The Beat With Joel Dunning Ep. 102: Endoscopic Cardiac Surgery

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Mario Castillo-Sang, the Surgical Director of Mitral Valve and Heart Failure Therapies at St. Elizabeth Healthcare, Edgewood, Kentucky, USA, about totally endoscopic cardiac surgery.

Chapters

00:00 Intro

01:17 Minimal Access Bedside Cardiac

04:37 Lung Cancer, Histological Subtype

09:29 TAVR vs SAVR, AS & CAD

12:22 Biopros TVR Outcomes

15:48 Mitral Annular Disjunction, MVR

18:47 Ozaki Technique, AV Reconst

20:46 Redo LVOT Reconst for Endocarditis

22:33 Totally Endoscopic ASD Closure TVR

24:08 Dr. Castillo-Sang, MI Bedside Endoscopy

40:51 Closing

They explore key highlights from Dr. Castillo-Sang’s CTSNet series Endoscopic Cardiac Surgery Series: The Swiss Army Knife Approach, his journey in performing endoscopic surgeries, and how he learned the techniques. Dr. Castillo-Sang shares the advantages of endoscopic surgery, as well as tips and recommendations for those wanting to learn this approach. He emphasizes the importance of the instruments he has worked with, detailing how these have improved over time. Additionally, they explore Dr. Castillo-Sang’s involvement with the Endoscopic Cardiac Surgeons Club, discussing how he got involved and providing details about the club’s upcoming annual meeting.  

Joel also highlights recent JANS articles on the estimated worldwide variation and trends in incidence of lung cancer by histological subtype in 2022 and over time, transcatheter vs surgical aortic valve replacement in Medicare beneficiaries with aortic stenosis and coronary artery disease, long-term outcomes after bioprosthetic tricuspid valve replacement, and outcomes of patients with mitral annular disjunction undergoing mitral valve repair. 

In addition, Joel explores aortic valve reconstruction using the Ozaki technique, redo LVOT reconstruction for endocarditis, and totally endoscopic ASD closure with tricuspid valve repair. Before closing, he highlights upcoming events in CT surgery.  

JANS Items Mentioned 

1.) Estimated Worldwide Variation and Trends in Incidence of Lung Cancer by Histological Subtype in 2022 and Over Time: A Population-Based Study 

2.) Transcatheter vs Surgical Aortic Valve Replacement in Medicare Beneficiaries With Aortic Stenosis and Coronary Artery Disease 

3.) Long-Term Outcomes After Bioprosthetic Tricuspid Valve Replacement: A Multicenter Study 

4.) Outcomes of Patients With Mitral Annular Disjunction Undergoing Mitral Valve Repair 

CTSNET Content Mentioned 

1.) Aortic Valve Reconstruction—The Ozaki Technique 

2.) Redo LVOT Reconstruction for Endocarditis 

3.) Totally Endoscopic ASD Closure With Tricuspid Valve Repair 

Other Items Mentioned 

1.) Endoscopic Cardiac Surgery Series: The Swiss Army Knife Approach 

2.) Endoscopic Cardiac Surgeons Club 

3.) Mini