Items Mentioned Conventional Versus Minimally Invasive Extracorporeal Circulation in Patients Undergoing Cardiac Surgery Thoracic Surgical Oncology Group: An American Association for Thoracic Surgery Clinical Trials Initiative Randomized Controlled Trial of Thresholds for Drain Removal After Anatomic Lung Resection CTSNet Content Mentioned The Atrium: Basics of Thoracic Surgery  Deep Dive Into Aortic Surgery: A Brief History of Aortic Surgery Minimally Invasive Mitral Valve Replacement and Left Atrium Plication  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.

This week on The Beat, Editor in Chief Joel Dunning interviews Dr. Robert Cerfolio of NYU Langone Health. They discuss the importance of consistent communication at every touch point before surgery to achieve routine day one discharge after lobectomies and day three discharge after cardiac surgery. Dr. Cerfolio also emphasizes the importance of overcoming dogma and embracing the mindset that getting patients home is better for them and safer. Joel then highlights a new CTSNet podcast for residents and trainees, The Atrium hosted by Dr. Alice Copperwheat. In addition, he discusses a cyberattack on London hospitals, the EXPLANT-TAVR registry, the impact of patient-prosthesis mismatch, and a report on cardiac xenotransplantation. He also features a panel discussion of CABG surgery disasters, aortic hemiarch replacement without hypothermic circulatory arrest, and a redo sternotomy with a Bentall's operation in Ghana. Before wrapping up, Joel discusses upcoming events in CT surgery. JANS Items Mentioned Transcatheter Heart Valve Explant With Infective Endocarditis-Associated Prosthesis Failure and Outcomes: The EXPLANT-TAVR International Registry Patient-Prosthesis Mismatch After Surgical Aortic Valve Replacement: Analysis of the PARTNER Trials Current Status of Cardiac Xenotransplantation: Report of a Workshop of the German Heart Transplant Centers CTSNet Content Mentioned International Coronary Congress 2023: Intraoperative “Disasters” in CABG Surgery Aortic Hemiarch Replacement Without Hypothermic Circulatory Arrest Redo Sternotomy and Bentall's Operation 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.

This week on The Beat, Editor in Chief Joel Dunning interviews Prof. Dawn Jaroszewski. They discuss the latest techniques in pectus excavatum surgery and Prof. Jaroszewski’s recommendations for safe pectus guidelines. She goes on to demonstrate some of her techniques on a chest cavity simulator. In addition, Joel discusses different types of treatment for aortic valve stenosis, robotic thymectomy for thymic tumors, and outcomes based on volume in hospitals performing pediatric cardiac surgery. He also talks about a recent webinar on postoperative complications in cardiac surgery, left innominate vein cannulation for mitral valve surgery, and left main coronary artery atresia repair in an infant. Before saying goodbye, Joel discusses upcoming events in CT surgery. JANS Items Mentioned Transcatheter or Surgical Treatment of Aortic Valve Stenosis  Robotic Thymectomy in Thymic Tumors: A Multicenter, Nationwide Study  Volume Alone Does Not Predict Quality Outcomes in Hospitals Performing Pediatric Cardiac Surgery  CTSNet Content Mentioned Post Operative Complications Following Cardiac Surgery and Their Clinical Impact | ERAS Webinar  Left Innominate Vein Cannulation for Mitral Valve Surgery  Left Main Coronary Artery Atresia Repair in an Infant  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.

In a new CTSNet podcast for residents and trainees, host Dr. Alice Copperwheat examines essential procedures and pressing topics for early career cardiothoracic surgeons. In her debut episode, Alice speaks with CTSNet Editor in Chief Professor Joel Dunning about the basics of thoracic surgery. They discuss patient positioning, thoracic incision location and technique, and opening and closing techniques. They also debate the increasing popularity of robotic thoracic surgery and the merits of different surgical techniques. The Atrium will air once a month, rotating between clinical and career-focused topics from across the cardiothoracic surgery subspecialties. Stay tuned next month for an episode on vein harvesting. Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on The Beat, Editor in Chief Joel Dunning interviews Dr. Vince Gaudiani. They discuss his recent video series on CTSNet demonstrating techniques for cerebral protection in cardiac surgery. In addition, Joel discusses a registry analysis of cardiac surgery patients with underlying atrial fibrillation, takeaways from lung cancer surgery trials, and the results of the NOTION-2 TAVR trial. He also talks about a video demonstrating bedside percutaneous ECMO decannulation, an interview with CT surgery giant Dr. J. Donald Hill, and a modified procedure atrial fibrillation using intraoperative 3D epicardial voltage mapping. Before saying goodbye, Joel discusses upcoming events in CT surgery. JANS Items Mentioned Surgical Ablation, Left Atrial Appendage Occlusion, or Both? Nationwide Registry Analysis of Cardiac Surgery Patients With Underlying Atrial Fibrillation Sublobar Resection Versus Lobectomy for Stage IA Non-Small Cell Lung Carcinoma—Takeaways From Modern Randomized Trials Transcatheter Aortic Valve Implantation in Low-Risk Tricuspid or Bicuspid Aortic Stenosis: The NOTION-2 Trial CTSNet Content Mentioned Bedside Percutaneous Decannulation of Femoral Venoarterial Extracorporeal Membrane Oxygenation Giants of Cardiothoracic Surgery: An Interview With J. Donald Hill Modified Convergent Procedure for Refractory Atrial Fibrillation Using Intraoperative 3D Epicardial Voltage Mapping 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.

This week on The Beat, Editor in Chief Joel Dunning introduces the new DV5 Intuitive Da Vinci robot. He talks about the benefits of this technology and demonstrates some of its new features. In addition, Joel discusses an assessment of valvular heart disease guidelines across global organizations, using the Commando procedure for anterior mitral annular calcification, and a commentary on the subxiphoid approach for thymic malignancy. He also talks about a video from Prof. Vince Gaudiani’s cerebral protection series on aortic reconstruction, aortic valve repair in a rheumatic heart disease patient, and an interview with the winner of the Resident Video Competition. Before saying goodbye, Joel discusses upcoming events in CT surgery. JANS Items Mentioned Same Evidence, Different Recommendations: A Methodological Assessment of Transatlantic Guidelines for the Management of Valvular Heart Disease  Contemporary Experience With the Commando Procedure for Anterior Mitral Annular Calcification  Commentary: Less Is More in Modified Subxiphoid Approach for Thymic Malignancy  CTSNet Content Mentioned Safe Cerebral Protection: Reoperation Aortic Root and Proximal Arch Reconstruction  Aortic Valve Repair Using Neocuspidization and the Ozaki Procedure in Children With Rheumatic Heart Disease  An Interview With John Sadeghi: Winner of the 2023 CTSNet Resident Video Competition  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.

This week on The Beat, Editor in Chief Joel Dunning speaks with physician’s assistant Alan ODonnell about his process for filming and editing exceptional cardiothoracic surgical videos. In addition, Joel discusses the AATS presidential address and a study on the efficacy and safety of a transaortic approach to septal myectomy. He also talks about safe cerebral protection in the frozen elephant trunk procedure, a video demonstrating minimally invasive ascending aorta replacement, and a simplified technique for allograft implantation. Before saying goodbye, Joel discusses upcoming events in CT surgery. JANS Items Mentioned Raison D'être in Turbulent Times: Academics, Legerdemain Surgery, and a Leadership Theorem Efficacy and Safety of a Transaortic Approach to Midventricular and Apical Septal Myectomy CTSNet Content Mentioned Safe Cerebral Protection: Frozen Elephant Trunk Procedure Ascending Aorta Replacement by Minimally Invasive Technique Simplified Running Suture Technique for Allograft Implantation in Cases of Aortic Root Abscess 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.

This week on The Beat, in an episode sponsored by AtriCure, Editor in Chief Joel Dunning discusses surgical ablation for atrial fibrillation. In addition, Joel discusses concomitant AFib treatment in patients undergoing CABG, the first patient to undergo combined heart pump implant and pig kidney transplant, and predictors of venous thromboembolism after lung cancer resection. He also talks about a recent interview with Prof. Ralph Damiano, a diaphragm plication technique video, and CTSNet’s most popular videos and articles from April. Before saying goodbye, Joel discusses upcoming events in CT surgery. JANS Items Mentioned Concomitant Treatment of Atrial Fibrillation in Isolated Coronary Artery Bypass Grafting  Woman Becomes First Patient to Undergo Combined Heart Pump Implant and Pig Kidney Transplant  Predictors of Venous Thromboembolism After Lung Cancer Resection  CTSNet Content Mentioned Developments of Surgical Ablation for Atrial Fibrillation: An Interview With Ralph Damiano, Jr.  A Simple and Effective Technique for Diaphragm Plication  CTSNet’s 10 Most Popular Articles of April 2024  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.

This week on The Beat, Editor in Chief Joel Dunning discusses upcoming interviews to be published on CTSNet. In addition, Joel discusses heart transplantation in adults with congenital heart disease, a commentary on revascularization, and gender representation among speaking and leader roles at CT surgery meetings. He also talks about a video demonstrating TAVR explantation, pulmonary stenosis correction after TAPVR correction, and a LAD to RCA anastomosis from Dr. Tristan Yan. Before saying goodbye, Joel discusses upcoming events in CT surgery. JANS Items Mentioned Trends and Outcomes of Heart Transplantation in Adults With Congenital Heart Disease  Commentary: What Matters More—Method of Revascularization or Completeness?  Gender Representation Among Speaking and Leader Roles at European Cardiothoracic Surgical Annual Meetings CTSNet Content Mentioned TAVR Explantation: A Necessary Skill Set in the Contemporary Cardiac Surgery's Armamentarium  Redo Pulmonary Vein Stenosis Correction After TAPVR Correction  Deep Dive Into Total Arterial Anaortic Off-Pump Coronary Artery Bypass Grafting: Dual Inflow BIMA In Situ to LAD and RCA  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.

This week on The Beat, Editor in Chief Joel Dunning focuses on all the latest news and clinical content in cardiothoracic surgery. In addition, Joel discusses outcomes after hybrid chemotherapy and surgery lung cancer treatment, mechanical circulatory support during revascularization, and research opportunities for early career investigators in cardiac surgery. He also talks about videos demonstrating tetralogy of Fallot repair, repair of post-intubation tracheal stenosis, and a recorded webinar on the Ross procedure. Before saying goodbye, he discusses upcoming events in CT surgery. JANS Items Mentioned Surgical Outcomes After Chemotherapy Plus Nivolumab and Chemotherapy Plus Nivolumab and Ipilimumab in Patients With Non-Small Cell Lung Cancer  Mechanical Circulatory Support During Surgical Revascularization for Ischemic Cardiomyopathy  Research Concepts and Opportunities for Early Career Investigators in Cardiac Surgery  CTSNet Content Mentioned Tetralogy of Fallot With Absent Pulmonary Valve: Repair by Anterior Translocation of Branch Pulmonary Arteries and Reduction Plasty  Post-Intubation Tracheal Stenosis: Tracheal Resection With Dorsal Mucosectomy and Primary Anastomosis  The Ross Procedure: Clinical Evidence, Surgical Technique, and Q&A  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.

This week on the one-year anniversary of The Beat, Editor in Chief Joel Dunning speaks with Professor Paul Sergeant about the future of education in cardiothoracic surgery. In addition, Joel discusses trends in SAVR after TAVR, microplastics in cardiovascular events, and fibrous tumors of the pleura. He also highlights the three winners of the Resident Video Competition, including rib resection for thoracic outlet syndrome, a robotic segmentectomy, and a hypertrophic obstructive cardiomyopathy. Before saying goodbye, he discusses upcoming events in CT surgery. JANS Items Mentioned Cardiac Surgery After Transcatheter Aortic Valve Replacement: Trends and Outcomes  Microplastics and Nanoplastics in Atheromas and Cardiovascular Events  Solitary Fibrous Tumors of the Pleura: Do We Need a Different Perspective on Malignancy?  CTSNet Content Mentioned First Place: Open Cervical and Robotic First Rib Resections for Neurogenic Thoracic Outlet Syndrome  Second Place: Robotic Assisted Right Apical S1 Anatomical Segmentectomy for NSCLC Third Place: Hypertrophic Obstructive Cardiomyopathy: Anatomical Substratum for Tailored Surgical Correction 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.

This week on The Beat, Editor in Chief Joel Dunning discusses the recent recall of Abiomed Impella left-sided heart pumps with special guest and heart failure expert Ashraf Abou El Ela. In addition, Joel discusses a statement from EACTS on perioperative myocardial infarction and updated ESVS guidelines for management of atherosclerotic carotid and vertebral artery disease. He also talks about a video demonstrating cone repair for endocarditis, another off-pump CABG video from Dr. Tristan Yan, and a CABG demonstration from the Cleveland Clinic. Before saying goodbye, he discusses upcoming events in CT surgery. JANS Items Mentioned Abiomed Recalls Labeling for Left-Sided Impella Pumps: FDA  EACTS Expert Consensus Statement on Perioperative Myocardial Infarction After Cardiac Surgery  European Society for Vascular Surgery (ESVS) 2023 Clinical Practice Guidelines on the Management of Atherosclerotic Carotid and Vertebral Artery Disease  CTSNet Content Mentioned Cone Repair for Tricuspid Valve Endocarditis  Deep Dive Into Total Arterial Anaortic Off-Pump Coronary Artery Bypass Grafting: LIMA to LAD Anastomosis  World’s Best United States: Coronary Artery Bypass Surgery  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.

This week, on the 50th episode of The Beat, Editor in Chief Joel Dunning discusses the importance of work–life balance as a cardiothoracic surgeon and how Prof. Shanda Blackmon’s book, The Support Group, has driven this point home for him. In addition, Joel discusses outcomes following redo mitral valve surgery, the validity of the GERAADA score in predicting mortality, and mechanical versus biological aortic valve replacement for endocarditis. He also talks about radial artery to LIMA T graft formation, an interview with Leonard Girardi, and a World’s Best Series interview with Lars Svensson. Before saying goodbye, he discusses upcoming events in CT surgery and closes with an honorable mention to Prof. Blackmon. JANS Items Mentioned Early and Long-Term Outcomes Following Redo Mitral Valve Surgery in Patients With Prior Minimally Invasive Mitral Valve Surgery  Validation of GERAADA Score to Predict Thirty-Day Mortality in Acute Type A Aortic Dissection in a High Volume Aortic Center  Survival and Recurrence of Endocarditis Following Mechanical Versus Biological Aortic Valve Replacement for Endocarditis in Patients Aged 40 to 65 Years: Data From the INFECT-Registry  CTSNet Content Mentioned Deep Dive Into Total Arterial Anaortic Off-Pump Coronary Artery Bypass Grafting: Radial Artery to LIMA 'T' Graft Formation  Advocating for Surgical Aortic Valve Replacement: An Interview With Leonard N. Girardi  World’s Best United States: Aortic Root Replacement and an Interview With Lars Svensson 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.

This week on CTSNet’s flagship podcast, Editor in Chief Joel Dunning discusses presentations from the SCTS annual meeting on the future of aortic valve replacement surgery and the continued debate among surgeons about the benefits of TAVR versus those of SAVR. In addition, Joel discusses a review of heart valve surgery in resource limited settings, long term outcomes of heart transplantation in adults with congenital heart disease, and intervention for symptomatic moderate aortic stenosis. He also talks about an interview and surgical video with Dr. Lars Svensson, how to position the heart in off-pump CABG, and a lobectomy for a hydatid cyst using uniportal VATS. Before saying goodbye, he discusses upcoming events in CT surgery. JANS Items Mentioned A Global Systematic Review of Open-Heart Valvular Surgery in Resource Limited Settings  Long-term Outcomes of Heart Transplantation in Adults With Univentricular Versus Biventricular Congenital Heart Disease  Great Debate: Symptomatic Moderate Aortic Stenosis Should Undergo Intervention  CTSNet Content Mentioned World’s Best United States: Aortic Root Replacement and an Interview With Lars Svensson  Deep Dive Into Total Arterial Anaortic Off-Pump Coronary Artery Bypass Grafting: How to Position the Heart  Right Upper Lobectomy for a Hydatid Cyst Using U-Vats  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.

This week on CTSNet’s flagship podcast, Editor in Chief Joel Dunning speaks with Professor Robert Cerfolio about his presentation on hospital efficiency at the SCTS Annual Meeting. In addition, Joel discusses donor heart resuscitation in pediatric heart transplantation survival, a comparison of four mortality scores for type A aortic dissection, and the benefits of CABG over percutaneous coronary intervention in left main disease. He also talks about CTSNet’s new World’s Best series, a video demonstrating a double docking technique for mammary artery harvest, and an interview with Marc Ruel. He closes with a discussion of upcoming events in the CT surgery world. JANS Items Mentioned Up to an Hour of Donor Resuscitation Does Not Affect Pediatric Heart Transplantation Survival  Comparison of Four Mortality Scores for Surgical Repair of Type A Aortic Dissection: A Multicenter External Validation  Benefits of Coronary Artery Bypass Grafting Over Percutaneous Coronary Intervention in Left Main Disease: The Strength of the Evidence  CTSNet Content Mentioned World’s Best Centers for Cardiothoracic Surgery: United States  Double Docking Technique for Bilateral Internal Mammary Artery Harvest  Recent Changes in Coronary Artery Surgery: An Interview With Marc Ruel  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.

This week on CTSNet’s flagship podcast, Editor in Chief Joel Dunning focuses on the key elements of the world’s best centers for cardiothoracic surgery ahead of the publication of the CTSNet World’s Best series on Cleveland Clinic, one of the best CT surgery centers in the United States. In addition, Joel discusses the results of an aortic valve prosthesis choice study, a study on valve sparing aortic root replacement, and the effects of intubations versus nonintubation in thorascopic surgery. He also talks about a nine-suture aortic valve replacement technique, a demonstration of aortic valve replacements with Tristan Yan, and an interview with Patrick Myers. He closes with a discussion of upcoming events in the CT surgery world. JANS Items Mentioned Revisiting Aortic Valve Prosthesis Choice in Patients Less Than 50 Years Old: AUTHEARTVISIT 10-Year Results  Valve Sparing Aortic Root Replacement With Reimplantation Versus Remodeling: A Meta-Analysis  Effects of Nonintubated Thoracoscopic Surgery on Postoperative Neurocognitive Function: A Randomized Controlled Trial  CTSNet Content Mentioned Breaking Dogma in Aortic Valve Replacement: The Nine Suture AVR Technique  A Day in the Life of a Cardiothoracic Surgeon at the Royal Prince Alfred Hospital  Hybrid Management of Atrial Fibrillation: An Interview With Patrick Myers 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.

This week on CTSNet’s flagship podcast, Editor in Chief Joel Dunning focuses on the importance of guidelines in cardiothoracic surgery, highlighting the recent aortic arch surgery guidelines. He speaks on the issues present in recent guidelines and proposes how they should be improved. In addition, Joel discusses a selection of the past year’s top 10 papers in valvular heart disease and LIMA-LAD bypass in training for OPCAB surgery. He also talks about an interview with Dr. Anna Olds on family planning in CT surgery, a video demonstrating an emergency anterior bilateral thoracotomy, and a video on subaortic membrane resection and septal myectomy. He closes with a discussion of upcoming events in the CT surgery world. JANS Items Mentioned EACTS/STS Guidelines for Diagnosing and Treating Acute and Chronic Syndromes of the Aortic Organ  The Year in Cardiovascular Medicine 2023: Top 10 Papers in Valvular Heart Disease  Is Single LIMA-LAD Bypass Appropriate for OPCAB Training?  CTSNet Content Mentioned Family Planning and Pregnancy Complications in Cardiothoracic Surgeons: An Interview with Anna Olds  Emergency Anterior Bilateral Thoracotomy Subaortic Membrane Resection and Septal Myectomy  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.

This week on CTSNet’s flagship podcast, Editor in Chief Joel Dunning focuses on the problems with the peer review system in cardiothoracic surgery. He ponders how the community can go about fixing the peer review process and if it can be improved at all. In addition, Joel discusses aortic valve repair versus replacement, a study on biventricular repair of DORV, and which surgical procedures thoracic surgeons would choose for themselves to treat lung cancer. He also talks about a demonstration of the frozen elephant trunk technique for total arch replacement, an interview with Prof. Cherie Erkman, and a video on left secondary carinal resection. He closes with a discussion of upcoming events in the CT surgery world. JANS Items Mentioned Aortic Valve Repair Results in Better One-Year Survival Than Replacement: Results From German Aortic Valve Registry  Multicenter Study on Late Outcomes of Biventricular Repair of Double Outlet Right Ventricle  Which Extent of Surgical Resection Thoracic Surgeons Would Choose if They Were Diagnosed With an Early-Stage Lung Cancer: A European Survey  CTSNet Content Mentioned Total Arch Replacement With the Frozen Elephant Trunk Technique  The Role of Gender in CT Surgeon Compensation: An Interview With Cherie Erkmen and Meghana Helder  Left Secondary Carinal Resection and Reconstruction With Intercostal Flap  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.

This week on CTSNet’s flagship podcast, editor in chief Joel Dunning introduces his first editorial topic of the week in which he discusses current CT surgery issues, courts a bit of controversy, and invites comments and opposing views.  In this episode, he focuses on the problems he sees with transcatheter aortic valve replacement and the benefits of surgical replacement before diving into additional news and content. In addition, Joel discusses the newest TAVR vs SAVR data, aortic valve repair using an internal annuloplasty ring, and rapid discharge after lung resection. He also talks about a session on mitral valve repair from the London Core Review, mediastinal envelope closure in minimally invasive Ivor Lewis Esophagectomy, and a video demonstrating PITAC. After discussing upcoming events in the CT surgery world, he closes with a remembrance of the late Dr. Alain Cribier, a pioneer in minimally invasive aortic surgery.  JANS Items Mentioned TAVI and SAVR Almost Equally Performed in California Patients Under 60 Midterm Outcomes of Aortic Valve Repair Using an Anatomically Shaped Internal Annuloplasty Ring Rapid Discharge After Anatomic Lung Resection: Is Ambulatory Surgery for Early Lung Cancer Possible? CTSNet Content Mentioned Mitral Valve Repair Tips and Tricks: 2023 London Core Review Cardiothoracic Surgery Course Mediastinal Envelope Closure in Total Minimally Invasive Ivor Lewis Esophagectomy PITAC: Pressurized Intrathoracic Aerosol Chemotherapy 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.

In this episode of CTSNet’s flagship podcast, editor-in-chief Joel Dunning runs through the latest, most popular content on ctsnet.org—the largest online community of CT surgeons and source of CT surgery information—and breaking cardiothoracic surgery news and research from around the world. Joel discusses the need for universal family leave policies in CT surgery, long-term results of the REV procedure for various congenital heart conditions, and results of routine extubation in the operating room after CABG. He also talks about a video demonstrating orthotopic heart transplantation, a repair of common arterial trunk type III, and an interview with John Puskas. After discussing upcoming events in the CT surgery world, he closes with a shoutout to Dr. Shilajit Ghosh for his work on the SCTS Thoracic Forum.  JANS Items Mentioned CT Surgery Needs Universal Policies for Pregnancy and Family Leave, Survey Shows  Long-Term Results of the REV Procedure for Transposition of Great Arteries and Double Outlet RV With Pulmonary Stenosis  Routine Extubation in the Operating Room After Isolated Coronary Artery Bypass  CTSNet Content Mentioned Orthotopic Heart Transplantation  Challenging Repair of Common Arterial Trunk Type III  The Coronary Stentectomy and Shifts in Coronary Artery Surgery: An Interview With John Puskas  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.

In this episode of CTSNet’s flagship podcast, editor in chief Joel Dunning runs through the latest, most popular content on ctsnet.org—the largest online community of CT surgeons and source of CT surgery information—and breaking cardiothoracic surgery news and research from around the world. Joel discusses the new ERAS guidelines for perioperative care in cardiac surgery, a study on TEER versus surgical mitral valve repair, and a database study on multiarterial grafting in CABG. He also talks about a video on mitral valve replacement with a robotic digital microscope, the last installment in Dr. Vince Gaudiani’s redo TAVR series, and a session on aortic valve sparing procedures from the 2023 London Core Review. After discussing upcoming events in the CT surgery world, he closes with a shoutout to Dr. Thomas MacGillivray for his service as the STS President over the last year.  JANS Items Mentioned Perioperative Care in Cardiac Surgery: A Joint Consensus Statement by the Enhanced Recovery After Surgery (ERAS) Cardiac Society, ERAS International Society, and The Society of Thoracic Surgeons (STS)  Lower Mortality With M-TEER vs Surgery, but Devil Is in the Details  Multiarterial Grafting in CABG Triumphs Again in Large Database Study CTSNet Content Mentioned Minimally Invasive Mitral Valve Replacement with a Robotic Digital Microscope Mastering Redo Surgery after TAVR: Annular Rupture Repair after TAVR and TAVR Explant after CABG with MVR A Quarter Century of Aortic Valve Sparing Operations: 2023 London Core Review Cardiothoracic Surgery Course 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.

In this episode of CTSNet’s flagship podcast, editor in chief Joel Dunning sat down with CTSNet Global editor Emily Farkas to discuss their favorite sessions at the STS annual meeting in San Antonio, Texas. After talking about the breaking news and best presentations at the meeting, the pair discussed the latest clinical content on CTSNet. JANS Items Mentioned Surgery and Transcatheter Intervention for Degenerative Mitral Regurgitation in The United States  Little Owen’s Big Milestone: The Piece of Heart Transplanted to Cure His Heart Failure Has Grown Along with Him  Surgical Ablation of Long-Standing Persistent AF: One-year Outcomes from the CASE-AF Registry  CTSNet Content Mentioned Mastering Redo Surgery after TAVR: Aortic and Mitral Replacement with Double Patch Repair and Aortic Root Reconstruction in Endocarditis after TAVR  Sponsored Content: How OPCAB Can Enhance Your Practice  Bridging Technology and Education: The Development of a Telesimulator and Curriculum in Endoscopic Mitral Valve Surgery  Other Items Mentioned STS Annual Meeting 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.

In this episode of CTSNet’s flagship podcast, editor in chief Joel Dunning runs through the latest, most popular content on ctsnet.org—the largest online community of CT surgeons and source of CT surgery information—and breaking cardiothoracic surgery news and research from around the world. Joel discusses the long-term risk of stroke after TAVR, invasive hemodynamic assessments in LVAD patients, and the implications of the 2022 congenital heart surgery practice survey. He also talks about a video demonstrating tips, tricks, and pitfalls for cardiopulmonary bypass, another installment of the TAVR redo surgery series, and a segmentectomy video. The next episode of The Beat will broadcast live from the STS annual meeting on Sunday, January 27th at 6:00 pm CST. Tune in! JANS Items Mentioned Long-Term Risk of Stroke After Transcatheter Aortic Valve Replacement: Insights from the SwissTAVI Registry  Value of Invasive Hemodynamic Assessments in Patients Supported by Continuous-Flow Left Ventricular Assist Devices  Workforce and Training Implications of the 2022 Congenital Heart Surgery Practice Survey  CTSNet Content Mentioned Tips, Tricks, and Pitfalls for Cardiopulmonary Bypass Mastering Redo Surgery after TAVR: TAVR Removal, Surgical AVR, and Ascending Aortic Replacement  Right VATS S7 and S8 Segmentectomy  Other Items Mentioned CTSNet Events Calendar The Beat LIVE! 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.

In this episode of CTSNet’s flagship podcast, editor in chief Joel Dunning runs through the latest, most popular content on ctsnet.org—the largest online community of CT surgeons and source of CT surgery information—and breaking cardiothoracic surgery news and research from around the world. Joel discusses a VA ECMO case study, a consensus statement from EACTS and EAPC on frailty assessment, and a study on diversity, equity, and inclusion for women in cardiothoracic surgery. He also talks about a new video from the team behind the Surgeon’s Cookbook, the first two videos in the mastering redo surgery after TAVR series, and in interview with Hans-Joachim Schäfers. After discussing upcoming events in CT surgery, Joel closes with a shoutout to the organizers of The Heart Surgeon’s Cookbook project.  JANS Items Mentioned Veno-Arterial Extracorporeal Membrane Oxygenation as a Perioperative Support to Redo Cardiac Surgery for Inoperable Adult Patients: A Case Series  Preinterventional Frailty Assessment in Patients Scheduled for Cardiac Surgery or Transcatheter Aortic Valve Implantation: A Consensus Statement of EACTS and EAPC  The Cost of Being a Woman in Academic Cardiothoracic Surgery: Joint Collaboration of The Society of Thoracic Surgeons Workforces on Diversity, Equity, and Inclusion and Cardiothoracic Surgery Practice Models  CTSNet Content Mentioned Introducing: The Heart Surgeon's Cookbook  Mastering Redo Surgery after TAVR: An Introduction and LVOT Enlargement  Learning from Aortic Valve Repair: An Interview with Hans-Joachim Schäfers  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.

In this episode of CTSNet’s flagship podcast, editor in chief Joel Dunning runs through the latest, most popular content on ctsnet.org—the largest online community of CT surgeons and source of CT surgery information—and breaking cardiothoracic surgery news and research from around the world. Joel discusses a novel device for intraoperative evaluation of aortic valve repair procedures, a study concluding that type A aortic dissection is more aggressive in women, and a machine learning-based prediction of mitral regurgitation recurrence in mitral valve repair patients. He also talks about CTSNet’s most popular cardiac, congenital, and thoracic surgical videos from 2023, as well as the editors’ top content from the year. After discussing upcoming events in CT surgery, Joel closes with a shoutout to Dr. Diego Gonzalez Rivas for his innovative and tireless work in robotic thoracic surgery.  JANS Items Mentioned Aortic Valve Visualization and Pressurization Device: A Novel Device for Intraoperative Evaluation of Aortic Valve Repair Procedures  Type A Aortic Dissection is More Aggressive in Women  Machine Learning-Based Prediction of Survival and Mitral Regurgitation Recurrence in Patients Undergoing Mitral Valve Repair  CTSNet Content Mentioned CTSNet’s Top 5 Cardiac and Congenital Procedure Videos of 2023  CTSNet’s Top 5 Thoracic Procedure Videos of 2023  Editors’ Picks: CTSNet’s Top Content of 2023  Other Items Mentioned CTSNet Events Calendar