This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Marc Pelletier, division chief of cardiac surgery for the Department of Surgery at Yale School of Medicine, about patient blood management.

Chapters

00:00 Intro

01:45 EACTS 2025

07:19 JANS 1, HVD Management Guidelines

16:26 JANS 2, Low-Risk AVR Evidence

19:21 JANS 3, Warden Procedure Selection

20:36 JANS 4, Primary Repair of CAT

21:48 JANS 5, NEWTON-CABG Cardiolink-5

23:20 Video 1, Acute Aortic Syndrome

24:54 Video 2, Redo TVR Under Bypass

27:13 Video 3, Giant Tension Bulla

28:47 Dr. Pelletier Interview

34:25 Outro

They delve into the Society of Thoracic Surgeons (STS) guidelines on patient blood management, along with key tips. They also explore preoperative optimization, provide an example, and discuss cell savers and reducing dead space during surgery. Additionally, they touch on postoperative transfusion and the importance of performing meticulous surgery. 

Joel also highlights recent JANS articles on the 2025 ESC/EACTS guidelines for the management of valvular heart disease, low-risk aortic valve replacement at the crossroads of evidence, ideal age and weight for the Warden procedure in patients with partial anomalous pulmonary venous return, a systematic meta-analysis of short- and long-term outcomes of the primary repair of common arterial trunk, and an international, randomized, double-blind, placebo-controlled trial on the effect of Evolocumab on saphenous vein graft patency after coronary artery bypass surgery. 

In addition, Joel explores the surgical treatment of acute aortic syndrome, a redo tricuspid valve replacement technique under right heart bypass for a previously repaired tricuspid valve, and thoracoscopic resection of a giant tension bulla. Before closing, Joel highlights upcoming events in CT surgery.   

JANS Items Mentioned 

1.) 2025 ESC/EACTS Guidelines for the Management of Valvular Heart Disease: Developed by the Task Force for the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)  

2.) Low-Risk Aortic Valve Replacement at the Crossroads of Evidence 

3.) Is There an Ideal Age or Weight for the Warden Procedure in Patients With Partial Anomalous Pulmonary Venous Return? 

4.) Primary Repair of Common Arterial Trunk: A Systematic Meta-Analysis of Short- and Long-Term Outcomes 

5.) Effect of Evolocumab on Saphenous Vein Graft Patency After Coronary Artery Bypass Surgery (NEWTON-CABG CardioLink-5): An International, Randomized, Double-Blind, Placebo-Controlled Trial 

CTSNet Content Mentioned 

1.) Surgical Treatment of Acute Aortic Syndrome  

2.) Redo Tricuspid Valve Replacement Technique Under Right Heart Bypass for a Previously Repaired Tricuspid Valve  

3.) Thoracoscopic Resection of a Giant Tension Bulla  

Other Items Mentioned 

1.) STS/SCA/AmSECT/SABM Update to the Clinical Practice Guidelines on Patient Blood Management 

2.) Transcatheter vs Surgical Aortic Valve Replacement in Lower-Risk Patients: An Updated Meta-Analysis of Randomized Controlled Trials 

3.) Perfecting TAVR Removal | Skills Sharpening With Vince Gaudiani 

4.) Career Center  

5.) CTSNet Events Calendar 

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