CTSNet Podcasts

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Luca Di Marco, a cardiac surgeon in the Department of Cardiac Surgery at the Bologna University Hospital, Italy, about managing the left subclavian artery during aortic arch repair.

Chapters

00:00 Intro
02:29 STS 2026
03:24 Pope Thoracic Case
04:38 Age on Acute Type A AD
06:16 Regurgitation Risk Factors
08:01 Late Results of Ross Procedure
10:25 Effects of Wildfire Smoke
12:15 Two-Surgeon Review System Transplants
13:58 Retrosternal False Aneurysm
17:25 Immunotherapy Lung Resections Robotic
18:16 Min Inv VSD Repair 
20:13 Dr. Di Marco, Left Subclavian Artery Guidelines
29:22 Upcoming Events
29:46 Resident Video Competition
30:37 Career Center

They discussed the soon-to-be released guidelines for managing the left subclavian artery, chaired by Dr. Di Marco, including their importance and current development status. They also reviewed Dr. Di Marco’s institutional approach to left subclavian artery management and the institution’s policies. Additionally, they explored surgical techniques, including side-to-side anastomosis involving the left carotid artery and anastomosis in Zone 2. Finally, they addressed alternative strategies when standard anastomosis is not feasible and endovascular solutions.

Joel also highlights recent JANS articles on the impact of age on acute type A aortic dissection, risk factors for recurrent tricuspid regurgitation after pulmonary thromboendarterectomy for chronic thromboembolic pulmonary hypertension, late results of the Ross procedure, the far-reaching effects of wildfire smoke, and the effect of a two-surgeon review system on donor offers in lung transplantation at a high-volume center.

In addition, Joel explores the repair of a retrosternal false aneurysm after previous aortic valve replacement, robotic approach as the gold standard for immunotherapy lung resections, and minimally invasive VSD repair via right lateral minithoracotomy.

Before closing, Joel highlights upcoming events in CT surgery.

JANS Items Mentioned 

The Impact of Age on Acute Type A Aortic Dissection: Results From The Nordic Consortium

Risk Factors for Recurrent TR After Pulmonary Thromboendarterectomy for CTEPH

Late Results of the Ross Procedure

The Far-Reaching Effects of Wildfire Smoke

The Effect of a Two-Surgeon Review System on Donor Offers in Lung Transplantation at a High-Volume Center

CTSNet Content Mentioned 

Repair of a Retrosternal False Aneurysm After Previous Aortic Valve Replacement

Robotic Approach as the Gold Standard for Immunotherapy Lung Resections

Minimally Invasive VSD Repair Via Right Lateral Minithoracotomy

Other Items Mentioned 

Resident Video Competition

Oral Board AI Simulator  

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 Alice Copperwheat speaks with Bernard Park, Deputy Chief of Clinical Affairs of the Thoracic Service at Memorial Sloan Kettering Cancer Center, New York, USA, about robotic thoracic surgery.

Chapters

00:00 Overview & History
10:56 Benefits
12:19 Negatives
18:15 Patient Selection
20:52 Preparation & Positioning
25:40 Port Placement
32:46 Bedside Assisting
35:37 Instrument Use
41:00 The Operation
42:01 Post-Op Management
45:41 Learning to Operate
52:51 Key Points
53:39 Surgery Training Advice

They discussed the history of robotic thoracic surgery, its advantages and limitations, patient selection, preoperative preparation and positioning, port placement, and instrumentation, including the fenestrated grasper. They reviewed postoperative management, potential complications, and future directions in robotic thoracic surgery.

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.

In this episode of The Cardiac Recovery Room, moderator Rawn Salenger, Chief of Cardiac Surgery at the University of Maryland St. Joseph Medical Center, USA, spoke with T. Sloane Guy, a cardiovascular surgeon at Georgia Heart Institute at Northeast Georgia Medical Center, and Chase Brown, Director of Robotic Coronary Surgery at the University of Pennsylvania, USA, about robotics and enhanced recovery after surgery (ERAS).

Chapters 

00:00 New Cardiac Surgery Indication 

04:59 Training, Mentorship 

08:54 Robotics & ERAS Synergy 

12:47 Need for Less Invasiveness 

17:26 Accessible Training Pathway 

19:16 Surgeon Commitment 

19:56 Technique Innovation 

23:04 Perioperative Phase 

They explore the growth of robotic systems, the increasing number of robotic systems gaining FDA approval, and resistance to the adoption of robotics. They also discussed training and learning robotics, the importance of mentorship, and what robotics adds to ERAS programs—and vice versa. Additionally, they examine nonrobotic endoscopic surgery, the challenges of establishing a robotic program, the importance of committing to robotics, and the advantages of robotic mitral valve surgery over minithoractomy.

The Cardiac Recovery Room is the place to hear the conversations colleagues are having after the meetings. Each month, a new episode featuring a leadership panel from the ERAS Cardiac Society is released.  

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 David Waller, Chair of the EACTS Emphysema Taskforce and Director of the EACTS Fundamentals Course in Thoracic Surgery, about the EACTS expert consensus document on lung volume reduction for emphysema.

Chapters

00:00 Intro
02:10 EACTS Technocollege
03:23 Robotic Cardiac Focus
07:34 EACTS Highlights
13:17 Influence of Stenosis on Patency
14:58 Repair vs Replace Degen MR
16:08 Drain Strategy & Outcomes
17:20 Postcardiotomy Cardiogenic Shock
19:11 Bilateral Lung Transplant
20:11 Bicuspid Valve-Sparing ARR
21:08 Neoadjuv Chemoimmunotherapy Podcast
22:04 Post-Intubation Tracheal Injury
22:32 Value of the Heart Team Interview
23:50 Dr. Waller, LVRS Guidelines
35:37 Virtual Career Fair
36:22 Oral Board AI Simulator
36:36 Resident Video Competition

They discussed the task force responsible for developing the document, the potential benefits of the guidelines, and key topics addressed in the document, including patient selection and complications. They also explored the benefits of lung volume reduction for emphysema, screening programs, controversial areas of emphysema, and the importance of team decision-making.

Joel also highlights recent JANS articles on influence of LAD-diagonal stenosis on long-term patency and ischemic events after CABG, mitral valve repair vs replacement for degenerative mitral regurgitation in patients with poor ejection fraction, contemporary chest drain practice after pulmonary resection, and ten guiding principles for the management of postcardiotomy cardiogenic shock.

In addition, Joel explores a sequential bilateral lung transplant in situs inversus totalis and Kartagener syndrome, bicuspid valve-sparing aortic root replacement, surgical repair of a post-intubation tracheal injury, perspectives from Vincent Gaudiani and Chad Rammohan on the value of the heart team, and an episode of The Atrium podcast featuring host Alice Copperwheat speaking with Jessica Donington about neoadjuvant chemoimmunotherapy.

Before closing, Joel highlights upcoming events in CT surgery.

JANS Items Mentioned

Influence of LAD-Diagonal Stenosis on Long-Term Patency and Ischemic Events After CABG

MVr vs Replacement for Degenerative MR in Patients With Poor Ejection Fraction

Contemporary Chest Drain Practice After Pulmonary Resection

Ten Guiding Principles for the Management of Postcardiotomy Cardiogenic Shock

CTSNet Content Mentioned

Sequential Bilateral Lung Transplant in Situs Inversus Totalis and Kartagener Syndrome

Bicuspid Valve-Sparing Aortic Root Replacement

The Atrium: Neoadjuvant Chemoimmunotherapy

Surgical Repair of a Post-Intubation Tracheal Injury

The Value of the Heart Team: Perspectives From Vincent Gaudiani and Chad Rammohan

Other Items Mentioned

EACTS Expert Consensus Document on Lung Volume Reduction for Emphysema

Oral Board AI Simulator

2026 Virtual Career Fair

Resident 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.

In this episode 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, California, USA, speaks with Lakhmir Chawla, Assistant Clinical Professor (Voluntary) of Medicine at the University of California San Diego, USA, and Chief Medical Officer of ExThera Medical. Together, they discuss the science behind new therapies for vasoplegia and potential treatment algorithms to rapidly restore vascular tone and hemodynamic stability.

Chapters 

00:00 Intro 
00:43 Clinical Challenge & Angiotensin II 
15:41 Issue of Vasoplegia, Patient Example 
22:15 Angiotensin II Protocol 
25:56 Potential Concerns 
27:52 Multi-Mode, Low Dose Approach 
29:50 Patient Population 
32:39 Key Takeaways 

The discussion explores the history of angiotensin II, including how it emerged as a treatment for vasoplegia, the oxygen transport hypothesis, vasopressin dosing, dopamine and renal blood flow, and the benefits of angiotensin II. They also discuss a patient who underwent left ventricular assist device (LVAD) explantation followed by heart transplantation and how they would approach the patient to achieve positive outcomes. Additional topics include angiotensin II protocols, thromboembolic events, and potential studies involving this patient population.

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!

 

Related Resources

Management Algorithm for Vasoplegic Shock After Cardiac Surgery: An Interdisciplinary Collaboration

 

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.