Cardiac Surgery

Cardiothoracic surgery includes coronary artery bypass surgery (CABG), heart valve repair or replacement, left ventricular assist device (LVAD) placement, heart transplant, assisting in minimally invasive transcatheter valve structural heart procedures such as TAVR, left atrial appendage (LAA) occlusion, septal myectomy, surgical ablation for arrhythmias, and reconstruction of the heart in congenial heart disease cases. 

The most successful case to date of a pig organ being transplanted into a human occurred back in January, when specialists at the University of Maryland Medical Center (UMMC) in Baltimore transplanted a modified pig heart into 57-year-old David Bennett. The FDA approved the heart transplant transplant through an emergency authorization typically reserved for experimental procedures seen as a patient’s last chance at survival. Bennett did die of heart failure two months later.#pigheart

Multiple specialists involved in the procedure, including the surgeon who transplanted the pig heart, are scheduled to speak at the conference. 

TAVR has attracted many more patients to seek treatment for aortic valve disease, which has also helped feed more patients into surgical programs, despite TAVR now making up 84% of aortic valve replacement procedures.

A decade ago, when TAVR was first cleared by the FDA, surgeons had concern about losing business. But unexpectedly, TAVR has helped also gain heart surgery cases. 

The Harmony pulmonary valve was among the devices involved with the FDA Breakthrough Device Designation program that gained more rapid market clearance. The FDA graph shows cardiovascular devices leading the types of devices involved in the program.

The FDA said cardiovascular devices make up the largest number of technologies accepted into the Breakthrough Devices Program, and several are on the list of the first 50 in the program to gain market clearance.
 

A transcatheter aortic valve replacement (TAVR) procedure being performed at Intermountain Healthcare. Image from Intermountain Healthcare

Brijeshwar Maini, MD, structural heart cardiologist, national and Florida medical director of cardiology, Tenant Health, explains what hospitals need to build a structural heart program and develop a heart-team care collaboration approach.

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"To say we are proud of what this means for our patients and the medical community at large, is an understatement," the patient's cardiologist said. 

The annual rankings from U.S. News are here, with some familiar names making the top of the list. Did your facility make the cut? 

candles funeral dead respect

Allan Lansing, MD, PhD, performed the first coronary artery bypass in the state of Kentucky. He also volunteered to help patients all over the world and was publicly honored by President George H. W. Bush in 1991. 

anticoagulation UNC Charlotte RNA DNA

“We can learn from nature, but we have built something that has never been introduced before,” one researcher said. 

Cardiothoracic surgeons perform UCSF's first robotic mitral valve surgery. A 3D camera allows surgeons to see the mitral valve and other structures inside the heart. Surgeons use a robotic surgical system to guide the robotic arms and movements of the surgical instruments.

“Robotically assisted mitral valve surgery allows us to make even smaller incisions with greater precision,” one surgeon said. “By using the robotic arms, we have more degrees of articulation than with our natural wrists."

Surgeons at NYU Langone Health successfully transplanted two genetically engineered pigs hearts into recently deceased humans in June and July.

focused rotary jet spinning Harvard heart model ventricle biofabrication

Focused rotary jet spinning appears to hold some key advantages over 3D printing and other techniques. Engineers at Harvard think it could represent the future of organ biofabrication. 

While a vast majority of heart transplants in the United States are successful, unplanned hospitalizations after the procedures are still incredibly common. Top 10 reasons for readmission after heart transplant.

However, the study’s authors did find associations between suboptimal TAVR procedures and adverse outcomes.

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Surgeons at NYU Langone Health successfully transplanted two genetically engineered pigs hearts into recently deceased humans in June and July.

   
   
   
   
   
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