This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Drs. Jan Vojacek, a cardiac surgeon in the department of cardiac surgery at University Hospital Hradec Kralove, Czech Republic, and president of the Czech Society for Cardiovascular Surgery, and Maral Ouzounian, cardiac surgeon and head of the division of cardiac surgery at the Peter Munk Cardiac Center, Toronto, Canada, and president of the Canadian Society of Cardiac Surgeons, about the EACTS expert consensus statement on the Ross procedure in adult patients. They discussed the task force and process of getting this statement published, as well as important elements of the guidelines. Additionally, they addressed the significance of shared decision-making with patients, survival rates following the Ross procedure, and overall quality of life. They also compared the Ross procedure to mechanical and biological aortic valve replacements. They explored various surgical techniques related to the Ross procedure, including the native inclusion technique and the prosthetic inclusion technique, emphasizing the importance of technical details, patient selection, and intraoperative management. Furthermore, they discussed the Ross centers of excellence and how to start them.  

Joel also highlights recent JANS articles on the ARISE III trial of gore ascending stent graft begins enrollment, mechanical vs bioprosthetic heart valves in hemodialysis patients, an individual patient data meta-analysis of randomized controlled trials on the clinical efficacy of surgical sealants after pulmonary resection, and radical pericardiectomy and use of cardiopulmonary bypass for constrictive pericarditis. 

In addition, Joel explores a new approach for thymic pathologies, robotic-assisted repair of supracardiac total anomalous pulmonary venous return, and combined Mustard and en bloc rotation of the outflow tracts. Before closing, Joel highlights upcoming events in CT surgery.   

JANS Items Mentioned 

1.) ARISE III Trial of Gore Ascending Stent Graft Begins Enrollment [3] 

2.) Mechanical Versus Bioprosthetic Heart Valves in Hemodialysis Patients  [4]

3.) Clinical Efficacy of Surgical Sealants After Pulmonary Resection: An Individual Patient Data Meta-Analysis of Randomized Controlled Trials  [5]

4.) Radical Pericardiectomy and Use of Cardiopulmonary Bypass for Constrictive Pericarditis [6] 

CTSNet Content Mentioned 

1.) A New Approach for Thymic Pathologies: VATS CO₂ Insufflation Technique [7] 

2.) Robotic-Assisted Repair of Supracardiac Total Anomalous Pulmonary Venous Return [8]  

3.) Combined Mustard and En Bloc Rotation of the Outflow Tracts [9]  

Other Items Mentioned 

1.) EACTS Expert Consensus Statement on the Ross Procedure in Adult Patients [10]  

2.) Winners of the 2025 CTSNet Resident Video Competition [11] 

3.) Instructional Video Competition [12]  

4.) Career Center [13]  

5.) CTSNet Events Calendar  [14]

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