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

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

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