CTSNet To Go

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with cofounders Courtney Maxey-Jones and Connor Wasilnak about their charity, Global Outreach for Medical Equity and Development (GOMED), which exists to deliver essential medical supplies to underresourced regions. Chapters 00:00 Intro 01:33 Surgical Instrument Donations 02:43 Adverse Outcomes in Surgery 10:05 Lymph Node NSCLC Study 12:45 Pleural Invasion by AI Analysis 15:54 Robotic vs Conventional MVR 18:55 Postop Atrioventricular Block 22:36 Extra-Anatomical Bypass & AVR 24:25 Redo MV w Different Strategies 27:57 Manage Aorto-Mitral Abscess Endocarditis 30:41 GOMED Interview 43:04 Closing They discuss the reasons behind its creation, its mission, the current status of the organization, and how individuals and companies can get involved. Additionally, they explored some of the equipment GOMED has and what it needs, and the various locations it serves. Joel also shares insights about a recent patient of his with Marfan Syndrome and pectus excavatum, emphasizing the ongoing importance of the N=1 trial in clinical research.  Joel also highlights recent JANS articles on lymph node sampling and survival in non-small cell lung cancer, pleural invasion of peripheral cT1 lung cancer by deep learning analysis of thoracoscopic images, clinical outcomes and costs of robotic-assisted vs conventional mitral valve repair, and postoperative atrioventricular block after surgery for congenital heart disease.   In addition, Joel explores extra-anatomical aortic bypass and aortic valve replacement in a patient with aortic coarctation and severe aortic insufficiency, totally endoscopic redo mitral valve surgery with different myocardial protection strategies, and managing aorto-mitral abscess endocarditis after previous AVR with an LVOT enlargement procedure. Before closing, he highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Lymph Node Sampling and Survival in Non-Small Cell Lung Cancer: A 10-Year Danish Cohort Study  2.) Pleural Invasion of Peripheral cT1 Lung Cancer by Deep Learning Analysis of Thoracoscopic Images: A Retrospective Pilot Study  3.) Clinical Outcomes and Costs of Robotic-Assisted vs Conventional Mitral Valve Repair: A National Analysis  4.) Postoperative Atrioventricular Block After Surgery for Congenital Heart Disease: Incidence, Recovery and Risks  CTSNET Content Mentioned  1.) Extra-Anatomical Aortic Bypass and Aortic Valve Replacement in a Patient With Aortic Coarctation and Severe Aortic Insufficiency  2.) Totally Endoscopic Redo Mitral Valve Surgery With Different Myocardial Protection Strategies  3.) Managing Aorto-Mitral Abscess Endocarditis After Previous AVR With an LVOT Enlargement Procedure  Other Items Mentioned  1.) Global Outreach for Medical Equity and Development  2.) Endoscopic Cardiac Surgery Series: The Swiss Army Knife Approach  3.) Aortic Valve Replacement Series   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.

In this special one-year anniversary episode of The Atrium, host Dr. Alice Copperwheat speaks with Dr. Michael Mack, medical director of cardiothoracic surgery at Baylor Scott and White Health System and chairman of the Baylor Plano Research Center in Texas, about the future of valve surgery. Chapters 00:00 Introductions 01:18 Dr. Mack Background 03:41 Becoming a CT Surgeon 07:53 Path to Academic Surgery 10:19 Unconventional Thinking 11:30 TAVR vs SAVR 21:54 Surgical Replacement Future 25:59 Minimally Invasive Preference 27:27 Long-Term Data Impact 30:58 Aortic Valve Research Status 35:35 Mitral Clip vs Repair, Tricuspid 41:40 Mitral Robotic 44:38 Artificial Intelligence 48:43 Specializing Your Career 52:53 Three Career Tips They discuss transcatheter aortic valve replacement (TAVR), surgical aortic valve replacement (SAVR), MitraClips, the mitral valve, and the tricuspid valve. They also explore future research, the role of artificial intelligence (AI) and Dr. Mack provides advice for trainees.   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 radial artery harvesting with Dr. Faisal Bakaeen of the Cleveland Clinic. 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 Dr. Nina Fuller-Shavel, co-chair of the British Society for Integrative Oncology (BSIO) from 2021 to 2023 and current co-chair of the BSIO Clinical Practice and Education Committee, about integrative oncology. Chapters 00:00 Intro 01:29 Integrative Medicine 09:13 Bar Dislocation, Pectus 10:53 Effective Circulating Volume Fraction 13:14 Repair vs Replacement, Edge-to-Edge 16:14 Relaxed TAVI Age Threshold? 18:14 Supravalvar Aortic Stenosis Transaxillary 20:09 How-To, AAE Tricuspid Repair 21:49 Modified Robotic Tracheobronchoplasty 23:34 Dr. Fuller-Shavel, Integrative Oncology 56:21 Upcoming Events 58:28 Closing They discuss what integrative oncology entails, mistletoe therapy, oncothermia, and the innovative integrative oncology app called Oncio. They also explore guidelines relating to this topic, nutrition, and immune checkpoint inhibitors. Dr. Fuller-Shavel also provides recommendations for supporting patients' mindfulness during cancer treatment.   Joel also highlights recent JANS articles on bar dislocation after pectus excavatum repair, effective circulating volume fraction in Type A aortic dissection, surgical mitral valve repair vs replacement after failed mitral transcatheter edge-to-edge repair, and if the age threshold for TAVI can be relaxed to below 65 years.   In addition, Joel explores minimally invasive transaxillary repair of supravalvar aortic stenosis, how to perform an aortic annulus enlargement with tricuspid repair, and modified robotic-assisted tracheobronchoplasty in a patient with severe calcific mediastinal lymphadenopathy. Before closing, he highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Bar Dislocation After Pectus Excavatum Repair: A Systematic Review of Risk Factors, Stabilization Techniques, and Management Strategies  2.) The Effective Circulating Volume Fraction in Type A Aortic Dissection: A New Risk Factor?   3.) Surgical Mitral Valve Repair vs Replacement After Failed Mitral Transcatheter Edge-to-Edge Repair: The CUTTING-EDGE Registry  4.) Could the Age Threshold for TAVI be Relaxed to Below 65 Years? Pros and Cons  CTSNet Content Mentioned  1.) Minimally Invasive Transaxillary Repair of Supravalvar Aortic Stenosis  2.) How to Perform an Aortic Annulus Enlargement With Tricuspid Repair  3.) Modified Robotic-Assisted Tracheobronchoplasty in a Patient With Severe Calcific Mediastinal Lymphadenopathy  Other Items Mentioned  1.) British Society for Integrative Oncology   2.) National Center for Integrative Oncology    3.) Integrative Oncology Approaches to Supporting Immune Checkpoint Inhibitor Treatment of Solid Tumors  4.) Aortic Valve Replacement Series   5.) Career Center    6.) 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 Dr. Dibin Mohammed, a consultant at Government Medical College, Kozhikode, Kerala, India, about his WhatsApp group, Young CVTS Surgeons Kerala. Chapters 00:00 Intro 01:22 CTSNet Updates 03:44 Dr. Mohammed Guest 05:20 Allogeneic Mitral Valve Transplant 08:45 Multiple vs Single Arterial Grafting 11:50 AI & Machine Learning in CT Surgery 17:57 3-Port vs 4-Port Robotic Lobectomy 21:28 Redo Pulm Valve Replacement w RAA 24:32 Mitral Ann Disjunction Presentation 27:09 How-To LVOTE & CABG 29:22 Dr. Mohammed, Academic Group Chat 42:30 Upcoming Events 43:43 Closing They discuss the group's goal and the topics its covers, such as recent academic papers and innovative surgical solutions, as well as the reasons Dr. Mohammed created it. Dr. Mohammed also shares insights into working in India and the training systems for residents in the country.   Joel also highlights recent JANS articles on allogeneic mitral valve transplants, survival outcomes after multiple vs single arterial grafting among patients with reduced ejection fraction, artificial intelligence and machine learning in cardiothoracic surgery, and a comparative study of three-port vs. four-port robotic-assisted lobectomy for NSCLC.   In addition, Joel explores redo pulmonary valve replacement with right atrial appendage, how to perform a left ventricular outflow tract enlargement and CABG, and reviews a presentation from the Society for Cardiothoracic Surgery in Great Britain and Ireland Annual Meeting on mitral annular disjunction and mitral valve repair.   JANS Items Mentioned  1.) Allogeneic Mitral Valve Transplant: Historical Precedent, Current Considerations, and Future Implementation  2.) Survival Outcomes After Multiple vs Single Arterial Grafting Among Patients With Reduced Ejection Fraction  3.) Artificial Intelligence and Machine Learning in Cardiothoracic Surgery: Future Prospects and Ethical Issues  4.) Optimizing Surgical Precision: A Comparative Study of Three-Port vs. Four-Port Robotic-Assisted Lobectomy for NSCLC  CTSNET Content Mentioned  1.) Redo Pulmonary Valve Replacement With Right Atrial Appendage  2.) SCTS 2025 | Mitral Annular Disjunction and Mitral Valve Repair   3.) How to Perform a Left Ventricular Outflow Tract Enlargement and CABG  Other Items Mentioned  1.) Aortic Valve Replacement Series   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 celebrates two years of the podcast and speaks with Dr. Joseph F. Sabik III, president of the Society of Thoracic Surgeons (STS) and chair of the Department of Surgery at University Hospitals Cleveland Medical Center, about the future of cardiothoracic surgery. Chapters 00:00 Intro 01:16 Dr. Sabik Guest 04:13 AATS 2025 20:26 Extended Sleeve Lobectomy Study 23:55 SQUAT Trial Results 26:28 TAVR vs SAVR in Women 27:49 Transition from Training to Practice 31:39 Totally Endoscopic Triple Valve 33:33 Redo AVR via Ministernotomy 35:18 ECMO Podcast Episode 37:19 Dr. Sabik, Future of CT Surgery 56:06 Upcoming Events 57:47 Closing They discuss the future of revascularization, advancements in valve procedures, arterial grafting, robotics training, and the importance of work-life balance. They also highlight the training of the next generation of surgeons, simulation-based education, and Dr. Sabik shares insights into the 62nd STS Annual Meeting. Additionally, Joel recaps the American Association for Thoracic Surgery (AATS) Annual Meeting emphasizing notable presentations and key insights from the event.   Joel also highlights recent JANS articles on extended sleeve lobectomy after neoadjuvant immunochemotherapy for centrally located non-small cell lung cancer, neoadjuvant concurrent chemo-immuno-radiation therapy followed by surgery and adjuvant immunotherapy for resectable Stage III N2 NSCLC, transcatheter vs. surgical aortic valve replacement in women, and a guide for transition from cardiothoracic surgery training to practice.   In addition, Joel explores totally endoscopic triple valve surgery, redo aortic valve replacement through a ministernotomy, and a new podcast episode from Dr. Alice Copperwheat, “The Atrium: ECMO,” with expert guest Dr. Jose Fernandes. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Extended Sleeve Lobectomy After Neoadjuvant Immunochemotherapy for Centrally Located Non-Small Cell Lung Cancer  2.)  Neoadjuvant Concurrent Chemo-Immuno-Radiation Therapy Followed by Surgery and Adjuvant Immunotherapy for Resectable Stage III N2 NSCLC: Primary Results From the SQUAT Trial (WJOG 12119L)   3.) Transcatheter vs. Surgical Aortic Valve Replacement in Women: The RHEIA Trial  4.) A Guide for Transition from Cardiothoracic Surgery Training to Practice  CTSNET Content Mentioned  1.) Totally Endoscopic Triple Valve Surgery: AVR, MVr, TVr  2.) Redo Aortic Valve Replacement Through a Ministernotomy    3.) The Atrium: ECMO  Other Items Mentioned  1.) Webinar Series: Women in Cardiothoracic Surgery—Advancement Through Collaboration   2.) Endoscopic Cardiac Surgery Series: The Swiss Army Knife Approach  3.) Aortic Valve Replacement Series   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 speaks with Dr. Cristiano Spadaccio, an attending cardiac surgeon and associate professor of surgery at the University of Cincinnati College of Medicine, Ohio, USA, about totally tissue-engineered valves for tricuspid replacement. Chapters 00:00 Intro 01:48 Tissue-Engineered Valves 05:48 Compensatory Sweating After BETS 10:05 5Y Outcomes TAVR vs SAVR 13:34 ChatGPT CT Surgery Insights 17:24 Retraction Speed Pain RC Trial 21:21 Ross Procedure, All-Native Valve 25:43 Endoscopic Mechanical MVR 28:10 Double Patch Double Valve Exploration 31:42 Dr. Spadaccio, Generative Valves 50:38 Upcoming Events 51:52 Closing They focus on the CorMatrix Cor TRICUSPID ECM Valve, including the technique for valve implantation, the functionality of the valve and its underlying concept, and the valve's history, particularly its applications in pediatric patients. The episode features videos and photos showcasing the valve, the implantation procedure, and more. Additionally, they discuss the critical role of identifying the papillary muscle in this surgery and whether an anoplasty ring is necessary. They also explore the current status of the valve and its future prospects.   Joel also highlights recent JANS articles on the long-term outcomes and predictors of compensatory sweating after bilateral endoscopic thoracic sympathectomy, five-year outcomes after transcatheter or surgical aortic valve replacement in low-risk patients with aortic stenosis, navigating the future of pediatric cardiovascular surgery using Chat Generative Pre-trained Transformer (ChatGPT), and a randomized controlled trial on retraction speed and chronic poststernotomy pain.   In addition, Joel explores the Ross procedure using the right atrial appendage valve instead of a homograft, totally endoscopic mechanical mitral valve repair, and an exploration on reoperation technique for double patch double valve with Drs. Leonard Lee and Vince Gaudiani. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Long-Term Outcomes and Predictors of Compensatory Sweating After Bilateral Endoscopic Thoracic Sympathectomy  2.) 5-Year Outcomes After Transcatheter or Surgical Aortic Valve Replacement in Low-Risk Patients With Aortic Stenosis  3.) Navigating the Future of Pediatric Cardiovascular Surgery: Insights and Innovation Powered by Chat Generative Pre-Trained Transformer (ChatGPT)  4.) Retraction Speed and Chronic Poststernotomy Pain: A Randomized Controlled Trial  CTSNET Content Mentioned  1.) Ross Procedure Using the Right Atrial Appendage Valve Instead of a Homograft: An All-Native Valve Approach  2.) Totally Endoscopic Mechanical Mitral Valve Repair  3.) Reoperation Technique for Double Patch Double Valve: An Exploration With Leonard Lee and Vince Gaudiani  Other Items Mentioned  1.) Endoscopic Cardiac Surgery Series: The Swiss Army Knife Approach  2.) Expert Discussion Videos   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 month's episode of The Atrium, host Dr. Alice Copperwheat speaks with Dr. Jose Fernandes from the Department of Clinical Perfusion at Royal Papworth Hospital, Cambridge, UK, about extracorporeal membrane oxygenation (ECMO). Chapters 00:00 Introduction 01:47 History 04:46 Basics 09:58 Circuit 14:09 Cannulation 22:44 Indications for Use 28:14 VV ECMO 32:18 VA ECMO 36:44 Monitoring 42:31 Complications 47:03 ECMO CPR 49:17 Trainee Tips 50:57 Guest Advice They discuss cannulation, general indications and contraindications, venovenous (VV) ECMO, venoarterial (VA) ECMO, peripheral VA ECMO, and central VA ECMO. They also explore monitoring, cardiac function monitoring in VA ECMO, complications, ECMO cardiopulmonary resuscitation (CPR), and important tips for trainees.   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 one-year anniversary episode with a very special guest.   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 Dr. Mario Castillo-Sang, the Surgical Director of Mitral Valve and Heart Failure Therapies at St. Elizabeth Healthcare, Edgewood, Kentucky, USA, about totally endoscopic cardiac surgery. Chapters 00:00 Intro 01:17 Minimal Access Bedside Cardiac 04:37 Lung Cancer, Histological Subtype 09:29 TAVR vs SAVR, AS & CAD 12:22 Biopros TVR Outcomes 15:48 Mitral Annular Disjunction, MVR 18:47 Ozaki Technique, AV Reconst 20:46 Redo LVOT Reconst for Endocarditis 22:33 Totally Endoscopic ASD Closure TVR 24:08 Dr. Castillo-Sang, MI Bedside Endoscopy 40:51 Closing They explore key highlights from Dr. Castillo-Sang's CTSNet series Endoscopic Cardiac Surgery Series: The Swiss Army Knife Approach, his journey in performing endoscopic surgeries, and how he learned the techniques. Dr. Castillo-Sang shares the advantages of endoscopic surgery, as well as tips and recommendations for those wanting to learn this approach. He emphasizes the importance of the instruments he has worked with, detailing how these have improved over time. Additionally, they explore Dr. Castillo-Sang's involvement with the Endoscopic Cardiac Surgeons Club, discussing how he got involved and providing details about the club's upcoming annual meeting.   Joel also highlights recent JANS articles on the estimated worldwide variation and trends in incidence of lung cancer by histological subtype in 2022 and over time, transcatheter vs surgical aortic valve replacement in Medicare beneficiaries with aortic stenosis and coronary artery disease, long-term outcomes after bioprosthetic tricuspid valve replacement, and outcomes of patients with mitral annular disjunction undergoing mitral valve repair.  In addition, Joel explores aortic valve reconstruction using the Ozaki technique, redo LVOT reconstruction for endocarditis, and totally endoscopic ASD closure with tricuspid valve repair. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Estimated Worldwide Variation and Trends in Incidence of Lung Cancer by Histological Subtype in 2022 and Over Time: A Population-Based Study  2.) Transcatheter vs Surgical Aortic Valve Replacement in Medicare Beneficiaries With Aortic Stenosis and Coronary Artery Disease  3.) Long-Term Outcomes After Bioprosthetic Tricuspid Valve Replacement: A Multicenter Study  4.) Outcomes of Patients With Mitral Annular Disjunction Undergoing Mitral Valve Repair  CTSNET Content Mentioned  1.) Aortic Valve Reconstruction—The Ozaki Technique  2.) Redo LVOT Reconstruction for Endocarditis  3.) Totally Endoscopic ASD Closure With Tricuspid Valve Repair  Other Items Mentioned  1.) Endoscopic Cardiac Surgery Series: The Swiss Army Knife Approach  2.) Endoscopic Cardiac Surgeons Club  3.) Mini Heart Valves   4.) Aortic Valve Replacement Series     5.) Career Center 6.) 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 examines the first-ever transcontinental uniportal thoracic surgery. Chapters 00:00 Intro 01:26 100th Episode, Future 03:01 Transcontinental Uniportal Robotics 09:52 Infective Endo in Octogenerians 12:39 Kidney Replacement Therapy, Cardiac Outcomes 15:50 Stenotic Lesions Simulation 18:59 One-Lung Ventilation, Difficult Airway 21:06 Simplified Approach to Bentall Procedure 24:25 Semi-Skeletonized Harvesting ITA 27:06 AVR and AAR in 85 YO 30:30 Swiss Army Knife Approach Series 32:21 AATS 2025 32:38 Closing He explores the details of this significant case—location, latency, and the procedure performed—while highlighting the importance of this case, the future of robotics, and the surgeons behind this operation, Dr. Diego Gonzalez Rivas and Dr. Mugurel Bosînceanu. He also discusses Dr. Gonzalez Rivas's new book, Healing the World, and its impact on the field of medicine.   Joel also highlights recent JANS articles on infective endocarditis in octogenarians, national outcomes of cardiac surgery in patients receiving kidney replacement therapy, computational fluid dynamics to simulate stenotic lesions in coronary end-to-side anastomosis, and the management of the expected difficult airway with planned one-lung ventilation.   In addition, Joel explores a simplified approach to the Bentall procedure, semi-skeletonized harvesting of internal thoracic arteries, and aortic valve replacement and ascending aortic replacement in an 85-year-old patient. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Infective Endocarditis in Octogenarians—A Multicenter Analysis  2.) National Outcomes of Cardiac Surgery in Patients Receiving Kidney Replacement Therapy  3.) Computational Fluid Dynamics to Simulate Stenotic Lesions in Coronary End-to-Side Anastomosis  4.) Management of the Expected Difficult Airway With Planned One-Lung Ventilation: A Retrospective Analysis of 44 Cases  CTSNET Content Mentioned  1.) A Simplified Approach to the Bentall Procedure  2.) Semi-Skeletonized Harvesting of Internal Thoracic Arteries  3.) Aortic Valve Replacement and Ascending Aortic Replacement in an 85-Year-Old Patient  Other Items Mentioned  1.) Endoscopic Cardiac Surgery Series: The Swiss Army Knife Approach    2.) Aortic Valve Replacement Series   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 speaks with Professor Robert Sneyd, Vice Chair of Aortic Dissection Awareness UK & Ireland, about the charity's dedication to promoting awareness of aortic dissection. Chapters 00:00 Intro 03:52 RLAAO Isolated MR Study 09:07 Early Outcomes Reop Aortic Root 11:39 Fallot and Its Variants 16:55 Low-Dose Warfarin, Mech AV 22:02 AVR w LIMA-LAD & AAR 23:40 Pulm Thromboendarterectomy 25:28 Modified Birmingham Technique 27:32 Dr. Sneyd, Aortic Dissection Awareness 31:16 Upcoming Events 32:33 Closing They discuss Professor Sneyd's experience with an acute Type A aortic dissection and the lifesaving operation he underwent. Additionally, they explore his involvement with Aortic Dissection Awareness UK & Ireland and the charity's new programs. They also cover the organization's outreach efforts and the important patient guide available on their website.   Joel also reviews recent JANS articles on mortality and stroke after routine left atrial appendage occlusion in patients undergoing isolated mitral repair without atrial fibrillation in the United States, if early outcomes of reoperative aortic root surgery is impacted by previous root procedures and indicate reintervention, Fallot and its variants from diagnosis to pulmonary valve replacement, and low-dose warfarin with a novel mechanical aortic valve.   In addition, Joel explores aortic valve replacement with LIMA to LAD artery and an ascending aortic replacement, step-by-step pulmonary thromboendarterectomy for chronic thromboembolic disease, and Norwood-Sano Stage I palliation for hypoplastic left heart syndrome. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Mortality and Stroke After Routine Left Atrial Appendage Occlusion in Patients Undergoing Isolated Mitral Repair Without Atrial Fibrillation in the United States  2.) Are Early Outcomes of Reoperative Aortic Root Surgery Impacted by Previous Root Procedure and Indication for Reintervention?  3.) Fallot and Its Variants: From Diagnosis to Pulmonary Valve Replacement  4.) Low-Dose Warfarin With a Novel Mechanical Aortic Valve: Interim Registry Results at 5-Year Follow-Up  CTSNET Content Mentioned  1.) Aortic Valve Replacement With LIMA to LAD Artery and an Ascending Aortic Replacement  2.) Step-by-Step Pulmonary Thromboendarterectomy for Chronic Thromboembolic Disease  3.) Norwood-Sano Stage I Palliation for Hypoplastic Left Heart Syndrome: The Modified Birmingham Technique  Other Items Mentioned  1.) Aortic Dissection Awareness UK & Ireland Website   2.) Webinar Series: Women in Cardiothoracic Surgery—Advancement Through Collaboration   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 speaks with Dr. Salim Aziz, thoracic and cardiovascular surgeon and clinical professor at George Washington University, about computed tomography (CT) scan-negative type A dissection. Chapters 00:00 Intro 00:57 Dr. Aziz Preview 02:01 Bringing International Colleagues to Centers 07:01 Ambulation Protocol ECMO 09:12 COPD Severity, Aortic Aneurysm 11:37 Robotic Mitral Repair Learning Curve 15:43 Ross Procedure in Neonates, Analysis 19:21 Tirone David Keynote 21:52 AVR 101 23:08 Robotic Beating-Heart TECAB: LIMA-LAD 25:17 Dr. Aziz, CT Scan-Negative Type A Dissection 43:52 Closing They discuss Dr. Aziz's experience with cases that present as CT scan-negative, discussing the details of these cases and the concerning frequency with which aortic dissections are overlooked. They also explore routine transesophageal echocardiogram (TEE) in the operating room, finding tears, and aortic aneurysms.   Joel also reviews recent JANS articles on the ambulation protocol for adult patients receiving extracorporeal membrane oxygenation, if the severity of chronic obstructive pulmonary disease is associated with adverse outcomes after open thoracoabdominal aortic aneurysm repair, the learning curve of robotic mitral repair, and long-term outcomes following the Ross procedure in neonates and infants.   In addition, Joel explores a 2024 London Core Review Cardiothoracic Surgery Course on “Surgical Treatments of Aortic Root Aneurysms,” aortic valve replacement 101 through an upper ministernotomy, and robotic beating-heart totally endoscopic coronary bypass. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Ambulation Protocol for Adult Patients Receiving Extracorporeal Membrane Oxygenation: A Quality Improvement Initiative  2.) The Severity of Chronic Obstructive Pulmonary Disease Is Associated With Adverse Outcomes After Open Thoracoabdominal Aortic Aneurysm Repair  3.) Learning Curve of Robotic Mitral Repair: Prospective Two-Centre Study of Proficiency and Clinical Outcomes  4.) Long-Term Outcomes Following the Ross Procedure in Neonates and Infants: A Multi-Institutional Analysis  CTSNET Content Mentioned  1.) Surgical Treatments of Aortic Root Aneurysms: 2024 London Core Review Cardiothoracic Surgery Course  2.) Aortic Valve Replacement 101 Through an Upper Ministernotomy  3.) Robotic Beating-Heart Totally Endoscopic Coronary Bypass (TECAB): LIMA to LAD  Other Items Mentioned  1.) Putative Computed Tomography Scan-Negative Type A Dissection  2.) Webinar Series: Women in Cardiothoracic Surgery—Advancement Through Collaboration  3.) President's Series With Husam Balkhy | ISMICS President  4.) London Core Review Registration   5.) Career Center   6.) 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 recaps two presentations delivered at the Society for Cardiothoracic Surgery in Great Britain and Ireland Annual Meeting 2025. Chapters 00:00 Intro 02:57 "Teamship," Sir Woodward 09:23 Virtual Surgery Training, Dr. Ahmed 12:55 Upcoming Lung Surgery Trials 14:48 Needle Aspiration & Forceps Biopsy 17:26 Approaches to Clinical Trial Designs 22:10 Noninvasive Ventilation Cardiac Impact 24:59 Lung Volume Reduction, Severe Emphysema 29:22 How To—Upper Ministernotomy 30:45 Valve-Sparing ARR Using Reimplant Tech 32:02 ARCA Management Exploration 33:59 Upcoming Events 34:41 WTS Webinar Series 35:32 Closing The first presentation was delivered by Sir Clive Woodward, the Rugby World Cup-winning coach, who gave an inspiring talk on "Teamship" and winning behaviors. The second presentation that Joel recaps was delivered by Professor Shafi Ahmed, a multiaward-winning surgeon and an evangelist for augmented and virtual reality, who discussed livestreaming operations, using virtual reality in surgical operations, and virtual medical school.   Joel also reviews recent JANS articles on the diagnostic yield and synergistic impact of needle aspiration and forceps biopsy with electromagnetic navigation bronchoscopy for peripheral pulmonary lesions, the challenges of conventional and novel approaches to clinical trial designs in cardiovascular medicine, the impact of noninvasive ventilation before and after cardiac surgery for preventing cardiac and pulmonary complications, and surgical and bronchoscopic lung volume reduction for severe emphysema.   In addition, Joel explores how to perform an upper ministernotomy, valve-sparing aortic root replacement using the reimplantation technique, and an exploration of anomalous right coronary artery management with Drs. Sameh Said and Vince Gaudiani. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Diagnostic Yield and Synergistic Impact of Needle Aspiration and Forceps Biopsy With Electromagnetic Navigation Bronchoscopy for Peripheral Pulmonary Lesions (CONFIDENT-ENB)  2.) Challenges of Conventional and Novel Approaches to Clinical Trial Designs in Cardiovascular Medicine  3.) Impact of Noninvasive Ventilation Before and After Cardiac Surgery for Preventing Cardiac and Pulmonary Complications   4.) Surgical and Bronchoscopic Lung Volume Reduction for Severe Emphysema: A Systematic Review and Network Meta-Analysis  CTSNET Content Mentioned  1.) How to Perform an Upper Ministernotomy  2.) Valve-Sparing Aortic Root Replacement Using the Reimplantation Technique  3.) Anomalous Right Coronary Artery Management: An Exploration With Sameh Said and Vince Gaudiani  Other Items Mentioned  1.) Webinar Series: Women in Cardiothoracic Surgery—Advancement Through Collaboration  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 month's episode of The Atrium, host Dr. Alice Copperwheat speaks with Dr. Thomas D'Amico about VATS lobectomy. Chapters 00:00 Introduction 01:47 Background 04:11 Indications 04:51 Preoperative Assessment 07:12 Setup 08:21 Patient Positioning 11:26 Basics 13:36 D'Amico's Port Placement 16:46 Uniportal 22:03 Steps 22:44 Anterior-Posterior Order 25:45 Anatomy 26:45 Instruments 30:54 Pleural Dissection 31:33 Inferior Pulmonary Ligament 31:39 Pulmonary Vein 32:01 Artery/Bronchus Dissection 33:38 Nodal Resection 36:25 Tips & Tricks 38:48 Specimen Removal 39:10 Closure 40:02 Postoperative Care 45:01 Outcomes 45:31 CT Surgery Training Advice They discuss the set-up, patient positioning, port placement, dissection of hilar structures, tips and tricks, and more. They also discuss preoperative assessment, nodal resection, specimen removal, closure, and outcomes.   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 ECMO.   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 examines future cardiothoracic surgery robotic systems. Chapters 00:00 Intro 01:05 SCTS 2025 02:50 Intuitive Single-Port System 10:00 Other Robotics in Development 12:49 Medtronic Innovations 15:53 Tumor Air Spaces Spread 18:21 Virtual Reality Effect on Patients 19:58 MR for Isolated Leaflet Lesion 21:48 Post-Surgery Proning Obese ARS Syndrome 23:31 Robotic Bi Ortho Lung Transplant 25:51 Video Competition 2nd and 3rd Place 26:59 Repair of Bileaflet MV Prolapse 27:46 Robotic ASD Closure via LA 28:46 Upcoming Events 29:42 Women in Thoracic Surgery Webinar 30:46 Closing He discusses the new da Vinci Single-Port surgical system, single-port robotic systems, and the cost difference between single-port and multiport robotic systems. He also examines DV5 technology, the potential of utilizing lasers in robotics, and other practices that are interested in robotic systems.    Joel also reviews recent JANS articles addressing whether tumors spread through air spaces is a determinant for treatment of clinical stage I non-small cell lung cancer, the effect of virtual reality on postoperative anxiety and pain in patients following cardiac surgery, long-term results of edge-to-edge and neochordal mitral repair for isolated anterior leaflet lesions, the prone position in obese patients with acute respiratory distress syndrome after cardiothoracic surgery.   In addition, Joel explores minimally invasive bilateral orthotopic lung transplant with robotic assistance, repair of bileaflet mitral valve prolapse through an upper ministernotomy, and robotic-assisted atrial septal defect closure via the left atrium. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Tumour Spread Through Air Spaces Is a Determiner for Treatment of Clinical Stage I Non-Small Cell Lung Cancer: Thoracoscopic Segmentectomy vs Lobectomy  2.) The Effect of Virtual Reality on Postoperative Anxiety and Pain in Patients Following Cardiac Surgery: A Randomized Controlled Trial  3.) Long-Term Results of Edge-to-Edge and Neochordal Mitral Repair for Isolated Anterior Leaflet Lesion: A Propensity Match Analysis   4.) Prone Position in Obese Patients With Acute Respiratory Distress Syndrome After Cardio-Thoracic Surgery  CTSNET Content Mentioned  1.) Minimally Invasive Bilateral Orthotopic Lung Transplant With Robotic Assistance  2.) Repair of Bileaflet Mitral Valve Prolapse Through an Upper Ministernotomy  3.) Robotic-Assisted Atrial Septal Defect Closure Via the Left Atrium: Dual Case Reports  Other Items Mentioned  1.) Webinar Series: Women in Cardiothoracic Surgery—Advancement Through Collaboration  2.) 2024 CTSNet Resident Video Competition Winners  3.) President's Series With Husam Balkhy | ISMICS President  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 examines how to prevent adverse publicity by patients on social media. Chapters 00:00 Intro 02:01 Patient-Social Media Interaction 11:56 Lung Cancer Screening Recommendations 15:29 Perc vs Surg Revasc, SWEDEHEART Registry 18:06 Down Syndrome Patient Outcomes 19:20 Nighttime Cardiovascular Staffing Impact 23:42 Samurai Cannulation 28:30 Off-Pump AAD Via Upper Ministernotomy 30:35 Robotic Thoracic Truncal Vagotomy 31:59 Upcoming Events 33:02 Closing He explores the benefits and drawbacks of patient groups on social media, explains how social media impacted the Shanghai Pulmonary Hospital, and provides examples of online patient groups. He also discusses whether surgeons should encourage patients to post on social media, what roles surgeons should have in online patient groups, and discusses his own experience with online patient groups.   Joel also reviews recent JANS articles on lung cancer screening and USPSTF recommendations, percutaneous vs. surgical revascularization of non-ST-segment elevation myocardial infarction with multivessel disease, outcomes in adult congenital heart disease patients with Down syndrome undergoing a cardiac surgical procedure, and the impact of nighttime cardiovascular intensive care unit staffing on failure to rescue and revenue.   In addition, Joel explores Samurai (the Direct True Lumen Technique) cannulation in acute type I aortic dissection, off-pump aortic arch debranching via upper ministernotomy, and robotic thoracic truncal vagotomy. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Lung Cancer Screening and USPSTF Recommendations   2.) Percutaneous vs. Surgical Revascularization of Non-ST-Segment Elevation Myocardial Infarction With Multivessel Disease: The SWEDEHEART Registry  3.) Outcomes in Adult Congenital Heart Disease Patients With Down Syndrome Undergoing a Cardiac Surgical Procedure  4.) Impact of Nighttime Cardiovascular Intensive Care Unit Staffing on Failure to Rescue and Revenue  CTSNET Content Mentioned  1.) Samurai (the Direct True Lumen Technique) Cannulation in Acute Type I Aortic Dissection  2.) Off-Pump Aortic Arch Debranching Via Upper Ministernotomy  3.) Robotic Thoracic Truncal Vagotomy  Other Items Mentioned  1.) Career Center   2.) 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 examines surgical staplers. He explores the history of surgical staplers, the evolution of surgical staplers, and discusses the company that created the first automated minimally invasive surgical stapler—United States Surgical Corporation (USSC). He also discusses details about the AutoSuture Premium Poly stapler and why it is still being created. Joel also shares details about when he visited a production line that is responsible for creating surgical staplers. He discusses his experience and his highlights from this event, which includes meeting Dr. Rene Petersen and Dr. Laurens Ceulemans.  Joel also reviews recent JANS articles on heart transplantation and donation after circulatory death in children, priorities for medical device regulatory approval, transplantation of a genetically modified porcine heart into a live human, and mechanisms of repair failure after mitral valve repair using chordal replacement.   In addition, Joel explores treating intractable hiccups by clipping the phrenic nerve using VATS, robotic totally endoscopic CryoMaze ablation under ventricular fibrillatory arrest, and a new podcast episode from Dr. Alice Copperwheat, “The Atrium: Internal Mammary Artery Harvesting,” with expert guest Dr. David Taggart. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Heart Transplantation and Donation After Circulatory Death in Children. A Review of the Technological, Logistical and Ethical Framework  2.) Priorities for Medical Device Regulatory Approval: A Report From the European Society of Cardiology Cardiovascular Round Table  3.) Transplantation of a Genetically Modified Porcine Heart Into a Live Human  4.) Mechanisms of Repair Failure After Mitral Valve Repair Using Chordal Replacement  CTSNET Content Mentioned  1.) Treating Intractable Hiccups by Clipping the Phrenic Nerve Using VATS  2.) The Atrium: Internal Mammary Artery Harvesting  3.) Robotic Totally Endoscopic Cryo-Maze Ablation Under Ventricular Fibrillatory Arrest  Other Items Mentioned  1.) Career Center   2.) 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 Dr. Mujtaba Mubashir, CTSNet JANS editor and surgical resident at Beth Israel Deaconess Medical Center, about being a JANS editor. They discuss what JANS is, their favorite part about JANS, and their favorite articles. They also explore highlights from the 61st Society of Thoracic Surgeons Annual Meeting, including how to manage chest tubes after surgery and their favorite part of the meeting. Joel also shares details about his recent trip to Accra, Ghana, for the first Pan-African Society for Cardiothoracic Surgery (PASCaTS) and Global Heart Forum summit. He discusses different organizations, including Emergency NGO Sudan and Every Heartbeat Matters, examines various mission models, and discusses patients and surgeons he met at the summit.   Joel also reviews recent JANS articles on moving toward standardization in robotic lung transplants, how single lung transplantation is safe when the other lung is declined, perioperative outcomes and survival of modified subxiphoid video-assisted thoracoscopic surgery thymectomy for T2-3 thymic malignancies, and robotic thoracic surgery using the single-port robotic system.  In addition, Joel explores how to replace a severely calcified mitral valve, preoperative management of patients at high risk for recurrent laryngeal nerve injury during esophagectomy, and a presentation from the 10th Annual International Coronary Congress, “Maintaining CABG as a Gold Standard in 2024.” Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Towards Standardization in Robotic Lung Transplant: A Novel Approach in Minimally Invasive Thoracic Surgery  2.) Single Lung Transplantation Is Safe When the Other Lung Is Declined  3.) Perioperative Outcomes and Survival of Modified Subxiphoid Video-Assisted Thoracoscopic Surgery Thymectomy for T2-3 Thymic Malignancies: A Retrospective Comparison Study   4.) Robotic Thoracic Surgery Using the Single-Port Robotic System: Initial Experience With More Than 100 Cases  CTSNET Content Mentioned  1.) How to Replace a Severely Calcified Mitral Valve  2.) ICC 2024 | Maintaining CABG as a Gold Standard In 2024  3.) Preoperative Management of Patients at High Risk for Recurrent Laryngeal Nerve Injury During Esophagectomy  Other Items Mentioned  1.) Utter Shock as Unreel Robotics Stuns the World of Surgery With the World's First Fully Autonomous Soft Tissue Surgical Robot   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 month's episode of The Atrium, host Dr. Alice Copperwheat speaks with Dr. David Taggart about internal mammary artery harvesting. They discuss indications, patient preparation, internal thoracic artery anatomy, and key steps—sternotomy, free parietal pleura, incised endothoracic fascia, cutting of IMA, and more. They also discuss the pedicled technique, the skeletonized technique, and complications.   The Atrium is a monthly podcast presenting clinical and career-focused topics for residents and early career professionals across all cardiothoracic surgery subspecialties. Watch for next month's episode on VATS lobectomy.   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 Dr. Husam Balkhy, Professor of Surgery and the Director of Robotic and Minimally Invasive Cardiac Surgery at University of Chicago Medicine and President of The International Society for Minimally Invasive Cardiothoracic Surgery (ISMICS), about robotic totally endoscopic cardiac surgery procedures. They discuss potential ways to get the world to perform more robot-assisted surgeries, the building blocks to learning robotics, the future of learning robotics, and what to expect this year at the ISMICS 2025 Annual Meeting. They also explore Dr. Balkhy's new President's Series on CTSNet and provide insights into the first video of this series. Joel also highlights some of the videos in the CTSNet Resident Video Competition and the robotics vs VATS debate in Britain.   Joel also reviews recent JANS articles on the impact of restricted chests on long-term lung function parameters following lung transplantation in patients with interstitial lung disease, determinants of inadequate cardioprotection in adult patients with left ventricular dysfunction, engineered heart muscle allografts for heart repair in primates and humans, and risk factor analysis for 30-day mortality after surgery for infective endocarditis.  In addition, Joel explores open repair of descending thoracic and thoracoabdominal aortic aneurysms, totally 3D endoscopic third tricuspid valve replacement, and how to use the Impella for on-pump CABG in patients with low EF. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) The Impact of Restricted Chests on Long-Term Lung Function Parameters Following Lung Transplantation in Patients With Interstitial Lung Disease    2.) Determinants of Inadequate Cardioprotection in Adult Patients With Left Ventricular Dysfunction  3.) Engineered Heart Muscle Allografts for Heart Repair in Primates and Humans  4.) Risk Factor Analysis for 30-Day Mortality After Surgery for Infective Endocarditis   CTSNET Content Mentioned  1.) Open Repair of Descending Thoracic and Thoracoabdominal Aortic Aneurysms  2.) Totally 3D Endoscopic Third Tricuspid Valve Replacement  3.) ICC 2024 | How I Use the Impella for On-Pump CABG in Patients With Low EF: Insertion, Intraoperative Management, and Weaning/Removal  Other Items Mentioned  1.) President's Series With Husam Balkhy | ISMICS President   2.) ISMICS 2025 Annual Meeting   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 speaks with Tom D'Amico, professor and vice chairman of surgery and chief medical officer of the Duke Cancer Institute, about oligometastatic disease. They discuss the current updates of oligometastatic disease, The Society of Thoracic Surgeons (STS) guidelines on the surgical management of oligometastatic non-small cell lung cancer, and the importance of choosing the right patient. They also explore where the new boundaries of this procedure are, radiation therapy, and shared decision-making. Joel also highlights a surgical robot (spaceMIRA) at the International Space Station that completed its first surgery demo in zero gravity, the state of lung transplants in the United Kingdom, and the Priority Setting Partnership (PSP).   Joel also reviews recent JANS articles on perioperative extra corporeal membrane oxygenation in neonates with transposition of the great arteries, a randomized controlled trial on the effects of postoperative glucocorticoids on mitigation of organ dysfunction in patients with Type A aortic dissection, if socioeconomic factors impair uptake of neoadjuvant therapy for patients with locoregional esophageal cancer, and a nationwide analysis on malperfusion in patients with acute Type A aortic dissection.  In addition, Joel explores a case report on a chest injury with an arrow penetrating the right lung with rent in the right atrium, an interview with Marko Turina, and an Onyx mechanical mitral valve replacement after previous mitral repair. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Perioperative Extra Corporeal Membrane Oxygenation in Neonates With Transposition of the Great Arteries: 15 Years of Experience  2.) Effects of Postoperative Glucocorticoids on Mitigation of Organ Dysfunction in Patients With Type A Aortic Dissection: A Randomized Controlled Trial  3.) Do Socioeconomic Factors Impair Uptake of Neoadjuvant Therapy for Patients With Locoregional Oesophageal Cancer?  4.) Malperfusion in Patients with Acute Type A Aortic Dissection: A Nationwide Analysis  CTSNET Content Mentioned  1.) Injury to the Chest With an Arrow Penetrating the Right Lung With Rent in the Right Atrium: A Case Report  2.) Giants in CT Surgery: An Interview With Marko Turina  3.) Redo Mitral Surgery: Onyx Mechanical Mitral Valve Replacement After Previous Mitral Repair   Other Items Mentioned  1.) The Society of Thoracic Surgeons (STS) Clinical Practice Guideline on Surgical Management of Oligometastatic Non-small Cell Lung Cancer  2.) Surgery in Space: Tiny Remotely Operated Robot Completes First Simulated Procedure at the Space Station  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. Vinay Badhwar, the current vice president of the Society of Thoracic Surgeons (STS), about his groundbreaking achievement in combining robotic aortic valve replacement (AVR) and coronary artery bypass grafting (CABG) through a single small incision. They discuss the background and premise of this technique, the process of taking this technique from an idea to performing it on a patient, differences between this approach and other cardiac approaches, and the future of cardiac surgery. They also explore the first operation performed using this technique in immense detail with visuals of the procedure.   Joel also highlights recent JANS articles on multisociety endorsement of the 2024 European guideline recommendations on coronary revascularization and bioprosthetic vs mechanical aortic valve replacement in patients 40-75 years. He also reviews short- and long-term outcomes of lung transplantation from brain death vs circulatory death donors and intracavitary cisplatin-fibrin followed by irradiation improved tumor control compared to the single treatments in a mesothelioma rat model.  In addition, Joel explores a Dacron graft double inversion for ascending aorta surgery, a redo mitral valve surgery with previous aortic valve replacement, and a right sinus of Valsalva aneurysm causing right ventricular tract obstruction. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Multisociety Endorsement of the 2024 European Guideline Recommendations on Coronary Revascularization  2.) Bioprosthetic vs Mechanical Aortic Valve Replacement in Patients 40-75 Years  3.) Short- and Long-Term Outcomes of Lung Transplantation From Brain Death vs. Circulatory Death Donors: A Meta-Analysis of Comparative Studies  4.) Intracavitary Cisplatin-Fibrin Followed by Irradiation Improved Tumor Control Compared to the Single Treatments in a Mesothelioma Rat Model  CTSNET Content Mentioned  1.) Dacron Graft Double Inversion for Ascending Aorta Surgery  2.) Redo Mitral Valve Surgery With Previous Aortic Valve Replacement  3.) Right Sinus of Valsalva Aneurysm Causing Right Ventricular Tract Obstruction  Other Items Mentioned  1.) CTSNet Career Center 2.) 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. Kim Thompson about cardiopulmonary bypass. They discuss cardiopulmonary bypass setup, the equipment—cannulas, reservoir container, pumps, heat exchangers, oxygenators, cardioplegia, adjuncts—preparation, priming, and heparinization. They also discuss cannulation, going on bypass, maintenance of bypass, coming off bypass, and complications.   The Atrium is a monthly podcast presenting clinical and career-focused topics for residents and early career professionals across all cardiothoracic surgery subspecialties. Watch for next month's episode on internal mammary artery 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, CTSNet Editor-in-Chief Joel Dunning recaps The Society of Thoracic Surgeons (STS) Annual Meeting in Los Angeles. He discusses Dr. Jennifer Romano's presidential address, remarks from incoming STS president, Dr. Joseph F. Sabik III, and the keynote addresses by Dr. Jennifer A. Dounda and photographer, filmmaker, and educator Ami Vitale. Joel also shares his top presentation picks from the meeting, including “Bioprosthetic vs Mechanical Aortic Valve Replacement in Patients 40-75 Years” by Dr. Vinay Badhwar, “DOAC for Mechanical AVR” by Dr. Joon Bum Kim, and “Surgeon Frequency for Multiarterial Grafting and 19-Year Outcomes After Coronary Artery Bypass Grafting in Over One Million Medicare Beneficiaries” by Dr. Justin Schaffer. Additionally, he covers the STS Evidence-Based Guidelines, an AI tool for medical information called OpenEvidence, and STS TV.  Joel also reviews recent JANS articles on transcatheter versus surgical aortic valve replacement in patients younger than 65 years in the United States, post-implant transcatheter aortic prosthesis deformation, redo surgical aortic valve replacement for bioprosthetic structural valve deterioration, and five-year outcomes in low-risk patients undergoing surgery in the PARTNER 3 trial.  In addition, Joel explores a hybrid debranching of aortic arch branches and endovascular repair of the aneurysm of the aortic arch and the thoracic aorta, handmade valved woven Dacron conduits as an alternative for repair of congenital heart defects, and how to remove a bioprosthetic mitral valve replacement. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Transcatheter Versus Surgical Aortic Valve Replacement in Patients Younger Than 65 Years in the US  2.) Post-Implant Transcatheter Aortic Prosthesis Deformation: Tricuspid Versus Bicuspid Valve  3.) Redo Surgical Aortic Valve Replacement for Bioprosthetic Structural Valve Deterioration  4.) Five Year Outcomes in Low-Risk Patients Undergoing Surgery in the PARTNER 3 Trial  CTSNET Content Mentioned  1.) Hybrid Debranching of Aortic Arch Branches and Endovascular Repair of the Aneurysm of the Aortic Arch and the Thoracic Aorta  2.) Handmade Valved Woven Dacron Conduits as an Alternative for Repair of Congenital Heart Defects  3.) Redo Mitral Valve Surgery: How to Remove a Bioprosthetic Mitral Valve Replacement   Other Items Mentioned  1.) STS TV  2.) 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 explores the balance between the risks and benefits of holding The Society of Thoracic Surgeons (STS) Annual Meeting in Los Angeles. He discusses Dr. Jennifer Romano's address on the STS 2025 meeting, the ongoing fires in LA, and potential ways to support the city. Dunning also emphasizes the importance of hosting annual meetings, explores alternative options for the event, and highlights the relief fund. Additionally, he provides a preview of the pre-conference symposia and two keynote addresses that will take place at the annual meeting.   Joel also reviews recent JANS articles on women in cardiac surgery, the European Association of Cardiothoracic Surgeons future view on robotic cardiac surgery in Europe, aortic valve replacement versus clinical surveillance in asymptomatic severe aortic stenosis, and robotic-assisted versus video-assisted thoracoscopic surgery for thymic epithelial tumors.   In addition, Joel explores a truncus arteriosus repair with modified Barbero Marcial technique with reconstruction of neopulmonary valve with RAA, redo endoscopic left ventricular mass removal, and implantation of a modified Micra Pediatric Implantable Pulse Generator for epicardial pacing. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Women in Cardiac Surgery: A Global Workforce Analysis  2.) European Association of Cardiothoracic Surgeons Future View on Robotic Cardiac Surgery in Europe  3.) Aortic Valve Replacement vs Clinical Surveillance in Asymptomatic Severe Aortic Stenosis: A Systematic Review and Meta-Analysis  4.) Robotic-Assisted Versus Video-Assisted Thoracoscopic Surgery for Thymic Epithelial Tumours, From the European Society of Thoracic Surgeons Database  CTSNET Content Mentioned  1.) Truncus Arteriosus Repair With Modified Barbero Marcial Technique With Reconstruction of Neo-Pulmonary Valve With RAA  2.) Redo Endoscopic Left Ventricular Mass Removal  3.) Implantation of a Modified Micra Pediatric Implantable Pulse Generator for Epicardial Pacing  Other Items Mentioned  1.) STS 2025 Update: Dr. Jennifer Romano  2.) 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 dives into the best resources available for cardiothoracic surgery professionals. He highlights key websites, including The Society of Thoracic Surgeons (STS), the European Association for Cardio-Thoracic Surgery (EACTS), The American Association for Thoracic Surgery (AATS), and CTSNet, offering valuable insights into each platform's offerings. Joel also explores some lesser known yet valuable resources, such as the American Heart Association (AHA), YouTube, Vimeo, and Doximity. Additionally, he discusses the groundbreaking achievement of the world's first robotic cardiac telesurgery, performed by Sudhir Srivastava of SS Innovations.   Joel also reviews recent JANS articles on the presentation and outcomes of women and men undergoing surgery for degenerative mitral regurgitation, surgical aortic annulus enlargement with a balloon catheter, lung transplant outcomes in recipients of advanced age, and the impact of three-dimensional imaging and printing on septal myectomy results.  In addition, Joel explores a mitral valve replacement for rheumatic heart disease through an upper hemisternotomy, an inclusion Ross procedure with hemiarch repair using antegrade cerebral perfusion, and an interview with Dr. Ali Dodge-Khatami on minimal invasive repairs of congenital heart defects. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Presentation and Outcomes of Women and Men Undergoing Surgery for Degenerative Mitral Regurgitation  2.) Dealing With the Aortic Annulus: Surgical Aortic Annulus Enlargement With a Balloon Catheter   3.) Lung Transplant Outcomes in Recipients of Advanced Age: Are Two Always Better Than One?  4.) Impact of Three-Dimensional Imaging and Printing on Septal Myectomy Results—Single Centre's Experience  CTSNET Content Mentioned  1.) A Mitral Valve Replacement for Rheumatic Heart Disease Through an Upper Hemisternotomy  2.) Inclusion Ross Procedure With Hemiarch Repair Using Antegrade Cerebral Perfusion: The Modified Starnes Technique  3.) Minimal Invasive Repairs of Congenital Heart Defects: An Interview With Ali Dodge-Khatami  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 the new Editor-in-Chief of the Journal of the American College of Surgeons (JACS), Dr. Tom Varghese, Jr. They discuss the types of journals and articles JACS publishes, hints and tips for submitting to JACS, and the future of JACS. They also discuss experiment reproducibility, negative clinical trials, and what studies should be conducted in the future.   Joel also reviews recent JANS articles on lung transplant outcome from selected older donors (≥70 years) equals younger donors (

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning reflects on the most popular content of 2024 at CTSNet. He discusses the top interview, the most popular guest editor series, and reveals the leading CTSNet contributor of the year. He also looks at the top clinical videos in cardiac, congenital, and thoracic surgery, as well as the most-read JANS articles and the editors' top picks.   Joel also reviews recent JANS articles on cutibacterium acnes infective endocarditis, long-term outcomes of antegrade thoracic stent grafting during repair of acute DeBakey I dissection, comparing right- versus left-first implantation in off-pump sequential double-lung transplantation, and the impact of patient-prosthesis mismatch on long-term outcomes after aortic valve replacement. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Cutibacterium Acnes Infective Endocarditis—An Emerging Pathogen  2.) Long-Term Outcomes of Antegrade Thoracic Stent Grafting During Repair of Acute DeBakey I Dissection  3.) Comparing Right- Versus Left-First Implantation in Off-Pump Sequential Double-Lung Transplantation: An Observational Cohort Study  4.) Impact of Patient-Prosthesis Mismatch on Long-Term Outcomes After Aortic Valve Replacement  CTSNET Content Mentioned  1.) CTSNet Summarized—Most Popular Content of 2024  2.) CTSNet Summarized—Top Cardiac Procedure Videos of 2024  3.) CTSNet Summarized—Top Congenital and Thoracic Procedure Videos of 2024    4.) CTSNet Summarized—Top JANS Articles of 2024    5.) CABG With a Long LAD Endarterectomy  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 finding success in surgery training with expert guest Dr. Valerie Rusch. They discuss Dr. Rusch's career background—personal highlights, career hurdles, finding her path in cardiothoracic surgery—barriers in cardiothoracic surgery, time management and responsibilities, and recognizing opportunities. They also discuss what Dr. Rusch would have done differently in her career, flexible mentoring, and advice for trainees.   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 internal mammary artery 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, CTSNet Editor-in-Chief Joel Dunning pays tribute to the late-cardiac surgeon Albert Starr. He discusses Dr. Starr's personal and professional life, his accomplishments, and the Starr-Edwards valve. He also discusses the background of CTSNet, provides a quick statistics review of CTSNet, and the CTSNet career center.   Joel also reviews recent JANS articles on heart surgeons performing the world's first combined robotic AVR and CABG, the prevalence of invasive lung cancer in pure ground glass nodules less than 30 mm, external validation of EuroSCORE I and II in patients with infective endocarditis, and totally endoscopic coronary artery bypass graft.   In addition, Joel explores robotic-assisted tracheobronchoplasty, spontaneously closed VSD presenting as an Iatrogenic Gerbodie defect, and single leaflet neocuspidization for aortic regurgitation due to infective endocarditis in adult congenital heart disease. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Heart Surgeons Perform World's First Combined Robotic AVR and CABG  2.) Prevalence of Invasive Lung Cancer in Pure Ground Glass Nodules Less Than 30 mm: A Systematic Review  3.) External Validation of EuroSCORE I and II in Patients With Infective Endocarditis: Results From a Nationwide Prospective Registry  4.) Totally Endoscopic Coronary Artery Bypass Graft: Systematic Review and Meta-Analysis of Reconstructed Patient-Level Data  CTSNET Content Mentioned  1.) Robotic-Assisted Tracheobronchoplasty: A Quick Way to Fix the Airway  2.) Spontaneously Closed VSD Presenting as an Iatrogenic Gerbodie Defect  3.) Single Leaflet Neocuspidization for Aortic Regurgitation Due to Infective Endocarditis in Adult Congenital Heart Disease  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 spoke with DuyKhanh P. Ceppa about the new Women in Thoracic Surgery (WTS) fellowship. They discuss the goals of this program, who should apply, and how you can contribute to the funding for this program. They also discuss the advantages of leadership programs and the WTS Annual Meeting. Joel also highlights how to build an incredible and happy team across many fields, the importance of a feedback loop within the team, and how to use the holidays to show appreciation for your coworkers.   Joel also reviews recent JANS articles on five-year outcomes after bicuspid aortic valve replacement with a novel tissue bioprosthesis, transcatheter valve replacement in severe tricuspid regurgitation, quality of life after transcatheter tricuspid valve replacement, and multicenter validation of the RESECT-90 prediction model for 90-day mortality after lung resection.   In addition, Joel explores percutaneous femoral venous cannulation, surgical removal of percutaneously placed pulmonary flow reducers, and uniportal non-ntubated VATS thoracic sympathectomy. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Five-Year Outcomes After Bicuspid Aortic Valve Replacement With a Novel Tissue Bioprosthesis  2.) Transcatheter Valve Replacement in Severe Tricuspid Regurgitation  3.) Quality of Life After Transcatheter Tricuspid Valve Replacement: One-Year Results From TRISCEND II Pivotal Trial  4.) Multicentre Validation of the RESECT-90 Prediction Model for 90-Day Mortality After Lung Resection   CTSNET Content Mentioned  1.) Percutaneous Femoral Venous Cannulation—How to Do It  2.) Surgical Removal of Percutaneously Placed Pulmonary Flow Reducers  3.) Uniportal Non-Intubated VATS Thoracic Sympathectomy  Other Items Mentioned  The Society of Thoracic Surgeons Expert Consensus for the Surgical Treatment of Hyperhidrosis   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 robotic market. He explores the new FDA approval for the Johnson & Johnson robotic surgical system for clinical trials, the background of Johnson & Johnson MedTech, and the location for this trial. He also discusses the details of TAVR, what we currently know about TAVR, and highlights an article by Steve Bell that discusses his own views on Johnson & Johnson and the robotic market.    Joel also reviews recent JANS articles on The Society of Thoracic Surgeons expert consensus on the multidisciplinary management and resectability of locally advanced non-small cell lung cancer, a European multicenter study evaluating the prognosis of peripheral early-stage lung adenocarcinoma patients operated on by segmentectomy or lobectomy, early intervention in patients with asymptomatic severe aortic stenosis and myocardial fibrosis, and the use of hybrid stage I to stratify between single ventricle palliation and biventricular repair.   In addition, Joel explores an off-pump ASD closure with a two-layer patch attached to the right atrium, a repair of Scimitar syndrome in a two-year-old via VRAT, and robotic-assisted carinal reconstruction using cross table ventilation. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) The Society of Thoracic Surgeons Expert Consensus on the Multidisciplinary Management and Resectability of Locally Advanced Non-small Cell Lung Cancer  2.) European Multicentre Study Evaluating the Prognosis of Peripheral Early-Stage Lung Adenocarcinoma Patients Operated on by Segmentectomy or Lobectomy  3.) Early Intervention in Patients With Asymptomatic Severe Aortic Stenosis and Myocardial Fibrosis: The EVOLVED trial  4.) Use of Hybrid Stage I to Stratify Between Single Ventricle Palliation and Biventricular Repair  CTSNET Content Mentioned  1.) Off-Pump ASD Closure With a Two-Layer Patch Attached to the Right Atrium  2.) Repair of Scimitar Syndrome in a Two-Year-Old Via VRAT: Pitfalls of Intra-atrial Baffle  3.) Robotic-Assisted Carinal Reconstruction Using Cross Table Ventilation—A Novel Surgical Technique  Other Items Mentioned  Why am I so tough on Johnson & Johnson and Medtronic and their surgical robotic programs?  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 bronchoscopy with expert guest Dr. Benjamin Waterhouse. They discuss indications, contraindications, types of bronchoscopies (flexible versus rigid), and the benefits of utilizing the rigid technique over the flexible technique. They also discuss the fundamentals of bronchoscopy—equipment, preprocedural checklists, and positioning—details on how to perform the procedure, complications, and the future of bronchoscopy.  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 the next episode featuring a discussion with Dr. Valerie Rusch.  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 latest salaries and conditions of cardiothoracic surgeons in the United States. He explores the highest versus lowest compensation areas, areas with the highest growth for compensation, and where cardiothoracic surgeons rank among other surgeons. He also highlights the highest paid specialties, burnout rates, early retirement, and noncompete clauses.   Joel also reviews recent JANS articles on transcatheter aortic valve replacement for asymptomatic severe aortic stenosis, transcatheter aortic valve replacement in patients with systolic heart failure and moderate aortic stenosis, valve-in-valve transcatheter aortic valve replacement versus isolated redo surgical aortic valve replacement, and the seven pillars of techniques to treat and repair tricuspid endocarditis.  In addition, Joel explores surgical aortic annulus enlargement using a balloon technique, quadruple valve replacement for carcinoid heart disease, and Fontan conversion in a patient with hypoplastic left heart syndrome. Before closing, he highlights upcoming events in CT surgery. JANS Items Mentioned  1.) Transcatheter Aortic-Valve Replacement for Asymptomatic Severe Aortic Stenosis—EARLY TAVR Trial  2.) Transcatheter Aortic Valve Replacement in Patients With Systolic Heart Failure and Moderate Aortic Stenosis: TAVR UNLOAD  3.) Valve-in-Valve Transcatheter Aortic Valve Replacement Versus Isolated Redo Surgical Aortic Valve Replacement  4.) The Seven Pillars of Techniques to Treat and Repair Tricuspid Endocarditis  CTSNET Content Mentioned  1.) Surgical Aortic Annulus Enlargement Using a Balloon Technique  2.) Quadruple Valve Replacement for Carcinoid Heart Disease  3.) Fontan Conversion in a Patient With Hypoplastic Left Heart Syndrome: A 38-Year-Old Norwood Saga  Other Items Mentioned  1.) Doximity Pay Report 2023   2.) 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 how to be a better trainer. He explores tips for training people, the five levels of training, and sensory overload. Later in the podcast, he further explores the topic of training trainers with Professor Mark Coleman, co-founder of Lapco, an innovative training consultancy focused on safer surgeries. They highlight details of Professor Coleman's courses, the program's learning curve, and how this training could be beneficial for cardiothoracic surgeons worldwide.   Joel also reviews recent JANS articles on clinical outcomes of mitral valve surgery in atrial functional mitral regurgitation in the REVEAL-AFMR registry, risk of transfusion in isolated coronary artery bypass graft, the efficacy of loco-regional ropivacaine analgesia via intercostal catheters after lung resection, and percutaneous transcatheter edge-to-edge repair for functional mitral regurgitation in heart failure.  In addition, Joel explores a case report of coronary stentectomy, principles of complex mitral valve repair with Leonard Lee and Vince Gaudiani, and uniportal robotic-assisted extended thymectomy. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Clinical Outcomes of Mitral Valve Surgery in Atrial Functional Mitral Regurgitation in the REVEAL-AFMR Registry  2.) Risk of Transfusion in Isolated Coronary Artery Bypass Graft: Models Developed From The Society of Thoracic Surgeons Database  3.) The Efficacy of Loco-Regional Ropivacaine Analgesia Via Intercostal Catheters After Lung Resection: A Randomized, Double-Blind, Placebo-Controlled, Superiority Study  4.) Percutaneous Transcatheter Edge-to-Edge Repair for Functional Mitral Regurgitation in Heart Failure: A Meta-Analysis of Three RCTs  CTSNET Content Mentioned  1.) Undressing the “Full Metal Jacket”—A Case Report of Coronary Stentectomy  2.) Principles of Complex Mitral Valve Repair: An Exploration With Leonard Lee and Vince Gaudiani  3.) Uniportal Robotic-Assisted Extended 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, 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.