Podcasts about Cardiac surgery

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Joseph Coselli, Executive Vice-Chair of the Michael E. DeBakey Department of Surgery, the Cullen Foundation Endowed Chair, and a Professor in the Division of Cardiothoracic Surgery at Baylor College of Medicine, Houston, TX, USA, about thoracoabdominal aortic aneurysm repair. Chapters  00:00 Intro  02:21 JANS 1, Ethical Leadership in CTS   07:36 JANS 2, Dual Antiplatelet RCT   10:27 JANS 3, Robotic MV Program   12:00 JANS 4, Time of Day Outcomes   15:34 Video 1, MI AV Replacement via RAM   17:04 Video 2, LA & Pulm Cuff Dissection   18:34 Video 3, LVOTE Master Class   21:09 Dr. Coselli Discussion   29:35 Upcoming Events   29:59 CTSNet Profiles Update  They discussed the increasing use of endovascular techniques and the declining prevalence of open surgery. Additionally, they emphasized the necessity of maintaining open surgery skills for certain cases and provided specific examples where these skills are essential. The conversation also covered the best spinal protection treatment, preconditioning the spinal cord, and hybrid approaches that combine open and endovascular techniques. Furthermore, they highlighted the importance of surgeons being involved in patient follow-up. Dr. Coselli also shared insights on future approaches and recommendations for individuals considering which subspecialty to pursue in cardiothoracic surgery. Joel also highlights recent JANS articles on ethical leadership in cardiothoracic surgery in an era of consolidation, efficacy of dual antiplatelet therapy for three months vs 12 months after coronary artery bypass grafting, outcomes following the first 100 cases of a new robotic mitral valve program, and time of day of cardiac surgery and postoperative outcomes in the UK. In addition, Joel explores minimally invasive aortic valve replacement via right anterior minithoracotomy, left atrial and pulmonary cuff dissection after heart and lung en-bloc procurement, and a master class with Drs. Sameh Said and Vince Gaudiani on the Konno procedure and left ventricular outflow tract enlargement. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned Ethical Leadership in Cardiothoracic Surgery in an Era of Consolidation: A Framework for Trust, Transparency, and Workforce Stability Efficacy of Dual Antiplatelet Therapy for Three Months Versus 12 months After Coronary Artery Bypass Grafting: Multicentre, Double Blinded, Randomised Controlled Trial Outcomes Following the First 100 Cases of a New Robotic Mitral Valve Program Time of Day of Cardiac Surgery and Postoperative Outcomes in the UK: A Secondary Analysis of Linked National Datasets CTSNet Content Mentioned Minimally Invasive Aortic Valve Replacement via Right Anterior Minithoracotomy Left Atrial and Pulmonary Cuff Dissection After Heart and Lung En-Bloc Procurement Master Class: The Konno Procedure and LVOT Enlargement With Sameh Said and Vince Gaudiani Other Items Mentioned Career Center CTSNet Events   Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

In this episode of The Cardiac Recovery Room, moderator Dr. Rawn Salenger, Chief of Cardiac Surgery at the University of Maryland St. Joseph Medical Center, engages in a conversation with Dr. Shuba Chatterjee, Associate Professor of Surgery and Director of Thoracic Surgical ICU and ECMO Program at Baylor College of Medicine in Houston, TX, USA, and nurse practitioner Amanda Rea, Lead of Advanced Practice and Clinical Program Manager in the Division of Cardiac Surgery at the University of Maryland St. Joseph Medical Center in Townson, MD, USA. Their conversation focused on hemodynamics and atrial fibrillation. Chapters  00:00 Intro  01:17 Vasoplegia/Vasodilatory Shock  06:13 Vasopressors, Cost Considerations  07:32 Vasoplegia Misconceptions  08:41 Defining Vasoplegia  10:54 Blood Pressure Target Variable  12:54 Inotropes  17:03 Approach to Atrial Fibrillation  19:08 Patient Monitoring  19:27 Surgical/Concomitant Ablation  23:13 Postop AFib, Preventive Strategies  28:37 Example Scenario, High Heart Rate  29:56 Out of AFib Into Sinus Rhythm  33:01 Anticoagulation  39:43 Key Points  Key topics include vasoplegia, vasodilatory shock, and the use of vassopressors, including norepinephrine. They address common misconceptions surrounding vasoplegia shock, the role of epinephrine, and the use of methylene blue. Their conversation further delves into approaches for atrial fibrillation, concomitant surgical ablation, and postoperative atrial fibrillation. They highlight the best preventative strategies for atrial fibrillation and the use of beta blockers for atrial fibrillation. Finally, they discuss current guidelines and the role of anticoagulation in patients with atrial fibrillation. The Cardiac Recovery Room is the place to hear the conversations colleagues are having after the meetings. Each month, a new episode will be released featuring a leadership panel from the ERAS Cardiac Society.   Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Gilbert Tang, Editor-in-Chief of Journal of the American College of Cardiology (JACC): Case Reports, professor in the Department of Cardiovascular Surgery at the Icahn School of Medicine at Mount Sinai, surgical director of the Structural Heart Program at Mount Sinai Health System, and the director of Structural Heart Education at the Mount Sinai Fuster Heart Hospital in New York, NY, USA. They were joined by Drs. Mateo Marin-Cuartas, associate editor of JACC: Case Reports, CTSNet JANS Editor, and cardiac surgeon at Leipzig Heart Center, Germany, and Tsuyoshi Kaneko, Chair of American College of Cardiology (ACC) Cardiac Surgery Member Section and Chief of Cardiac Surgery at Washington University in St. Louis, MO, USA, to discuss JACC: Case Reports. Chapters 00:00 Intro 01:45 Instructional Video Competition 05:30 JANS 1, Lung Cancer Metastasis 09:08 JANS 2, Uncorrected Pectus 11:29 JANS 3, Ambulatory VV Life Support 13:38 JANS 4, EuroSCORE II 14:28 Video 1, TAVR Removal Double Patch 16:09 Video 2, ROK Procedure AF 17:46 Video 3, RATS Lobectomy 19:11 JACC Case Reports 35:28 Upcoming Events 36:03 Career Center They discussed the mission of the journal and the types of submissions it receives. They also covered the types of cases accepted and the various categories within the journal has, such as the "How We Did It" section. Additionally, they talked about the upcoming partnership between JACC: Case Reports and the ACC, as well as past collaborations that JACC has undertaken. Dr. Marin-Cuartas shared insights about his role as an associate editor and highlighted the most interesting case he has encountered in JACC: Case Reports. Furthermore, Dr. Kaneko discussed being the Chair of the ACC Cardiac Surgery Member Section. Joel also highlights recent JANS articles on the evolutionary characterization of lung cancer metastasis, the impact of severe uncorrected pectus excavatum on outcomes after aortic surgery in Marfan syndrome, determining an optimal central cannulation strategy for ambulatory veno-venous extracorporeal life support, and refitting EuroSCORE II for 120-day mortality after coronary artery bypass grafting using nationwide registry data. In addition, Joel explores complex imaging TAVR removal double patch double valve, RATS extended left upper lobectomy with intrapericardial vascular control and bronchoplasty, and ROK procedure for the treatment of atrial fibrillation. Before closing, Joel highlights upcoming events in CT surgery.   JANS Items Mentioned Evolutionary Characterization of Lung Cancer Metastasis Impact of Severe Uncorrected Pectus Excavatum on Outcomes After Aortic Surgery in Marfan Syndrome Determining an Optimal Central Cannulation Strategy for Ambulatory Veno-Venous Extracorporeal Life Support Refitting EuroSCORE II for 120-Day Mortality After Coronary Artery Bypass Grafting Using Nationwide Registry Data CTSNet Content Mentioned Complex Imaging TAVR Removal Double Patch Double Valve RATS Extended Left Upper Lobectomy With Intrapericardial Vascular Control and Bronchoplasty ROK Procedure for the Treatment of Atrial Fibrillation Other Items Mentioned JACC: Case Reports 2026 Instructional Video Competition Winners Career Center CTSNet Events   Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

In this episode of The Cardiac Recovery Room, moderator Dr. Rawn Salenger, Chief of Cardiac Surgery at the University of Maryland St. Joseph Medical Center, spoke with Dr. Nadia Hensley, Associate Professor and Physician Advisor for Anesthesiology and Critical Care Medicine at John Hopkins School of Medicine; Dr. Nawwar Al-Attar, consultant cardiac surgeon at NHS Golden Jubilee National Hospital in Scotland; and Dr. Serdar Gunadyin, Head of Department at the University of Health Sciences in Turkey. The focus of their conversation was on surgical bleeding. Chapters  00:00 Intro  02:35 Case 1, Diffuse Coagulopathy  03:26 Bleeding Scale  08:13 Team-Wide Bleeding Language  11:07 Alternative Approaches  14:09 Standardizing Test Results Response  18:04 No Access to Visoelastic Testing  19:55 Topical Hemostatic Agents  23:08 Case 2  24:14 Coagulopathy vs Surgical Bleeding  28:08 Passive Hemostatic Agent  29:10 Visoelastic Testing  31:29 Closing Points They discussed two different cases, including patient details and case specifics: one involving diffused coagulopathy and the other concerning focal bleeding. While examining these cases, they talked about hemostasis and the hemostasis checklist. They also discussed the validated intraoperative bleeding (VIBe) scale and its purposes, and the importance of being on the same page as your team. Additionally, they delved into viscoelastic testing and algorithms and addressed scenarios where access to viscoelastic testing may not be available. They also explored the thresholds for guided therapy, including functional fibrinogen levels. Lastly, the experts touched on passive hemostatic and how to teach residents coagulopathy and surgical bleeding. The Cardiac Recovery Room is the place to hear the conversations colleagues are having after the meetings. Each month, a new episode will be released featuring a leadership panel from the ERAS Cardiac Society. Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Andrea Steely, an Assistant Professor of Cardiac Surgery in the Division of Cardiothoracic Surgery at the University of Utah Health, Salt Lake City, UT, USA, about aortic surgery and long-term patient follow-up. Chapters 00:00 Intro  01:43 New CTSNet Website  02:36 AATS 2026  09:15 EJCTS News  10:15 Video 1, Left Ventriculotomy  10:51 Video 2, 3-Vessel TECAB  12:24 Video 3, AV Disease in Young Patients  13:14 Andrea Steely, Aortic Surgery & Follow-Up  29:14 Upcoming Events  They discussed the critical importance of educating both patients and surgeons about aortic disease, and the most effective strategies for follow-up care after aortic surgery. The conversation also covered testing genetic factors and stabilizing the aortic arch. They also explored reintervention and the importance of a multidisciplinary follow-up approach. Additionally, they addressed topics such as lung cancer screening, the training of non-MDs to evaluate screening charts, and the development of an aortic pathology sheet for each patient.   In addition, Joel explores an underutilized approach for closing multiple apical ventricular septal defects, robotic-assisted three-vessel minimally invasive coronary artery bypass, and a presentation from Emile Bacha on the "Surgical Management of Aortic Valve Disease in Young Patients."  Before closing, Joel highlights upcoming events in CT surgery.    CTSNet Content Mentioned  1. Left Ventriculotomy: An Underutilized Approach for Closing Multiple Apical Ventricular Septal Defects  2. Robotic-Assisted Three-Vessel Minimally Invasive Coronary Artery Bypass  3. SCTS 2026 | Surgical Management of Aortic Valve Disease in Young Patients  Other Items Mentioned  1. How to Navigate the New CTSNet Website  2. Career Center   3. CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

In this episode of The Cardiac Recovery Room, moderator Amanda Rea, a nurse practitioner and Lead of Advanced Practice and Clinical Program Manager in the Division of Cardiac Surgery at the University of Maryland St. Joseph Medical Center in Townson, MD, USA, spoke with Kali Dayton, a critical care nurse practitioner, host of the Walking Home From the ICU and Walking You Through the ICU podcasts, and CEO of Dayton ICU Consulting, about early mobility, verticalization, and delirium.   Chapters 00:00 Intro  01:04 Patient Philosophy  02:45 Early Sedation-Delirium Relationship  05:23 RASS Scale, Sedation  07:06 Cardiac ICU Patients  08:35 Lack of Delirium Tracking or Data  10:56 ROI from Good Care & Data  14:44 Preventative Approach  16:16 Convincing Hesitant Adopters  18:59 Patient Case Study  21:19 Cultural Paradigm  24:48 Mobilization  27:07 Verticalization Beds  30:03 Gravity on Patient Health  32:14 Mobility Screening  33:14 Defining Walking  34:47 Mobility Responsibility  36:55 Standardization & Predictability  38:23 Key Points  They discussed what an awake and walking intensive care unit (ICU) is, how early mobility and sedation tie in with delirium, and the history of critical care medicine. The conversation also covered the Richmond Agitation-Sedation Scale (RASS) and deep sedation, as well as risk factors for delirium, outdated sedation practices and mobility management, and the importance of having a high reliability environment. Additionally, they explored the ABCDEF bundle and a case study of a patient experiencing delirium. The episode further addressed verticalization beds, walking pads for verticalization, nurse screening tools, and ambulation.  The Cardiac Recovery Room is the place to hear the conversations colleagues are having after the meetings. Each month, a new episode will be released featuring a leadership panel from the ERAS Cardiac Society.  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Dysphagia is an under-recognised but clinically important complication following cardiac surgery. In this episode, Prof. Cara Donohue discusses why dysphagia can occur despite surgery being anatomically distant from the swallowing mechanism. We explore the complexities of dysphagia in patients post cardiac surgery, highlighting risk factors, prevalence, assessment methods, and potential interventions. Cara shares her research findings and clinical perspectives, emphasising the importance of early detection and proactive management to reduce complications and improve patient outcomes. Topics covered Why dysphagia occurs after cardiac surgery Mechanisms contributing to postoperative swallowing impairment Prevalence and potential under-recognition of dysphagia in this population Typical clinical and instrumental findings Surgical and perioperative risk factors Consequences for recovery and patient outcomes The role of prehabilitation and respiratory strength training Identifying patients who may benefit from preoperative interventions Key clinical messages for SLTs in cardiothoracic settings

In this episode of the ESVS Podcast, supported by Servier, we explore the importance of therapy adherence in chronic venous disease (CVD). The episode opens with short patient testimonies, highlighting real-world reasons for non-adherence.To explore this further, we are joined by Professor Denisa Celovska and Professor Atul Pathak. Professor Celovska is an Associate Professor of Angiology and Internal Medicine at the University Hospital and Comenius University in Bratislava, Slovakia. She is currently the President of the Slovak Angiology Society. Professor Pathak is the Head of the National Institute of Cardiology, Cardiac Surgery and Interventional Cardiology in Luxembourg.In this episode, they share their clinical perspective on why patients frequently disengage from treatment, the most common barriers to adherence in daily practice, and practical strategies to improve long-term treatment persistence.The episode also includes insights from a community pharmacist, offering a complementary view on what happens between prescription and real-life use, particularly regarding venoactive drugs. We conclude by emphasising that effective CVD management extends beyond prescribing treatment. Patient education, shared decision-making, follow-up, and human connection are essential to improve adherence and long-term outcomes in CVD.References:Kim H, Cho S, Lee K, Lee SH, Joh JH. A nationwide study of compliance of venoactive drugs in chronic venous disease patients. Ann Surg Treat Res. 2023 May;104(5):288-295. doi: 10.4174/astr.2023.104.5.288. Epub 2023 Apr 28. PMID: 37179697; PMCID: PMC10172027.Burnier M. The role of adherence in patients with chronic diseases. Eur J Intern Med. 2024 Jan;119:1-5. doi: 10.1016/j.ejim.2023.07.008. Epub 2023 Jul 20. PMID: 37479633.Mezalek ZT, Feodor T, Chernukha L, Chen Z, Rueda A, Sánchez IE, Ochoa AJG, Chirol J, Blanc-Guillemaud V, Lohier-Durel C, Ulloa JH. VEIN STEP: A Prospective, Observational, International Study to Assess Effectiveness of Conservative Treatments in Chronic Venous Disease. Adv Ther. 2023 Nov;40(11):5016-5036. doi: 10.1007/s12325-023-02643-6. Epub 2023 Sep 20. Erratum in: Adv Ther. 2024 Jan;41(1):464-465. doi: 10.1007/s12325-023-02722-8. Erratum in: Adv Ther. 2024 Jun;41(6):2540-2541. doi: 10.1007/s12325-024-02857-2. PMID: 37728696; PMCID: PMC10567827.Bogachev, V., Arribas, J.M.J., Baila, S. et al. Management and evaluation of treatment adherence and effectiveness in chronic venous disorders: results of the international study VEIN Act Program. Drugs Ther Perspect 35, 396–404 (2019). https://doi.org/10.1007/s40267-019-00637-5Golna C, Poimenidou C, Giannoukari EE, Saridi M, Liberopoulos E, Souliotis K. Assessing a pharmacist-enabled intervention to improve adherence to medication for hypertension, dyslipidemia, and chronic venous circulation disorders in Greece. Patient Prefer Adherence. 2023;17:3341–3352. doi:10.2147/PPA.S4208116. Branisteanu DE, Munteanu AE, Dolofan BM, Popescu EG, Vittos O. Adherence to pharmacological treatment in chronic venous disease: results of a real-world, prospective, observational cohort study. Life (Basel). 2025;15(3):377. doi:10.3390/life15030377.7. Ulloa JH, Guerra D, Cadavid LG, Fajardo D, Villarreal R, Bayona G, Hoyos AS, Garcia G. Nonoperative approach for symptomatic patients with chronic venous disease: results from the VEIN Act program. Phlebolymphology. 2018;25(2):123Servier is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Servier. Always consult the Instructions for Use (IFU) prior to using any medical device.

In this episode of The Cardiac Recovery Room, moderator Vicki Morton, Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates in North Carolina, USA, spoke with Drs. Rakesh Arora, Director of Perioperative and Cardiac Critical Care and Research Director in the Division of Cardiac Surgery at University Hospitals Harrington Heart & Vascular Institute in Cleveland, Ohio, USA, and Rawn Salenger, Chief of Cardiac Surgery at the University of Maryland St. Joseph Medical Center, about preoperative optimization of cardiac patients.   Chapters 00:00 Intro 01:27 Vulnerable Patients, Identifying Risk 04:24 Assessing Patients, Biological Prep 09:57 Psychological & Cognitive Prep 12:09 Time Between Discharge & Follow-Up 15:40 Anemic Patients, Iron Studies 20:12 Nutrition Screening & Malnutrition 25:30 Future Optimization Topics They discussed the importance of identifying risks, conducting thorough assessments before the operation, and preoperative education. They also emphasized psychological and cognitive preparation, as well as the time frame between discharge and follow-up. Additionally, they addressed issues related to iron deficiency without anemia, anemic patients, and iron studies. Furthermore, they highlighted the importance of nutrition screening and addressing malnutrition as essential aspects of preoperative care.    The Cardiac Recovery Room is the place to hear the conversations colleagues are having after the meetings. Each month, a new episode will be released featuring a leadership panel from the ERAS Cardiac Society.  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Drs. Mateo Marin-Cuartas, CTSNet JANS Editor and cardiac surgeon at the University Department of Cardiac Surgery at Leipzig Heart Centre University Hospital in Leipzig, SN, Germany; and Samuel Heuts, a cardiothoracic surgeon in the Department of Cardiothoracic Surgery at Maastricht University Medical Center in Maastricht, LI, about a paper they authored titled “Updated 5-Year Outcomes of Transcatheter Versus Surgical Aortic Valve Replacement in Patients With Severe Aortic Stenosis at Low- to Intermediate-Surgical Risk,” published in Heart, a journal produced by the British Medical Journal. Chapters 00:00 Intro 01:51 JANS 1, 6-Year Outcomes TAVR vs SAVR 06:45 JANS 2, Evolut THV Postdilation 09:22 Video 2, TAVI in SAVR Explantation 11:10 JANS 3, High Risk Increasing Adoption of DCD 13:17 JANS 4, Lobar Quantitation for Assessment 15:16 Video 1, Narayana Robotic AVR 17:23 Video 3, Extended Resections Podcast 18:30 Dr. Marin-Cuartas & Heuts, TAVR vs SAVR 36:42 Upcoming Events 37:32 Instructional Video Competition 38:55 Career Center They discussed the motivations behind the creation of this paper and provided insights into its Bayesian hierarchical design. Key findings included the five-year all-cause mortality rates and the risk of stroke associated with the procedures. They also referenced other studies with similar findings, such as a recently published paper from the Journal of the American College of Cardiology on the “Six-Year Outcomes After Transcatheter vs Surgical Aortic Valve Replacement in Low-Risk Patients With Aortic Stenosis.” Finally, they explored the future of transcatheter aortic valve implantation and surgical aortic valve replacement.   Joel also highlights recent JANS articles on the six-year outcomes after transcatheter vs surgical aortic valve replacement in low-risk patients with aortic stenosis, postdilation of Evolut transcatheter heart valves, insights into current practices in the United States regarding increasing adoption of donation after circulatory death in high-risk heart transplant recipients, and the value of V/Q SPECT/CT lobar quantitation for pre-treatment assessment of lung malignancy.  In addition, Joel explores robotic-assisted aortic valve replacement, TAVI in SAVR explantation, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Dr. Maninder Kalkat about extended resections. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Six-Year Outcomes After Transcatheter vs Surgical Aortic Valve Replacement in Low-Risk Patients With Aortic Stenosis  2.) Postdilation of Evolut Transcatheter Heart Valves: Insights From Bench Testing  3.) Increasing Adoption of Donation After Circulatory Death in High Risk Heart Transplant Recipients: Insights Into Current Practices in the United States  4.) The Value of V/Q SPECT/CT Lobar Quantitation for Pre-Treatment Assessment of Lung Malignancy  CTSNet Content Mentioned  1.) Robotic-Assisted Aortic Valve Replacement   2.) TAVI in SAVR Explantation: A Two-Step Technique for Successful Removal   3.) The Atrium: Extended Resections   Other Items Mentioned  1.) Updated 5-Year Outcomes of Transcatheter Versus Surgical Aortic Valve Replacement in Patients With Severe Aortic Stenosis at Low- to Intermediate-Surgical Risk  2.) The Lifeline  3.) Instructional Video Competition     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.

KYW Newsradio's Rasa Kaye continues her conversation with Cardiothoracic Surgeon Allen Cheng, MD, Department Chair of Surgery at Deborah Hearth and Lung Center.

Minimally invasive cardiac surgery (MICS) is one of the techniques used by cardiac surgeons to repair or replace valves, including the mitral valve. While the procedure has a shorter recovery time than the traditional sternotomy, it is still an open heart operation, and not the same as the minimally invasive techniques used by interventional cardiologists. SMH Chief of Cardiovascular Surgery Jonathan Hoffberger, DO, explains the different options, and how the heart team approach helps to pair the right patient with the right procedure. You can also watch the video recording on our Vimeo channel here. For more health tips & news you can use from experts you trust, sign up for Sarasota Memorial's monthly digital newsletter, Healthe-Matters.

In this episode of The Cardiac Recovery Room, moderator Dr. Daniel Engelman, Medical Director of the Cardiac Surgical Critical Care & Inpatient Services at Baystate Health, Professor of Surgery at the University of Massachusetts Chan Medical School—Baystate, and President of the ERAS Cardiac Society; and co-moderator Dr. Kevin Lobdell, Professor and Director of Regional Cardiovascular and Thoracic Quality, Education, and Research at Atrium Health spoke with Dr. Rawn Salenger, Chief of Cardiac Surgery at the University of Maryland St. Joseph Medical Center and Dr. Serdar Gunaydin, Head of Department at the University of Health Sciences in Turkey, about patient blood management.   Chapters  00:00 Intro  01:14 Transfusion as a Risk Factor  07:08 Hemoglobin Drugs  08:24 Pillars of Blood Management  09:56 Anesthesia  12:30 Transfusion Triggers  17:33 O2 Delivery, Hemoglobin Number  22:20 Non-Transfusion Patients  23:22 Anemic Level Bottom Number  25:06 Bleeding Checklist  29:41 Anemia Tolerance  They discussed independent risk factors for blood transfusion, the role of hemoglobin as a predictor for blood transfusion, and considerations related to anemic patients and hemoglobin levels. Additionally, they explored the key pillars of blood management, treating preoperative anemia, and anesthesia. They examined transfusion triggers, oxygen delivery, and the care of non-transfusion patients. Finally, they emphasized the importance of a bleeding checklist and anemia tolerance.   The Cardiac Recovery Room is the place to hear the conversations colleagues are having after the meetings. Each month, a new episode will be released featuring a leadership panel from the ERAS Cardiac Society.  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

KYW Newsradio's Rasa Kaye speaks with Cardiothoracic Surgeon Allen Cheng, MD, Department Chair of Surgery at Deborah Hearth and Lung Center.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Drs. Daniel Engelman, Medical Director of the Cardiac Surgical Critical Care & Inpatient Services at Baystate Health, Professor of Surgery at the University of Massachusetts Chan Medical School—Baystate, and President of the ERAS Cardiac Society, and Marlies Ostermann, consultant in critical care and nephrology at Guy's and St. Thomas Foundation Trust and a Director of Research for the Intensive Care Society, about chronic kidney disease (CKD) and cardiac surgery-associated acute kidney injury (CSA-AKI). Chapters 00:00 Intro 02:11 Definition & Background 10:55 Burden of CSA-AKI 12:58 Unmet Medical Need 19:47 Identification & Collaboration 26:07 KDIGO, O2 Delivery 32:15 CKD CSA-AKI Final Remarks 35:10 JANS, Success in African CT Surgery 38:49 Video, Modified Root Inclusion Technique 40:53 Closing They delve into the complexities of CSA-AKI, exploring the percentage of patients affected, defining the condition, and highlighting the overall significance of this issue. They also address creatinine as a late marker for AKI, the long-term scarring that can occur from AKI, and the critical need for thorough preoperative assessments to identify high-risk patients. Additionally, they emphasize the importance of a complete health assessment before surgery. Furthermore, they discuss the dangers of reaching stage 3 AKI, the increased costs of care once that point is reached, and what actions to take if a patient has a positive marker but appears stable. They also highlight the premature use of diuretics contributing to AKI and hyperbilirubinemia. Moreover, they consider how CKD along elevates mortality risk and the importance of developing targeted therapies in the future. Finally, they discuss approaches to reduce ischemia-reperfusion (IR) AKI and the optimization of hemodynamics, as well as potential drugs for treating AKI effectively.   Joel also highlights a recent JANS article on aligning training, patient profiles, and outcomes to redefine success in cardiac surgery in Africa. In addition, he explores the modified root inclusion technique for a fourth sternotomy with Ross/Konno after previous mechanical aortic valve replacement.   Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Redefining Success in Cardiac Surgery in Africa: Aligning Training, Patient Profiles, and Outcomes  CTSNet Content Mentioned  1.) Fourth Sternotomy With Ross/Konno After Previous Mechanical Aortic Valve Replacement: The Modified Root Inclusion Technique  Other Items Mentioned  1.) Career Center   2.) CTSNet Events Calendar  3.) Instructional Video Competition   Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

In this episode of The Atrium, host Dr. Alice Copperwheat speaks with Dr. Randolph Chitwood, retired cardiac surgeon and Founding Director of the East Carolina Heart Institute at East Carolina University, about the future of minimally invasive cardiac surgery (MICS). Chapters 00:00 Intro 00:58 Dr. Chitwood Background 04:20 Inspiration for MI 07:12 Reason for Mitral Valve Robotics 07:38 Strong Resistance from Specialty 08:35 Beginning Training 10:24 Origins of MI 13:37 Developmental Research 16:19 Steps in MI Mitral Valve Surgery 17:00 Bypass 17:57 Aortic Valve Surgery 19:10 Root Replacement & Dissection 19:27 Extracurricular Hobbies 20:23 Surgery Training Advice They delve into Dr. Chitwood's professional background and why he chose to study cardiothoracic surgery. They also discuss the evolution of minimally invasive surgery, including incisions and instruments. Additionally, they highlight robotics, minimally invasive techniques for the mitral valve, and coronary artery bypass grafting (CABG). They also cover aortic valve replacement (AVR) and minimally invasive techniques for the aortic valve. Furthermore, Dr. Chitwood provides advice for trainees, including how they can get involved in using minimally invasive techniques.   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 extended resection with Dr. Maninder Kalkat.     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.

We welcome Dr. Soon Park, surgical director of cardiovascular services at Albany Medical Center. Sarah LaDuke hosts.

This Physician World Shared Practice Forum Podcast explores two multicenter studies on extubation outcomes in neonates and children following congenital cardiac surgery. These studies incorporate integration of machine learning and risk analytics for extubation decision-making, and examine extubation readiness and extubation failure outcomes. LEARNING OBJECTIVES - Understand the key factors influencing extubation outcomes following congenital cardiac surgery - Examine the use of machine learning and risk analytics in neonatal and pediatric extubation decisions - Discuss how machine learning can improve clinical decision-making and patient safety AUTHORS Daniel Hames, MD, MPH Assistant Professor of Pediatrics, Cardiac Care Unit Director of Quality and Safety University of Nebraska Medical Center Children's Nebraska Jeffrey Burns, MD, MPH Emeritus Chief Division of Critical Care Medicine Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Professor of Anesthesia Harvard Medical School DATE Initial publication date: January 27, 2026. ARTICLES REFERENCED - Hames DL, Abbas Q, Asfari A, Borasino S, Diddle JW, Gazit AZ, Lipsitz S, Marshall A, Reise K, Guerineau LR, Wolovits JS, Salvin JW. Extubation Failure in Neonates Following Congenital Cardiac Surgery: Multicenter Retrospective Cohort, 2017-2020. Pediatr Crit Care Med. 2025 May 1;26(5):e590-e599. doi: 10.1097/PCC.0000000000003703. Epub 2025 Feb 10. PMID: 39927824. - Hames DL, Abbas Q, Asfari A, et al. Clinical and Risk Analytics Associations With Extubation Failure in Children Following Congenital Cardiac Surgery: A Multicenter Retrospective Cohort Study, 2017-2020. Pediatr Crit Care Med. 2025;26(9):e1105-e1114. doi:10.1097/PCC.0000000000003793. TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/w7qqc97g6m9g5n5vrq5vkx6x/202601_WSP_Hames_Transcript. Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Hames DL, Burns JP. Integrating Risk Analytics in Post-Cardiac Surgery Extubation Readiness. 01/2026. OPENPediatrics. Online Podcast.

In this episode of The Cardiac Recovery Room, moderator Dr. Daniel Engelman, Medical Director of the Cardiac Surgical Critical Care & Inpatient Services at Baystate Health, Professor of Surgery at the University of Massachusetts Chan Medical School—Baystate, and President of the ERAS Cardiac Society, spoke with Drs. Kevin Lobdell, Professor and the Director of Regional Cardiovascular and Thoracic Quality, Education, and Research at Atrium Health; Rawn Salenger, Chief of Cardiac Surgery at the University of Maryland St. Joseph Medical Center; Marjan Jahangiri, Professor of Cardiac Surgery at St. George's Hospital, University of London; and Serdar Gunaydin, Head of Department at the University of Health Sciences in Turkey, about the attitudes toward and realities of ERAS across the globe.   Chapters 00:00 Intro  01:19 ICU & Early Extubation  05:07 Acceptance of ERAS Protocols  09:38 Lead Staff Advocate for ERAS  12:59 Sternotomy Perception  14:43 QoL Data Collection  17:09 Rehabilitation  19:04 Discharged Patients & Monitoring  They discussed the intensive care unit and early extubation, highlighting differences between countries. They also covered the acceptance of the ERAS protocol and the regions that are more hesitant to implement it, as well as its application in cardiac surgery specifically. Additionally, they explored who leads the charge within the team responsible for implementing ERAS and addressed perceptions regarding sternotomy. The conversation also included improving quality of life, reducing complications, and patient-reported outcomes measures, emphasizing the importance of shared decision-making. Furthermore, they discussed rehabilitation, discharging patients, and remote monitoring.   The Cardiac Recovery Room is the place to hear the conversations colleagues are having after the meetings. Each month, a new episode will be released featuring a leadership panel from the ERAS Cardiac Society.  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

Updates on coffee and AFib, a polypill approach for HFrEF, the first oral PCSK9 inhibitor, vitamin D supplementation for secondary prevention, and more: Joanna Chikwe, MD, chair of the American Heart Association's Scientific Sessions conference and of the Department of Cardiac Surgery in the Smidt Heart Institute at Cedars-Sinai Medical Center, shares clinical research highlights from the recent meeting. Related Content: Coffee and AFib, Oral PCSK9 Drugs, an HFrEF Polypill, and Vitamin D Post-MI—Highlights From AHA 2025

Alex about: 0:00 his music being recognized 5:54 reactions to Kimiyo 9:07 a transformation through music 11:48 surviving a cardiac surgery gone wrong 16:50 the musical ideas on Kimiyo 19:30 staying positive 22:28 accepting changes in himself 26:06 his father's passing and going solo Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this inaugural episode of CTSNet's new podcast, The Cardiac Recovery Room, moderator Dr. Daniel Engelman, Medical Director of the Cardiac Surgical Critical Care & Inpatient Services at Baystate Health, Professor of Surgery at the University of Massachusetts Chan Medical School—Baystate, and President of the ERAS Cardiac Society, spoke with Drs. Rakesh Arora, Director of Perioperative and Cardiac Critical Care and Research Director in the Division of Cardiac Surgery at University Hospitals Harrington Heart & Vascular Institute in Cleveland, Ohio, USA, and Michael C. Grant, Associate Professor at Johns Hopkins University School of Medicine in the Department of Anesthesiology and Critical Care Medicine, about cardiac surgery myths.   Chapters 00:54 Are There Myths? 02:49 Applying Non-Cardiac Surgery Data 04:52 Reducing NPO, Diabetes Carb-Load 08:17 Postop, Crystalloid Volume 10:31 Bicarb Usage 12:10 Hematocrit & Hemoglobin 14:53 Bronchoscopy for Early Extubation 18:54 Routine X-Rays 22:19 Lactates 24:48 Sleeplessness & Delirium 31:14 Final Thoughts They discuss important topics such as the rationale for reducing nothing by mouth (NPO) guidelines, NPO after midnight, and the implications of carbohydrate loading for patients with type 1 diabetes. They examine critical issues of volume resuscitation, comparing the use of albumin vs crystalloids, as well as bicarb usage. Additionally, they evaluate hematocrit and hemoglobin levels, questioning whether specific thresholds should be established. The conversation also covers bronchoscopy for early extubation, inline suctioning for a bronchoalveolar lavage (BAL), and the necessity of daily chest x-rays following cardiac surgery. Furthermore, they address topics such as lactates, sleep aids, and delirium.  The Cardiac Recovery Room is the place to hear the conversations colleagues are having after the meetings. Each month, a new episode will be released featuring a leadership panel from the ERAS Cardiac Society.  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

In Part 3 of the conversation, Giuseppe Savoja, Western Europe Senior Business Director, Cardiac Surgery Business at Medtronic, talks about his outlook for the future of his field, his views on how the industry and clinicians can collaborate more effectively and the healthcare changes he is most excited about. Guest bio Giuseppe Savoja is Senior Business Director for Cardiac Surgery in Western Europe at Medtronic, where he leads the business with a focus on transformation, growth, and patient impact. With 20+ years in the medical device industry and leadership roles across Europe and Asia, he brings a blend of engineering expertise, commercial experience and a passion for developing high-performing teams. Born in Rome and having lived around the world, he's now back in the Italian capital with his family. Outside work, Giuseppe enjoys windsurfing, snowboarding, sailing and motorbiking. Follow us on Instagram: @emj.gold

In Part 2 of the conversation, Giuseppe Savoja, Western Europe Senior Business Director, Cardiac Surgery Business, Medtronic, shares how ECMO has transformed over the decades and explores how clinicians and industry can work together to support the most vulnerable patients in intensive care. Guest bio Giuseppe Savoja is Senior Business Director for Cardiac Surgery in Western Europe at Medtronic, where he leads the business with a focus on transformation, growth, and patient impact. With 20+ years in the medical device industry and leadership roles across Europe and Asia, he brings a blend of engineering expertise, commercial experience and a passion for developing high-performing teams. Born in Rome and having lived around the world, he's now back in the Italian capital with his family. Outside work, Giuseppe enjoys windsurfing, snowboarding, sailing and motorbiking. Follow us on Instagram: @emj.gold

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Zara Shirazi, a congenital cardiac surgery post-fellow at the National Institute of Cardiovascular Diseases, about advancing pediatric cardiac surgery in Pakistan using what she learned from her fellowship in Austria. Chapters 00:00 Intro 02:28 Vince TAVR Roundtables 03:05 Foreign Body, Case of the Month 03:49 JANS 1, Temporary MCS Guidelines 13:50 JANS 2, Parenting as a CT Surgeon 16:20 JANS 3, Utilization of Long Distance Donors 18:20 JANS 5, Multi-A Grafting in Redo CABG 20:58 Career Center 21:20 Video 1, Pulm & Tricuspid Endocarditis 22:35 Video 2, Valvular Heart Disease Guidelines 27:05 Video 3, Thoraflex Hybrid Graft Insertion 28:16 Zara Shirazi Interview 39:30 Upcoming Events 42:42 Closing They explored the advantages of working in a hospital in Pakistan compared to Austria, as well as the different techniques and operations, such as extracorporeal membrane oxygenation (ECMO). Dr. Shirazi also shared her experiences as a fellow in Austria and the valuable insights she gained from that experience. Additionally, she discussed her vision for the growth of her unit over the next five years and provided an overview of what a typical surgical week looks like in Pakistan.   Joel also highlights recent JANS articles on the EACTS/STS/AATS guidelines on temporary mechanical circulatory support in adult cardiac surgery, the unique challenges and positive impacts on children raised by cardiothoracic surgeon mothers, evolving changes in center-level utilization of longer distance donors in heart transplantation, and multiarterial grafting in redo coronary artery bypass grafting.  In addition, Joel explores pulmonary and tricuspid valve endocarditis, an interview with Drs. Borger and Marin-Cuartas on the guidelines for the management of valvular heart disease, and Thoraflex Hybrid graft insertion in a patient with Marfan syndrome. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) EACTS/STS/AATS Guidelines on Temporary Mechanical Circulatory Support in Adult Cardiac Surgery   2.) Parenting From the OR: The Unique Challenges and Positive Impacts on Children Raised by Cardiothoracic Surgeon Mothers  3.) Evolving Changes in Centre-Level Utilization of Longer Distance Donors in Heart Transplantation  4.) Multiarterial Grafting in Redo Coronary Artery Bypass Grafting: Type of Arterial Conduit and Patient Sex Determine Benefit  CTSNet Content Mentioned  1.) Pulmonary and Tricuspid Valve Endocarditis: A Late Sequelae of Unrepaired Double Chambered Right Ventricle in an Adult  2.) Guidelines for the Management of Valvular Heart Disease: An Interview With Drs. Borger and Marin-Cuartas  3.) Thoraflex Hybrid Graft Insertion in a Patient With Marfan Syndrome  Other Items Mentioned  1.) Adapting Global Innovations to Local Realities: Advancing Pediatric Cardiac Surgery in Pakistan—Lessons From Austria  2.) Roundtable: Perfecting TAVR Removal | Skills Sharpening With Vince Gaudiani   3.) Case of the Month: The Case of a Foreign Body  4.) Resident Video Competition  5.) The Cardiac Recovery Room  6.) Career Center   7.) 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, Isabel is joined by Giuseppe Savoja, Western Europe Senior Business Director, Cardiac Surgery Business at Medtronic, for a deep-dive into the evolution and future of ECMO, innovation in critical care and the realities of leading in the MedTech space. In Part 1 of the interview, Giuseppe talks about what attracted him to the medical device industry, what his day-to-day role involves and what advice he would give to anyone considering joining the MedTech sector. Guest bio Giuseppe Savoja is Senior Business Director for Cardiac Surgery in Western Europe at Medtronic, where he leads the business with a focus on transformation, growth, and patient impact. With 20+ years in the medical device industry and leadership roles across Europe and Asia, he brings a blend of engineering expertise, commercial experience and a passion for developing high-performing teams. Born in Rome and having lived around the world, he's now back in the Italian capital with his family. Outside work, Giuseppe enjoys windsurfing, snowboarding, sailing and motorbiking. Follow us on Instagram: @emj.gold

KYW Newsradio's Rasa Kaye and Deborah Heart and Lung Center's Cardiothoracic Surgeon Allen Cheng, MD continue their conversation on the advances in cardiac surgery and innovations on the horizon that are transforming surgical intervention technology and techniques.

Dr. Juan Melero-Martin is an Associate Professor and the Endowed Chair in Cardiac Surgery at Boston Children's Hospital. His lab uses bioengineering principles to understand how vascular networks are formed and the mechanisms by which the vasculature modulates the engraftment and activity of various human stem cells.

With Maura Marcucci, Clinical Institute Humanitas IRCCS, Rozzano - Italy and McMaster University, Hamilton - Canada and Mauro Chiarito, Clinical Institute Humanitas IRCCS, Rozzano - Italy and Icahn School of Medicine at Mount Sinai, NYC - USA. Link to European Heart Journal paper Link to European Heart Journal editorial

Today we are exploring cardiac surgery in elderly patients.This podcast is sponsored by Macquarie University Hospital, part of Macquarie University Health – a trailblazer in healthcare, education and research.Professor Michael Vallely is a leading cardiothoracic surgeon who has clinical and academic interests in minimising the invasiveness of cardiothoracic surgery and is a world authority on total arterial, anaortic, off-pump coronary artery bypass surgery. He also has interests in minimally invasive cardiac surgery (MICS and Da Vinci robotic surgery), transcatheter (TAVI and Mitra-Clip) cardiac surgery, thoracic aortic surgery, geriatric cardiac surgery, and hybrid procedures including the use of ECMO.Dr Nargis Shaheen is a consultant geriatrician with a special interest in perioperative medicine working at Macquarie University Hospital and Concord Hospital. She is a member of the ANZCA perioperative care working group and is involved in perioperative medicine teaching.

‘Be a Good Doctor, Not a Great Doctor'Dr Valluvan Jeevanandam, MD, is an internationally renowned expert in high-risk and transfusion-free (bloodless) cardiac surgery. Recognized as the world's most experienced active heart transplant surgeon, he has performed over 1,500 heart transplants.His team is known for taking on some of the most complex cardiac cases. In December 2018, under his leadership, the care team at the University of Chicago Medicine made medical history by performing two triple-organ transplants within 27 hours, replacing the failing hearts, livers, and kidneys of two 29-year-old patients. Globally, only 42 such procedures have ever been performed, and Dr Jeevanandam has completed the heart transplant operation in all 17 of those conducted at UChicago Medicine, where he serves as Chief of Cardiac Surgery and Director of the Heart and Vascular Center.Dr Jeevanandam has a deep commitment to treating patients who are often considered inoperable. Beyond his clinical accomplishments, Dr Jeevanandam is a highly active researcher, with over 250 publications in leading journals and more than 10,000 citations to his credit. His scholarly work, along with numerous presentations and abstracts at international conferences, continues to advance the field of cardiac surgery worldwide.In September 2025, Dr Jeevanandam visited Prasanthi Nilayam and addressed the delegates of the Sri Sathya Sai Global Cardiovascular Conference at the Sai Hira Convention Centre. Later, in an interview with the Sri Sathya Sai Media Centre, he spoke about his personal journey to Bhagawan and the profound lessons he has imbibed at His Lotus Feet.

KYW Newsradio's Rasa Kaye and Deborah Heart and Lung Center's Cardiothoracic Surgeon Allen Cheng, MD team up to discuss advances in cardiac surgery and the innovations on the horizon that are transforming surgical intervention technology and techniques.

Stephen M. Langley, MD, Medical Director and Chief of Pediatric Cardiac Surgery at Driscoll Children's Hospital, discusses the future growth of pediatric care, including expanding access to care in the coming years. He highlights the importance of establishing a strong organizational culture, known as “The Driscoll Way,” to build high-performing teams. Dr. Langley also emphasizes the “best care model,” which ensures patients receive the highest degree of attention at every stage of care, and shares what excites him most about the future of healthcare.

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Prognostic Implications of Preoperative N-Terminal Pro-B-Type Natriuretic Peptide Dynamics in Patients Undergoing Cardiac Surgery.

Robotic Cardiac Surgery   Guest: Phillip Rowse, M.D. Guest: Marty Unruh, APRN, C.N.P., D.N.P. Host: Kyle Klarich, M.D.   In this episode of “Interviews With the Experts,” listeners will hear a discussion on the most important questions patients should ask as they consider whether or not to pursue a robotic-assisted approach for surgical treatment of their valvular heart disease.  It is clarified how robotic heart surgery works, including associated risks, benefits, and misconceptions. And finally, there is a discussion on the expected short- and long-term results of robotic heart valve surgery.    Topics Discussed: What types of procedures can be performed robotically, and how does robotic surgery compare to traditional and other minimally invasive techniques? Who qualifies for robotic surgery, and is it safe and effective? What testing is needed beforehand, what is the typical recovery time, and how long is the hospital stay and return-to-work timeline? Do surgeons perform the procedure or does the robot operate independently? How many robotic surgeries has Mayo Clinic performed, and what are the benefits compared to open-heart surgery (sternotomy)?   Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode.   Podcast episode transcript found here.

Read the article here: https://journals.sagepub.com/doi/full/10.1177/30494826251325570

Audible Bleeding Editor and vascular surgery fellow Richa Kalsi (@KalsiMD) is joined by vascular surgery fellow Javaneh Jabbari (@JabbariMD) in hosting Dr. Gustavo Oderich (@GustavoOderich), Dr. Shahab Toursavadkohi (@Toursavadkohi ), and Dr. Mehrdad Ghoreishi (@dr_ghoreishi) to discuss the “final frontier” in the endovascular management of aortic pathology, or the Endo-Bentall Procedure. This episode highlights collaboration between vascular and cardiac surgery as we take a deep dive into physician modification of grafts to manage aortic root pathology. We will discuss the off-label use of endovascular devices and hear insights into the future of endovascular and open aortic surgery from these leaders and innovators in the field.    For some background on the topic, see the resources below Articles:   First-in-Human Endovascular Aortic Root Repair (Endo-Bentall) for Acute Type A Dissection Link to the Presentation on this by Dr. Ghoreishi at AATS for more procedural details   Show Guests  Dr. Shahab Toursavadkohi - Professor of Vascular surgery and Co-director of the Center for Aortic Disease at the University of Maryland Medical System Dr. Mehrdad Ghoreishi - Associate Professor of Cardiac Surgery and Co-director of aortic surgery and medical director of cardiac surgery research at Baptist Health Miami Cardiac & Vascular Institute Dr. Gustavo Oderich - Professor and Chief of the Division of Vascular Surgery and Endovascular Therapy at the Texas Heart Institute and director of the new Baylor Medicine Center for Aortic Surgery   Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey. *Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device.    

Moderator: James P. Rathmell, M.D. Participants: Nikolay O. Kamenshchikov, M.D. and Lorenzo Berra, M.D. and Kamrouz Ghadimi, M.D. Articles Discussed: Perioperative Nitric Oxide Conditioning Reduces Acute Kidney Injury in Cardiac Surgery Patients with Chronic Kidney Disease (the DEFENDER Trial): A Randomized Controlled Trial Nitric Oxide and Kidney Injury after Cardiac Surgery: A Solution Looking for a Problem

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Jay Pal, Chief of Cardiac Surgery at the University of Washington, about AI-assisted screening for rheumatic heart disease. Chapters 00:00 Intro 02:17 JANS 1, Cardiac 05:15 JANS 2, Thoracic 07:01 JANS 3, Thoracic 09:41 JANS 4, Cardiac 12:14 JANS 5, Thoracic 13:37 Subvalvular Ring Excision, AVR 15:30 SCORE Technique, Rheu M Stenosis 18:43 VATS Intraperi L Pneumonectomy 20:00 Dr. Pal Interview 30:52 Closing They discuss how the AI-assisted stethoscope functions and its ability to identify rheumatic heart disease, highlighting the advantages of this technology in low-resource settings and the future potential of the device. Additionally, they explore the device's capability to diagnose heart failure and the benefits of using this advanced tool over a traditional analog stethoscope.  Joel also highlights recent JANS articles on blood pressure and heart rate management in patients after repair of type A aortic dissection, long-term outcomes and prognostic factors after chest wall resection and reconstruction, a comparison between robot- and video-assisted thoracoscopic surgeries for anterior mediastinal lesions, and the cost-effectiveness of left ventricular assist device for transplant-ineligible patients.  In addition, Joel explores an excision of a subvalvular ring with preservation of the aortic valve, a step-by-step VATS approach for intrapericardial left pneumonectomy for a centrally located lung tumor, and a repair of rheumatic mitral stenosis using the SCORE technique. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Blood Pressure and Heart Rate Management in Patients After Repair of Type A Aortic Dissection  2.) Long-Term Outcome and Prognostic Factors After Chest Wall Resection and Reconstruction  3.) Comparison Between Robot- and Video-Assisted Thoracoscopic Surgeries for Anterior Mediastinal Lesions  4.) Cost-Effectiveness of Left Ventricular Assist Device for Transplant-Ineligible Patients  5.) Three-Dimensional Tracheo-Bronchial Reconstruction to Plan Endoscopic Stent Insertion for Malignant Upper Airway Stenosis CTSNET Content Mentioned  1.) Excision of a Subvalvular Ring With Preservation of the Aortic Valve  2.) VATS Intrapericardial Left Pneumonectomy for Centrally Located Lung Tumor: Step-by-Step Approach With Technical Pearls  3.) Repair of Rheumatic Mitral Stenosis Using the SCORE Technique  Other Items Mentioned  1.) Cardiac Surgical Arrest—An International Conversation, Part 2   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.

Send us a textPatent Ductus Arteriosus in Preterm Infants.Ambalavanan N, Aucott SW, Salavitabar A, Levy VY; Committee on Fetus and Newborn; Section on Cardiology and Cardiac Surgery.Pediatrics. 2025 May 1;155(5):e2025071425. doi: 10.1542/peds.2025-071425.PMID: 40288780 Review.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Welcome to the Choosing Wisely Campaign series! This is the second episode of a 6-part series exploring the ABIM Foundation's Choosing Wisely Lists. This campaign aims to promote conversations between clinicians and patients to avoid unnecessary medical tests, treatments, and procedures. The first of our case-based episodes presents a school age child with syncope. After a clear discussion of the case and thoughtful consideration of an acute care differential, we use the AAP's Choosing Wisely cardiac list to create a resource-conscious care plan that is safe and patient-centered. In the coming episodes, we'll explore the pediatric lists and apply our knowledge to cases of common presentations seen in primary and acute care pediatrics.    Series Learning Objectives: Introduction to the Choosing Wisely Campaign: Understand the origins, historical precedent, and primary goals of the campaign. Case-Based Applications: Explore five common presentations in primary and acute care pediatrics, applying concepts from various Choosing Wisely lists to guide management and resource stewardship. Effective Communication: Learn strategies for engaging in tough conversations with parents and colleagues to create allies and ensure evidence-based practices are followed. Competencies: AACN Essentials: 1: 1.1 g, 1.2f 2: 2.1 de, 2.2g, 2.5 ij 6: 6.1 i 7: 7.2 ghk 9: 9.1ij, 9.2ij, 9.3ik NONPF NP Core Competencies: 1: NP1.1h, NP 1.2km 2: NP2.1jg, NP2.2kn, NP2.5 lo 6: NP6.1o 7: NP7.2m 9: NP9.1mn, NP9.2n, NP9.3p References: AAP Section on Cardiology and Cardiac Surgery. (2020). Five things physicians and patients should question. https://downloads.aap.org/AAP/PDF/Choosing%20Wisely/CWCardio.pdf Gilpin, K., & Goode, Z. (2024). Syncope. Pediatrics in review, 45(10), 606–608. https://doi.org/10.1542/pir.2023-006053

Editor's Summary by Linda Brubaker, MD, MS, and Chris Muth, MD, Deputy Editors of JAMA, the Journal of the American Medical Association, for articles published from March 29-April 4, 2025.

Moderator: James P. Rathmell, M.D. Participants: Yuming Peng, M.D., Ph.D. and Philip Devereaux, M.D., Ph.D. Articles Discussed: Covert Perioperative Strokes in Older Patients Having Noncardiac Surgery (PRECISION): A Prospective Cohort Analysis Perioperative Covert Stroke: Acutely Asymptomatic but Not Benign Transcript

This special issue of JACC is dedicated to the essential role of cardiovascular surgery in advancing modern cardiology.

Dr. Victor Morell, Chief of the Department of Cardiothoracic Surgery at the Children's Hospital of Pittsburgh joined the podcast to talk about cardiac surgery in patients with Down syndrome.  He also discussed the new Heart Center buliding that is being constructed and how that will improve the already amazing cardiac care that children receive.

In this episode, we discuss recent findings on the potential risks of left atrial appendage closure (LAAC) in cardiac surgery patients without prior atrial fibrillation. The study highlights an increased risk of new-onset postoperative AF and prolonged hospital stays without clear benefits in mortality or stroke prevention. The Vasopressor & Inotrope HandbookAmazon: ⁠⁠https://amzn.to/3UvFFVf⁠⁠ (affiliate link) Signed Copy: ⁠⁠https://eddyjoemd.myshopify.com/products/the-vasopressor-inotrope-handbook⁠ Movember Link: ⁠https://movember.com/m/eddyjoemd?mc=1⁠ Citation: Shuhaiber JH, Abbas M, Morland T, Kirchner HL, El-Manzalawy Y. Atrial appendage closure is associated with increased risk for postoperative atrial fibrillation. J Cardiothorac Surg. 2024 Nov 2;19(1):619. doi: 10.1186/s13019-024-03119-6. PMID: 39488696. --- Support this podcast: https://podcasters.spotify.com/pod/show/eddyjoemd/support

In this 290th episode I welcome Dr. Mike Grant back to the show to discuss post-op care for patients having cardiac surgery.Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

The history of cardiac surgery is filled with tales of intrepid surgeons with larger-than-life personalities who pushed the limits of the human body and the bounds of what were then considered acceptable medical practices. The result? Heart transplants, pacemakers, artificial heart valves, heart-lung machines, and other once-unthinkable and experimental procedures that have now saved millions of lives. Our guest in this episode, Gerald Imber, MD, charts these remarkable developments in his 2024 book Cardiac Cowboys: The Heroic Invention of Heart Surgery. While not writing books on the history of medicine, Dr. Imber is a practicing plastic surgeon who specializes in cosmetic surgery. Over the course of our conversation, Dr. Imber talks about the challenging yet rewarding training he underwent as a surgery resident, what it means to have an “eye for aesthetics,” why he decided to write a book on the history of heart surgery, stories of daring surgeons from this history, how he reconciles the drive to push the frontiers of medicine with a regard for patient safety, and more.In this episode, you'll hear about:2:15 - What drew Dr. Imber to a career in surgery 7:55 - Dr. Imber's grueling experiences as a general surgery resident11:52 - Dr. Imber's transition into plastic surgery and the aesthetic sensibilities necessary for this speciality 22:46 - What Dr. Imber's current plastic surgery practice looks like 24:28 - How Dr. Imber finds fulfillment and meaning in his work 25:21 - What motivated Dr. Imber to write Cardiac Cowboys, a book about the history of open heart surgery 30:47 - Balancing risks to patient lives with medical and surgical experimentation34:25 - A brief history of open heart surgery40:02 - Key milestones in the development of open heart surgery 45:24 - What Dr. Imber hopes readers take away from Cardiac Cowboys Dr. Gerald Imber is the author of Cardiac Cowboys: The Heroic Invention of Heart Surgery (2024) and Genius on the Edge: The Bizarre Double Life of Dr. William Stewart Halsted (2010).Dr. Imber can be found on Instagram at @geraldimbermd.Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor's Art Podcast 2024