The Beat With Joel Dunning Ep. 157: Failed Bioprostheses—The REPEAT Trial

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. 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 

1. 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 
2. Outcomes of Mitral Valve Repair in Ischemic Mitral Regurgitation: A Two-Decade Experience
3. Maternal, Valvular and Foetal Outcomes of Pregnancy Following Aortic Valve Replacement  
4. Temporary Mechanical Circulatory Support in Left Ventricular Assist Device Candidates With Right Ventricular Dysfunction: Acuity Without Long-Term Futility 

CTSNet Content Mentioned 

1. Are the Forgotten Techniques of Thoracoplasty With Latissimus Dorsi Myoplasty Relevant Today?  
2. Nuss Procedure After Previous Ravitch Operation 
3. Uniportal VATS Repair of Traumatic Right Main Bronchus Transection Following Blunt Chest Injury  

Other Items Mentioned 

1. The REPEAT Trial
2. Career Center 
3. CTSNet Events 

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