The Beat With Joel Dunning Ep. 118: Directing Novel Approaches in Surgery Programs

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Todd Rosengart, professor and chair of the Michael E. DeBakey Department of Surgery at Baylor College of Medicine, about his team performing the world’s first adult robotic heart surgery in the United States.

Chapters

00:00 Intro

02:27 JANS 1, On-Table Extubation

14:13 JANS 2, Intraop Broncho Biopsies

18:26 JANS 3, Stroke After Transplant

20:51 JANS 4, Pulm Carcinoid Tumors

22:56 Career Center

24:05 Video 1, Robotic LAAO

25:36 Video 2, Bedside VV ECMO

26:44 Video 3, Inverted Y AE

28:01 Dr. Rosengart Interview, Novel Approaches

40:57 Upcoming Events

42:58 Closing

They discuss postoperative outcomes and the 100-day follow-up appointment, the benefits of the robotic technique in transplants, and the surgeons who participated in this procedure. Additionally, Dr. Rosengart shares advice for individuals performing robotic transplants, his experience leading this unit, and its notable accomplishments, including other world-first procedures.  

Joel also highlights recent JANS articles on the 10 best practices of on-table extubation after cardiac surgery, if we can rely on intraoperative bronchoscopic biopsies for surgical decision making, increased prevalence of stroke after heart transplant in the new allocation system era, and the surgical management of both stage III and stage IV pulmonary carcinoid tumors confers survival benefit. 

In addition, Joel explores robotic left atrial appendage occlusion, bedside veno-venous extracorporeal membrane oxygenation cannulation technique in an awake patient, and a stepwise surgical approach for inverted Y annular enlargement in the bicuspid aortic valve. Before closing, Joel highlights upcoming events in CT surgery.   

JANS Items Mentioned 

1.) The 10 Commandments of On-Table Extubation After Cardiac Surgery: Why and How to Increase Adoption 

2.) Can We Rely on Intraoperative Bronchoscopic Biopsies for Surgical Decision Making? 78 Single Anesthetic Robotic Bronchoscopy to Anatomic Resections 

3.) Increased Prevalence of Stroke After Heart Transplant in the New Allocation System Era 

4.) Surgical Management of Both Stage III and Stage IV Pulmonary Carcinoid Tumors Confers Survival Benefit 

CTSNET Content Mentioned 

1.) Robotic Left Atrial Appendage Occlusion  

2.) Bedside Veno-Venous Extracorporeal Membrane Oxygenation Cannulation Technique in an Awake Patient 

3.) Inverted Y Annular Enlargement in Bicuspid Aortic Valve: A Stepwise Surgical Approach 

Other Items Mentioned 

1.) Guest Editor Series: Insights Into Pediatric Mechanical Circulatory Support 

2.) Cardiac Surgical Arrest—An International Conversation Series   

3.) Career Center  

4.) CTSNet Events Calendar 

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