Tag: 2013

Aortic regurgitation assessment

J-L Vanoverschelde (Brussels, Belgium) discusses the techniques used to assess the severity of aortic regurgitation.

Posted in Aortic valve Tagged with: , , , ,

Aortic valve repair preoperative assessment

G El-Khoury (Brussels, Belgium) explains his approach to assessing the regurgitant aortic valve for repair.

Posted in Aortic valve Tagged with: , , , ,

Aortic valve surgery procedure choice

M Redmond (Dublin, Ireland) introduces the factors influencing the choice of aortic valve repair or replacement.

Posted in Aortic valve Tagged with: , , , ,

Aortic connective tissue disorders

T David (Toronto, Canada) outlines the connective tissue disorders which affect the ascending aorta.

Posted in Aorta Tagged with: , , , , , ,

VATS lobectomy programme development in Copenhagen

R Petersen (Copenhagen, Denmark) gives a detailed description of the VATS lobectomy programme in Copenhagen, including a video demonstration of a right upper lobectomy.

Posted in Lung Tagged with: , , , ,

Mini AVR benefits

M Jahangiri (London, UK) describes her technique for mini-AVR and reviews the results.

Posted in Aortic valve Tagged with: , , , , ,

Aortic valve repair techniques

M Redmond (Dublin, Ireland) describes several techniques for aortic valve repair.

Posted in Aortic valve Tagged with: , , , ,

Carinal resection & reconstruction

P Dartevelle (Paris, France) describes how to perform carinal resections and reconstructions.

Posted in Lung Tagged with: , , , ,

VAD patient management

A Zuckermann (Vienna, Austria) gives an overview of VAD patient management, with particular emphasis on potential complications.

Posted in Mechanical support Tagged with: , , , ,

Bicuspid aortic valve syndrome

M Redmond (Dublin, Ireland) discusses the bicuspid aortic valve syndrome, including underlying pathogenesis and indications for intervention.

Posted in Aorta, Aortic valve Tagged with: , , , , , , , , ,

Debate: SABR and limited resection in lung cancer

S Ahmad (London, UK) explains the current techniques used in stereotactic ablative radiotherapy (SABR). S Barnard (Newcastle, UK) considers limited resection in poor lung function. A panel discussion about the optimal treatment strategy follows.

Posted in Lung Tagged with: , , , , , , , ,

Bridging to heart transplantation

A Simon (London, UK) discusses the changing pattern of heart transplantation urgency and the likelihood of a patient on a device receiving a transplant.

Posted in Transplantation Tagged with: , , , ,

ESC-EACTS valve guidelines – overview

A Vahanian (Paris, France) gives an overview of the 2012 European valve guidelines, with emphasis on patient evaluation.

Posted in Aortic valve, Mitral valve Tagged with: , , , , ,

Uniportal VATS lobectomy programme establishment

D Gonzalez-Rivas (Coruna, Spain) describes his uniportal VATS lobectomy technique.

Posted in Lung Tagged with: , , , , ,

Trauma – good, bad & ugly

J O’Connor (Baltimore, USA) presents case studies for audience discussion about management.

Posted in Trauma Tagged with: , , ,

Failing heart mitral valve surgery

Prakash Punjabi (London, UK) presents the evidence for mitral valve intervention in the failing heart.

Posted in Heart failure, Mitral valve Tagged with: , , , , ,

ESC-EACTS valve guidelines – asymptomatic AS

P Kappestein (Rotterdam, Netherlands) discusses the 2012 ESC-EACTS European guidelines for intervention in asymptomatic severe aortic stenosis.

Posted in Aortic valve Tagged with: , , , ,

Aortic valve functional unit

M Redmond (Dublin, UK) describes the anatomy of the aortic root as a functional unit.

Posted in Aortic valve Tagged with: , , , , ,

Debate: surgery+chemotherapy for single station N2 lung cancer

S Jordon (London, UK) and J Maguire (Liverpool, UK) debate whether patients with single station N2 disease should have surgical resection.

Posted in Lung Tagged with: , , , , ,

Heart transplantation UK 2013

G MacGowan (Newcastle, UK) briefly addresses the issue of declining heart transplant numbers in the UK.

Posted in Transplantation Tagged with: , , ,

ESC-EACTS valve guidelines – prosthesis choice

J Takkenberg (Rotterdam, Netherlands) considers valve prosthesis choice according to the 2012 ECS-EACTS European guidelines.

Posted in Aortic valve, Mitral valve Tagged with: , , , , ,

VAD therapy as new gold standard

S Schueler (Newcastle, UK) reviews the history of heart transplantation before arguing that LVAD therapy is now the new gold standard.

Posted in Heart failure, Mechanical support, Transplantation Tagged with: , , , , , ,

ESC-EACTS valve guidelines – TAVI

P Kappestein (Rotterdam, Netherlands) discusses the 2012 European guidelines for transcatheter aortic valve implantation.

Posted in Aortic valve Tagged with: , , , , , ,

Aortic valve gradient after aortic valve repair

H Vohra (Brussels, Belgium) considers the influence of a higher valve gradient on long-term outcome after aortic valve repair.

Posted in Aortic valve Tagged with: , , , ,

Intraoperative CABG graft and aortic assessment

S Rehman (Oxford, UK) discusses intra-operative imaging techniques in CABG surgery. S Westaby (Oxford, UK) argues that probing is sufficient to assess graft patency. R Haaverstad (Bergen, Norway) is in favour of graft assessment with transit time flow measurement and

Posted in Coronary Tagged with: , , , , , , , , , ,

European civilian trauma

PM de la Santa (Vigo, Spain) discusses thoracic trauma from a European perspective.

Posted in Trauma Tagged with: , , ,

Tricuspid valve repair techniques

M Abdelaziz (Coventry, UK) looks at his unit’s experience of tricuspid valve repair using a variety of techniques.

Posted in Right heart Tagged with: , , ,

Mild AR after aortic valve repair

H Vohra (Brussels, Belgium) talks about the effect of mild residual aortic regurgitation after aortic valve repair.

Posted in Aortic valve Tagged with: , , , ,

Pre-hospital care chest injuries

R Steyn (Birmingham, UK) discusses pre-hospital trauma care and presents a number of cases to the audience for discussion.

Posted in Trauma Tagged with: , , ,

GUCH transplant recipients

M Burch (London, UK) discusses cardiac transplantation in congenital heart patients.

Posted in Congenital, Transplantation Tagged with: , , , ,

Mini AVR approaches

M Murzi (Massa, Italy) describes a single centre experience with minimally invasive aortic valve replacement via right anterior minithoracotomy compared with ministernotomy.

Posted in Aortic valve Tagged with: , , , , ,

Biventricular mechanical support

M Struber (Leipzig, Germany) describes off-pump LVAD insertion before discussing biventricular support.

Posted in Mechanical support Tagged with: , , , , ,

VATS lobectomy training

S Stamenkovic (Newcastle, UK) discusses how to train in VATS lobectomies, looking at other professions and the importance of simulation.

Posted in Lung Tagged with: , , , , ,

From training to practice

E Verrier (Washington, USA) discusses the transition from training to practice, looking at possible solutions in the modern era.

Posted in NHS Tagged with: , , ,

Cardiac transplantation as gold standard

J Dunning (Cambridge, UK) argues that cardiac transplantation remains the gold standard for end-stage heart failure treatment in the UK.

Posted in Mechanical support, Transplantation Tagged with: , , , , ,

Prosthesis size in AVR

I Radotra (Sheffield, UK) considers whether prosthetic size matters in aortic valve replacement.

Posted in Aortic valve Tagged with: , , , ,

Mesothelioma debulking

T Tsitsias (Leicester, UK) presents his unit’s results comparing extended pleurectomy decortication with VATS debulking for malignant pleural mesothelioma.

Posted in Pleura Tagged with: , , , , ,

Supra-annular tilted bioprosthesis

S Naik (Nottingham, UK) shares his experience of bioprosthetic aortic valve implantation in a supra-annular tilted position in order to avoid patient-prosthesis mismatch.

Posted in Aortic valve Tagged with: , , ,

Heartware ventricular assist update

J Begg (Heartware) describes the Heartware HVAD and MVAD devices for mechanical circulatory support.

Posted in Mechanical support Tagged with: , , , , , , , ,

American civilian trauma

J O’Connor (Baltimore, USA) describes his experience of cardiothoracic trauma in the biggest centre in the USA.

Posted in Trauma Tagged with: , , ,

Atrial fibrillation cryoablation outcomes

D Aktuerk (Coventry, UK) presents single surgeon outcomes of cryoablation for atrial fibrillation.

Posted in Arrhythmias Tagged with: , , , ,

UK destination therapy

S Schueler (Newcastle, UK) discusses destination therapy as an option for heart failure in the UK.

Posted in Mechanical support, Transplantation Tagged with: , , , , ,

Mitral valve repair with Physio II ring

S Livesey (Southampton, UK) presents one year data from the European Registry of the saddle-shaped Carpentier-Edwards Physio II ring.

Posted in Mitral valve Tagged with: , , , , ,

Trauma systems

R Steyn (Birmingham, UK) introduces a cardiothoracic trauma forum. J O’Connor (Baltimore, USA) explains the Maryland model of trauma care. K Porter (Birmingham, UK) describes major trauma centres and networks in England.

Posted in Trauma Tagged with: , , , , , ,

Shortening clamp time in combined surgery

R Capoun (Bristol, UK) reports on a multicentre randomised trial of shortening cardioplegic arrest time in combined cardiac surgery.

Posted in Coronary Tagged with: , , , , , ,

Permanent pacemaker after cardiac surgery

N Ismail (Leicester, UK) audits the need for permanent insertion after cardiac surgery in a single centre.

Posted in Arrhythmias Tagged with: , , ,

Heart transplantation referral guidelines

J Parameshwar (Cambridge, UK) discusses referral for heart transplantation based on UK guidelines published in 2011.

Posted in Transplantation Tagged with: , , , , ,

Berlin Heart developments

U Opfermann (Berlin, Germany) describes developments in Berlin Heart technology.

Posted in Heart failure, Mechanical support, Technology Tagged with: , , , , , ,

Lung cancer direct surgical referral – debate

S Stamenkovic (Newcastle, UK) and R Milton (Leeds, UK) debate whether patients with lung cancer should have a direct surgical referral.

Posted in Lung Tagged with: , , , , ,

UK cardiac database and TAVI registry

N Moat (London, UK) looks at combining the SCTS database and the TAVI registry to allow comparison between aortic intervention groups.

Posted in Aortic valve, Data & statistics Tagged with: , , , , , ,

ESC-EACTS valve guidelines – asymptomatic mitral regurgitation, tricuspid regurgitation

O Alfieri (Milan, Italy) gives an overview of the 2012 European valve guidelines for asymptomatic mitral regurgitation, and then proceeds to look at tricuspid regurgitation.

Posted in Mitral valve, Right heart Tagged with: , , , , ,

PulMiCC trial for colorectal metastases – debate

J Edwards (Sheffield, UK), N Chaudhuri (Leeds, UK) and the audience debate the merits of the PulMiCC trial for colorectal lung metastases.

Posted in Lung Tagged with: , , , , , , ,

Dynamic clinical prediction models

S Grant (Manchester, UK) explains how the SCTS database can be used for dynamic clinical prediction models, using mitral vale prosthesis choice as an example. G Hickey (Manchester, UK) looks at the history of prediction models and how dynamic models

Posted in Data & statistics Tagged with: , , , , ,

DBD donor optimisation

R Venkateswaran (Manchester, UK) discusses the principles of brain dead donor management.

Posted in Transplantation Tagged with: , , , ,

Mitraclip current role

A Vahanian (Paris, France) discusses patient selection for mitraclip use. O Alfieri (Milan, Italy) describes the international clinical experience. S Livesey (Southampton, UK) puts forward the case for surgical repair.

Posted in Mitral valve Tagged with: , , , , ,

Ex vivo cardiac perfusion

D Talbot (Newcastle, UK) discusses ex-vivo cardiac perfusion, demonstrating that organ reanimation is possible after death.

Posted in Technology, Transplantation Tagged with: , , , , , ,

Renal function after mitral valve surgery

A Szczap (Bristol, UK) looks at renal function after minimally invasive versus conventional mitral valve surgery.

Posted in Mitral valve Tagged with: , , , ,

Untreated functional tricuspid regurgitation

S Bello (Cambridge, UK) looks at the natural history of functional tricuspid regurgitation if left unrepaired during mitral valve surgery.

Posted in Right heart Tagged with: , , ,

ESC-EACTS 2010 revascularisation guidelines viewpoint & debate

D Taggart (Oxford, UK) gives his perspective on the 2010 European revascularisation guidelines, based on evidence from the literature. A discussion follows.

Posted in Coronary Tagged with: , , , , , , ,

Mixed practice VATS lobectomy

J Dunning (Middlesbrough, UK) describes how he set up a VATS lobectomy programme as a mixed practice cardiothoracic surgeon.

Posted in Lung Tagged with: , , , ,

Cardiac Stem Progenitor Cells

G. Ellison (Liverpool & London, UK) discusses cardiac stem cells and myocyte regeneration.

Posted in Heart failure Tagged with: , , , , ,

ESC-EACTS 2010 revascularisation guidelines implementation

P Kolh (Liege, Belgium) describes the development of the 2010 European revascularisation guidelines. He emphasises the importance of the heart team and evidence-based protocols. He explores the indications for the different treatment options in stable disease, updating the guidelines with

Posted in Coronary Tagged with: , , , , , ,

UK longterm mitral valve repair outcomes

B Bridgewater (Manchester, UK) explains how the UK database is used to analyse mitral valve repair rates and outcomes. A discussion follows.

Posted in Data & statistics Tagged with: , , , , , ,

Red cell washing

N Patel (Bristol, UK) reports on a study of red cell washing in a porcine model , attempting to reduce the incidence of transfusion related acute lung injury.

Posted in Blood Tagged with: , , , , , ,

UK database current initiatives

B Bridgewater (Manchester, UK) explains some of the current initiatives around the use of the UK database.

Posted in Data & statistics Tagged with: , , , ,

Antiplatelets – CABG

N Roberts (London, UK) gives an update on anti-platelet use in coronary bypass surgery patients.

Posted in Coronary Tagged with: , , , , ,

Left ventricular shape in mitral valve repair

P Punjabi (London, UK) examines the role of left ventricular shape in mitral valve repair, and techniques used to optimise this shape.

Posted in Mitral valve Tagged with: , , , ,

Chest wall reconstruction

H Pilegaard (Skejby, Denmark) discusses the surgical management of pectus excavatum. M Yuksel (Istanbul, Turkey) considers minimally invasive repair of pectus carinatum. Chest wall reconstruction for malignant processes is then explored by J-M Wihlm (Strasbourg, France) before P Dartevelle (Paris,

Posted in Chest wall Tagged with: , , , , , , , , , ,

SCTS governance programme

G Hickey (Manchester, UK) explains the statistical handling of the SCTS database data.

Posted in Data & statistics Tagged with: , , , , ,

Ischaemic preconditioning ERICCA trial

D Hausenloy (London, UK) gives an update on the ERICCA trial of remote ischaemic preconditioning.

Posted in Coronary Tagged with: , , , , ,

Mitral valve functional unit

F Wells (Cambridge, UK) describes the structure of the mitral valve and its complexity as a functional unit.

Posted in Mitral valve Tagged with: , , , ,

Commissioning and clinical outcomes in new NHS

K Caston (London, UK) explains some of the fundamental changes to commissioning in the new NHS.

Posted in NHS Tagged with: , , , ,

Heart failure medical management

G MacGowan (Newcastle, UK) considers the optimal investigation and medical management of patients in heart failure.

Posted in Heart failure Tagged with: , , ,

FREEDOM trial

D Hildick-Smith (Brighton, UK) discusses the FREEDOM trial and other diabetic data in revascularisation, from a cardiologist’s perspective.

Posted in Coronary Tagged with: , , , , , ,

Mitral valve repair failure risk factors

J-L Vanoverschelde (Brussels, Belgium) examines the causes of early and late failure after mitral valve repair.

Posted in Mitral valve Tagged with: , , , ,

Pulmonary aspergillosis surgery

G Massard (Strasbourg, France) considers the role of surgery in aspergillosis.

Posted in Lung Tagged with: , , ,

Heart failure metabolic therapy

N Howell (Birmingham, UK) describes the metabolic pathways and the energetic phenotype of the failing heart.

Posted in Heart failure Tagged with: , , , ,

Revascularisation heart team information requirements

P Kolh (Leige, Belgium) promotes the value of the heart team and questions whom should be involved. He considers patient information, medical ethics, time and risk stratification.

Posted in Coronary Tagged with: , , , , , , ,

Mitral valve repair optimal timing

A Vahanian (Paris, France) looks at the indications for mitral valve repair, with emphasis on the 2012 European valve guidelines.

Posted in Mitral valve Tagged with: , , , , ,

High volume mini AVR

G Soppa (London, UK) compares his institution’s resullts with standard and mini-AVR.

Posted in Aortic valve Tagged with: , , , ,

Antiplatelets – PCI

D Hildick-Smith (Brighton, UK) gives an overview of the use of anti-platelet agents in patients underging PCI with stenting.

Posted in Coronary Tagged with: , , , , ,

Revascularisation heart team – surgeon’s view

D Taggart (Oxford, UK) emphasises the need for a heart team to ensure that patients receive the most appropriate guideline-driven interventions.

Posted in Coronary Tagged with: , , , , , , ,

Mitral valve repair principles

O Alfieri (Milan, Italy) gives an overview of the goals of mitral valve repair and describes the different techniques used.

Posted in Mitral valve Tagged with: , , , ,

Sternal resection & reconstruction

S James (London, UK) describes several flaps which can be used in sternal reconstruction.

Posted in Chest wall Tagged with: , , , , ,

North West England trauma review

M Khorsandi (Manchester, UK) reviews the North West of England experience with civilian trauma.

Posted in Trauma Tagged with: , , ,

UK revascularisation heart team

M Bhabra (Wolverhampton, UK) describes the local structure of his heart team.

Posted in Coronary Tagged with: , , , ,

Mitral valve repair contraindications

F Wells (Cambridge, UK) explores the importance of surgical experience and the nature of the pathology when deciding on mitral valve repair or replacement.

Posted in Mitral valve Tagged with: , , , ,

New NHS commissioning

N Moat (CRG, UK) explains the new NHS commissioning process.

Posted in NHS Tagged with: , , , ,

ESC-EACTS valve guidelines – asymptomatic aortic regurgitation

A Vahanian (Paris, France) considers the 2012 European valve guidelines for asymptomatic aortic regurgitation.

Posted in Aortic valve Tagged with: , , , , ,

Revascularisation stroke risk

N Howell (Birmingham, UK) looks at the timing of stroke after coronary surgery.

Posted in Coronary Tagged with: , , , , ,

Mitral Valve Repair durability

Posted in Mitral valve Tagged with: , , ,

UK thoracic injuries of war

H Poon (Birmingham, UK) assesses the management of thoracic military injuries in a specialist centre.

Posted in Trauma Tagged with: , , , ,

Stitch trial results for LV reconstruction

E Verrier (Washington, UK) gives an overview of the results fr the use of left ventricular reconstruction in the STITCH trial.

Posted in Heart failure Tagged with: , , , ,

UK database revascularisation data

B Bridgewater (Manchester, UK) explains the analysis of the UK database data and demonstrates visualisation of the data via the Blue Book Online. A comparison of single versus bilateral mammary usage in coronary revascularisation is then made.

Posted in Data & statistics Tagged with: , , , , , , , , ,

Mitral valve re-operation & re-repair

R Patel (Coventry, UK) explains why redo mitral surgery is sometimes necessary and describes surgical tips and tricks.

Posted in Mitral valve Tagged with: , , , ,

Training in new NHS

C Munsch (HEE, UK) gives an overview of developments in cardiothoracic training.

Posted in NHS Tagged with: , , , ,

Antiplatelets – advances

N Khan (Wolverhampton, UK) gives an overview of current antiplatelet agents, their limitations, and looks at strategies to overcome these limitations.

Posted in Coronary Tagged with: , , , ,

Revascularisation heart team – USA view

E Verrier (Washington, USA) discusses the revascularisation heart team from a USA perspective.

Posted in Coronary Tagged with: , , , , ,

Posterior mitral valve decalcification

T David (Toronto, Canada) discusses the problem of posterior mitral valve calcification, with a video demonstration of repair using a CorMatrix patch.

Posted in Mitral valve Tagged with: , , , , ,

Outcome publication in context

J Roxburgh (London, UK) puts outcome publication in context, giving the history of developments since 2003 and looking at how things will continue to evolve.

Posted in Data & statistics Tagged with: , , , ,

Revascularisation heart team decision

H Luckraz (Wolverhampton, UK) assesses whether decisions made by the heart team are enacted.

Posted in Coronary Tagged with: , , , , , ,

Circumflex coronary artery imaging

S Price (London, UK) looks at circumflex coronary artery injury during mitral valve repair.

Posted in Mitral valve Tagged with: , , , , ,

Mitral valve echocardiographic assessment

J-L J Vanoverschelde (Brussels, Belgium) gives an overview of mitral valve assessment by echocardiography.

Posted in Imaging, Mitral valve Tagged with: , , , , , ,

Blood transfusion audit

S Allard (London, UK) presents a national comparative audit of blood transfusion in cardiac surgery.

Posted in Blood Tagged with: , , , , ,

Revascularisation heart team – cardiologist’s view

M Norell (Wolverhampton, UK) talks about the role of the revascularisation multidisclipinary heart team from a cardiology viewpoint.

Posted in Coronary Tagged with: , , , , , ,

Residual mitral valve regurgitation

J-L J Vanoverschelde (Brussels, Belgium) considers how much residual regurgitation is acceptable after mitral valve repair.

Posted in Mitral valve Tagged with: , , , ,

SYNTAX trial 5 year results

D Taggart (Oxford, UK) presents the 5 year results of the SYNTAX trial, in the context of other evidence in coronary revascularisation.

Posted in Coronary Tagged with: , , , , ,

Aortic valve surgery present & future

T David (Toronto, Canada) considers the evolution and future of aortic valve surgery.

Posted in Aortic valve Tagged with: , , , , ,

Avoiding SAM in mitral valve repair

F Wells (Cambridge, UK) tells how he avoids producing systolic anterior motion (SAM) in mitral valve repair.

Posted in Mitral valve Tagged with: , , , , , ,

Antiplatelets – PLATO trial (Ticagrelor)

C McDonald (AstraZeneca) describes the PLATO trial of ticagrelor vs clopidogrel in acute coronary syndrome. The CABG sub-group results are presented.

Posted in Coronary Tagged with: , , , , , , ,

Aortic valve prosthesis choice

T David (Toronto, Canada) discusses choosing the optimal valve prosthesis.J Takkenberg (Rotterdam, Netherlands) looks at survival and complications from an epidemiological viewpoint. M Jahangiri (London, UK) considers the importance of valve size in prosthesis selection. A panel discussion follows.

Posted in Aortic valve, Mitral valve Tagged with: , , , , , ,

Vein graft stents

D Taggart (Oxford, UK) describes the VEST trial of external venous support for coronary bypass grafts.

Posted in Coronary Tagged with: , , , , , , ,

Defining SAM post mitral repair

S Price (London, UK) explains how to assess and manage systolic anterior motion (SAM) after mitral valve repair. A panel discussion follows.

Posted in Mitral valve Tagged with: , , , , , ,

Thoracic aortic aneurysm review

R Di Bartolomeo (Bologna, Italy) reviews the approach to complex aortic disease, describing in detail his use of the frozen elephant trunk procedure using the E-vita graft. J Mascaro (Birmingham, UK) presents his results and demonstrates use of the Thoraflex

Posted in Aorta, Technology Tagged with: , , , , , , , , , , , ,

Aortic Regurgitation Introduction

M Redmond (Dublin, Ireland) introduces a University session on the pathology of aortic valve regurgitation.

Posted in Aortic valve Tagged with: , , ,

Timing aortic valve & ascending aortic intervention

A Vahanian (Paris, France) discusses the indications for intervention in aortic regurgitation and ascending aortic dilatation, based on the 2012 ESC/EACTS valve guidelines.

Posted in Aorta, Aortic valve Tagged with: , , , , ,

Future of VAD therapy

J Treiber (Thoratec) presents a vision for the future of ventricular assist device therapy.

Posted in Mechanical support Tagged with: , , , ,

Military trauma meets civilian trauma

J McGuigan (Belfast, UK) describes his experience of trauma in Northern Ireland.

Posted in Trauma Tagged with: , , ,

Patient prosthesis mismatch

M Jahangiri (London, UK) reviews the evidence for the importance of patient prosthesis mismatch in aortic valve surgery.

Posted in Aortic valve Tagged with: , , , ,