Cardiothoracic Surgery

Nominations are due Friday, October 27, for the Extraordinary Women in Cardiothoracic Surgery Award. Nominate an exemplary clinician and surgeon, leader, educator, mentor, advocate. STS and Women in Thoracic Surgery (WTS) will honor recipients at a special awards breakfast during STS 2024 in January. Learn more: bit.ly/46hV0wq

Do NOT miss the ELSO neonatal & pediatric virtual training course:
🖥 self-paced course (25 recorded online lectures) to allow practitioners to develop, strengthen, refine clinical skills related to ECMO care and improve confidence in working with children on an ECMO circuit.
🖥 live case study series + Q&A session with select members of the course faculty, moderated by Giles Peek on November 6, 2023
🔗 bit.ly/ELSOAcademy
Completion of the course will comply with Step 1 requirements for the ELSO - Neonatal & Pediatrics ECMO Certification Exam (E-NPEC), designed to reflect a global standard in foundational ECMO education for neonatal & pediatric practitioners!
🎯 Target audience: the entire team! physicians, nurses, perfusionists, respiratory therapists... CME: Available upon completion.
📬 Need additional information? email [email protected]

https://www.tctmd.com/news/surgeons-support-proposed-changes-left-main-cad-guidelines

Surgeons Support Proposed Changes to Left Main CAD Guidelines The controversy over the guidelines has lost steam with the newly proposed downgrade for PCI, says one surgeon.

https://www.sts.org/2024-extraordinary-women-cardiothoracic-surgery-award?_cldee=ldC5fpKYE6YfD-w3W43tU5XvpqglHDdn9DkySOKaboZRNp3REpUJv2fM_p3npfsM&recipientid=contact-dccd0591fb5ae511a0e8f4ce4686c194-0ea03c8ad53f4e30a61959c3c95f5d66&esid=ee38fe8a-2e57-ee11-be6e-6045bdd7307d

Nominations being sought for the 2024 STS Extraordinary Women in Cardiothoracic Surgery Award

2024 Extraordinary Women in Cardiothoracic Surgery Award | STS Image Nominations

https://pubmed.ncbi.nlm.nih.gov/36040710/

A nice review on outcomes with the Cox Maze vs Pulmonary Vein Isolation for atrial fibrillation with concomitant mitral valve surgery by Davorin Sef

From the conclusion: "Concomitant Cox-Maze in AF patients undergoing MV surgery is associated with better mid-term freedom from AF when compared to PVI with comparable mid-term survival."

Comparing mid-term outcomes of Cox-Maze procedure and pulmonary vein isolation for atrial fibrillation after concomitant mitral valve surgery: A systematic review - PubMed Concomitant Cox-Maze in AF patients undergoing MV surgery is associated with better mid-term freedom from AF when compared to PVI with comparable mid-term survival. Large observational studies suggest that there might be a mid-term survival benefit among patients after concomitant Cox-Maze. Further....

"Colchicine does not significantly reduce perioperative atrial fibrillation (AF) or myocardial injury after non-cardiac surgery (MINS) in patients undergoing major non-cardiac thoracic surgery"

Colchicine does not reduce perioperative AF or MINS in major non-cardiac thoracic surgery Colchicine does not significantly reduce perioperative atrial fibrillation (AF) or myocardial injury after non-cardiac surgery (MINS) in patients undergoing major non-cardiac thoracic surgery, according to late breaking research presented in a Hot Line session today at ESC Congress 2023.

https://www.ahajournals.org/doi/full/10.1161/JAHA.123.029553

Although likely inferred already by structural heart teams, more concrete data showing that patients with low flow, low gradient aortic stenosis who present with mitral regurgitation have worse outcomes.

Prognostic Impact of Mitral Regurgitation Before and After Transcatheter Aortic Valve Replacement in Patients With Severe Low‐Flow, Low‐Gradient Aortic Stenosis Background There is little evidence about the prognostic role of mitral regurgitation (MR) in patients with low‐flow, low‐gradient aortic stenosis undergoing transcatheter aortic valve replacement ...

Study out of UNC on lung transplant outcomes in patients who had COVID-19 related lung disease.

"Among 195 patients with COVID-19-related acute respiratory distress syndrome (ARDS) who underwent lung transplants, 1-, 6-, and 12-month overall survival rates were 99%, 95%, and 88%. For 190 patients who had COVID-19-related pulmonary fibrosis, survival rates were 96%, 92%, and 84%, respectively."
-Medpage Today

Outcomes Following Lung Transplant for COVID-19–Related Complications in the US This cohort study evaluates overall survival and graft failure rates following lung transplant among patients with irreversible lung injury.

https://cardiovascularbusiness.com/topics/clinical/structural-heart-disease/abbott-pulls-trifecta-heart-valves-market-due-early-deterioration

Abbott pulls Trifecta heart valves off the market due to early deterioration The FDA sent notice today that Abbott is pulling the Trifecta aortic surgical heart valve off the U.S. market due to the risk of early structural valve deterioration in less than 5 years.

🚨 in thoracic emergencies, narrative review of current evidence:
📄 description & classification of thoracic emergencies
🫁 mediastinal mass
🫁 tracheobronchial emergencies
🫁 chest trauma & parenchymal injuries
🩸 thoracic penetrating injuries & hemorrhagic shock
🩸 aortic injuries
🫁 blunt thoracic trauma
🫀 cardiac trauma & traumatic cardiac arrest
💣 combat injuries
🔥 burn injuries
✅ benefits of in patients
‼️ limitations of ECLS in trauma patients
Free open access
🖇️ https://jtd.amegroups.org/article/view/74016/html

Hands on robotics training.

Train in a realistic, thoracic robotics simulation environment and hone your skills in lung segmentectomies and robotic bronchoscopy. Register by March 8 for reduced rates, then join our expert faculty for 2 days in April for hands-on learning. (14 CME credits available) bit.ly/STSroboticthoracic

https://jamanetwork.com/journals/jama/fullarticle/2801203?guestAccessKey=475d7069-5995-46a2-82f0-b1681339448f&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jama&utm_content=etoc&utm_term=022123

Vasopressors or High-Volume IV Fluids Both Effective for Sepsis Patients with sepsis-induced hypotension resuscitated in the first 24 hours with lower volumes of intravenous fluid and greater vasopressor use were about as likely to survive as patients treated with higher intravenous fluid volumes prioritized over vasopressors. The trial results, reported in the....

https://www.fda.gov/medical-devices/medical-device-recalls/datascopegetinge-recalls-cardiosave-hybrid-and-rescue-intra-aortic-balloon-pumps-iabp-risk-blood-may

Recall of Cardiosave Hybrid IABP and the Cardiosave Rescue IABP

Datascope/Getinge Recalls Cardiosave Intra-Aortic Balloon Pumps (IABPs Blood may enter the Cardiosave IABP through a damaged balloon catheter, causing pump shut-down, or patient exposure to helium or cross-contaminated blood

Join us TOMORROW, November 9, 7:00PM –8:00PM ET, for a live Congenital Webinar- Residual Lesions and Complications: Little Things Add Up to a Lot.
Learn more: http://ow.ly/VWVW50LxLZH

https://www.annalsthoracicsurgery.org/article/S0003-4975(21)00064-3/fulltext #%20

Interesting modification to the Dor Fundoplication described here:

Minimally Invasive “3-Stitch” Modification of the Dor Fundoplication: Simple and Effective A 180-degree anterior (Dor) fundoplication is usually paired with an esophagogastric myotomy in the surgical treatment of achalasia. The traditional technique, however, is not easily reversible and the ex*****on is variable. This study examined a simplified ‘‘3-stitch’’ Dor fundoplication th...

"Lobectomy was associated with improved OS compared to wedge resection for patients with occult pN1 disease (median OS, 70.0 (95% CI:66.6-77.4) months vs. 36.4 (95% CI:24.2-45.6) months, p

Wedge Resection Versus Lobectomy for Clinical Stage IA NSCLC with Occult Lymph Node Disease Sublobar resection is increasingly performed for stage Ia non-small cell lung cancer (NSCLC), but pathologic lymph node upstaging remains a common clinical scenario. This study compares the long-term prognosis of patients with clinical stage Ia disease and occult lymph node disease undergoing wedge....

“It is vital that surgeons lead the effort in early molecular profiling of lung cancers to best stratify patients for either immunotherapy or targeted therapy treatment pathways, and enroll patients in clinical trials to gain knowledge, and refine their judgment and skills within ever more complex lung cancer multimodality therapies.”

Lung Cancer Surgery After Neoadjuvant Immunotherapy or Targeted Therapy: Knowledge, Judgment, and Skills Refined The advancements in the understanding of the lung cancer molecular biology and immune microenvironment coupled with the development of novel therapeutic drugs have resulted in a rapid, continued, and more personalized evolution of treatment options for lung cancer patients. This scientific and thera...

https://www.thecardiologyadvisor.com/home/topics/arrhythmia/atrial-fibrillation-af-during-cardiac-surgery-linked-to-improved-long-term-survival/

Atrial Fibrillation Ablation During Cardiac Surgery Linked to Improved Long-Term Survival Researchers sought to assess long-term mortality in patients who received ablation for atrial fibrillation during cardiac surgery.