The Beat With Joel Dunning Ep. 99: CT Scan-Negative Type A Dissection

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Salim Aziz, thoracic and cardiovascular surgeon and clinical professor at George Washington University, about computed tomography (CT) scan-negative type A dissection. Chapters 00:00 Intro 00:57 Dr. Aziz Preview 02:01 Bringing International Colleagues to Centers 07:01 Ambulation Protocol ECMO 09:12 COPD Severity, Aortic Aneurysm 11:37 Robotic Mitral Repair Learning Curve 15:43 Ross Procedure in Neonates, Analysis 19:21 Tirone David Keynote 21:52 AVR 101 23:08 Robotic Beating-Heart TECAB: LIMA-LAD 25:17 Dr. Aziz, CT Scan-Negative Type A Dissection 43:52 Closing They discuss Dr. Aziz’s experience with cases that present as CT scan-negative, discussing the details of these cases and the concerning frequency with which aortic dissections are overlooked. They also explore routine transesophageal echocardiogram (TEE) in the operating room, finding tears, and aortic aneurysms.   Joel also reviews recent JANS articles on the ambulation protocol for adult patients receiving extracorporeal membrane oxygenation, if the severity of chronic obstructive pulmonary disease is associated with adverse outcomes after open thoracoabdominal aortic aneurysm repair, the learning curve of robotic mitral repair, and long-term outcomes following the Ross procedure in neonates and infants.   In addition, Joel explores a 2024 London Core Review Cardiothoracic Surgery Course on “Surgical Treatments of Aortic Root Aneurysms,” aortic valve replacement 101 through an upper ministernotomy, and robotic beating-heart totally endoscopic coronary bypass. Before closing, he highlights upcoming events in CT surgery.   JANS Items Mentioned  1.) Ambulation Protocol for Adult Patients Receiving Extracorporeal Membrane Oxygenation: A Quality Improvement Initiative  2.) The Severity of Chronic Obstructive Pulmonary Disease Is Associated With Adverse Outcomes After Open Thoracoabdominal Aortic Aneurysm Repair  3.) Learning Curve of Robotic Mitral Repair: Prospective Two-Centre Study of Proficiency and Clinical Outcomes  4.) Long-Term Outcomes Following the Ross Procedure in Neonates and Infants: A Multi-Institutional Analysis  CTSNET Content Mentioned  1.) Surgical Treatments of Aortic Root Aneurysms: 2024 London Core Review Cardiothoracic Surgery Course  2.) Aortic Valve Replacement 101 Through an Upper Ministernotomy  3.) Robotic Beating-Heart Totally Endoscopic Coronary Bypass (TECAB): LIMA to LAD  Other Items Mentioned  1.) Putative Computed Tomography Scan-Negative Type A Dissection  2.) Webinar Series: Women in Cardiothoracic Surgery—Advancement Through Collaboration  3.) President's Series With Husam Balkhy | ISMICS President  4.) London Core Review Registration   5.) Career Center   6.) CTSNet Events Calendar  Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.

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