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.

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

1. In Vivo Base Editing of PCSK9 With VERVE-102 for Hypercholesterolemia
2. Valve-Sparing Aortic Root Replacement: Defining High-Volume Centres Using Prospective Data
3. Surgical Care for Rheumatic Heart Disease Patients: Insights From the Netherlands Heart Registration
4. Surgical Techniques and Outcome Analysis of Non-Intubated Uniportal VATS Sleeve Lobectomy: A Cohort Study

CTSNet Content Mentioned

1. Minimally Invasive Bentall Procedure via Right Axillary Access: A Step-by-Step Technique
2. Repair of Anomalous Left Coronary Artery From the Pulmonary Artery via Direct Coronary Transfer
3. The Atrium: Multi-Spectrum Robotic Cardiac Surgery

Other Items Mentioned

1. Cardiac Reoperations in Patients With Prior Thoracic Radiation: A Single-Center Analysis of Outcomes and Key Lessons
2. CTSNet Innovation Video Competition
3. Career Center
4. CTSNet Events

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