Podcasts about Cardiac surgery

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with CTSNet JANS Editor Dr. Mateo Marin-Cuartas, a cardiac surgeon in the University Department of Cardiac Surgery at the Leipzig Heart Center, Germany, about surgical aortic valve replacement (SAVR) vs transcatheter aortic valve replacement (TAVR). Chapters 00:00 Intro 00:57 Dr. Marin-Cuartas Feature 02:28 SHURUI Robot Feasability 05:09 Touching as Diagnostic Test 09:06 Removal of Rib Stab Hardware 13:00 Resectable EGFR-Positive NSCLC 16:12 On-Pump Beating Heart MVR 17:56 Post-Infarction Myocardial Rupture 19:52 Head-First Graft Technique 22:18 SAVR vs TAVR, Dr. Marin-Cuartas 46:44 Upcoming Events 47:52 Closing They discuss SAVR and TAVR guidelines, the suitability of SAVR vs TAVR for patients aged 65-75, and mechanical heart valves. They also explore surgery after TAVR, TAVR after TAVR, and the future of addressing aortic valve stenosis.   Joel also highlights recent JANS articles on the safety and feasibility of novel single-port robotic-assisted lobectomy/segmentectomy for lung cancer, touching (proximity) as a companion diagnostic test, long-term outcomes after removal of rib stabilization hardware in patients with blunt chest trauma, and advancing the needle on the management of resectable EGFR-positive NSCLC.    In addition, Joel explores an on-pump beating heart mitral valve repair through right anterior minithoracotomy, post-infarction myocardial rupture treated with surgical repair and graded mechanical support, and a head-first graft technique in aortic arch replacement. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1.) Safety and Feasibility of Novel Single-Port Robotic-Assisted Lobectomy/Segmentectomy for Lung Cancer  2.) Touching (Proximity) as a Companion Diagnostic Test   3.)  Long-Term Outcomes After Removal of Rib Stabilization Hardware in Patients With Blunt Chest Trauma  4.) Advancing the Needle on the Management of Resectable EGFR-Positive NSCLC: Is Neoadjuvant Osimertinib the Answer?  CTSNET Content Mentioned  1.) On-Pump Beating Heart Mitral Valve Repair Through Right Anterior Mini Thoracotomy  2.) Drain, Patch, Unload: Post-Infarction Myocardial Rupture Treated With Surgical Repair and Graded Mechanical Support  3.) Head-First Graft Technique in Aortic Arch Replacement  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.

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!

Send us a textLaktat und SvO2 als Transfusionstrigger? Dies besprechen wir diese Woche im Journal Club:Noitz M, Brooks R, Schlömmer C, et al. Central/mixed venous oxygen saturation and lactate levels might be of limited use as physiologic transfusion triggers in cardiac surgery: Results of a retrospective analysis. Eur J Anaesthesiol. 2025;42(6):536-542. doi:10.1097/EJA.0000000000002149Im Studie wieder dabei: Konstantin Urbach, wissenschaftlicher Mitarbeiter der Klinik für Anästhesiologie am UKHD.

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

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.

In this episode, Dr Bleri CELMETA takes us on a powerful journey through the history of open-heart surgery — from the pioneering work of John Gibbon and C. Walton Lillehei to the evolution of minimally invasive and robotic approaches. Discover how cardiac surgery progressed from experimental beginnings to life-saving daily procedures, and how innovation continues to shape the operating room. Dr. Bleri Celmeta is a cardiac surgeon operating on the Minimally Invasive Cardiac Surgery Unit in Galeazzi-Sant'Ambrogio Hospital (Milan, Italy). He graduated in Medicine and Surgery at the University of Padova-Italy in 2014, then completed his residency program in Cardiac Surgery in the same university in 2020. His professional background included also a fellowship in Cardiac and Thoracic Surgery in the University Hospital of Nantes-France (2019-2020).   He is the author of numerous publications and conference presentations with particular interest in minimally invasive cardiac surgery, and review editor of various international Journals (Frontiers in Cardiovascular Medicine, Frontiers in Surgery, Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, Journal of Cardiothoracic Surgery, among others). Dr. Celmeta is a member of the Working Group on Cardiovascular Surgery - European Society of Cardiology (ESC), Italian Cardiac Surgery Society (SICCH) and Italian Society of Echocardiography and Cardiovascular Imaging (SIECVI).  LinkedIn profile: Bleri Celmeta | LinkedIn     About Behind the OR Behind the OR is the official podcast channel by Peters Surgical. Here, we invite you to step into the world of surgery, where we uncover what happens behind the closed doors of the operating room and beyond. Each episode features in-depth conversations with expert surgeons, providing insights into the latest surgical techniques, innovations, and the daily lives of those who dedicate themselves to saving lives. Founded in 1926, Peters Surgical is a French company with a global presence in over 90 countries. As a reference group for surgical practices worldwide, we are dedicated to improving surgical outcomes through innovative medical devices, including surgical sutures, hemostatic clips, and surgical glue. Our expertise lies in designing, manufacturing, and distributing these devices.  Visit our website here : https://peters-surgical.com/

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.

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.

Andrea Scotti, MD, JACC: Case Reports Deputy Editor, is joined by authors Richard Carrick, MD, PhD and Drew Bidmead, BS discussing this study from Carrick et al presented at ACC.25 and published in JACC: Case Reports. Left atrial dissection is a rare, but potentially serious, complication that most commonly arises following mitral valve surgeries. In this report, we describe an unusual case of left atrial dissection that occurred after multi-valve surgical replacement in a patient with hypertrophic cardiomyopathy. While permanent pacemaker placement was required due to recurrent episodes of complete heart block, the patient was otherwise managed safely using a conservative approach without surgical re-intervention.

PALERMO (ITALPRESS) - Per la prima volta, in una struttura del Sud Italia, è stato eseguito un intervento di cardiochirurgia con l'utlizzo del sistema Da Vinci, un sosfisticato robot che permette di realizzare operazioni di cardiochirurgia mini-invasiva video-assistita. L'intervento - un bypass aorto coronarico - è stato realizzato all'ISMETT, la struttura nata dalla partnership fra Regione Siciliana ed UPMC, il centro medico dell'Università di Pittsburgh. A eseguire l'operazione l'équipe guidata dal professore Francesco Musumeci, Senior Consultant in Cardiac Surgery. abr/mrv

This week, we're thrilled to welcome Mr. Giovanni Mariscalco, Consultant and Head of Service for Cardiac Surgery, as we explore the surgical management of aortic valve disease and its relevance to medical practice. In this episode, we cover: Identifying patients who require surgery, types of prosthetic valves and their indications, the evolving role of TAVI Don't miss this deep dive into one of the most critical areas of cardiac surgery

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.

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.

Join us for this episode where host Dr. Deanna Tzanetos (Norton Children's Hospital/U of Lousville) and guest Dr. Rick Fernandez (Nationwide Children's Hospital) discuss the findings of his abstract "Cardiopulmonary Resuscitation Employing Only Abdominal Compressions in Infants after Cardiac Surgery" presented at the annual meeting in San Diego this past December. Dr. Fernandez shares his institutional experience with this novel approach to abdominal compressions during resuscitation of high-risk infants and how this modified CPR might serve as a unique alternative to traditional chest compressions. Host: Deanna Todd Tzanetos, MD, MSCI (Norton Children's Hospital/U of Louisville) Editor/Producer: Christopher Knoll, MD (Phoenix Children's)

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.

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances discusses a recently published original research paper on cardiac surgery-specific subtle perioperative serum creatinine change in defining acute kidney injury after coronary surgery.

In this episode, Dr. Valentin Fuster discusses the ASSURE DES trial, which compared aspirin monotherapy to withholding antiplatelet therapy in stable patients with drug-eluting stents undergoing non-cardiac surgery. The trial found no significant difference in major adverse outcomes between the two strategies, though minor bleeding was more common in the aspirin group, leading to a recommendation to continue aspirin therapy for most patients undergoing low-to-intermediate risk surgery, with exceptions for those at high bleeding risk.

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.

Many significant medical discoveries were accidents, such as Fleming's discovery of penicillin in 1929. Similarly, in 1958, Dr. Mason Sones from the Cleveland Clinic accidentally injected contrast into a patient's right coronary artery, leading to a cardiac arrest. However, this incident allowed the first detailed visualization of the coronary artery, eventually leading to the development of coronary angiography, which remains the gold standard today. Dr Bleri CELMETA highlight these advancements, and explains the evolutions from open procedures to minimally invasive and robotic techniques.   Dr. Bleri Celmeta is a cardiac surgeon operating on the Minimally Invasive Cardiac Surgery Unit in Galeazzi-Sant'Ambrogio Hospital (Milan, Italy). He graduated in Medicine and Surgery at the University of Padova-Italy in 2014, then completed his residency program in Cardiac Surgery in the same university in 2020. His professional background included also a fellowship in Cardiac and Thoracic Surgery in the University Hospital of Nantes-France (2019-2020).   He is the author of numerous publications and conference presentations with particular interest in minimally invasive cardiac surgery, and review editor of various international Journals (Frontiers in Cardiovascular Medicine, Frontiers in Surgery, Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, Journal of Cardiothoracic Surgery, among others). Dr. Celmeta is a member of the Working Group on Cardiovascular Surgery - European Society of Cardiology (ESC), Italian Cardiac Surgery Society (SICCH) and Italian Society of Echocardiography and Cardiovascular Imaging (SIECVI).  LinkedIn profile: Bleri Celmeta | LinkedIn     About Behind the OR Behind the OR is the official podcast channel by Peters Surgical. Here, we invite you to step into the world of surgery, where we uncover what happens behind the closed doors of the operating room and beyond. Each episode features in-depth conversations with expert surgeons, providing insights into the latest surgical techniques, innovations, and the daily lives of those who dedicate themselves to saving lives. Founded in 1926, Peters Surgical is a French company with a global presence in over 90 countries. As a reference group for surgical practices worldwide, we are dedicated to improving surgical outcomes through innovative medical devices, including surgical sutures, hemostatic clips, and surgical glue. Our expertise lies in designing, manufacturing, and distributing these devices.  Visit our website here : https://peters-surgical.com/

Moderator: BobbieJean Sweitzer, M.D. Participants: Anil Panigrahi, M.D., Ph.D. Articles Discussed: Factor Eight Inhibitor Bypass Activity Use in Cardiac Surgery: A Propensity Matched Analysis of Safety Outcomes Transcript

Moderator: James P. Rathmell, M.D. Participants: Paul S. Myles, M.B., B.S., M.P.H., M.D., D.Sc. and Daniel I. McIsaac, M.D., M.P.H. Articles Discussed: Dexamethasone for Cardiac Surgery: A Practice Preference-Randomized Consent Comparative Effectiveness Trial Routine Innovation in Perioperative Clinical Trials: The Best Chance to Answer Our Most Important Questions? Transcript

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

Dr. Sardari Nia's trial on digital cardiac counseling, presented at EACTS and published in JACC, is a randomized study of 394 patients. It investigated the impact of telemedicine-based prehabilitation to reduce modifiable risk factors in patients awaiting elective cardiac surgery. The results demonstrated a significant 35% reduction in major adverse events, particularly rehospitalizations, highlighting the safety and effectiveness of prehabilitation in improving patient outcomes. This trial also emphasizes empowering patients to take control of their health before surgery, potentially benefiting healthcare on a larger scale.

This month's episode is hosted by Miia L Lehtinen and Can Gollmann-Tepeköylü, who are joined by Wouter Oosterlinck, exploring his experience and expertise in the field of robotic cardiac surgery. Although already popular amongst thoracic surgeons, Wouter discusses the creation of his fast growing minimally invasive programme, which has been influential in this emerging field. Listen in for insight into the ever-developing applications of robotic cardiac surgery as well as the challenges being faced, such as nuanced medical device regulations.

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

Guideline evolution is driven by ongoing research; recent studies like PeriOperative ISchemic Evaluation-3 Trial (POISE-3) and trials such as OPtimisation of Peri-operaTive CardIovascular Management to Improve Surgical outcomE II (OPTIMISE II) trial may influence recommendations on hemodynamic management and the use of tranexamic acid. Future guidelines are expected to integrate machine learning models for risk prediction, addressing complex patient phenotypes and interactions. Discontinuation vs. continuation of renin–angiotensin system inhibition before non-cardiac surgery: the SPACE trial has challenged existing practices regarding the discontinuation of ACE inhibitors or ARBs, highlighting the dynamic nature of medical guidelines and the continuous incorporation of new evidence to enhance patient care. Presented by Andy Cumpstey and Joff Lacey with Mark Edwards, Consultant in Anaesthesia and Perioperative Medicine, University Hospital Southampton Honorary Senior Clinical Lecturer, University of Southampton and John Whittle, Clinical Academic working in Perioperative Translational Medicine at UCL and Honorary Consultant in Perioperative Medicine, Anaesthesia and Critical Care at University College Hospitals London. -- More on POISE-3 here: https://clinicaltrials.gov/study/NCT03505723 More on OPTIMISE II here: https://optimiseii.org/ More on the SPACE trial here: https://doi.org/10.1093/eurheartj/ehad716  

In this September 10th, 2024 issue of Jack, Dr. Michael Ogburn's study highlights a troubling association between high postnatal opioid exposure and poorer neurodevelopmental outcomes in infants who have undergone cardiac surgery. Despite careful adjustments for confounding factors, increased opioid use was linked to significant deficits in cognitive, language, and motor skills, emphasizing the need for stricter protocols and alternative pain management strategies in pediatric cardiac care.

A patient at Waikato Hospital says he has been waiting more than a month for cardiac surgery and has been told it might be at least another three weeks away. The Coromandel man spoke to Natalie Akoorie from his hospital bed.

Hypotension and shock are both recognized as complications post-cardiac surgery. Some patients may develop more severe shock refractory to fluids and catecholamines. This response is also known as today's podcast episode, topic: vasoplegia after cardiac surgery. For this discussion, Dr. Zanotti is joined by Dr. Iqbal Ratnani, an intensivist who practices at the DeBakey Heart & Vascular Center and the Center for Critical Care at Houston Methodist Hospital. Dr. Ratnani is an Associate Professor of Clinical Anesthesiology & Critical Care for the Department of Anesthesiology and Critical Care at Weill Cornell Medical College. In addition, Dr. Ratnani is the Director of Critical Care Education at the Center for Critical Care. Additional resources: Vasoplegia: A Review. Igbal Ratnani, et al. Methodist DeBakey Cardiovascular Journal 2023: https://pubmed.ncbi.nlm.nih.gov/37547893/ Vasoplegic Syndrome after Cardiopulmonary Bypass in Cardiovascular Surgery: Pathophysiology and Management in Critical Care. Zied Ltaief, et al. Journal of Clinical Medicine 2022: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9658078/ Books mentioned in this episode: Marino's The ICU Book. By Paul Marino: https://bit.ly/3XmWPGA Every Deep-Drawn Breath. By Wes Ely: https://bit.ly/4cODkeq In Shock: My Journey from Death to Recovery to Redemption. By Rana Awdish: https://bit.ly/3Z4mC7z

Dr. Yugal K MISHRA is one of India's most well-known and skilled cardiac surgeon. He is Chief of Cardiac Services, Chairman & Chief Cardio Vascular Surgeon at Manipal Hospitals. He is also President of the Society of Minimally Invasive Cardiovascular Surgeons of India, President of the India Association of Cardiovascular & Thoracic Surgeons and Council Member of the Association of Thoracic & Cardiovascular Surgeons of Asia.  Dr Mishra is one of the renowned Robotic & Minimally Invasive Heart Surgeons in Asia. He has performed more than 500 robotic cases in India. Some facts about him : He has over 30 years of experience. He has done more than 20 000 successful procedures He has written more than 200 scientific research papers He has trained more than 100 cardiac surgeons  In this episode, Dr. Yugal Mishra explains the benefits and challenges of Minimally Invasive Cardiac Surgery (MICS) compared to traditional open-heart surgery in India. Dr. Mishra highlights that while MICS offers advantages and that MICS is more expensive due to the advanced equipment and expertise required, but it can ultimately be more cost-effective by reducing hospital stays and enabling patients to return to work sooner. Dr. Mishra discusses the technical challenges, including managing complications and the importance of advanced technology in improving surgical outcomes.  LinkedIn Profile : Yugal Mishra Dr. Mishra Website : https://dryugalmishra.com/   In this episode, Dr. Yugal Mishra explains the benefits and challenges of Minimally Invasive Cardiac Surgery (MICS) compared to traditional open-heart surgery. Dr. Mishra highlights that while MICS offers advantages and that MICS is more expensive due to the advanced equipment and expertise required, but it can ultimately be more cost-effective by reducing hospital stays and enabling patients to return to work sooner. Dr. Mishra discusses the technical challenges, including managing complications, and the importance of advanced technology in improving surgical outcomes.    About Behind the OR Behind the OR is the official podcast channel by Peters Surgical. Here, we invite you to step into the world of surgery, where we uncover what happens behind the closed doors of the operating room and beyond. Each episode features in-depth conversations with expert surgeons, providing insights into the latest surgical techniques, innovations, and the daily lives of those who dedicate themselves to saving lives. Founded in 1926, Peters Surgical is a French company with a global presence in over 90 countries. As a reference group for surgical practices worldwide, we are dedicated to improving surgical outcomes through innovative medical devices, including surgical sutures, hemostatic clips, and surgical glue. Our expertise lies in designing, manufacturing, and distributing these devices.  Visit our website here : https://peters-surgical.com/

Penditure Exclusion System: Left Atrial Appendage ManagementHost: Pieter KappeteinGuests: Dr. Robert Hawkins – Frankel Cardiovascular Center, University of MichiganDr. Gianluca Torregrossa – Lankenau Medical Center, Philadelphia Segment 1: Candidates, Circumstances, Clip Placement

Penditure Exclusion System: Left Atrial Appendage ManagementHost: Pieter KappeteinGuests:Dr. Robert Hawkins – Frankel Cardiovascular Center, University of MichiganDr. Gianluca Torregrossa – Lankenau Medical Center, Philadelphia Segment 2: Robotic Closure, Appendage management for all AFib patients

This week on Parallax, Dr Ankur Kalra welcomes Dr Marc Gerdisch to discuss a groundbreaking study on reducing opioid use after cardiac surgery. Dr Marc Gerdisch is the Chief of Cardiovascular and Thoracic Surgery and Co-Director of the Heart Valve Center and Atrial Fibrillation Program at Franciscan St. Francis Health. He is a senior partner at Cardiac Surgery Associates and a Clinical Assistant Professor of Thoracic and Cardiovascular Surgery at Loyola University Medical Center in Chicago. Dr Gerdisch shares insights into his research on rigid sternal fixation and enhanced recovery protocols, which have shown promising results in postoperative pain management and patient recovery. In this episode, Dr Kalra and Dr Gerdisch discuss the specifics of the study, including the four-cohort design and the steps taken to expedite opioid-free recovery. Dr Gerdisch also shares valuable advice on overcoming physician inertia and building a strong case for implementing such a programme, including cost-benefit analysis considerations. What motivated the study? How can a holistic approach to cardiac surgery recovery be implemented? What advice does Dr Gerdisch have for our listeners? Sources: Gerdisch MW, et al. Ann Thorax Surg 2024. Rigid Sternal Fixation and Enhanced Recovery for Opioid-Free Analgesia After Cardiac Surgery. DOI: 10.1016/j.athoracsur.2024.06.032 CE Cox. TCTMD 2024. Holistic Approach to Cardiac Surgery Can Sharply Cut Opioid Use. Available at: https://www.tctmd.com/news/holistic-approach-cardiac-surgery-can-sharply-cut-opioid-use. Accessed August 12, 2024.

Send us a Text Message.In this episode of "The Incubator," hosts Ben Courchia and Daphna interview Dr. John Costello from the Medical University of South Carolina. Dr. Costello discusses his upcoming "Year in Review" presentation on pediatric neonatal cardiac critical care at the NeoHeart conference.He highlights new recommendations for pediatric cardiac surgery centers in the U.S., including a two-tier system of "essential" and "comprehensive" programs. Dr. Costello explains the potential impact of these guidelines on patient care and healthcare system organization.The conversation also touches on ongoing research needs in cardiac critical care, particularly the importance of understanding adverse maternal-fetal environments and their effects on neonates with congenital heart disease. Dr. Costello emphasizes the need for better risk adjustment models that incorporate prenatal factors.The hosts and guest discuss the challenges of summarizing a year's worth of research and the excitement surrounding new developments in the field. 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!

Commentary by Dr. Candice Silversides

Commentary by Dr. Candice Silversides

Audio Commentary by Dr. Valentin Fuster, Emeritus Editor in Chief

Can personal experiences with heart disease shape the future of heart surgery? Join me as I sit down with Dr. Danny Ramzy, a groundbreaking minimally invasive heart surgeon, to unravel his inspiring journey in medicine. Driven by his family's history with heart disease, Dr. Ramzy transitioned from classical training to becoming a pioneer in robotic heart surgery. He recounts his first encounter with robotic techniques during his fellowship and how these innovations have revolutionized procedures like unroofing myocardial bridges, offering patients faster recoveries with minimal life disruption. What makes robotic surgery a game-changer in treating myocardial bridges? The conversation shines a spotlight on the meticulous techniques Dr. Ramsey employs to free arteries from muscle encasement and the complexities involved with smaller arteries. We delve into the choice between traditional sternotomy and robotic approaches, underscoring the pivotal role of surgical experience. Dr. Ramsey also introduces us to the latest advancements in robotic surgery, including haptic feedback, which enhances precision and safety, making these procedures more effective than ever. How do we differentiate between benign intramyocardial vessels and pathological myocardial bridges? Our discussion delves into the essential diagnostic protocols and personalized treatments necessary for optimal patient outcomes. Dr. Ramsey clarifies the significant benefits of surgical unroofing for symptomatic patients and highlights the ongoing advancements at McGovern Medical School at the University of Texas Health in Houston. We'll wrap the episode by acknowledging the vibrant myocardial bridge community and Dr. Ramsey's unwavering dedication to improving patient care and outcomes. To reach Dr. Ramzy's office you can call 713-486-6690 and schedule an appointment for a consultation. Episode Highlight Timestamps (03:21 - 05:18) Robot-Assisted Unroofing for Myocardial Bridges (13:10 - 14:06) Endovascular Unroofing of Arteries (18:11 - 21:55) Myocardial Bridge Unroofing Importance (25:44 - 26:48) Global Advancements in Robotic Surgery (28:39 - 29:53) Consultation Process for Robotic Surgery Episode Chapter Summaries (00:00) Minimally Invasive Heart Surgery Innovations. Dr. Ramzy's journey to becoming a minimally invasive heart surgeon, influenced by family experiences and technology, and his use of robotics for unroofing myocardial bridges. (12:11) Robotic vs. Minimally Invasive Surgery. Unroofing myocardial bridges in LAD artery, considering surgical approach and advancements in robotic surgery for precision and safety. (18:35) Advancements in Robotic Heart Surgery. Myocardial bridges are complex and often misunderstood, but surgical unroofing can benefit symptomatic patients. (29:49) Sharing Stories of Myocardial Bridge. Facebook group supports patients with myocardial bridge, emphasizing accurate diagnosis and ongoing efforts to understand and treat the condition.      

With perspectives spanning hepatobiliary, gynecologic, and cardiac surgeries, NewYork-Presbyterian's Dr. Jason Hawksworth (Columbia), Dr. Tamatha Fenster (Weill Cornell Medicine), and Dr. Arnar Geirsson (Columbia) describe how they each came to incorporate robotics into their practices. One of the biggest takeaways: robotic surgeries allow for more accuracy in minimally-invasive approaches; so patients experience shorter hospital stays and quicker recoveries, even after major procedures. But there are some limitations to robotic surgeries that the doctors are still navigating. Dr. Fenster discusses how there are haptics limitations in robotic surgery. As a result, she shares more about her innovative smartHER 3D MRI program that is addressing this issue and details how her and her team are developing a way of holographically projecting 3D MRIs over patients to help guide surgeons while they operate. For more information visit nyp.org/Advances

On this episode of the Spot Radio Podcast Charlie Webb CPPL speaks with biomedical engineer Emily Graba about her scoring system for the visual features of a medical device Pouch or Tray sealing.About the Emily Graba: Emily Graba is a biomedical engineering graduate from the University of Minnesota and a Process Development Engineer at QTS. Prior to joining QTS as a full-time engineer, Emily completed an R&D Co-op with the Cardiac Surgery group at Medtronic and a Project Engineering Co-op at QTS. At QTS Emily is heavily involved in the development and improvement of the sealing characterization and validation process for medical devices. Outside of work, Emily enjoys going to Society of Women Engineers (SWE) events and spending time outdoors!Guest Email: egraba5736@gmail.comVisual seal inspection app: https://vanderstahl.com/viu-system/Visual seal inspection device: https://vanderstahl.com/seal-stats/

With Torsten Doenst & Philine Fleckenstein, Jena University Hospital, Friedrich Schiller University of Jena - Germany.   Link to paper   Link to editorial

In this episode of the Saving Lives Podcast, we dive into a groundbreaking 2017 study comparing vasopressin and norepinephrine for treating vasoplegic shock after cardiac surgery. Discover the study's compelling results, how vasopressin outperformed norepinephrine in reducing severe complications, and the potential implications for clinical practice. The Vasopressor & Inotrope Handbook I have written "The Vasopressor & Inotrope Handbook: A Practical Guide for Healthcare Professionals," a must-read for anyone caring for critically ill patients (check out the reviews)! You have several options to get a physical copy while supporting my endeavors. If you're in the US, you can order ⁠⁠⁠A SIGNED & PERSONALIZED COPY for $29.99⁠⁠⁠ or via ⁠⁠⁠AMAZON⁠⁠⁠ (for orders outside the US). Ebook versions: ⁠⁠⁠AMAZON KINDLE for $9.9⁠⁠⁠⁠⁠⁠9⁠⁠⁠. ⁠⁠⁠APPLE BOOKS⁠⁠⁠ and ⁠⁠⁠GOOGLE PLAY⁠⁠⁠.  ¡Excelentes noticias! Mi libro ha sido traducido al español y está disponible a traves de AMAZON. Las versiones electrónicas están disponibles para su compra for solo $9.99 en AMAZON KINDLE, APPLE BOOKS y GOOGLE PLAY. When you use these affiliate links, I earn an additional commission at no extra cost to you, which is a great way to support my work. Citation: Hajjar LA, Vincent JL, Barbosa Gomes Galas FR, Rhodes A, Landoni G, Osawa EA, Melo RR, Sundin MR, Grande SM, Gaiotto FA, Pomerantzeff PM, Dallan LO, Franco RA, Nakamura RE, Lisboa LA, de Almeida JP, Gerent AM, Souza DH, Gaiane MA, Fukushima JT, Park CL, Zambolim C, Rocha Ferreira GS, Strabelli TM, Fernandes FL, Camara L, Zeferino S, Santos VG, Piccioni MA, Jatene FB, Costa Auler JO Jr, Filho RK. Vasopressin versus Norepinephrine in Patients with Vasoplegic Shock after Cardiac Surgery: The VANCS Randomized Controlled Trial. Anesthesiology. 2017 Jan;126(1):85-93. doi: 10.1097/ALN.0000000000001434. PMID: 27841822. --- Support this podcast: https://podcasters.spotify.com/pod/show/eddyjoemd/support

Topical Tranexamic Acid to Reduce Seizures in Cardiac Surgery

DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.       Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Introduction to our guestToday, we dive deep into the world of cardiac surgery with our esteemed guest, Dr. Bobby Yanagawa, Division Head of Cardiac Surgery at St. Michael's Hospital. This episode unpacks the thrilling, yet demanding life of a heart surgeon, exploring everything from the adrenaline of emergency surgeries to the finesse required for elective procedures. Dr. Yanagawa, distinguished for his mastery in the realm of heart health, shares his insights on managing heart disease risk factors and the advances in surgical technology like transcatheter aortic valve replacement (TAVR). We'll also touch on the emotional weight of decision-making in life-threatening treatments, and how surgeons like Dr. Yanagawa navigate the complexities of patient care. Moreover, beyond the scalpel and sutures, we discuss the critical balance between personal life and professional dedication, aiming to unearth the reality of medical practice in contrast to its often sensationalized portrayals. So, tune in as we explore the heart of the matter on "Ditch the Labcoat."Episode Breakdown : The discussion opens with Dr. Yanagawa comparing the intensive concentration required in the operating room to entering a martial arts dojo, a place where focus is paramount and the external world fades away. This analogy extends into a broader discussion on the parallels between martial arts and medical education, emphasizing humility, continual learning, and respect for expertise.Moving through the intricacies of heart health, the conversation covers a wide array of topics, from the technological advancements in procedures like Transcatheter Aortic Valve Replacement (TAVR) to the challenges of maintaining a work-life balance in such a demanding field. Dr. Yanagawa shares insights into the surgical intricacies of managing acute emergencies like aortic dissections and the bread-and-butter of elective coronary bypass procedures.A significant portion of the dialogue focuses on the ethical and emotional dimensions of heart surgery, particularly regarding patient interactions and the decision-making process concerning surgical risks and life expectancy. The emotional weight of conveying the realities of heart surgery to patients and their families highlights the profound impact of medical professionalism and empathy in clinical practice.Moreover, Dr. Yanagawa reflects on the broader implications of modern lifestyle choices on health, contrasting today's sedentary habits with the more active, hunter-gatherer past, and how these shifts contribute to chronic health issues. This serves as a springboard into a deeper discussion on the interplay between genetics, lifestyle, and preventive health care.As the episode winds down, both doctors discuss the future of heart surgery, including the potential for growing organs in labs and the evolving role of artificial hearts. The conversation also touches on the use of different heart valves, from pig and cow valves to mechanical options, outlining the considerations that guide their use in different patient scenarios.Throughout the episode, Dr. Bonta and Dr. Yanagawa repeatedly circle back to the importance of deriving purpose from their work and the intrinsic motivation needed to navigate the pressures of the medical field. The episode not only sheds light on the technical and ethical facets of cardiac surgery but also humanizes the surgeons behind the scalpel, revealing their passions, challenges, and the delicate balance they maintain between saving lives and living their own.Topics Covered 1. Introduction to Guest and Episode Focus   - Introduction of Dr. Bobby Yanagawa, a division head of cardiac surgery at St. Michael's Hospital   - Overview of the episode's focus on heart surgery, health management, and the reality of healthcare.2. The Reality of a Surgical Career   - Dr. Yanagawa's excitement for elective and emergency procedures.   - Challenges and rewards of being a cardiothoracic surgeon and internist.3. Impact of Modern Lifestyle on Health   - Discussion on how modern living contrasts with hunter-gatherer lifestyles.   - Evolutionary lifestyle effects on human health.4. Handling Medical Emergencies and Procedures   - The thrill and pressures of dealing with medical emergencies.   - Mortality risks and emotional dimensions of discussing life-threatening treatments.5. Surgical Decision-Making and Ethics   - Patient reactions and emotional impacts when facing serious health decisions.   - Consulting with colleagues on borderline cases and ethical considerations in healthcare.6. Advancements in Medical Technology   - Discussion on the potential of growing blood vessels and organs in labs.   - Technological advancements like transcatheter aortic valve replacement (TAVR).7. Education and Mentorship in Medicine   - Importance of providing proper feedback and support to medical learners.   - Drawing parallels between martial arts training and medical education.8. Personal Motivations and Career Choices   - Dr. Yanagawa's personal reasons for becoming a heart surgeon.   - The day-to-day realities and the diversities within the medical field.9. Health Management and Chronic Diseases   - Importance of medication adherence in managing diabetes.   - The role of lifestyle modifications in managing chronic diseases.10. Work-Life Balance and Burnout    - Importance of balancing professional obligations with personal life.    - Strategies to avoid burnout and maintain a fulfilling career.11. Discussion on Heart Valves and Prostheses    - Different types of heart valves and their suitability for various patients.    - Future possibilities and current limitations of artificial heart technology.12. Concluding Thoughts    - Reflections on deriving purpose from work and making a difference.    - Recap of the importance of a real understanding of the healthcare profession beyond media portrayals.This sequence offers a structured breakdown of the episode's discussion, providing a clear roadmap for listeners to understand the complexities and nuances of a career in heart surgery as well as broader healthcare issues.

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

Before 1952, open heart surgery was considered science fiction. The heart was off limits to surgeons despite more than half a million Americans dying annually from heart disease. Doing nothing was the strategy. However, the status quo would soon change thanks to a few brave and imaginative surgeons who dared to break the most rigid of medical taboos: Do not touch the human heart. We sat down with Dr. Gerald Imber, author of the new book “Cardiac Cowboys: The Heroic Invention of Heart Surgery” to discuss how five men raced to invent an entirely new field of surgery.  Guests: Jessica Millar, MD- General Surgery Resident- University of Michigan; Education Fellow- Behind the Knife Nick Teman, MD- Associate Professor of Cardiac Surgery and Critical Care- University of Virginia  Gerald Imber- Assistant Clinical Professor of Plastic surgery at the Weill-Cornell Medical Center, Attending Surgeon at New York-Presbyterian Hospital, and Director of a private clinic in New York City, NY; Author of “Wendell Black, MD”, “Genius on the Edge: The Bizarre Double Life of Dr. William Stewart Halsted”, and “Cardiac Cowboys: The Heroic Invention of Heart Surgery”.  Want to hear more from Dr. Imber- be sure to check out his podcast series, Cardiac Cowboys, based on Dr. Imber's book. You can listen to an introduction of the Cardiac Cowboys series here: https://shorturl.at/rKLM8 Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out more recent episodes: https://app.behindtheknife.org/listen

We know cardiac surgery can seem a bit daunting on the surface. However, most surgeons will come across cardiac surgery patients at some point whether in the OR, ICU, ED, etc. As the FIRST cardiac surgery specialty team for Behind the Knife, we are excited to bring you episodes focused on high-yield topics to help you navigate common cardiac surgery challenges, discuss relevant literature to help you in practice, and help our listeners feel more comfortable around cardiac surgery patients.  In this episode we'll discuss mitral valve disease. We'll review important physiologic differences in patients with mitral valve disease, the most common surgical approaches to address mitral valve disease, and how to work up and address acute mitral regurgitation due to acute papillary muscle rupture.  Hosts:  - Jessica Millar, MD- PGY-5 General Surgery Resident, University of Michigan, @Jess_Millar15 - Aaron William, MD- Cardiothoracic Surgery Fellow, Duke University, @AMWilliamsMD - Nick Teman, MD- Assistant Professor of Thoracic and Cardiovascular Surgery, University of Virginia, @nickteman Learning objectives: - Understand the physiologic differences that occur with mitral valve stenosis and regurgitation.  - Understand the basic principles of mitral valve repair and replacement strategies.  - Understand the presentation, work-up, and acute management of acute mitral valve regurgitations due to acute papillary muscle rupture/MI.   For episode ideas/suggestions/feedback feel free to email Jessica Millar at: millarje@med.umich.edu **Introducing Behind the Knife's Trauma Surgery Video Atlas - https://app.behindtheknife.org/premium/trauma-surgery-video-atlas/show-content The Trauma Surgery Video Atlas contains 24 scenarios that include never-before-seen high-definition operative footage, rich, original illustrations, and practical, easy-to-read pearls that will help you dominate the most difficult trauma scenarios.

We know cardiac surgery can seem a bit daunting on the surface. However, most surgeons will come across cardiac surgery patients at some point whether in the OR, ICU, ED, etc. As the FIRST cardiac surgery specialty team for Behind the Knife, we are excited to bring you episodes focused on high-yield topics to help you navigate common cardiac surgery challenges, discuss relevant literature to help you in practice, and help our listeners feel more comfortable around cardiac surgery patients.  In this episode we'll discuss common cardiac surgery post-op problems. Whether you're on a cardiac surgery rotation or just covering an ICU with cardiac surgery patients for the night, these common post-op problems are bound to occur. Hosts:  - Jessica Millar, MD- PGY-5 General Surgery Resident, University of Michigan, @Jess_Millar15 - Aaron William, MD- Cardiothoracic Surgery Fellow, Duke University, @AMWilliamsMD - Nick Teman, MD- Assistant Profressor of Thorasis and Cardiovascular Surgery, University of Virginia, @nickteman Learning objectives: - Understand the workup and management strategies for post-operative bleeding in the post-cardiac surgery patient.  - Understand how to recognize and manage post-cardiotomy cardiogenic shock in the post-cardiac surgery patient.  - Understand the workup, short-term, and long-term management for post-cardiac surgery atrial fibrillation.  Helpful Resources: - 2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: https://www.ahajournals.org/doi/10.1161/CIR.0000000000000665 - 2014 AATS guidelines for the prevention and management of perioperative atrial fibrillation and flutter for thoracic surgical procedures, Executive summary: https://www.jtcvs.org/article/S0022-5223(14)00835-6/fulltext For episode ideas/suggestions/feedback feel free to email Jessica Millar at: millarje@med.umich.edu Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our 4 Part Cardiac Surgery Crash Course Series here: https://behindtheknife.org/podcast/cardiac-surgery-crash-course-series-episode-1-intro-to-the-cardiac-or/