Afleveringen

  • This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Nikki Stamp, a cardiothoracic surgeon at Mount Private Hospital in Perth, Western Australia, who also serves as an Adjunct Clinical Senior Lecturer at Curtin University, Australia, about shifting healthcare policy in surgery.

    Chapters

    00:00 Intro

    01:45 ESTS 2026

    02:01 Presidential Address

    02:52 Keynote, Emerging Surgical Technologies

    05:21 Segmentectomy vs Lobectomy

    10:18 Other Key Presentations

    11:34 JANS 1, Propensity Score Analysis

    12:30 JANS 2, FILONEX Hemodiafiltration

    13:21 JANS 3, Transplant Surgery at Night

    14:29 Video 1, Aortic Dissection Presentations

    15:36 Video 2, Endoscopic AV & AA Replacement

    16:45 Video 3, Tetralogy Repair in an Infant

    18:12 Dr. Stamp, Health Media & Policy

    33:46 Career Center

    34:03 Closing

    They begin by discussing Dr. Stamp’s professional background, including her experiences working with the media and the lessons she learned from it. They also explore the positive effects of social media for surgeons, such as networking and learning from peers. Additionally, they identify areas for improvement in aortic surgery and transplants. Dr. Stamp then shares her vision for the future of cardiothoracic surgery, emphasizing the need to reduce fragmentation of care and encourage professionals to focus their efforts on their specific specialties.

    Joel also highlights recent JANS articles on a propensity score matching analysis on the risk of sternal wound infection in bilateral skeletonized internal thoracic artery in coronary artery bypass grafting, a prospective, randomized controlled pilot safety study evaluating the addition of hemodiafiltration to EVLP in marginal donor lungs, mechanical load inhibits cancer growth in mouse and human hearts, and outcomes of lung transplantation surgery performed at night

    In addition, Joel explores totally endoscopic aortic valve and ascending aorta replacement, tetralogy repair in an infant, and a presentation from the 2026 Society for Cardiothoracic Surgery in Great Britain and Ireland Annual Meeting on aortic dissection.

    Before closing, Joel highlights upcoming events in CT surgery.  

    JANS Items Mentioned

    Risk of Sternal Wound Infection in Bilateral Skeletonized Internal Thoracic Artery in Coronary Artery Bypass Grafting: A Propensity Score Matching AnalysisFILONEX—A Prospective, Randomized Controlled Pilot Safety Study Evaluating the Addition of Hemodiafiltration to EVLP in Marginal Donor Lungs Mechanical Load Inhibits Cancer Growth in Mouse and Human Hearts Outcomes of Lung Transplantation Surgery Performed at Night

    CTSNet Content Mentioned

    SCTS 2026 | Aortic Dissection  Totally Endoscopic Aortic Valve and Ascending Aorta Replacement  Tetralogy Repair in an Infant 

    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.

  • 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 T. Sloane Guy, Director of Minimally Invasive and Robotic Cardiac Surgery at the Georgia Heart Institute. Together, they delve into crisis management after minimally invasive cardiac procedures.

    Chapters

    00:00 Intro

    01:19 Min Inv Approach vs Protocol

    03:06 Potential Emergencies, Bleeding

    06:44 Adjusting Bleeding Parameters

    09:56 Limb Ischemia

    11:10 Cardiac Arrest

    13:35 Pacing vs Sternotomy

    15:07 Arrythmias, Defibrillation

    15:51 Tamponade

    16:49 Tension Pneumothorax

    17:05 Stroke

    17:50 Myocardial Infarction

    18:27 Bleeding in Pleural Space

    19:24 Nurse Response to Bleeding

    21:53 Case of Persistent Bleeding

    22:48 Chest X-Ray Check

    24:22 LV Dysfunction in Post-Op Period

    The discussion covers critical topics such as the cardiac surgical resuscitation algorithm, managing port-side and groin bleeding, and Dr. Guys’ protocols for these situations. They emphasize the importance of monitoring for bleeding in unexpected areas, such as the abdomen, checking pulses, and the significance of practicing with surgical saws before emergencies arise. Additional topics include tamponade, stroke management, the importance of pacing, chest wall bleeding, and protocols for addressing left ventricular dysfunction in the postoperative period.

    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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  • This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Bo Yang, a cardiovascular and thoracic surgeon at the University of Michigan Health in Ann Arbor, Michigan, USA, about aortic root enlargement.

    Chapters

    00:00 Intro02:37 JANS 1, WhatsApp for Patients08:27 JANS 2, DCD Heart Transplant11:07 JANS 3, TIGHT K Trial13:18 JANS 4, RecoverHeart Calculator15:57 Video 1, Self Constructed Valve18:52 Video 2, MVR Sandwich Technique20:43 Video 3, Distal Coronary Anastomosis Podcast23:04 Dr. Yang, Annular Enlargement36:31 Upcoming Events37:26 Closing

    They explored Dr. Yang’s participation in a debate regarding the use of aortic root enlargement for the majority of patients, addressing the opposing views against root enlargement and discussing the percentage of patients who undergo this procedure. The conversation also covered important topics such as the mean gradient dropping and the lifelong management of aortic valve disease. They emphasize the importance of maximizing the initial valve size for optimal outcomes. Additionally, Dr. Yang shared insights on his Y-incision technique, highlighting its advantages and effectiveness. They also examined whether this technique increases the length of the surgical procedure.

    Joel also highlights recent JANS articles on exploring the use of instant messaging groups in the postoperative period for pectus excavatum patients, a multicenter retrospective study comparing DCD heart transplantation in Europe and the United States, six-month outcomes of a trial of potassium supplementation thresholds after cardiac surgery, and determining the individualized probability of myocardial recovery.

    In addition, Joel explores self-constructed tubular heart valve using bovine pericardium for surgical treatment of tricuspid valve endocarditis, mitral valve repair using the sandwich technique for symmetrical bileaflet prolapse, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Dr. Elan Burton about distal coronary anastomosis. Before closing, Joel highlights upcoming events in CT surgery.  

    JANS Items Mentioned

    Exploring the Use of Instant Messaging Groups in the Postoperative Period for Pectus Excavatum Patients A Comparison of DCD Heart Transplantation in Europe and the United States: A Multi-Centre, Retrospective Study Six-Month Outcomes of a Trial of Potassium Supplementation Thresholds After Cardiac SurgeryDetermining the Individualized Probability of Myocardial Recovery: The Multicenter RecoverHeart Calculator

    CTSNet Content Mentioned

    Self-Constructed Tubular Heart Valve Using Bovine Pericardium for Surgical Treatment of Tricuspid Valve Endocarditis Mitral Valve Repair Using the Sandwich Technique for Symmetrical Bileaflet Prolapse  The Atrium: Distal Coronary Anastomosis 

    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.

  • This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Gilbert Tang, Editor-in-Chief of Journal of the American College of Cardiology (JACC): Case Reports, professor in the Department of Cardiovascular Surgery at the Icahn School of Medicine at Mount Sinai, surgical director of the Structural Heart Program at Mount Sinai Health System, and the director of Structural Heart Education at the Mount Sinai Fuster Heart Hospital in New York, NY, USA.

    They were joined by Drs. Mateo Marin-Cuartas, associate editor of JACC: Case Reports, CTSNet JANS Editor, and cardiac surgeon at Leipzig Heart Center, Germany, and Tsuyoshi Kaneko, Chair of American College of Cardiology (ACC) Cardiac Surgery Member Section and Chief of Cardiac Surgery at Washington University in St. Louis, MO, USA, to discuss JACC: Case Reports.

    Chapters

    00:00 Intro01:45 Instructional Video Competition05:30 JANS 1, Lung Cancer Metastasis09:08 JANS 2, Uncorrected Pectus11:29 JANS 3, Ambulatory VV Life Support13:38 JANS 4, EuroSCORE II14:28 Video 1, TAVR Removal Double Patch16:09 Video 2, ROK Procedure AF17:46 Video 3, RATS Lobectomy19:11 JACC Case Reports35:28 Upcoming Events36:03 Career Center

    They discussed the mission of the journal and the types of submissions it receives. They also covered the types of cases accepted and the various categories within the journal has, such as the "How We Did It" section. Additionally, they talked about the upcoming partnership between JACC: Case Reports and the ACC, as well as past collaborations that JACC has undertaken. Dr. Marin-Cuartas shared insights about his role as an associate editor and highlighted the most interesting case he has encountered in JACC: Case Reports. Furthermore, Dr. Kaneko discussed being the Chair of the ACC Cardiac Surgery Member Section.

    Joel also highlights recent JANS articles on the evolutionary characterization of lung cancer metastasis, the impact of severe uncorrected pectus excavatum on outcomes after aortic surgery in Marfan syndrome, determining an optimal central cannulation strategy for ambulatory veno-venous extracorporeal life support, and refitting EuroSCORE II for 120-day mortality after coronary artery bypass grafting using nationwide registry data. In addition, Joel explores complex imaging TAVR removal double patch double valve, RATS extended left upper lobectomy with intrapericardial vascular control and bronchoplasty, and ROK procedure for the treatment of atrial fibrillation. Before closing, Joel highlights upcoming events in CT surgery.  

    JANS Items Mentioned

    Evolutionary Characterization of Lung Cancer Metastasis Impact of Severe Uncorrected Pectus Excavatum on Outcomes After Aortic Surgery in Marfan SyndromeDetermining an Optimal Central Cannulation Strategy for Ambulatory Veno-Venous Extracorporeal Life Support Refitting EuroSCORE II for 120-Day Mortality After Coronary Artery Bypass Grafting Using Nationwide Registry Data

    CTSNet Content Mentioned

    Complex Imaging TAVR Removal Double Patch Double Valve RATS Extended Left Upper Lobectomy With Intrapericardial Vascular Control and Bronchoplasty ROK Procedure for the Treatment of Atrial Fibrillation

    Other Items Mentioned

    JACC: Case Reports2026 Instructional Video Competition WinnersCareer CenterCTSNet 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.

  • In this episode of The Atrium, host Dr. Alice Copperwheat speaks with Dr. Elan Burton, clinical associate professor in the Department of Cardiothoracic Surgery at the Stanford University School of Medicine and Section Chief for Stanford Medicine Affiliates, about distal coronary anastomosis.

    Chapters

    00:00 Intro

    01:08 Why CT Surgery?

    03:01 Overview & History

    05:02 Geometric Planning & Hemodynamics

    10:40 Sequential & Composite Configurations

    16:23 Y or T Grafts

    21:21 Step-by-Step, Suturing

    30:37 Endarterectomy

    36:37 Intraop Quality Assurance

    40:29 Failed Mechanisms & Pitfalls

    43:18 Future Trends

    45:54 Summary

    47:03 Surgery Training Advice

    They discuss the history of distal coronary anastomosis, geometric planning, and hemodynamics, as well as sequential grafting and composite configurations, including Y and T grafts. The conversation also covers arteriotomy, suturing techniques, and the continuous parachute method. Additionally, they delve into the traction technique, open direct vision, and intraoperative quality assurance, including pulsatility index. Furthermore, they examine failure mechanisms such as graft kinking and explore future trends.

    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.

  • This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Enoch Akowuah, an academic consultant cardiothoracic surgeon at Newcastle University and South Tees NHS Foundation Trust, UK, and Dr. Matthias Raschpichler, a cardiac surgeon at Leipzig Heart Center, Germany, about the REPEAT trial.

    Chapters

    00:00 Intro

    02:21 JANS 1, NOBLE Trial

    07:14 JANS 2, Ischemic Mitral Regurg MVR

    08:58 JANS 3, Pregnancy Outcomes AVR

    11:19 JANS 4, MCS LVAD Candidates

    13:06 Video 1, Thoracoplasty

    14:58 Video 2, Nuss Procedure After Ravitch

    16:42 Video 3, Traumatic Right Main Bronchus

    19:04 REPEAT Trial, Bioprostheses

    32:22 Upcoming Events

    32:46 Closing

    They discussed the trial’s objectives, including what it is, why it is needed, and its overall goals. The setup of the trial was also examined, covering aspects such as funding, composite outcome, and follow-up procedures. Additionally, they addressed the target number of patients required for recruitment and the efforts involved in recruiting patients and centers to participate in the trial. They emphasized the overall significance of the trial, outlining what is necessary for its success and highlighting the importance of collaboration among heart teams.

    Joel also highlights recent JANS articles on percutaneous coronary intervention vs coronary artery bypass grafting for unprotected left main stenosis, a two-decade experience on the outcomes of mitral valve repair in ischemic mitral regurgitation, maternal, valvular and fetal outcomes of pregnancy following aortic valve replacement, and temporary mechanical circulatory support in left ventricular assist device candidates with right ventricular dysfunction.

    In addition, Joel explores if forgotten techniques of thoracoplasty with latissimus dorsi myoplasty are relevant today, the Nuss procedure after previous Ravitch operation, and uniportal VATS repair of traumatic right main bronchus transection following blunt chest injury.

    Before closing, Joel highlights upcoming events in CT surgery.  

    JANS Items Mentioned

    Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting for Unprotected Left Main Stenosis: 10-Year Final Results From the Randomised, Open-Label, Non-Inferiority NOBLE Trial Outcomes of Mitral Valve Repair in Ischemic Mitral Regurgitation: A Two-Decade Experience Maternal, Valvular and Foetal Outcomes of Pregnancy Following Aortic Valve Replacement  Temporary Mechanical Circulatory Support in Left Ventricular Assist Device Candidates With Right Ventricular Dysfunction: Acuity Without Long-Term Futility

    CTSNet Content Mentioned

    Are the Forgotten Techniques of Thoracoplasty With Latissimus Dorsi Myoplasty Relevant Today? Nuss Procedure After Previous Ravitch Operation Uniportal VATS Repair of Traumatic Right Main Bronchus Transection Following Blunt Chest Injury 

    Other Items Mentioned

    The REPEAT TrialCareer CenterCTSNet 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.

  • 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, spoke with Dr. Nadia Hensley, Associate Professor and Physician Advisor for Anesthesiology and Critical Care Medicine at John Hopkins School of Medicine; Dr. Nawwar Al-Attar, consultant cardiac surgeon at NHS Golden Jubilee National Hospital in Scotland; and Dr. Serdar Gunadyin, Head of Department at the University of Health Sciences in Turkey. The focus of their conversation was on surgical bleeding.

    Chapters

    00:00 Intro

    02:35 Case 1, Diffuse Coagulopathy

    03:26 Bleeding Scale

    08:13 Team-Wide Bleeding Language

    11:07 Alternative Approaches

    14:09 Standardizing Test Results Response

    18:04 No Access to Visoelastic Testing

    19:55 Topical Hemostatic Agents

    23:08 Case 2

    24:14 Coagulopathy vs Surgical Bleeding

    28:08 Passive Hemostatic Agent

    29:10 Visoelastic Testing

    31:29 Closing Points

    They discussed two different cases, including patient details and case specifics: one involving diffused coagulopathy and the other concerning focal bleeding. While examining these cases, they talked about hemostasis and the hemostasis checklist. They also discussed the validated intraoperative bleeding (VIBe) scale and its purposes, and the importance of being on the same page as your team. Additionally, they delved into viscoelastic testing and algorithms and addressed scenarios where access to viscoelastic testing may not be available. They also explored the thresholds for guided therapy, including functional fibrinogen levels. Lastly, the experts touched on passive hemostatic and how to teach residents coagulopathy and surgical bleeding.

    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.

  • This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Brad Leshnower, Director of Aortic Surgery at Emory University Hospital in Atlanta, GA, USA, about the first implantation of the Gore Ascending Stent Graft in the ARISE III trial for the treatment of an acute type A dissection.

    Chapters

    00:00 Intro

    02:26 New CTSNet Website

    03:31 JANS 1, Thromboendarterectomy Fellowship

    05:28 JANS 2, Sodium-Glucose Cotransporter 2 Inhibitor

    07:36 JANS 3, Type A Acute Aortic Dissections

    09:51 JANS 4, Asymptomatic Aortic Stenosis at 10 Years

    11:46 Video 1, Nuss Procedure w Chrondrotomies

    13:08 Video 2, Cardiac Redo Surgery

    14:52 Video 3, Uniportal Lobectomy Bronchial Reimplantation

    16:13 Dr. Leshnower, Ascending Stent Grafts

    32:51 Career Center

    33:52 Closing

    They discussed Dr. Leshnower’s experience with this groundbreaking implantation, including the case details such as the patient’s medical history, the assessment of the patient’s high-risk status, and the criteria for determining their suitability for the procedure. Imaging techniques and the contributions of the other surgeons involved in the case were also highlighted. Furthermore, they delved into the use of the stent in previous ARISE trials and what Dr. Leshnower learned from those early experiences. The conversation also covered topics such as proximal placement, the innominate artery, and the preoperative planning required for the trial. Dr. Leshnower also shared what he learned from this case and discussed the future of the stent graft and this technique.

    Joel also highlights recent JANS articles on the safety and efficacy of a dedicated pulmonary thromboendarterectomy fellowship, sodium-glucose cotransporter 2 inhibitor use and outcomes after surgical aortic valve replacement, association between surgical timing and postoperative outcomes in type A acute aortic dissection, and early surgery or conservative care for asymptomatic aortic stenosis at 10 years.

    In addition, Joel explores the Nuss procedure with midline chrondrotomies in severe pectus excavatum, redo surgery for failed MVr, iatrogenic ASD, tricuspid valve regurgitation, and aorta replacement, and uniportal VATS left lower sleeve lobectomy with upper lobe bronchial reimplantation for typical carcinoid tumor.

    Before closing, Joel highlights upcoming events in CT surgery.  

    JANS Items Mentioned

    Safety and Efficacy of a Dedicated Pulmonary Thromboendarterectomy Fellowship: The UK Experience at a High-Volume Center Sodium-Glucose Cotransporter 2 Inhibitor Use and Outcomes After Surgical Aortic Valve Replacement Association Between Surgical Timing and Postoperative Outcomes in TypeAAcute Aortic Dissection Early Surgery or Conservative Care for Asymptomatic Aortic Stenosis at 10 Years 

    CTSNet Content Mentioned

    The Nuss Procedure With Midline Chrondrotomies in Severe Pectus Excavatum  Redo Surgery for Failed MVr, Iatrogenic ASD, Tricuspid Valve Regurgitation, and Aorta Replacement Uniportal VATS Left Lower Sleeve Lobectomy With Upper Lobe Bronchial Reimplantation for Typical Carcinoid Tumor 

    Other Items Mentioned

    ARISE III Trial of Gore Ascending Stent Graft Begins EnrollmentHow to Navigate the New CTSNet WebsiteCareer 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.

  • 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 Jan Headley, Principal at Consultants in Acute and Critical Care. They explore the use of functional hemodynamics in the postoperative management of cardiothoracic surgical patients.

    Chapters

    00:00 Intro

    01:26 Case Study

    04:28 Fluid Responsiveness, Dynamic Parameters

    07:37 Variability Within Normal Limits

    09:34 Determining Responsiveness Efficiently

    12:45 No PA-Catheter Patients

    15:35 Reassessing Values

    17:22 First Step

    19:20 No-Fluid Patient

    20:27 Stroke Volume Trends

    21:13 Key Takeaways

    The discussion includes a case study illustrating how functional hemodynamics can guide clinical decisions in this context. They delve into the concepts of fluid management and fluid responsiveness, comparing dynamic parameters and static parameters, and the importance of increasing stroke volume. Key topics also include pulse pressure variation, stroke volume variation, variability, and delta stroke volume. The conversation further covers techniques such as the passive leg raise maneuver and the pulmonary occlusive maneuver.

    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.

  • This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Andrea Steely, an Assistant Professor of Cardiac Surgery in the Division of Cardiothoracic Surgery at the University of Utah Health, Salt Lake City, UT, USA, about aortic surgery and long-term patient follow-up.

    Chapters

    00:00 Intro

    01:43 New CTSNet Website

    02:36 AATS 2026

    09:15 EJCTS News

    10:15 Video 1, Left Ventriculotomy

    10:51 Video 2, 3-Vessel TECAB

    12:24 Video 3, AV Disease in Young Patients

    13:14 Andrea Steely, Aortic Surgery & Follow-Up

    29:14 Upcoming Events

    They discussed the critical importance of educating both patients and surgeons about aortic disease, and the most effective strategies for follow-up care after aortic surgery. The conversation also covered testing genetic factors and stabilizing the aortic arch. They also explored reintervention and the importance of a multidisciplinary follow-up approach. Additionally, they addressed topics such as lung cancer screening, the training of non-MDs to evaluate screening charts, and the development of an aortic pathology sheet for each patient.

    In addition, Joel explores an underutilized approach for closing multiple apical ventricular septal defects, robotic-assisted three-vessel minimally invasive coronary artery bypass, and a presentation from Emile Bacha on the "Surgical Management of Aortic Valve Disease in Young Patients."

    Before closing, Joel highlights upcoming events in CT surgery.  

    CTSNet Content Mentioned

    1. Left Ventriculotomy: An Underutilized Approach for Closing Multiple Apical Ventricular Septal Defects

    2. Robotic-Assisted Three-Vessel Minimally Invasive Coronary Artery Bypass

    3. SCTS 2026 | Surgical Management of Aortic Valve Disease in Young Patients

    Other Items Mentioned

    1. How to Navigate the New CTSNet Website

    2. Career Center

    3. 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 spoke with Dr. Zhi Lin, Chief Director of Cardiovascular Surgery Division 1 at Xiamen Cardiovascular Hospital of Xiamen University in Xiamen, China, and Dr. Oscar A. Flores Flores, a cardiothoracic surgeon at Hospital Civil de Guadalajara Fray Antonio Alcalde in Guadalajara, Mexico, about The Heart Sapling Visiting Scholar Program.

    Chapters

    00:00 Intro

    02:22 AATS, UAE Conference, King Faisal

    05:28 JANS 1, LAA Closure vs Therapy AF

    09:53 JANS 2, Thrombus-Free LAA Occlusion

    11:49 JANS 3, Immunosuppression & Retransplantation

    13:06 JANS 4, Biomarkers & Outcomes Isolated CABG

    15:18 Video 1, Rheumatic MV Reconstruction

    17:02 Video 2, Morgagni Hernia

    18:07 Video 3, Robotic Excision Anterior Mediastinal

    19:35 Lin Zhi & Oscar Flores, Chinese Fellowship & Surgery

    34:25 Upcoming Events

    35:13 Closing

    Dr. Flores discusses what the program entails, sharing his experience as a fellow and the opportunities he gained from it. Dr. Lin then outlines the program’s goals and the various procedures that can be learned at Xiamen Cardiovascular Hospital of Xiamen University, which hosts the program. They also cover how to join the program and the application process. Furthermore, they discuss minimally invasive procedures in China and how this approach is growing in popularity.

    Joel also highlights recent JANS articles on left atrial appendage closure or medical therapy in atrial fibrillation, long-term thrombus-free left atrial appendage occlusion via magnetofluids, implications of immunosuppression and retransplantation for donor-derived cell-free DNA associated with increased risk of chronic lung allograft dysfunction and mortality, and immunosenescence biomarkers and outcomes in isolated coronary artery bypass grafting.

    In addition, Joel explores rheumatic mitral valve reconstruction, tips for the surgical management of a Morgagni hernia, and right robotic excision of anterior mediastinal mass. Before closing, Joel highlights upcoming events in CT surgery.  

    JANS Items Mentioned

    1. Left Atrial Appendage Closure or Medical Therapy in Atrial Fibrillation

    2. Long-Term Thrombus-Free Left Atrial Appendage Occlusion Via Magnetofluids

    3. Donor-Derived Cell-Free DNA Associated With Increased Risk of Chronic Lung Allograft Dysfunction and Mortality: Implications of Immunosuppression and Retransplantation

    4. Immunosenescence Biomarkers and Outcomes in Isolated Coronary Artery Bypass Grafting

    CTSNet Content Mentioned

    1. Rheumatic Mitral Valve Reconstruction

    2. Tips for the Surgical Management of a Morgagni Hernia

    3. Right Robotic Excision of Anterior Mediastinal Mass

    Other Items Mentioned

    1. Endoscopic Cone Repair in an Adult Patient With Ebstein Anomaly

    2. CTSNet Website Redesign: Important Updates and Transition Details 

    3. Career Center

    4. 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 spoke with Frank Tamru, author of Power: A Memoir and owner of Frank Tamru Consultants LLC, about aortic valve technology throughout the years.

    Chapters

    00:00 Intro

    01:51 New Website Preparation

    02:53 AATS 2026 Overview

    11:59 Video 1, Robotic Right-Sided MIDCAB

    13:08 Video 2, Extra-Anatomic IAA Repair

    14:29 Video 3, Double-Decker Procedure

    16:38 Video 4, Aortic Disease Awareness

    19:53 Video 5, Robotic Culmen in Situs Inversus

    21:30 Frank Tamru, Aortic Valve Technology

    35:32 Upcoming Events

    36:03 Closing

    They explored Tamru’s professional background and involvement with heart surgeons and cardiovascular leaders. The conversation covered various topics, including heart valves and the evolution of open-heart centers. They also discussed the advancements in aortic valve replacement technologies and the critical role of surgeons as decision-makers in the field. Additionally, Frank shared his experience as the founding publisher of the Asian Cardiovascular and Thoracic Annals.

    In addition, Joel explores a robotic-assisted right-sided minimally invasive coronary artery bypass for anomalous origin of the right coronary artery, a transdiaphragmatic aorto-supraceliac extra-anatomic bypass for interrupted aortic arch with collateralizations, double-decker procedure for partial anomalous pulmonary venous connection, robotic-assisted right upper segmentectomy (culmen) in situs inversus totalis, and an interview with Gareth Owens and Dr. Ben Youdelman on Think Aorta and aortic disease awareness.

    Before closing, Joel highlights upcoming events in CT surgery.  

    CTSNet Content Mentioned

    1. Robotic-Assisted Right-Sided Minimally Invasive Coronary Artery Bypass for Anomalous Origin of the Right Coronary Artery 

    2. A Transdiaphragmatic Aorto-Supraceliac Extra-Anatomic Bypass for Interrupted Aortic Arch With Collateralizations 

    3. Double-Decker Procedure for Partial Anomalous Pulmonary Venous Connection 

    4. Think Aorta and Aortic Disease Awareness: An Interview With Gareth Owens and Dr. Ben Youdelman 

    5. Robotic-Assisted Right Upper Segmentectomy (Culmen) in Situs Inversus Totalis 

    Other Items Mentioned

    1. Power: A Memoir

    2. Website Maintenance Alert!

    3. The Lifeline

    4. Career Center

    5. 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 spoke with Dr. Zain Khalpey, an assistant attending surgeon at NewYork-Presbyterian/Columbia University Irving Medical Center, NY, USA, adjunct assistant professor of surgery at Columbia University Irving Medical Center, NY, USA, and Chief Medical AI Officer, Chair of Applied Clinical AI, and Director of Applied Translational Artificial Research Institute (ATARI), AZ, USA, about utilizing artificial intelligence (AI) in cardiothoracic surgery.

    Chapters

    00:00 Intro01:42 Upcoming CTSNet Activities03:01 Website Transition03:54 JANS 1, Mech vs Bio AVR in 50–70 YO08:16 JANS 2, Abnormal Bleeding in OR10:26 JANS 3, Intraop Assessment RV Function11:54 JANS 4, Laser Anastomosis System CABG14:49 Video 1, RAMT AVR Hemiarch Replacement16:23 Video 2, Big Cyst & Small Incisions17:33 Video 3, Left VATS Pneumonectomy19:55 Dr. Khalpey, AI in CT Surgery30:28 Upcoming Events31:48 Closing

    They discuss the importance of ethical AI being and address risk scores. The conversation also covers the application of AI in preoperative, intraoperative, and postoperative settings, as well as predictive algorithms and the benefits of integrating AI within cardiothoracic surgery. Additionally, they emphasize that there will always be a need for surgeons, as AI cannot replace human expertise.

    Joel also highlights recent JANS articles on a systematic review and meta-analysis on mechanical vs biological aortic valve replacement in patients aged 50-70 years, an observational study of inter-rater reliability between anesthetists and surgeons on abnormal bleeding in the cardiac operating room, advancing intraoperative assessment of right ventricular function, and the excimer laser assisted non-occlusive anastomosis (ELANA) anastomotic system surgical technique to construct distal anastomoses using a novel device in coronary artery bypass grafting.

    In addition, Joel explores a right anterior minithoractomy aortic valve replacement, ascending aorta, and hemiarch repair, thoracoscopic resection of a large mediastinal cyst, and left VATS pneumonectomy in pediatric pulmonary mucoepidermoid carcinoma. Before closing, Joel highlights upcoming events in CT surgery.  

    JANS Items Mentioned

    1. Mechanical Versus Biological Aortic Valve Replacement in Patients Aged 50-70 Years: A Systematic Review and Meta-Analysis

    2. Abnormal Bleeding in the Cardiac Operating Room: An Observational Study of Inter-Rater Reliability Between Anesthetists and Surgeons

    3. Echocardiographic Correlates of Pressure-Volume-Derived Indices: Advancing Intraoperative Assessment of Right Ventricular Function

    4. The Excimer Laser Assisted Non-Occlusive Anastomosis (ELANA) Anastomotic System Surgical Technique to Construct Distal Anastomoses Using a Novel Device in Coronary Artery Bypass Grafting

    CTSNet Content Mentioned

    1. Right Anterior Minithoractomy Aortic Valve Replacement, Ascending Aorta, and Hemiarch Repair 

    2. When Size Is Not a Limitation: Thoracoscopic Resection of a Large Mediastinal Cyst

    3. Left VATS Pneumonectomy in Pediatric Pulmonary Mucoepidermoid Carcinoma 

    Other Items Mentioned

    1. Website Blackout Notice!

    2. Career Center

    3. 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 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, MD, USA, spoke with Kali Dayton, a critical care nurse practitioner, host of the Walking Home From the ICU and Walking You Through the ICU podcasts, and CEO of Dayton ICU Consulting, about early mobility, verticalization, and delirium.

    Chapters

    00:00 Intro

    01:04 Patient Philosophy

    02:45 Early Sedation-Delirium Relationship

    05:23 RASS Scale, Sedation

    07:06 Cardiac ICU Patients

    08:35 Lack of Delirium Tracking or Data

    10:56 ROI from Good Care & Data

    14:44 Preventative Approach

    16:16 Convincing Hesitant Adopters

    18:59 Patient Case Study

    21:19 Cultural Paradigm

    24:48 Mobilization

    27:07 Verticalization Beds

    30:03 Gravity on Patient Health

    32:14 Mobility Screening

    33:14 Defining Walking

    34:47 Mobility Responsibility

    36:55 Standardization & Predictability

    38:23 Key Points

    They discussed what an awake and walking intensive care unit (ICU) is, how early mobility and sedation tie in with delirium, and the history of critical care medicine. The conversation also covered the Richmond Agitation-Sedation Scale (RASS) and deep sedation, as well as risk factors for delirium, outdated sedation practices and mobility management, and the importance of having a high reliability environment. Additionally, they explored the ABCDEF bundle and a case study of a patient experiencing delirium. The episode further addressed verticalization beds, walking pads for verticalization, nurse screening tools, and ambulation.

    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.

  • In this edition of the new 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 Rakesh Arora, Director of Cardiothoracic Critical Care and a professor in the Department of Surgery and Anesthesia at Northwestern Medicine, Chicago, IL, USA. They discuss managing arrest in patients with temporary mechanical circulatory support (tMCS), focusing on a paper Arora authored titled “EACTS/STS/AATS Guidelines on Temporary Mechanical Circulatory Support in Adult Cardiac Surgery.”

    Chapters

    00:00 Intro

    01:08 Guidelines Background

    02:02 Resuscitation, Monitoring Parameters

    07:37 Approach to Patients in Extremis

    11:39 Quality Assurance, Internal Data

    12:22 End-Tidal

    13:17 Bleeding Management

    15:33 Arrhythmia, Defibrillation

    17:21 Optimizing Tissue Perfusion

    18:09 Key Points

    20:26 Devices & Flow Patterns

    They began by exploring how this paper was developed and how Arora became involved in this project. They discussed the importance of expediting the resuscitation process and examined the recommendations for a tMCS implantation in patients experiencing post-procedural low cardiac output syndrome (LCOS). Key considerations included oxygen saturation levels (SpO2) and point-of-care ultrasound (POCUS), as well as the significance of pulsatility. Additionally, they discussed the interaction between devices and patients and the importance of team training and simulation. They also addressed crucial topics such as coagulation, anticoagulation, and defibrillation. Finally, they examined optimizing tissue perfusion for better patient outcomes.

    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!

    Related Resources

    EACTS/STS/AATS Guidelines on Temporary Mechanical Circulatory Support in Adult Cardiac Surgery

    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 spoke with Dr. Adam Greenbaum, an Associate Professor of Medicine at Emory School of Medicine and Co-director of the Emory Structural Heart and Valve Center, Atlanta, GA, USA, about the groundbreaking percutaneous coronary artery bypass graft procedure he developed called the ventriculo-coronary transcatheter outward navigation and reentry (VECTOR) procedure.

    Chapters

    00:00 Intro

    02:46 FDA Device Recall

    03:52 JANS 1, CDC WONDER Aortic Stenosis

    06:10 JANS 2, Free vs In-Situ RIMA-CABG

    08:04 JANS 3, AF Worsens Outcome of MVR

    09:52 JANS 4, EXCEL Trial

    12:29 New Website

    13:43 Video 1, Ross Procedure Technique

    16:16 Video 2, Total Arch Replacement

    18:38 Video 3, Pleural Sepsis Podcast

    20:51 Dr. Greenbaum, VECTOR Procedure

    40:34 Upcoming Events

    41:18 Career Center

    41:43 Closing

    They delved into the development and rationale behind this innovative technique, which aims to provide a solution for patients with no other options, particularly those with narrow sinuses or low-lying coronaries. Additionally, they discussed other leaflet modification methods and the criteria for patient selection for the VECTOR procedure. The conversation also covered the technical steps involved in the procedure, along with specific cases in which it has been utilized, as well as the challenges faced and troubleshooting done by the surgeons. Finally, they explored the future of this procedure.

    Joel also highlights recent JANS articles on concerning trends seen in aortic stenosis-related mortality, a meta-analysis on free vs in-situ right internal mammary artery as a conduit in coronary artery bypass surgery, if atrial fibrillation worsens outcome of mitral valve repair for degenerative mitral regurgitation, and the EXCEL trial on spontaneous myocardial infarction after left main revascularization.

    In addition, Joel explores the Ross procedure with annular stabilization, interposition graft, and loose-jacket technique, total arch replacement with a novel dual stent device, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Professor Eric Lim about pleural sepsis. Before closing, Joel highlights upcoming events in CT surgery.  

    JANS Items Mentioned

    1. ‘Concerning’ Trends Seen in Aortic Stenosis-Related Mortality: CDC WONDER

    2. Free vs In-Situ Right Internal Mammary Artery as a Conduit in Coronary Artery Bypass Surgery: A Meta-Analysis

    3. Atrial Fibrillation Worsens Outcome of Mitral Valve Repair for Degenerative Mitral Regurgitation: Long-Term Follow-Up of 959 Patients

    4. Spontaneous Myocardial Infarction After Left Main Revascularization: The EXCEL Trial

    CTSNet Content Mentioned

    1. Ross Procedure With Annular Stabilization, Interposition Graft, and Loose-Jacket Technique 

    2. Total Arch Replacement With a Novel Dual Stent Device 

    3. The Atrium: Pleural Sepsis 

    Other Items Mentioned

    1. Percutaneous Aorto-Coronary Bypass Graft to Prevent Coronary Obstruction Following TAVR: First Human VECTOR Procedure

    2. Website Blackout Notice!

    3. Career Center

    4. 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 spoke with Dr. Sameer Hirji, an associate surgeon at Brigham and Women's Hospital in Boston, MA, USA, about a paper he presented on at the 62nd Society of Thoracic Surgeons Annual Meeting titled “Concerning Trends Seen in Aortic Stenosis-Related Mortality: CDC WONDER.”

    Chapters

    00:00 Intro

    02:38 JANS 1, Female CT Surgeons NYT Article

    04:38 JANS 2, Biopros vs Mech SAVR >65 YO

    07:32 JANS 3, Fissure Last Tech, Randomized Trial

    09:58 JANS 4, Ozaki Procedure, Perf & Durability

    12:46 Video 1, MI Left Atrial Myxoma Resection

    14:43 Video 2, Conduction System-Sparing Modified AVR

    16:42 Video 3, RCAA w Coronary SF

    18:55 Dr. Hirji, CDC WONDER Aortic Stenosis

    31:40 Upcoming Events

    32:11 Closing

    They discussed the study itself, including its overall results, as well as the demographic factors analyzed—such as race, gender, and location—and the results related to these demographics. They also addressed the limitations of the data used and explored possible reasons for the observed results, such as intervention strategies, underdiagnosis, and the prevalence of asymptomatic patients. The conversation further emphasized the importance of patient selection and the heart team.

    Joel also highlights recent JANS articles on female cardiothoracic surgeons, unlocking the male fortress, bioprosthetic versus mechanical surgical aortic valve replacement in patients ≥65 years of age, results from a prospective randomized controlled trial on if the fissure last technique really reduces postoperative air leak after lung resection, and mid-term valve performance and durability of the Ozaki procedure in patients on chronic dialysis.

    In addition, Joel explores a minimally invasive left atrial myxoma resection, safety and efficacy of a cardiac conduction system-sparing modified aortic valve replacement, and a surgical approach to right coronary artery aneurysm with coronary sinus fistula. Before closing, Joel highlights upcoming events in CT surgery.  

    JANS Items Mentioned

    1. Female Cardiothoracic Surgeons, Unlocking the Male Fortress

    2. Bioprosthetic Versus Mechanical Surgical Aortic Valve Replacement in Patients ≥65 Years of Age

    3. Does the Fissure Last Technique Really Reduce Postoperative Airleak After Lung Resection? Results From a Prospective Randomized Controlled Trial 

    4. Mid-Term Valve Performance and Durability of the Ozaki Procedure in Patients on Chronic Dialysis

    CTSNet Content Mentioned

    1. Minimally Invasive Left Atrial Myxoma Resection

    2. Safety and Efficacy of a Cardiac Conduction System-Sparing Modified Aortic Valve Replacement 

    3. Surgical Approach to Right Coronary Artery Aneurysm With Coronary Sinus Fistula 

    Other Items Mentioned

    1. ‘Concerning’ Trends Seen in Aortic Stenosis-Related Mortality: CDC WONDER 

    2. Career Center

    3. 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 The Atrium, host Dr. Alice Copperwheat speaks with Professor Eric Lim, Professor of Thoracic Surgery at Imperial College London and Consultant Thoracic Surgeon at the Royal Brompton Hospital in London, UK, about pleural sepsis.

    Chapters

    00:00 Intro

    00:30 Dr. Lim Background

    01:26 Why CT Surgery & Clinical Research?

    05:09 Definition & Overview

    07:50 Causes

    09:29 Clinical Presentations & Investigations

    16:03 Management, RAPID Score

    19:49 Medical Management

    22:15 Chest Tube Management (ICD)

    25:12 IF, Medical Decortication

    25:48 Surgical Management

    29:30 History

    30:34 Debridement & Decortication, Approach

    34:30 Patient Positioning

    35:18 Thoracotomy

    38:43 VATS

    39:37 Technical Steps

    43:18 Postoperative Management

    49:37 Complications

    50:58 Summarizing Points

    51:50 Surgery Training Advice

    They provide an overview of pleural sepsis, highlighting its three stages: the exudative stage, fibrinopurulent stage, and organizing stage. The discussion covers its history and causes, including complications from pneumonia. They also examine symptoms, failure to progress, and imaging techniques such as ultrasound. Additionally, they delve into pleural fluid analysis, the RAPID score, and management strategies, including medical interventions, chest tube drainage, and intrapleural fibrinolytics. Various surgical management strategies are discussed as well, including thoracotomy, video-assisted thoracoscopic surgery (VATS), and robotic approaches. Finally, they address chest tube management, respiratory physiotherapy, acute complications, and long-term 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.

  • This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Shanda Blackmon, a thoracic surgeon and Professor of Surgery, as well as the Director of the Lung Institute at Baylor College of Medicine, Houston, TX, USA, about an article from The New York Times in which she was featured, titled “Female CT Surgeons, Unlocking the Male Fortress.”

    Chapters

    00:00 Intro

    01:35 JANS 1, Fractured Sternal Wires Post-Surgery

    05:21 JANS 2, ERAS Protocols in Spain, Consensus Study

    07:00 JANS 3, Preserving Native MVs in VSD & MR Patients

    09:53 JANS 4, Sternal Closure After Norwood

    12:15 Video 1, LIMA Harvest, Robotic Harmonic Scalpel

    13:55 Video 2, Butterfly Resection for MV Leaflets

    15:26 Video 3, Bidirectional Glenn via Axill Thorac

    17:18 Dr. Blackmon, Women in CT Surgery

    33:17 Upcoming Events

    35:13 Closing

    They discussed her experience working with The New York Times and the goal of the article. Key highlights included the pay disparity, with women cardiothoracic surgeons receiving lower pay than their male counterparts, as evidenced by the Society of Thoracic Surgeons (STS) compensation survey. Additionally, they addressed the rewarding aspects of cardiothoracic surgery, the challenges surgeons face, and the initiatives that women cardiothoracic surgeons are starting to tackle, such as the pay equity and leadership opportunities.

    Joel also highlights recent JANS articles on a cross-sectional study examining wire configurations, sternal locations, and breakage sites for fractured sternal wires post-coronary surgery, a Delphi consensus study on the standardized recommendations for the implementation of enhanced recovery protocols in thoracic surgery in Spain, surgical strategy for preserving native mitral valves in infants with ventricular septal defects and mitral regurgitation, and routine primary sternal closure after the Norwood procedure.

    In addition, Joel explores robotic-assisted left internal mammary harvest with the robotic harmonic scalpel, butterfly resection for prolapsed posterior mitral valve leaflets, and minimally invasive bidirectional Glenn via vertical right axillary thoracotomy. Before closing, Joel highlights upcoming events in CT surgery.  

    JANS Items Mentioned

    1.) Fractured Sternal Wires Post-Coronary Surgery: A Cross-Sectional Study Examining Wire Configurations, Sternal Locations, and Breakage Sites

    2.) Standardized Recommendations for the Implementation of Enhanced Recovery Protocols in Thoracic Surgery in Spain: A Delphi Consensus Study

    3.) Surgical Strategy for Preserving Native Mitral Valves in Infants With Ventricular Septal Defects and Mitral Regurgitation

    4.) Routine Primary Sternal Closure After the Norwood Procedure

    CTSNet Content Mentioned

    1.) Robotic-Assisted Left Internal Mammary Harvest With the Robotic Harmonic Scalpel​ 

    2.) Butterfly Resection for Prolapsed Posterior Mitral Valve Leaflets 

    3.) Pushing Boundaries in Pediatric Cardiac Surgery: Minimally Invasive Bidirectional Glenn Via Vertical Right Axillary Thoracotomy 

    Other Items Mentioned

    1.) Female Cardiothoracic Surgeons, Unlocking the Male Fortress

    2.) Instructional Video Competition   

    3.) Career Center

    4.) 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 The Cardiac Recovery Room, moderator Vicki Morton, Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates in North Carolina, USA, spoke with Drs. Rakesh Arora, Director of Perioperative and Cardiac Critical Care and Research Director in the Division of Cardiac Surgery at University Hospitals Harrington Heart & Vascular Institute in Cleveland, Ohio, USA, and Rawn Salenger, Chief of Cardiac Surgery at the University of Maryland St. Joseph Medical Center, about preoperative optimization of cardiac patients.

    Chapters

    00:00 Intro

    01:27 Vulnerable Patients, Identifying Risk

    04:24 Assessing Patients, Biological Prep

    09:57 Psychological & Cognitive Prep

    12:09 Time Between Discharge & Follow-Up

    15:40 Anemic Patients, Iron Studies

    20:12 Nutrition Screening & Malnutrition

    25:30 Future Optimization Topics

    They discussed the importance of identifying risks, conducting thorough assessments before the operation, and preoperative education. They also emphasized psychological and cognitive preparation, as well as the time frame between discharge and follow-up. Additionally, they addressed issues related to iron deficiency without anemia, anemic patients, and iron studies. Furthermore, they highlighted the importance of nutrition screening and addressing malnutrition as essential aspects of preoperative care.

    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.