CTSNet Podcasts

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.

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.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Gilbert Tang, Editor-in-Chief of Journal of the American College of Cardiology (JACC): Case Reports, professor in the Department of Cardiovascular Surgery at the Icahn School of Medicine at Mount Sinai, surgical director of the Structural Heart Program at Mount Sinai Health System, and the director of Structural Heart Education at the Mount Sinai Fuster Heart Hospital in New York, NY, USA.

They were joined by Drs. Mateo Marin-Cuartas, associate editor of JACC: Case Reports, CTSNet JANS Editor, and cardiac surgeon at Leipzig Heart Center, Germany, and Tsuyoshi Kaneko, Chair of American College of Cardiology (ACC) Cardiac Surgery Member Section and Chief of Cardiac Surgery at Washington University in St. Louis, MO, USA, to discuss JACC: Case Reports.

Chapters

00:00 Intro
01:45 Instructional Video Competition
05:30 JANS 1, Lung Cancer Metastasis
09:08 JANS 2, Uncorrected Pectus
11:29 JANS 3, Ambulatory VV Life Support
13:38 JANS 4, EuroSCORE II
14:28 Video 1, TAVR Removal Double Patch
16:09 Video 2, ROK Procedure AF
17:46 Video 3, RATS Lobectomy
19:11 JACC Case Reports
35:28 Upcoming Events
36:03 Career Center

They discussed the mission of the journal and the types of submissions it receives. They also covered the types of cases accepted and the various categories within the journal has, such as the "How We Did It" section. Additionally, they talked about the upcoming partnership between JACC: Case Reports and the ACC, as well as past collaborations that JACC has undertaken. Dr. Marin-Cuartas shared insights about his role as an associate editor and highlighted the most interesting case he has encountered in JACC: Case Reports. Furthermore, Dr. Kaneko discussed being the Chair of the ACC Cardiac Surgery Member Section.

Joel also highlights recent JANS articles on the evolutionary characterization of lung cancer metastasis, the impact of severe uncorrected pectus excavatum on outcomes after aortic surgery in Marfan syndrome, determining an optimal central cannulation strategy for ambulatory veno-venous extracorporeal life support, and refitting EuroSCORE II for 120-day mortality after coronary artery bypass grafting using nationwide registry data. In addition, Joel explores complex imaging TAVR removal double patch double valve, RATS extended left upper lobectomy with intrapericardial vascular control and bronchoplasty, and ROK procedure for the treatment of atrial fibrillation. Before closing, Joel highlights upcoming events in CT surgery.  

JANS Items Mentioned

Evolutionary Characterization of Lung Cancer Metastasis

Impact of Severe Uncorrected Pectus Excavatum on Outcomes After Aortic Surgery in Marfan Syndrome

Determining an Optimal Central Cannulation Strategy for Ambulatory Veno-Venous Extracorporeal Life Support

Refitting EuroSCORE II for 120-Day Mortality After Coronary Artery Bypass Grafting Using Nationwide Registry Data

CTSNet Content Mentioned

Complex Imaging TAVR Removal Double Patch Double Valve

RATS Extended Left Upper Lobectomy With Intrapericardial Vascular Control and Bronchoplasty

ROK Procedure for the Treatment of Atrial Fibrillation

Other Items Mentioned

JACC: Case Reports

2026 Instructional Video Competition Winners

Career Center

CTSNet Events

 

Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

In this episode of The Atrium, host Dr. Alice Copperwheat speaks with Dr. Elan Burton, clinical associate professor in the Department of Cardiothoracic Surgery at the Stanford University School of Medicine and Section Chief for Stanford Medicine Affiliates, about distal coronary anastomosis.

Chapters 

00:00 Intro 

01:08 Why CT Surgery? 

03:01 Overview & History 

05:02 Geometric Planning & Hemodynamics 

10:40 Sequential & Composite Configurations 

16:23 Y or T Grafts 

21:21 Step-by-Step, Suturing 

30:37 Endarterectomy 

36:37 Intraop Quality Assurance 

40:29 Failed Mechanisms & Pitfalls 

43:18 Future Trends 

45:54 Summary 

47:03 Surgery Training Advice 

They discuss the history of distal coronary anastomosis, geometric planning, and hemodynamics, as well as sequential grafting and composite configurations, including Y and T grafts. The conversation also covers arteriotomy, suturing techniques, and the continuous parachute method. Additionally, they delve into the traction technique, open direct vision, and intraoperative quality assurance, including pulsatility index. Furthermore, they examine failure mechanisms such as graft kinking and explore future trends.

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.

Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Enoch Akowuah, an academic consultant cardiothoracic surgeon at Newcastle University and South Tees NHS Foundation Trust, UK, and Dr. Matthias Raschpichler, a cardiac surgeon at Leipzig Heart Center, Germany, about the REPEAT trial.

Chapters

00:00 Intro

02:21 JANS 1, NOBLE Trial

07:14 JANS 2, Ischemic Mitral Regurg MVR

08:58 JANS 3, Pregnancy Outcomes AVR

11:19 JANS 4, MCS LVAD Candidates

13:06 Video 1, Thoracoplasty

14:58 Video 2, Nuss Procedure After Ravitch

16:42 Video 3, Traumatic Right Main Bronchus

19:04 REPEAT Trial, Bioprostheses

32:22 Upcoming Events

32:46 Closing

They discussed the trial’s objectives, including what it is, why it is needed, and its overall goals. The setup of the trial was also examined, covering aspects such as funding, composite outcome, and follow-up procedures. Additionally, they addressed the target number of patients required for recruitment and the efforts involved in recruiting patients and centers to participate in the trial. They emphasized the overall significance of the trial, outlining what is necessary for its success and highlighting the importance of collaboration among heart teams.

Joel also highlights recent JANS articles on percutaneous coronary intervention vs coronary artery bypass grafting for unprotected left main stenosis, a two-decade experience on the outcomes of mitral valve repair in ischemic mitral regurgitation, maternal, valvular and fetal outcomes of pregnancy following aortic valve replacement, and temporary mechanical circulatory support in left ventricular assist device candidates with right ventricular dysfunction.

In addition, Joel explores if forgotten techniques of thoracoplasty with latissimus dorsi myoplasty are relevant today, the Nuss procedure after previous Ravitch operation, and uniportal VATS repair of traumatic right main bronchus transection following blunt chest injury.

Before closing, Joel highlights upcoming events in CT surgery.  

JANS Items Mentioned

Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting for Unprotected Left Main Stenosis: 10-Year Final Results From the Randomised, Open-Label, Non-Inferiority NOBLE Trial

Outcomes of Mitral Valve Repair in Ischemic Mitral Regurgitation: A Two-Decade Experience

Maternal, Valvular and Foetal Outcomes of Pregnancy Following Aortic Valve Replacement 

Temporary Mechanical Circulatory Support in Left Ventricular Assist Device Candidates With Right Ventricular Dysfunction: Acuity Without Long-Term Futility

CTSNet Content Mentioned

Are the Forgotten Techniques of Thoracoplasty With Latissimus Dorsi Myoplasty Relevant Today? 

Nuss Procedure After Previous Ravitch Operation 

Uniportal VATS Repair of Traumatic Right Main Bronchus Transection Following Blunt Chest Injury 

Other Items Mentioned

The REPEAT Trial

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.