CTSNet Podcasts

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.

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.

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.

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.