CTSNet Podcasts

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• The Beat With Joel Dunning Ep. 163: Is the TAVR Heart Team About to Lose a Member? 02.07.2026 32นาที

  This week on The Beat, CTSNet Editor-in-Chief Joel Dunning discusses the transcatheter aortic valve replacement (TAVR) heart team potentially losing a member. He explores the current composition of the TAVR heart team, proposed changes, the thoughts of cardiothoracic societies, and future actions regarding this issue. Chapters  00:00 Intro  01:53 TAVR Heart Team  07:48 JANS 1, Base Editing of PCSK9  09:47 JANS 2, High Volume Valve Sparing ARR  12:03 JANS 3, Western Rheumatic Heart Disease  14:05 JANS 4, Non-Intubated Uniportal VATS SL  15:38 Video 1, Miami Method-Bentall  17:02 Video 2, ALCAPA Repair  18:29 Video 3, Robotic Cardiac Podcast  22:17 Dr. Sundt, Mantle Radiation Patients  31:17 Upcoming Events  Additionally, he spoke with Dr. Thoralf Sundt, Chief of the Division of Cardiac Surgery and Director of the Corrigan Minehan Heart Center at Massachusetts General Hospital, Boston, MA, USA, about patients who have undergone mantle radiation. They discuss the challenges these patients face postoperatively, including the mortality rate associated with reoperations. The conversation also highlights the significance of employing a heart team approach for these patients, emphasizing the importance of preoperative planning and the application of TAVR, which is potentially suitable for these patients. Furthermore, they touch upon topics such as mechanical valves, porcelain aorta, and the importance of conducting careful operations on these patients. Joel also highlights recent JANS articles on in vivo base editing of PCSK9 with VERVE-102 for hypercholesterolemia, defining high-volume centers using prospective data for valve-sparing aortic root replacement, insights from the Netherlands Heart Registration on surgical care for rheumatic heart disease patients, and a cohort study on surgical techniques and outcome analysis of non-intubated uniportal VATS sleeve lobectomy. In addition, Joel explores a step-by-step technique for a minimally invasive Bentall procedure via right axillary access, the repair of an anomalous left coronary artery from the pulmonary artery via direct coronary transfer, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Dr. Husam Balkhy about multi-spectrum robotic cardiac surgery. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned In Vivo Base Editing of PCSK9 With VERVE-102 for Hypercholesterolemia Valve-Sparing Aortic Root Replacement: Defining High-Volume Centres Using Prospective Data Surgical Care for Rheumatic Heart Disease Patients: Insights From the Netherlands Heart Registration Surgical Techniques and Outcome Analysis of Non-Intubated Uniportal VATS Sleeve Lobectomy: A Cohort Study CTSNet Content Mentioned Minimally Invasive Bentall Procedure via Right Axillary Access: A Step-by-Step Technique Repair of Anomalous Left Coronary Artery From the Pulmonary Artery via Direct Coronary Transfer The Atrium: Multi-Spectrum Robotic Cardiac Surgery Other Items Mentioned Cardiac Reoperations in Patients With Prior Thoracic Radiation: A Single-Center Analysis of Outcomes and Key Lessons CTSNet Innovation 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.
• The Beat With Joel Dunning Ep. 162: Lifetime Management of Aortic Valve Disease 25.06.2026 34นาที

  This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Isaac George, CTSNet Board Member and Co-Director of the Structural Heart and Valve Center, Surgical Director of Structural Heart Disease, and Co-Director of the Mitral and Tricuspid Center at Columbia University Medical Center/NewYork-Presbyterian, NY, USA, about the lifetime management of aortic valve disease. Chapters 00:00 Intro 02:11 AATS-CTSN Randomized Trials 04:37 JANS 1, Consensus Statement ALAD 10:28 JANS 2, Lung Re-Transplantation Outcomes 12:19 JANS 3, Aortic Homografts, EURECAH 15:15 JANS 4, Lobectomy Cost Analysis 18:10 Video 1, Anomalous L Coronary Artery 19:38 Video 2, Pulm Valve Replacement Reop 21:38 Video 3, Giant Pulm Artery Aneurysm 23:28 Dr. George Discussion 33:18 Upcoming Events 34:05 Closing They explored the expansion of transcatheter aortic valve replacement (TAVR), emphasizing the crucial role of the heart valve team in this process. The discussion highlighted the necessity for surgeons to be actively involved in the decision-making process surrounding TAVR, particularly in the early stages. They also addressed the importance of lifetime management of the valve, selecting the appropriate valve, and valve durability. Additionally, they discussed the significance of providing patients with multiple surgical options, the Ross procedure, mechanical valves, and explored which procedures patients are choosing. Joel also highlights recent JANS articles on the ISHLT consensus statement on acute lung allograft dysfunction, aortic homografts for native and prosthetic aortic valve and root endocarditis, how outcomes after lung re-transplantation for restrictive allograft syndrome have not improved over two decades, and the financial burden of postoperative adverse events following lobectomy. In addition, Joel explores the surgical repair of an anomalous left coronary artery from the right pulmonary artery, minimally invasive pulmonary valve replacement in reoperative settings, and surgical management of giant pulmonary artery aneurysm using a T-shaped graft-valve strategy. Before closing, Joel highlights upcoming events in CT surgery. JANS Items Mentioned ISHLT Consensus Statement on Acute Lung Allograft Dysfunction (ALAD): Definition, Etiology, Diagnostic and Therapeutic Approaches, and Research Priorities Aortic Homografts for Native and Prosthetic Aortic Valve and Root Endocarditis: Results From the EUropean REgistry of Cryopreserved Aortic Homografts EURECAH Outcomes After Lung Re-Transplantation for Restrictive Allograft Syndrome Have Not Improved Over Two Decades Financial Burden of Postoperative Adverse Events Following Lobectomy: Cost Analysis From 10 High-Volume Canadian Hospitals CTSNet Content Mentioned Surgical Repair of an Anomalous Left Coronary Artery From the Right Pulmonary Artery Minimally Invasive Pulmonary Valve Replacement in Reoperative Settings Surgical Management of Giant Pulmonary Artery Aneurysm Using a T-Shaped Graft-Valve Strategy Other Items Mentioned CTSNet Innovation 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.
• The Atrium: Multi-Spectrum Robotic Cardiac Surgery 23.06.2026 51นาที

  In this episode of The Atrium, host Dr. Alice Copperwheat speaks with Dr. Husam Balkhy, Professor of Surgery and Director of Robotic and Minimally Invasive Cardiac Surgery at the University of Chicago, IL, USA, about multi-spectrum robotic cardiac surgery. Chapters  00:00 Intro  01:04 Why CT Surgery?  04:08 History  08:09 Benefits  10:00 Challenges  13:56 Multispectrum Robotic Surgery  16:15 Patient Selection  24:33 Work Up, Port Placement  29:47 Valve Surgery  31:11 Coronary Surgery  32:38 Other Surgery  37:15 Complications  39:13 Training, Simulations  45:07 Future of Robotics  49:00 Key Takeaways  49:34 Surgery Training Advice  The discussion focuses on the history of robotics in cardiac surgery, emphasizing the benefits and challenges associated with robotic surgery. It explores the concept of multi-spectrum robotic cardiac surgery and provides an overview of robotic surgery as it currently stands, including the types of valves involved and the various approaches utilized. The conversation also highlights specific techniques in robotic surgery, such as totally endoscopic coronary artery bypass (TECAB). Additionally, it addresses potential complications, including peripheral cannulation injuries and phrenic nerve injury. Furthermore, they discussed training in robotics and the future of robotics. 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. Related Resources Multi-Spectrum Robotic Cardiac Surgery: Early Outcomes   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.
• The Beat With Joel Dunning Ep. 161: Thoracoabdominal Aortic Aneurysm Repair 18.06.2026 31นาที

  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.
• The Cardiac Recovery Room: Hemodynamics and Atrial Fibrillation 17.06.2026 41นาที

  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.
• The Beat With Joel Dunning Ep. 160: Shifting Healthcare Policy in Surgery 11.06.2026 34นาที

  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.
• The Lifeline: Crisis Management After Minimally Invasive Cardiac Procedures 10.06.2026 32นาที

  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.
• The Beat With Joel Dunning Ep. 159: Aortic Root Enlargement 04.06.2026 38นาที

  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 Intro02:37 JANS 1, WhatsApp for Patients08:27 JANS 2, DCD Heart Transplant11:07 JANS 3, TIGHT K Trial13:18 JANS 4, RecoverHeart Calculator15:57 Video 1, Self Constructed Valve18:52 Video 2, MVR Sandwich Technique20:43 Video 3, Distal Coronary Anastomosis Podcast23:04 Dr. Yang, Annular Enlargement36:31 Upcoming Events37:26 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.
• The Beat With Joel Dunning Ep. 158: JACC: Case Reports 28.05.2026 36นาที

  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 Intro01:45 Instructional Video Competition05:30 JANS 1, Lung Cancer Metastasis09:08 JANS 2, Uncorrected Pectus11:29 JANS 3, Ambulatory VV Life Support13:38 JANS 4, EuroSCORE II14:28 Video 1, TAVR Removal Double Patch16:09 Video 2, ROK Procedure AF17:46 Video 3, RATS Lobectomy19:11 JACC Case Reports35:28 Upcoming Events36:03 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.
• The Atrium: Distal Coronary Anastomosis 26.05.2026 48นาที

  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.
• The Beat With Joel Dunning Ep. 157: Failed Bioprostheses—The REPEAT Trial 21.05.2026 34นาที

  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.
• The Cardiac Recovery Room: Are We Guessing at Bleeding? 20.05.2026 35นาที

  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, spoke with Dr. Nadia Hensley, Associate Professor and Physician Advisor for Anesthesiology and Critical Care Medicine at John Hopkins School of Medicine; Dr. Nawwar Al-Attar, consultant cardiac surgeon at NHS Golden Jubilee National Hospital in Scotland; and Dr. Serdar Gunadyin, Head of Department at the University of Health Sciences in Turkey. The focus of their conversation was on surgical bleeding. Chapters  00:00 Intro  02:35 Case 1, Diffuse Coagulopathy  03:26 Bleeding Scale  08:13 Team-Wide Bleeding Language  11:07 Alternative Approaches  14:09 Standardizing Test Results Response  18:04 No Access to Visoelastic Testing  19:55 Topical Hemostatic Agents  23:08 Case 2  24:14 Coagulopathy vs Surgical Bleeding  28:08 Passive Hemostatic Agent  29:10 Visoelastic Testing  31:29 Closing Points They discussed two different cases, including patient details and case specifics: one involving diffused coagulopathy and the other concerning focal bleeding. While examining these cases, they talked about hemostasis and the hemostasis checklist. They also discussed the validated intraoperative bleeding (VIBe) scale and its purposes, and the importance of being on the same page as your team. Additionally, they delved into viscoelastic testing and algorithms and addressed scenarios where access to viscoelastic testing may not be available. They also explored the thresholds for guided therapy, including functional fibrinogen levels. Lastly, the experts touched on passive hemostatic and how to teach residents coagulopathy and surgical bleeding. 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.
• The Beat With Joel Dunning Ep. 156: Ascending Stent Graft—ARISE III Trial 14.05.2026 34นาที

  This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Brad Leshnower, Director of Aortic Surgery at Emory University Hospital in Atlanta, GA, USA, about the first implantation of the Gore Ascending Stent Graft in the ARISE III trial for the treatment of an acute type A dissection. Chapters 00:00 Intro 02:26 New CTSNet Website 03:31 JANS 1, Thromboendarterectomy Fellowship 05:28 JANS 2, Sodium-Glucose Cotransporter 2 Inhibitor 07:36 JANS 3, Type A Acute Aortic Dissections 09:51 JANS 4, Asymptomatic Aortic Stenosis at 10 Years 11:46 Video 1, Nuss Procedure w Chrondrotomies 13:08 Video 2, Cardiac Redo Surgery 14:52 Video 3, Uniportal Lobectomy Bronchial Reimplantation 16:13 Dr. Leshnower, Ascending Stent Grafts 32:51 Career Center 33:52 Closing They discussed Dr. Leshnower’s experience with this groundbreaking implantation, including the case details such as the patient’s medical history, the assessment of the patient’s high-risk status, and the criteria for determining their suitability for the procedure. Imaging techniques and the contributions of the other surgeons involved in the case were also highlighted. Furthermore, they delved into the use of the stent in previous ARISE trials and what Dr. Leshnower learned from those early experiences. The conversation also covered topics such as proximal placement, the innominate artery, and the preoperative planning required for the trial. Dr. Leshnower also shared what he learned from this case and discussed the future of the stent graft and this technique. Joel also highlights recent JANS articles on the safety and efficacy of a dedicated pulmonary thromboendarterectomy fellowship, sodium-glucose cotransporter 2 inhibitor use and outcomes after surgical aortic valve replacement, association between surgical timing and postoperative outcomes in type A acute aortic dissection, and early surgery or conservative care for asymptomatic aortic stenosis at 10 years. In addition, Joel explores the Nuss procedure with midline chrondrotomies in severe pectus excavatum, redo surgery for failed MVr, iatrogenic ASD, tricuspid valve regurgitation, and aorta replacement, and uniportal VATS left lower sleeve lobectomy with upper lobe bronchial reimplantation for typical carcinoid tumor. Before closing, Joel highlights upcoming events in CT surgery.   JANS Items Mentioned Safety and Efficacy of a Dedicated Pulmonary Thromboendarterectomy Fellowship: The UK Experience at a High-Volume Center Sodium-Glucose Cotransporter 2 Inhibitor Use and Outcomes After Surgical Aortic Valve Replacement Association Between Surgical Timing and Postoperative Outcomes in TypeAAcute Aortic Dissection Early Surgery or Conservative Care for Asymptomatic Aortic Stenosis at 10 Years  CTSNet Content Mentioned The Nuss Procedure With Midline Chrondrotomies in Severe Pectus Excavatum  Redo Surgery for Failed MVr, Iatrogenic ASD, Tricuspid Valve Regurgitation, and Aorta Replacement  Uniportal VATS Left Lower Sleeve Lobectomy With Upper Lobe Bronchial Reimplantation for Typical Carcinoid Tumor  Other Items Mentioned ARISE III Trial of Gore Ascending Stent Graft Begins Enrollment How to Navigate the New CTSNet Website 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.
• The Lifeline: Functional Hemodynamics in Postoperative Cardiothoracic Care 13.05.2026 23นาที

  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 Jan Headley, Principal at Consultants in Acute and Critical Care. They explore the use of functional hemodynamics in the postoperative management of cardiothoracic surgical patients. Chapters  00:00 Intro  01:26 Case Study  04:28 Fluid Responsiveness, Dynamic Parameters  07:37 Variability Within Normal Limits  09:34 Determining Responsiveness Efficiently  12:45 No PA-Catheter Patients  15:35 Reassessing Values  17:22 First Step  19:20 No-Fluid Patient  20:27 Stroke Volume Trends  21:13 Key Takeaways  The discussion includes a case study illustrating how functional hemodynamics can guide clinical decisions in this context. They delve into the concepts of fluid management and fluid responsiveness, comparing dynamic parameters and static parameters, and the importance of increasing stroke volume. Key topics also include pulse pressure variation, stroke volume variation, variability, and delta stroke volume. The conversation further covers techniques such as the passive leg raise maneuver and the pulmonary occlusive maneuver. 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.
• The Beat With Joel Dunning Ep. 155: Aortic Surgery and Long-Term Patient Follow-Up 07.05.2026 30นาที

  This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Andrea Steely, an Assistant Professor of Cardiac Surgery in the Division of Cardiothoracic Surgery at the University of Utah Health, Salt Lake City, UT, USA, about aortic surgery and long-term patient follow-up. Chapters 00:00 Intro  01:43 New CTSNet Website  02:36 AATS 2026  09:15 EJCTS News  10:15 Video 1, Left Ventriculotomy  10:51 Video 2, 3-Vessel TECAB  12:24 Video 3, AV Disease in Young Patients  13:14 Andrea Steely, Aortic Surgery & Follow-Up  29:14 Upcoming Events  They discussed the critical importance of educating both patients and surgeons about aortic disease, and the most effective strategies for follow-up care after aortic surgery. The conversation also covered testing genetic factors and stabilizing the aortic arch. They also explored reintervention and the importance of a multidisciplinary follow-up approach. Additionally, they addressed topics such as lung cancer screening, the training of non-MDs to evaluate screening charts, and the development of an aortic pathology sheet for each patient.   In addition, Joel explores an underutilized approach for closing multiple apical ventricular septal defects, robotic-assisted three-vessel minimally invasive coronary artery bypass, and a presentation from Emile Bacha on the "Surgical Management of Aortic Valve Disease in Young Patients."  Before closing, Joel highlights upcoming events in CT surgery.    CTSNet Content Mentioned  1. Left Ventriculotomy: An Underutilized Approach for Closing Multiple Apical Ventricular Septal Defects  2. Robotic-Assisted Three-Vessel Minimally Invasive Coronary Artery Bypass  3. SCTS 2026 | Surgical Management of Aortic Valve Disease in Young Patients  Other Items Mentioned  1. How to Navigate the New CTSNet Website  2. Career Center   3. 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.
• The Beat With Joel Dunning Ep. 154: The Heart Sapling Program and Minimally Invasive Surgery in China 24.04.2026 36นาที

  This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Zhi Lin, Chief Director of Cardiovascular Surgery Division 1 at Xiamen Cardiovascular Hospital of Xiamen University in Xiamen, China, and Dr. Oscar A. Flores Flores, a cardiothoracic surgeon at Hospital Civil de Guadalajara Fray Antonio Alcalde in Guadalajara, Mexico, about The Heart Sapling Visiting Scholar Program. Chapters 00:00 Intro 02:22 AATS, UAE Conference, King Faisal 05:28 JANS 1, LAA Closure vs Therapy AF 09:53 JANS 2, Thrombus-Free LAA Occlusion 11:49 JANS 3, Immunosuppression & Retransplantation 13:06 JANS 4, Biomarkers & Outcomes Isolated CABG 15:18 Video 1, Rheumatic MV Reconstruction 17:02 Video 2, Morgagni Hernia 18:07 Video 3, Robotic Excision Anterior Mediastinal 19:35 Lin Zhi & Oscar Flores, Chinese Fellowship & Surgery 34:25 Upcoming Events 35:13 Closing Dr. Flores discusses what the program entails, sharing his experience as a fellow and the opportunities he gained from it. Dr. Lin then outlines the program’s goals and the various procedures that can be learned at Xiamen Cardiovascular Hospital of Xiamen University, which hosts the program. They also cover how to join the program and the application process. Furthermore, they discuss minimally invasive procedures in China and how this approach is growing in popularity. Joel also highlights recent JANS articles on left atrial appendage closure or medical therapy in atrial fibrillation, long-term thrombus-free left atrial appendage occlusion via magnetofluids, implications of immunosuppression and retransplantation for donor-derived cell-free DNA associated with increased risk of chronic lung allograft dysfunction and mortality, and immunosenescence biomarkers and outcomes in isolated coronary artery bypass grafting.  In addition, Joel explores rheumatic mitral valve reconstruction, tips for the surgical management of a Morgagni hernia, and right robotic excision of anterior mediastinal mass. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1. Left Atrial Appendage Closure or Medical Therapy in Atrial Fibrillation  2. Long-Term Thrombus-Free Left Atrial Appendage Occlusion Via Magnetofluids  3. Donor-Derived Cell-Free DNA Associated With Increased Risk of Chronic Lung Allograft Dysfunction and Mortality: Implications of Immunosuppression and Retransplantation  4. Immunosenescence Biomarkers and Outcomes in Isolated Coronary Artery Bypass Grafting  CTSNet Content Mentioned  1. Rheumatic Mitral Valve Reconstruction  2. Tips for the Surgical Management of a Morgagni Hernia  3. Right Robotic Excision of Anterior Mediastinal Mass  Other Items Mentioned  1. Endoscopic Cone Repair in an Adult Patient With Ebstein Anomaly    2. CTSNet Website Redesign: Important Updates and Transition Details   3. Career Center   4. 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.
• The Beat With Joel Dunning Ep. 153: Aortic Valve Technology Throughout the Years 16.04.2026 37นาที

  This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Frank Tamru, author of Power: A Memoir and owner of Frank Tamru Consultants LLC, about aortic valve technology throughout the years. Chapters 00:00 Intro 01:51 New Website Preparation 02:53 AATS 2026 Overview 11:59 Video 1, Robotic Right-Sided MIDCAB 13:08 Video 2, Extra-Anatomic IAA Repair 14:29 Video 3, Double-Decker Procedure 16:38 Video 4, Aortic Disease Awareness 19:53 Video 5, Robotic Culmen in Situs Inversus 21:30 Frank Tamru, Aortic Valve Technology 35:32 Upcoming Events 36:03 Closing They explored Tamru’s professional background and involvement with heart surgeons and cardiovascular leaders. The conversation covered various topics, including heart valves and the evolution of open-heart centers. They also discussed the advancements in aortic valve replacement technologies and the critical role of surgeons as decision-makers in the field. Additionally, Frank shared his experience as the founding publisher of the Asian Cardiovascular and Thoracic Annals.  In addition, Joel explores a robotic-assisted right-sided minimally invasive coronary artery bypass for anomalous origin of the right coronary artery, a transdiaphragmatic aorto-supraceliac extra-anatomic bypass for interrupted aortic arch with collateralizations, double-decker procedure for partial anomalous pulmonary venous connection, robotic-assisted right upper segmentectomy (culmen) in situs inversus totalis, and an interview with Gareth Owens and Dr. Ben Youdelman on Think Aorta and aortic disease awareness.  Before closing, Joel highlights upcoming events in CT surgery.    CTSNet Content Mentioned  1. Robotic-Assisted Right-Sided Minimally Invasive Coronary Artery Bypass for Anomalous Origin of the Right Coronary Artery   2. A Transdiaphragmatic Aorto-Supraceliac Extra-Anatomic Bypass for Interrupted Aortic Arch With Collateralizations   3. Double-Decker Procedure for Partial Anomalous Pulmonary Venous Connection   4. Think Aorta and Aortic Disease Awareness: An Interview With Gareth Owens and Dr. Ben Youdelman   5. Robotic-Assisted Right Upper Segmentectomy (Culmen) in Situs Inversus Totalis   Other Items Mentioned  1. Power: A Memoir  2. Website Maintenance Alert!  3. The Lifeline  4. Career Center   5. 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.
• The Beat With Joel Dunning Ep. 152: Utilizing AI in Cardiothoracic Surgery 16.04.2026 32นาที

  This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Dr. Zain Khalpey, an assistant attending surgeon at NewYork-Presbyterian/Columbia University Irving Medical Center, NY, USA, adjunct assistant professor of surgery at Columbia University Irving Medical Center, NY, USA, and Chief Medical AI Officer, Chair of Applied Clinical AI, and Director of Applied Translational Artificial Research Institute (ATARI), AZ, USA, about utilizing artificial intelligence (AI) in cardiothoracic surgery. Chapters 00:00 Intro01:42 Upcoming CTSNet Activities03:01 Website Transition03:54 JANS 1, Mech vs Bio AVR in 50–70 YO08:16 JANS 2, Abnormal Bleeding in OR10:26 JANS 3, Intraop Assessment RV Function11:54 JANS 4, Laser Anastomosis System CABG14:49 Video 1, RAMT AVR Hemiarch Replacement16:23 Video 2, Big Cyst & Small Incisions17:33 Video 3, Left VATS Pneumonectomy19:55 Dr. Khalpey, AI in CT Surgery30:28 Upcoming Events31:48 Closing They discuss the importance of ethical AI being and address risk scores. The conversation also covers the application of AI in preoperative, intraoperative, and postoperative settings, as well as predictive algorithms and the benefits of integrating AI within cardiothoracic surgery. Additionally, they emphasize that there will always be a need for surgeons, as AI cannot replace human expertise.   Joel also highlights recent JANS articles on a systematic review and meta-analysis on mechanical vs biological aortic valve replacement in patients aged 50-70 years, an observational study of inter-rater reliability between anesthetists and surgeons on abnormal bleeding in the cardiac operating room, advancing intraoperative assessment of right ventricular function, and the excimer laser assisted non-occlusive anastomosis (ELANA) anastomotic system surgical technique to construct distal anastomoses using a novel device in coronary artery bypass grafting.  In addition, Joel explores a right anterior minithoractomy aortic valve replacement, ascending aorta, and hemiarch repair, thoracoscopic resection of a large mediastinal cyst, and left VATS pneumonectomy in pediatric pulmonary mucoepidermoid carcinoma. Before closing, Joel highlights upcoming events in CT surgery.    JANS Items Mentioned  1. Mechanical Versus Biological Aortic Valve Replacement in Patients Aged 50-70 Years: A Systematic Review and Meta-Analysis  2. Abnormal Bleeding in the Cardiac Operating Room: An Observational Study of Inter-Rater Reliability Between Anesthetists and Surgeons  3. Echocardiographic Correlates of Pressure-Volume-Derived Indices: Advancing Intraoperative Assessment of Right Ventricular Function  4. The Excimer Laser Assisted Non-Occlusive Anastomosis (ELANA) Anastomotic System Surgical Technique to Construct Distal Anastomoses Using a Novel Device in Coronary Artery Bypass Grafting  CTSNet Content Mentioned  1. Right Anterior Minithoractomy Aortic Valve Replacement, Ascending Aorta, and Hemiarch Repair   2. When Size Is Not a Limitation: Thoracoscopic Resection of a Large Mediastinal Cyst   3. Left VATS Pneumonectomy in Pediatric Pulmonary Mucoepidermoid Carcinoma   Other Items Mentioned  1. Website Blackout Notice!  2. Career Center   3. 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.
• The Cardiac Recovery Room: Early Mobility, Verticalization, and Delirium, Oh My! 15.04.2026 41นาที

  In this episode of The Cardiac Recovery Room, moderator Amanda Rea, a nurse practitioner and 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, spoke with Kali Dayton, a critical care nurse practitioner, host of the Walking Home From the ICU and Walking You Through the ICU podcasts, and CEO of Dayton ICU Consulting, about early mobility, verticalization, and delirium.   Chapters 00:00 Intro  01:04 Patient Philosophy  02:45 Early Sedation-Delirium Relationship  05:23 RASS Scale, Sedation  07:06 Cardiac ICU Patients  08:35 Lack of Delirium Tracking or Data  10:56 ROI from Good Care & Data  14:44 Preventative Approach  16:16 Convincing Hesitant Adopters  18:59 Patient Case Study  21:19 Cultural Paradigm  24:48 Mobilization  27:07 Verticalization Beds  30:03 Gravity on Patient Health  32:14 Mobility Screening  33:14 Defining Walking  34:47 Mobility Responsibility  36:55 Standardization & Predictability  38:23 Key Points  They discussed what an awake and walking intensive care unit (ICU) is, how early mobility and sedation tie in with delirium, and the history of critical care medicine. The conversation also covered the Richmond Agitation-Sedation Scale (RASS) and deep sedation, as well as risk factors for delirium, outdated sedation practices and mobility management, and the importance of having a high reliability environment. Additionally, they explored the ABCDEF bundle and a case study of a patient experiencing delirium. The episode further addressed verticalization beds, walking pads for verticalization, nurse screening tools, and ambulation.  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.
• The Lifeline: Managing Arrest in Patients With tMCS 08.04.2026 22นาที

  In this edition of the new 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 Rakesh Arora, Director of Cardiothoracic Critical Care and a professor in the Department of Surgery and Anesthesia at Northwestern Medicine, Chicago, IL, USA. They discuss managing arrest in patients with temporary mechanical circulatory support (tMCS), focusing on a paper Arora authored titled “EACTS/STS/AATS Guidelines on Temporary Mechanical Circulatory Support in Adult Cardiac Surgery.”   Chapters  00:00 Intro  01:08 Guidelines Background  02:02 Resuscitation, Monitoring Parameters  07:37 Approach to Patients in Extremis  11:39 Quality Assurance, Internal Data  12:22 End-Tidal  13:17 Bleeding Management  15:33 Arrhythmia, Defibrillation  17:21 Optimizing Tissue Perfusion  18:09 Key Points  20:26 Devices & Flow Patterns  They began by exploring how this paper was developed and how Arora became involved in this project. They discussed the importance of expediting the resuscitation process and examined the recommendations for a tMCS implantation in patients experiencing post-procedural low cardiac output syndrome (LCOS). Key considerations included oxygen saturation levels (SpO2) and point-of-care ultrasound (POCUS), as well as the significance of pulsatility. Additionally, they discussed the interaction between devices and patients and the importance of team training and simulation. They also addressed crucial topics such as coagulation, anticoagulation, and defibrillation. Finally, they examined optimizing tissue perfusion for better patient outcomes.   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  EACTS/STS/AATS Guidelines on Temporary Mechanical Circulatory Support in Adult Cardiac Surgery  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.