The Atrium: Basics of Thoracic Surgery

This week on The Beat, Editor in Chief Joel Dunning interviews Dr. Robert Cerfolio of NYU Langone Health. They discuss the importance of consistent communication at every touch point before surgery to achieve routine day one discharge after lobectomies and day three discharge after cardiac surgery. Dr. Cerfolio also emphasizes the importance of overcoming dogma and embracing the mindset that getting patients home is better for them and safer. Joel then highlights a new CTSNet podcast for residents and trainees, The Atrium hosted by Dr. Alice Copperwheat. In addition, he discusses a cyberattack on London hospitals, the EXPLANT-TAVR registry, the impact of patient-prosthesis mismatch, and a report on cardiac xenotransplantation. He also features a panel discussion of CABG surgery disasters, aortic hemiarch replacement without hypothermic circulatory arrest, and a redo sternotomy with a Bentall's operation in Ghana. Before wrapping up, Joel discusses upcoming events in CT surgery. JANS Items Mentioned Transcatheter Heart Valve Explant With Infective Endocarditis-Associated Prosthesis Failure and Outcomes: The EXPLANT-TAVR International Registry Patient-Prosthesis Mismatch After Surgical Aortic Valve Replacement: Analysis of the PARTNER Trials Current Status of Cardiac Xenotransplantation: Report of a Workshop of the German Heart Transplant Centers CTSNet Content Mentioned International Coronary Congress 2023: Intraoperative “Disasters” in CABG Surgery Aortic Hemiarch Replacement Without Hypothermic Circulatory Arrest Redo Sternotomy and Bentall's Operation Other Items Mentioned CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on The Beat, Editor in Chief Joel Dunning interviews Prof. Dawn Jaroszewski. They discuss the latest techniques in pectus excavatum surgery and Prof. Jaroszewski’s recommendations for safe pectus guidelines. She goes on to demonstrate some of her techniques on a chest cavity simulator. In addition, Joel discusses different types of treatment for aortic valve stenosis, robotic thymectomy for thymic tumors, and outcomes based on volume in hospitals performing pediatric cardiac surgery. He also talks about a recent webinar on postoperative complications in cardiac surgery, left innominate vein cannulation for mitral valve surgery, and left main coronary artery atresia repair in an infant. Before saying goodbye, Joel discusses upcoming events in CT surgery. JANS Items Mentioned Transcatheter or Surgical Treatment of Aortic Valve Stenosis  Robotic Thymectomy in Thymic Tumors: A Multicenter, Nationwide Study  Volume Alone Does Not Predict Quality Outcomes in Hospitals Performing Pediatric Cardiac Surgery  CTSNet Content Mentioned Post Operative Complications Following Cardiac Surgery and Their Clinical Impact | ERAS Webinar  Left Innominate Vein Cannulation for Mitral Valve Surgery  Left Main Coronary Artery Atresia Repair in an Infant  Other Items Mentioned CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

In a new CTSNet podcast for residents and trainees, host Dr. Alice Copperwheat examines essential procedures and pressing topics for early career cardiothoracic surgeons. In her debut episode, Alice speaks with CTSNet Editor in Chief Professor Joel Dunning about the basics of thoracic surgery. They discuss patient positioning, thoracic incision location and technique, and opening and closing techniques. They also debate the increasing popularity of robotic thoracic surgery and the merits of different surgical techniques. The Atrium will air once a month, rotating between clinical and career-focused topics from across the cardiothoracic surgery subspecialties. Stay tuned next month for an episode on vein harvesting. Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on The Beat, Editor in Chief Joel Dunning interviews Dr. Vince Gaudiani. They discuss his recent video series on CTSNet demonstrating techniques for cerebral protection in cardiac surgery. In addition, Joel discusses a registry analysis of cardiac surgery patients with underlying atrial fibrillation, takeaways from lung cancer surgery trials, and the results of the NOTION-2 TAVR trial. He also talks about a video demonstrating bedside percutaneous ECMO decannulation, an interview with CT surgery giant Dr. J. Donald Hill, and a modified procedure atrial fibrillation using intraoperative 3D epicardial voltage mapping. Before saying goodbye, Joel discusses upcoming events in CT surgery. JANS Items Mentioned Surgical Ablation, Left Atrial Appendage Occlusion, or Both? Nationwide Registry Analysis of Cardiac Surgery Patients With Underlying Atrial Fibrillation Sublobar Resection Versus Lobectomy for Stage IA Non-Small Cell Lung Carcinoma—Takeaways From Modern Randomized Trials Transcatheter Aortic Valve Implantation in Low-Risk Tricuspid or Bicuspid Aortic Stenosis: The NOTION-2 Trial CTSNet Content Mentioned Bedside Percutaneous Decannulation of Femoral Venoarterial Extracorporeal Membrane Oxygenation Giants of Cardiothoracic Surgery: An Interview With J. Donald Hill Modified Convergent Procedure for Refractory Atrial Fibrillation Using Intraoperative 3D Epicardial Voltage Mapping Other Items Mentioned CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on The Beat, Editor in Chief Joel Dunning introduces the new DV5 Intuitive Da Vinci robot. He talks about the benefits of this technology and demonstrates some of its new features. In addition, Joel discusses an assessment of valvular heart disease guidelines across global organizations, using the Commando procedure for anterior mitral annular calcification, and a commentary on the subxiphoid approach for thymic malignancy. He also talks about a video from Prof. Vince Gaudiani’s cerebral protection series on aortic reconstruction, aortic valve repair in a rheumatic heart disease patient, and an interview with the winner of the Resident Video Competition. Before saying goodbye, Joel discusses upcoming events in CT surgery. JANS Items Mentioned Same Evidence, Different Recommendations: A Methodological Assessment of Transatlantic Guidelines for the Management of Valvular Heart Disease  Contemporary Experience With the Commando Procedure for Anterior Mitral Annular Calcification  Commentary: Less Is More in Modified Subxiphoid Approach for Thymic Malignancy  CTSNet Content Mentioned Safe Cerebral Protection: Reoperation Aortic Root and Proximal Arch Reconstruction  Aortic Valve Repair Using Neocuspidization and the Ozaki Procedure in Children With Rheumatic Heart Disease  An Interview With John Sadeghi: Winner of the 2023 CTSNet Resident Video Competition  Other Items Mentioned CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on The Beat, Editor in Chief Joel Dunning speaks with physician’s assistant Alan ODonnell about his process for filming and editing exceptional cardiothoracic surgical videos. In addition, Joel discusses the AATS presidential address and a study on the efficacy and safety of a transaortic approach to septal myectomy. He also talks about safe cerebral protection in the frozen elephant trunk procedure, a video demonstrating minimally invasive ascending aorta replacement, and a simplified technique for allograft implantation. Before saying goodbye, Joel discusses upcoming events in CT surgery. JANS Items Mentioned Raison D'être in Turbulent Times: Academics, Legerdemain Surgery, and a Leadership Theorem Efficacy and Safety of a Transaortic Approach to Midventricular and Apical Septal Myectomy CTSNet Content Mentioned Safe Cerebral Protection: Frozen Elephant Trunk Procedure Ascending Aorta Replacement by Minimally Invasive Technique Simplified Running Suture Technique for Allograft Implantation in Cases of Aortic Root Abscess Other Items Mentioned CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on The Beat, in an episode sponsored by AtriCure, Editor in Chief Joel Dunning discusses surgical ablation for atrial fibrillation. In addition, Joel discusses concomitant AFib treatment in patients undergoing CABG, the first patient to undergo combined heart pump implant and pig kidney transplant, and predictors of venous thromboembolism after lung cancer resection. He also talks about a recent interview with Prof. Ralph Damiano, a diaphragm plication technique video, and CTSNet’s most popular videos and articles from April. Before saying goodbye, Joel discusses upcoming events in CT surgery. JANS Items Mentioned Concomitant Treatment of Atrial Fibrillation in Isolated Coronary Artery Bypass Grafting  Woman Becomes First Patient to Undergo Combined Heart Pump Implant and Pig Kidney Transplant  Predictors of Venous Thromboembolism After Lung Cancer Resection  CTSNet Content Mentioned Developments of Surgical Ablation for Atrial Fibrillation: An Interview With Ralph Damiano, Jr.  A Simple and Effective Technique for Diaphragm Plication  CTSNet’s 10 Most Popular Articles of April 2024  Other Items Mentioned CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on The Beat, Editor in Chief Joel Dunning discusses upcoming interviews to be published on CTSNet. In addition, Joel discusses heart transplantation in adults with congenital heart disease, a commentary on revascularization, and gender representation among speaking and leader roles at CT surgery meetings. He also talks about a video demonstrating TAVR explantation, pulmonary stenosis correction after TAPVR correction, and a LAD to RCA anastomosis from Dr. Tristan Yan. Before saying goodbye, Joel discusses upcoming events in CT surgery. JANS Items Mentioned Trends and Outcomes of Heart Transplantation in Adults With Congenital Heart Disease  Commentary: What Matters More—Method of Revascularization or Completeness?  Gender Representation Among Speaking and Leader Roles at European Cardiothoracic Surgical Annual Meetings CTSNet Content Mentioned TAVR Explantation: A Necessary Skill Set in the Contemporary Cardiac Surgery's Armamentarium  Redo Pulmonary Vein Stenosis Correction After TAPVR Correction  Deep Dive Into Total Arterial Anaortic Off-Pump Coronary Artery Bypass Grafting: Dual Inflow BIMA In Situ to LAD and RCA  Other Items Mentioned CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on The Beat, Editor in Chief Joel Dunning focuses on all the latest news and clinical content in cardiothoracic surgery. In addition, Joel discusses outcomes after hybrid chemotherapy and surgery lung cancer treatment, mechanical circulatory support during revascularization, and research opportunities for early career investigators in cardiac surgery. He also talks about videos demonstrating tetralogy of Fallot repair, repair of post-intubation tracheal stenosis, and a recorded webinar on the Ross procedure. Before saying goodbye, he discusses upcoming events in CT surgery. JANS Items Mentioned Surgical Outcomes After Chemotherapy Plus Nivolumab and Chemotherapy Plus Nivolumab and Ipilimumab in Patients With Non-Small Cell Lung Cancer  Mechanical Circulatory Support During Surgical Revascularization for Ischemic Cardiomyopathy  Research Concepts and Opportunities for Early Career Investigators in Cardiac Surgery  CTSNet Content Mentioned Tetralogy of Fallot With Absent Pulmonary Valve: Repair by Anterior Translocation of Branch Pulmonary Arteries and Reduction Plasty  Post-Intubation Tracheal Stenosis: Tracheal Resection With Dorsal Mucosectomy and Primary Anastomosis  The Ross Procedure: Clinical Evidence, Surgical Technique, and Q&A  Other Items Mentioned CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on the one-year anniversary of The Beat, Editor in Chief Joel Dunning speaks with Professor Paul Sergeant about the future of education in cardiothoracic surgery. In addition, Joel discusses trends in SAVR after TAVR, microplastics in cardiovascular events, and fibrous tumors of the pleura. He also highlights the three winners of the Resident Video Competition, including rib resection for thoracic outlet syndrome, a robotic segmentectomy, and a hypertrophic obstructive cardiomyopathy. Before saying goodbye, he discusses upcoming events in CT surgery. JANS Items Mentioned Cardiac Surgery After Transcatheter Aortic Valve Replacement: Trends and Outcomes  Microplastics and Nanoplastics in Atheromas and Cardiovascular Events  Solitary Fibrous Tumors of the Pleura: Do We Need a Different Perspective on Malignancy?  CTSNet Content Mentioned First Place: Open Cervical and Robotic First Rib Resections for Neurogenic Thoracic Outlet Syndrome  Second Place: Robotic Assisted Right Apical S1 Anatomical Segmentectomy for NSCLC Third Place: Hypertrophic Obstructive Cardiomyopathy: Anatomical Substratum for Tailored Surgical Correction 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.