This week on The Beat, CTSNet Editor-in-Chief Joel Dunning spoke with Zara Shirazi, a congenital cardiac surgery post-fellow at the National Institute of Cardiovascular Diseases, about advancing pediatric cardiac surgery in Pakistan using what she learned from her fellowship in Austria.

Chapters

00:00 Intro

02:28 Vince TAVR Roundtables

03:05 Foreign Body, Case of the Month

03:49 JANS 1, Temporary MCS Guidelines

13:50 JANS 2, Parenting as a CT Surgeon

16:20 JANS 3, Utilization of Long Distance Donors

18:20 JANS 5, Multi-A Grafting in Redo CABG

20:58 Career Center

21:20 Video 1, Pulm & Tricuspid Endocarditis

22:35 Video 2, Valvular Heart Disease Guidelines

27:05 Video 3, Thoraflex Hybrid Graft Insertion

28:16 Zara Shirazi Interview

39:30 Upcoming Events

42:42 Closing

They explored the advantages of working in a hospital in Pakistan compared to Austria, as well as the different techniques and operations, such as extracorporeal membrane oxygenation (ECMO). Dr. Shirazi also shared her experiences as a fellow in Austria and the valuable insights she gained from that experience. Additionally, she discussed her vision for the growth of her unit over the next five years and provided an overview of what a typical surgical week looks like in Pakistan.  

Joel also highlights recent JANS articles on the EACTS/STS/AATS guidelines on temporary mechanical circulatory support in adult cardiac surgery, the unique challenges and positive impacts on children raised by cardiothoracic surgeon mothers, evolving changes in center-level utilization of longer distance donors in heart transplantation, and multiarterial grafting in redo coronary artery bypass grafting. 

In addition, Joel explores pulmonary and tricuspid valve endocarditis, an interview with Drs. Borger and Marin-Cuartas on the guidelines for the management of valvular heart disease, and Thoraflex Hybrid graft insertion in a patient with Marfan syndrome. Before closing, Joel highlights upcoming events in CT surgery.   

JANS Items Mentioned 

1.) EACTS/STS/AATS Guidelines on Temporary Mechanical Circulatory Support in Adult Cardiac Surgery  

2.) Parenting From the OR: The Unique Challenges and Positive Impacts on Children Raised by Cardiothoracic Surgeon Mothers 

3.) Evolving Changes in Centre-Level Utilization of Longer Distance Donors in Heart Transplantation 

4.) Multiarterial Grafting in Redo Coronary Artery Bypass Grafting: Type of Arterial Conduit and Patient Sex Determine Benefit 

CTSNet Content Mentioned 

1.) Pulmonary and Tricuspid Valve Endocarditis: A Late Sequelae of Unrepaired Double Chambered Right Ventricle in an Adult 

2.) Guidelines for the Management of Valvular Heart Disease: An Interview With Drs. Borger and Marin-Cuartas 

3.) Thoraflex Hybrid Graft Insertion in a Patient With Marfan Syndrome 

Other Items Mentioned 

1.) Adapting Global Innovations to Local Realities: Advancing Pediatric Cardiac Surgery in Pakistan—Lessons From Austria 

2.) Roundtable: Perfecting TAVR Removal | Skills Sharpening With Vince Gaudiani  

3.) Case of the Month: The Case of a Foreign Body 

4.) Resident Video Competition 

5.) The Cardiac Recovery Room 

6.) Career Center  

7.) CTSNet Events Calendar 

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