CTSNet Podcasts

CTSNet
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Discussions about the most relevant topics in cardiothoracic surgery from CTSNet, the Cardiothoracic Surgery Network.

  1. The Beat With Joel Dunning Ep. 163: Is the TAVR Heart Team About to Lose a Member?

    4 hr ago

    The Beat With Joel Dunning Ep. 163: Is the TAVR Heart Team About to Lose a Member?

    This week on The Beat, CTSNet Editor-in-Chief Joel Dunning discusses the transcatheter aortic valve replacement (TAVR) heart team potentially losing a member. He explores the current composition of the TAVR heart team, proposed changes, the thoughts of cardiothoracic societies, and future actions regarding this issue. Chapters  00:00 Intro  01:53 TAVR Heart Team  07:48 JANS 1, Base Editing of PCSK9  09:47 JANS 2, High Volume Valve Sparing ARR  12:03 JANS 3, Western Rheumatic Heart Disease  14:05 JANS 4, Non-Intubated Uniportal VATS SL  15:38 Video 1, Miami Method-Bentall  17:02 Video 2, ALCAPA Repair  18:29 Video 3, Robotic Cardiac Podcast  22:17 Dr. Sundt, Mantle Radiation Patients  31:17 Upcoming Events  Additionally, he spoke with Dr. Thoralf Sundt, Chief of the Division of Cardiac Surgery and Director of the Corrigan Minehan Heart Center at Massachusetts General Hospital, Boston, MA, USA, about patients who have undergone mantle radiation. They discuss the challenges these patients face postoperatively, including the mortality rate associated with reoperations. The conversation also highlights the significance of employing a heart team approach for these patients, emphasizing the importance of preoperative planning and the application of TAVR, which is potentially suitable for these patients. Furthermore, they touch upon topics such as mechanical valves, porcelain aorta, and the importance of conducting careful operations on these patients. Joel also highlights recent JANS articles on in vivo base editing of PCSK9 with VERVE-102 for hypercholesterolemia, defining high-volume centers using prospective data for valve-sparing aortic root replacement, insights from the Netherlands Heart Registration on surgical care for rheumatic heart disease patients, and a cohort study on surgical techniques and outcome analysis of non-intubated uniportal VATS sleeve lobectomy. In addition, Joel explores a step-by-step technique for a minimally invasive Bentall procedure via right axillary access, the repair of an anomalous left coronary artery from the pulmonary artery via direct coronary transfer, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Dr. Husam Balkhy about multi-spectrum robotic cardiac surgery. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned In Vivo Base Editing of PCSK9 With VERVE-102 for Hypercholesterolemia Valve-Sparing Aortic Root Replacement: Defining High-Volume Centres Using Prospective Data Surgical Care for Rheumatic Heart Disease Patients: Insights From the Netherlands Heart Registration Surgical Techniques and Outcome Analysis of Non-Intubated Uniportal VATS Sleeve Lobectomy: A Cohort Study CTSNet Content Mentioned Minimally Invasive Bentall Procedure via Right Axillary Access: A Step-by-Step Technique Repair of Anomalous Left Coronary Artery From the Pulmonary Artery via Direct Coronary Transfer The Atrium: Multi-Spectrum Robotic Cardiac Surgery Other Items Mentioned Cardiac Reoperations in Patients With Prior Thoracic Radiation: A Single-Center Analysis of Outcomes and Key Lessons CTSNet Innovation Video Competition 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.

    32 min
  2. The Beat With Joel Dunning Ep. 162: Lifetime Management of Aortic Valve Disease

    25 Jun

    The Beat With Joel Dunning Ep. 162: Lifetime Management of Aortic Valve Disease

    This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Isaac George, CTSNet Board Member and Co-Director of the Structural Heart and Valve Center, Surgical Director of Structural Heart Disease, and Co-Director of the Mitral and Tricuspid Center at Columbia University Medical Center/NewYork-Presbyterian, NY, USA, about the lifetime management of aortic valve disease. Chapters 00:00 Intro 02:11 AATS-CTSN Randomized Trials 04:37 JANS 1, Consensus Statement ALAD 10:28 JANS 2, Lung Re-Transplantation Outcomes 12:19 JANS 3, Aortic Homografts, EURECAH 15:15 JANS 4, Lobectomy Cost Analysis 18:10 Video 1, Anomalous L Coronary Artery 19:38 Video 2, Pulm Valve Replacement Reop 21:38 Video 3, Giant Pulm Artery Aneurysm 23:28 Dr. George Discussion 33:18 Upcoming Events 34:05 Closing They explored the expansion of transcatheter aortic valve replacement (TAVR), emphasizing the crucial role of the heart valve team in this process. The discussion highlighted the necessity for surgeons to be actively involved in the decision-making process surrounding TAVR, particularly in the early stages. They also addressed the importance of lifetime management of the valve, selecting the appropriate valve, and valve durability. Additionally, they discussed the significance of providing patients with multiple surgical options, the Ross procedure, mechanical valves, and explored which procedures patients are choosing. Joel also highlights recent JANS articles on the ISHLT consensus statement on acute lung allograft dysfunction, aortic homografts for native and prosthetic aortic valve and root endocarditis, how outcomes after lung re-transplantation for restrictive allograft syndrome have not improved over two decades, and the financial burden of postoperative adverse events following lobectomy. In addition, Joel explores the surgical repair of an anomalous left coronary artery from the right pulmonary artery, minimally invasive pulmonary valve replacement in reoperative settings, and surgical management of giant pulmonary artery aneurysm using a T-shaped graft-valve strategy. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned ISHLT Consensus Statement on Acute Lung Allograft Dysfunction (ALAD): Definition, Etiology, Diagnostic and Therapeutic Approaches, and Research Priorities Aortic Homografts for Native and Prosthetic Aortic Valve and Root Endocarditis: Results From the EUropean REgistry of Cryopreserved Aortic Homografts EURECAH Outcomes After Lung Re-Transplantation for Restrictive Allograft Syndrome Have Not Improved Over Two Decades Financial Burden of Postoperative Adverse Events Following Lobectomy: Cost Analysis From 10 High-Volume Canadian Hospitals CTSNet Content Mentioned Surgical Repair of an Anomalous Left Coronary Artery From the Right Pulmonary Artery Minimally Invasive Pulmonary Valve Replacement in Reoperative Settings Surgical Management of Giant Pulmonary Artery Aneurysm Using a T-Shaped Graft-Valve Strategy Other Items Mentioned CTSNet Innovation Video Competition 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.

    35 min
  3. The Atrium: Multi-Spectrum Robotic Cardiac Surgery

    23 Jun

    The Atrium: Multi-Spectrum Robotic Cardiac Surgery

    In this episode of The Atrium, host Dr. Alice Copperwheat speaks with Dr. Husam Balkhy, Professor of Surgery and Director of Robotic and Minimally Invasive Cardiac Surgery at the University of Chicago, IL, USA, about multi-spectrum robotic cardiac surgery. Chapters  00:00 Intro  01:04 Why CT Surgery?  04:08 History  08:09 Benefits  10:00 Challenges  13:56 Multispectrum Robotic Surgery  16:15 Patient Selection  24:33 Work Up, Port Placement  29:47 Valve Surgery  31:11 Coronary Surgery  32:38 Other Surgery  37:15 Complications  39:13 Training, Simulations  45:07 Future of Robotics  49:00 Key Takeaways  49:34 Surgery Training Advice  The discussion focuses on the history of robotics in cardiac surgery, emphasizing the benefits and challenges associated with robotic surgery. It explores the concept of multi-spectrum robotic cardiac surgery and provides an overview of robotic surgery as it currently stands, including the types of valves involved and the various approaches utilized. The conversation also highlights specific techniques in robotic surgery, such as totally endoscopic coronary artery bypass (TECAB). Additionally, it addresses potential complications, including peripheral cannulation injuries and phrenic nerve injury. Furthermore, they discussed training in robotics and the future of robotics. The Atrium is a monthly podcast presenting clinical and career-focused topics for residents and early career professionals across all cardiothoracic surgery subspecialties. Keep an eye out for next month’s episode. Related Resources Multi-Spectrum Robotic Cardiac Surgery: Early Outcomes   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.

    51 min
  4. The Beat With Joel Dunning Ep. 161: Thoracoabdominal Aortic Aneurysm Repair

    18 Jun

    The Beat With Joel Dunning Ep. 161: Thoracoabdominal Aortic Aneurysm Repair

    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.

    31 min
  5. The Cardiac Recovery Room: Hemodynamics and Atrial Fibrillation

    17 Jun

    The Cardiac Recovery Room: Hemodynamics and Atrial Fibrillation

    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.

    41 min
  6. The Beat With Joel Dunning Ep. 160: Shifting Healthcare Policy in Surgery

    11 Jun

    The Beat With Joel Dunning Ep. 160: Shifting Healthcare Policy in Surgery

    This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Nikki Stamp, a cardiothoracic surgeon at Mount Private Hospital in Perth, Western Australia, who also serves as an Adjunct Clinical Senior Lecturer at Curtin University, Australia, about shifting healthcare policy in surgery.   Chapters  00:00 Intro  01:45 ESTS 2026  02:01 Presidential Address  02:52 Keynote, Emerging Surgical Technologies  05:21 Segmentectomy vs Lobectomy  10:18 Other Key Presentations  11:34 JANS 1, Propensity Score Analysis  12:30 JANS 2, FILONEX Hemodiafiltration  13:21 JANS 3, Transplant Surgery at Night  14:29 Video 1, Aortic Dissection Presentations  15:36 Video 2, Endoscopic AV & AA Replacement  16:45 Video 3, Tetralogy Repair in an Infant  18:12 Dr. Stamp, Health Media & Policy  33:46 Career Center  34:03 Closing  They begin by discussing Dr. Stamp’s professional background, including her experiences working with the media and the lessons she learned from it. They also explore the positive effects of social media for surgeons, such as networking and learning from peers. Additionally, they identify areas for improvement in aortic surgery and transplants. Dr. Stamp then shares her vision for the future of cardiothoracic surgery, emphasizing the need to reduce fragmentation of care and encourage professionals to focus their efforts on their specific specialties.   Joel also highlights recent JANS articles on a propensity score matching analysis on the risk of sternal wound infection in bilateral skeletonized internal thoracic artery in coronary artery bypass grafting, a prospective, randomized controlled pilot safety study evaluating the addition of hemodiafiltration to EVLP in marginal donor lungs, mechanical load inhibits cancer growth in mouse and human hearts, and outcomes of lung transplantation surgery performed at night  In addition, Joel explores totally endoscopic aortic valve and ascending aorta replacement, tetralogy repair in an infant, and a presentation from the 2026 Society for Cardiothoracic Surgery in Great Britain and Ireland Annual Meeting on aortic dissection.  Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  Risk of Sternal Wound Infection in Bilateral Skeletonized Internal Thoracic Artery in Coronary Artery Bypass Grafting: A Propensity Score Matching Analysis FILONEX—A Prospective, Randomized Controlled Pilot Safety Study Evaluating the Addition of Hemodiafiltration to EVLP in Marginal Donor Lungs Mechanical Load Inhibits Cancer Growth in Mouse and Human Hearts Outcomes of Lung Transplantation Surgery Performed at Night CTSNet Content Mentioned  SCTS 2026 | Aortic Dissection   Totally Endoscopic Aortic Valve and Ascending Aorta Replacement   Tetralogy Repair in an Infant   Other Items Mentioned  Career Center  CTSNet Events   Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

    35 min
  7. The Lifeline: Crisis Management After Minimally Invasive Cardiac Procedures

    10 Jun

    The Lifeline: Crisis Management After Minimally Invasive Cardiac Procedures

    In this edition of the CTSNet podcast, The Lifeline, host and nurse educator Jill Ley, Clinical Professor at the University of California San Francisco School of Nursing, Founder of the Essentials of Cardiac Surgical Resuscitation, and former Cardiac Surgery Clinical Nurse Specialist at California Pacific Medical Center in San Francisco, CA, USA, speaks with expert guest T. Sloane Guy, Director of Minimally Invasive and Robotic Cardiac Surgery at the Georgia Heart Institute. Together, they delve into crisis management after minimally invasive cardiac procedures.   Chapters  00:00 Intro  01:19 Min Inv Approach vs Protocol  03:06 Potential Emergencies, Bleeding  06:44 Adjusting Bleeding Parameters  09:56 Limb Ischemia  11:10 Cardiac Arrest  13:35 Pacing vs Sternotomy  15:07 Arrythmias, Defibrillation  15:51 Tamponade  16:49 Tension Pneumothorax  17:05 Stroke  17:50 Myocardial Infarction  18:27 Bleeding in Pleural Space  19:24 Nurse Response to Bleeding  21:53 Case of Persistent Bleeding  22:48 Chest X-Ray Check  24:22 LV Dysfunction in Post-Op Period  The discussion covers critical topics such as the cardiac surgical resuscitation algorithm, managing port-side and groin bleeding, and Dr. Guys’ protocols for these situations. They emphasize the importance of monitoring for bleeding in unexpected areas, such as the abdomen, checking pulses, and the significance of practicing with surgical saws before emergencies arise. Additional topics include tamponade, stroke management, the importance of pacing, chest wall bleeding, and protocols for addressing left ventricular dysfunction in the postoperative period.   Every month, The Lifeline features intensive care specialists sharing their expert insights into the rapid and effective management of critically ill cardiac surgical patients. Don’t miss next month’s episode!      Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

    33 min
  8. The Beat With Joel Dunning Ep. 159: Aortic Root Enlargement

    4 Jun

    The Beat With Joel Dunning Ep. 159: Aortic Root Enlargement

    This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Bo Yang, a cardiovascular and thoracic surgeon at the University of Michigan Health in Ann Arbor, Michigan, USA, about aortic root enlargement.   Chapters 00:00 Intro 02:37 JANS 1, WhatsApp for Patients 08:27 JANS 2, DCD Heart Transplant 11:07 JANS 3, TIGHT K Trial 13:18 JANS 4, RecoverHeart Calculator 15:57 Video 1, Self Constructed Valve 18:52 Video 2, MVR Sandwich Technique 20:43 Video 3, Distal Coronary Anastomosis Podcast 23:04 Dr. Yang, Annular Enlargement 36:31 Upcoming Events 37:26 Closing They explored Dr. Yang’s participation in a debate regarding the use of aortic root enlargement for the majority of patients, addressing the opposing views against root enlargement and discussing the percentage of patients who undergo this procedure. The conversation also covered important topics such as the mean gradient dropping and the lifelong management of aortic valve disease. They emphasize the importance of maximizing the initial valve size for optimal outcomes. Additionally, Dr. Yang shared insights on his Y-incision technique, highlighting its advantages and effectiveness. They also examined whether this technique increases the length of the surgical procedure.   Joel also highlights recent JANS articles on exploring the use of instant messaging groups in the postoperative period for pectus excavatum patients, a multicenter retrospective study comparing DCD heart transplantation in Europe and the United States, six-month outcomes of a trial of potassium supplementation thresholds after cardiac surgery, and determining the individualized probability of myocardial recovery.  In addition, Joel explores self-constructed tubular heart valve using bovine pericardium for surgical treatment of tricuspid valve endocarditis, mitral valve repair using the sandwich technique for symmetrical bileaflet prolapse, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Dr. Elan Burton about distal coronary anastomosis.    Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  Exploring the Use of Instant Messaging Groups in the Postoperative Period for Pectus Excavatum Patients A Comparison of DCD Heart Transplantation in Europe and the United States: A Multi-Centre, Retrospective Study Six-Month Outcomes of a Trial of Potassium Supplementation Thresholds After Cardiac Surgery Determining the Individualized Probability of Myocardial Recovery: The Multicenter RecoverHeart Calculator  CTSNet Content Mentioned  Self-Constructed Tubular Heart Valve Using Bovine Pericardium for Surgical Treatment of Tricuspid Valve Endocarditis  Mitral Valve Repair Using the Sandwich Technique for Symmetrical Bileaflet Prolapse   The Atrium: Distal Coronary Anastomosis  Other Items Mentioned  Career Center  CTSNet Events    Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

    38 min
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About

Discussions about the most relevant topics in cardiothoracic surgery from CTSNet, the Cardiothoracic Surgery Network.

Information

  • Creator
    CTSNet
  • Years Active
    2019 - 2026
  • Episodes
    100
  • Rating
    Clean
  • Copyright
    Copyright © 2020 CTSNet, Inc. All rights reserved.
  • Show Website
    CTSNet Podcasts

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