Importance of Physical Well-Being to Prevent Burnout

This week on The Beat, Editor in Chief Joel Dunning discusses the recent recall of Abiomed Impella left-sided heart pumps with special guest and heart failure expert Ashraf Abou El Ela. In addition, Joel discusses a statement from EACTS on perioperative myocardial infarction and updated ESVS guidelines for management of atherosclerotic carotid and vertebral artery disease. He also talks about a video demonstrating cone repair for endocarditis, another off-pump CABG video from Dr. Tristan Yan, and a CABG demonstration from the Cleveland Clinic. Before saying goodbye, he discusses upcoming events in CT surgery. JANS Items Mentioned Abiomed Recalls Labeling for Left-Sided Impella Pumps: FDA  EACTS Expert Consensus Statement on Perioperative Myocardial Infarction After Cardiac Surgery  European Society for Vascular Surgery (ESVS) 2023 Clinical Practice Guidelines on the Management of Atherosclerotic Carotid and Vertebral Artery Disease  CTSNet Content Mentioned Cone Repair for Tricuspid Valve Endocarditis  Deep Dive Into Total Arterial Anaortic Off-Pump Coronary Artery Bypass Grafting: LIMA to LAD Anastomosis  World’s Best United States: Coronary Artery Bypass Surgery  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 50th episode of The Beat, Editor in Chief Joel Dunning discusses the importance of work–life balance as a cardiothoracic surgeon and how Prof. Shanda Blackmon’s book, The Support Group, has driven this point home for him. In addition, Joel discusses outcomes following redo mitral valve surgery, the validity of the GERAADA score in predicting mortality, and mechanical versus biological aortic valve replacement for endocarditis. He also talks about radial artery to LIMA T graft formation, an interview with Leonard Girardi, and a World’s Best Series interview with Lars Svensson. Before saying goodbye, he discusses upcoming events in CT surgery and closes with an honorable mention to Prof. Blackmon. JANS Items Mentioned Early and Long-Term Outcomes Following Redo Mitral Valve Surgery in Patients With Prior Minimally Invasive Mitral Valve Surgery  Validation of GERAADA Score to Predict Thirty-Day Mortality in Acute Type A Aortic Dissection in a High Volume Aortic Center  Survival and Recurrence of Endocarditis Following Mechanical Versus Biological Aortic Valve Replacement for Endocarditis in Patients Aged 40 to 65 Years: Data From the INFECT-Registry  CTSNet Content Mentioned Deep Dive Into Total Arterial Anaortic Off-Pump Coronary Artery Bypass Grafting: Radial Artery to LIMA 'T' Graft Formation  Advocating for Surgical Aortic Valve Replacement: An Interview With Leonard N. Girardi  World’s Best United States: Aortic Root Replacement and an Interview With Lars Svensson 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 CTSNet’s flagship podcast, Editor in Chief Joel Dunning discusses presentations from the SCTS annual meeting on the future of aortic valve replacement surgery and the continued debate among surgeons about the benefits of TAVR versus those of SAVR. In addition, Joel discusses a review of heart valve surgery in resource limited settings, long term outcomes of heart transplantation in adults with congenital heart disease, and intervention for symptomatic moderate aortic stenosis. He also talks about an interview and surgical video with Dr. Lars Svensson, how to position the heart in off-pump CABG, and a lobectomy for a hydatid cyst using uniportal VATS. Before saying goodbye, he discusses upcoming events in CT surgery. JANS Items Mentioned A Global Systematic Review of Open-Heart Valvular Surgery in Resource Limited Settings  Long-term Outcomes of Heart Transplantation in Adults With Univentricular Versus Biventricular Congenital Heart Disease  Great Debate: Symptomatic Moderate Aortic Stenosis Should Undergo Intervention  CTSNet Content Mentioned World’s Best United States: Aortic Root Replacement and an Interview With Lars Svensson  Deep Dive Into Total Arterial Anaortic Off-Pump Coronary Artery Bypass Grafting: How to Position the Heart  Right Upper Lobectomy for a Hydatid Cyst Using U-Vats  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 CTSNet’s flagship podcast, Editor in Chief Joel Dunning speaks with Professor Robert Cerfolio about his presentation on hospital efficiency at the SCTS Annual Meeting. In addition, Joel discusses donor heart resuscitation in pediatric heart transplantation survival, a comparison of four mortality scores for type A aortic dissection, and the benefits of CABG over percutaneous coronary intervention in left main disease. He also talks about CTSNet’s new World’s Best series, a video demonstrating a double docking technique for mammary artery harvest, and an interview with Marc Ruel. He closes with a discussion of upcoming events in the CT surgery world. JANS Items Mentioned Up to an Hour of Donor Resuscitation Does Not Affect Pediatric Heart Transplantation Survival  Comparison of Four Mortality Scores for Surgical Repair of Type A Aortic Dissection: A Multicenter External Validation  Benefits of Coronary Artery Bypass Grafting Over Percutaneous Coronary Intervention in Left Main Disease: The Strength of the Evidence  CTSNet Content Mentioned World’s Best Centers for Cardiothoracic Surgery: United States  Double Docking Technique for Bilateral Internal Mammary Artery Harvest  Recent Changes in Coronary Artery Surgery: An Interview With Marc Ruel  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 CTSNet’s flagship podcast, Editor in Chief Joel Dunning focuses on the key elements of the world’s best centers for cardiothoracic surgery ahead of the publication of the CTSNet World’s Best series on Cleveland Clinic, one of the best CT surgery centers in the United States. In addition, Joel discusses the results of an aortic valve prosthesis choice study, a study on valve sparing aortic root replacement, and the effects of intubations versus nonintubation in thorascopic surgery. He also talks about a nine-suture aortic valve replacement technique, a demonstration of aortic valve replacements with Tristan Yan, and an interview with Patrick Myers. He closes with a discussion of upcoming events in the CT surgery world. JANS Items Mentioned Revisiting Aortic Valve Prosthesis Choice in Patients Less Than 50 Years Old: AUTHEARTVISIT 10-Year Results  Valve Sparing Aortic Root Replacement With Reimplantation Versus Remodeling: A Meta-Analysis  Effects of Nonintubated Thoracoscopic Surgery on Postoperative Neurocognitive Function: A Randomized Controlled Trial  CTSNet Content Mentioned Breaking Dogma in Aortic Valve Replacement: The Nine Suture AVR Technique  A Day in the Life of a Cardiothoracic Surgeon at the Royal Prince Alfred Hospital  Hybrid Management of Atrial Fibrillation: An Interview With Patrick Myers 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 CTSNet’s flagship podcast, Editor in Chief Joel Dunning focuses on the importance of guidelines in cardiothoracic surgery, highlighting the recent aortic arch surgery guidelines. He speaks on the issues present in recent guidelines and proposes how they should be improved. In addition, Joel discusses a selection of the past year’s top 10 papers in valvular heart disease and LIMA-LAD bypass in training for OPCAB surgery. He also talks about an interview with Dr. Anna Olds on family planning in CT surgery, a video demonstrating an emergency anterior bilateral thoracotomy, and a video on subaortic membrane resection and septal myectomy. He closes with a discussion of upcoming events in the CT surgery world. JANS Items Mentioned EACTS/STS Guidelines for Diagnosing and Treating Acute and Chronic Syndromes of the Aortic Organ  The Year in Cardiovascular Medicine 2023: Top 10 Papers in Valvular Heart Disease  Is Single LIMA-LAD Bypass Appropriate for OPCAB Training?  CTSNet Content Mentioned Family Planning and Pregnancy Complications in Cardiothoracic Surgeons: An Interview with Anna Olds  Emergency Anterior Bilateral Thoracotomy Subaortic Membrane Resection and Septal Myectomy  Other Items Mentioned CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on CTSNet’s flagship podcast, Editor in Chief Joel Dunning focuses on the problems with the peer review system in cardiothoracic surgery. He ponders how the community can go about fixing the peer review process and if it can be improved at all. In addition, Joel discusses aortic valve repair versus replacement, a study on biventricular repair of DORV, and which surgical procedures thoracic surgeons would choose for themselves to treat lung cancer. He also talks about a demonstration of the frozen elephant trunk technique for total arch replacement, an interview with Prof. Cherie Erkman, and a video on left secondary carinal resection. He closes with a discussion of upcoming events in the CT surgery world. JANS Items Mentioned Aortic Valve Repair Results in Better One-Year Survival Than Replacement: Results From German Aortic Valve Registry  Multicenter Study on Late Outcomes of Biventricular Repair of Double Outlet Right Ventricle  Which Extent of Surgical Resection Thoracic Surgeons Would Choose if They Were Diagnosed With an Early-Stage Lung Cancer: A European Survey  CTSNet Content Mentioned Total Arch Replacement With the Frozen Elephant Trunk Technique  The Role of Gender in CT Surgeon Compensation: An Interview With Cherie Erkmen and Meghana Helder  Left Secondary Carinal Resection and Reconstruction With Intercostal Flap  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 CTSNet’s flagship podcast, editor in chief Joel Dunning introduces his first editorial topic of the week in which he discusses current CT surgery issues, courts a bit of controversy, and invites comments and opposing views.  In this episode, he focuses on the problems he sees with transcatheter aortic valve replacement and the benefits of surgical replacement before diving into additional news and content. In addition, Joel discusses the newest TAVR vs SAVR data, aortic valve repair using an internal annuloplasty ring, and rapid discharge after lung resection. He also talks about a session on mitral valve repair from the London Core Review, mediastinal envelope closure in minimally invasive Ivor Lewis Esophagectomy, and a video demonstrating PITAC. After discussing upcoming events in the CT surgery world, he closes with a remembrance of the late Dr. Alain Cribier, a pioneer in minimally invasive aortic surgery.  JANS Items Mentioned TAVI and SAVR Almost Equally Performed in California Patients Under 60 Midterm Outcomes of Aortic Valve Repair Using an Anatomically Shaped Internal Annuloplasty Ring Rapid Discharge After Anatomic Lung Resection: Is Ambulatory Surgery for Early Lung Cancer Possible? CTSNet Content Mentioned Mitral Valve Repair Tips and Tricks: 2023 London Core Review Cardiothoracic Surgery Course Mediastinal Envelope Closure in Total Minimally Invasive Ivor Lewis Esophagectomy PITAC: Pressurized Intrathoracic Aerosol Chemotherapy Other Items Mentioned CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

In this episode of CTSNet’s flagship podcast, editor-in-chief Joel Dunning runs through the latest, most popular content on ctsnet.org—the largest online community of CT surgeons and source of CT surgery information—and breaking cardiothoracic surgery news and research from around the world. Joel discusses the need for universal family leave policies in CT surgery, long-term results of the REV procedure for various congenital heart conditions, and results of routine extubation in the operating room after CABG. He also talks about a video demonstrating orthotopic heart transplantation, a repair of common arterial trunk type III, and an interview with John Puskas. After discussing upcoming events in the CT surgery world, he closes with a shoutout to Dr. Shilajit Ghosh for his work on the SCTS Thoracic Forum.  JANS Items Mentioned CT Surgery Needs Universal Policies for Pregnancy and Family Leave, Survey Shows  Long-Term Results of the REV Procedure for Transposition of Great Arteries and Double Outlet RV With Pulmonary Stenosis  Routine Extubation in the Operating Room After Isolated Coronary Artery Bypass  CTSNet Content Mentioned Orthotopic Heart Transplantation  Challenging Repair of Common Arterial Trunk Type III  The Coronary Stentectomy and Shifts in Coronary Artery Surgery: An Interview With John Puskas  Other Items Mentioned CTSNet Events Calendar Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

In this episode of CTSNet’s flagship podcast, editor in chief Joel Dunning runs through the latest, most popular content on ctsnet.org—the largest online community of CT surgeons and source of CT surgery information—and breaking cardiothoracic surgery news and research from around the world. Joel discusses the new ERAS guidelines for perioperative care in cardiac surgery, a study on TEER versus surgical mitral valve repair, and a database study on multiarterial grafting in CABG. He also talks about a video on mitral valve replacement with a robotic digital microscope, the last installment in Dr. Vince Gaudiani’s redo TAVR series, and a session on aortic valve sparing procedures from the 2023 London Core Review. After discussing upcoming events in the CT surgery world, he closes with a shoutout to Dr. Thomas MacGillivray for his service as the STS President over the last year.  JANS Items Mentioned Perioperative Care in Cardiac Surgery: A Joint Consensus Statement by the Enhanced Recovery After Surgery (ERAS) Cardiac Society, ERAS International Society, and The Society of Thoracic Surgeons (STS)  Lower Mortality With M-TEER vs Surgery, but Devil Is in the Details  Multiarterial Grafting in CABG Triumphs Again in Large Database Study CTSNet Content Mentioned Minimally Invasive Mitral Valve Replacement with a Robotic Digital Microscope Mastering Redo Surgery after TAVR: Annular Rupture Repair after TAVR and TAVR Explant after CABG with MVR A Quarter Century of Aortic Valve Sparing Operations: 2023 London Core Review Cardiothoracic Surgery Course 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.