Cardiothoracic Surgery

We need to be self-critical and proactive to keep our specialty vibrant and rewarding “as one,” and we need to keep our words positive as we shape the future of cardiothoracic surgery - Douglas E. Wood MD

Cardiothoracic Surgery

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Cardiothoracic surgery: A specialty divided or as one

Why are we together? Have we perpetuated our marriage beyond its usefulness, and maybe after the love is gone? Is the link of cardiac and thoracic surgery in the United States an anachronism compared with the progressiveness seen in the rest of the world? Would our respective specialties be better served by clearer distinction of training and practice, and would this attract new students and residents to our specialties? Should we accept our differences and be more progressive as a “specialty divided”? Or are there still compelling reasons for us to stay together, to remain a specialty “as one”?

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Articles of Interest

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Artificial intelligence is revolutionizing the field of cardiothoracic surgery with its effects on enhancing all phases of care. Technological advancements improvise preoperative decision-making and risk assessment, provide intraoperative support, and guide precise postoperative plans to optimize outcomes.

Cardiac Surgery and the Future

Cardiac surgery has been described as a dying specialty with the astronomical growth of the field becoming overshadowed by its impending decline. The increasing use of less invasive methods is shifting the landscape away from open surgery toward the interventional techniques already dominated by other specialties. As with all good fiction, there is a foundation of fact. However this shift in practice signals not a slide into obsolescence but a new chapter in the history of a field still in its adolescence.

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There is a lack of interest amongst young trainees for the cardiothoracic specialty and since 2003 the number of recruiters in the specialty is reducing annually.

Cardiothoracic surgery in the new millennium: challenges and opportunities in a time of paradox

These are exciting times to be engaged in the practice of cardiothoracic surgery. Technological breakthroughs occur on an almost-daily basis. Molecular biology is rapidly making its way into our specialty. Advances in bioengineering will, in the not-too-distant future, likely result in the generation, from primitive cells, of tissues such as blood vessels, valves, and heart muscle, and possibly even whole organs, including hearts and lungs, that will be implanted into humans without being rejected.

Cardiothoracic Surgery: Present and Future

As with the changing nature of cardiothoracic surgical training, the tools of the trade are ever evolving. The skills of open and thoracoscopic surgery are now further complemented by endovascular, endobronchial, and robotic technologies and techniques. Full-spectrum cardiac and thoracic surgical care now requires this understanding and a partnership with our colleagues in cardiology, pulmonology, and interventional radiology. As medicine continues to develop a deeper understanding of the biology of cancer, surgeons must now keep pace with the ever-changing role of chemotherapy, radiation therapy, and immunotherapy. As leaders on multidisciplinary teams, surgeons must be aware of the full spectrum of treatment options available for the care of our patients.

Future Directions in Cardiac Surgery - Part II

There will continue to be coronary bypass, valve surgery, adult congenital repair, arrhythmia ablation, heart failure procedures, and endovascular treatment of aneurysms. The final question will be about the timing of service-line integration and who will do what procedures to which patients.

Heart-Valve Patients Should Have Earlier Surgery, Study Suggests

The results of a new clinical trial have overturned the “wait and see” approach that cardiologists have long favored for symptom-free patients.

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Is ‘Supersubspecialization’ the Future of Cardiothoracic Surgery Training?

“The day of the generalist cardiac surgeon cannot continue,” said Dr. Mack, an STS Past President from the Heart Hospital Baylor Plano. “We need to be supersubspecialized—in heart failure surgery, in structural heart disease, and in coronary revascularization.”

Minimally invasive cardiac surgery—a Fad or the Future?

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The Future of Cardiac Surgical Training in the Age of Transcatheter Valvular Interventions

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The Future of Cardiothoracic Surgery, Too, Lies in Innovation

Some may assume inventive thinking in CV surgery lags behind other areas of cardiovascular care. This is a misconception.

The Future of Cardiovascular Surgery

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Resources

Multimedia Manual of Cardio-Thoracic Surgery

The Multimedia Manual of Cardio-Thoracic Surgery is the premier online video manual of cardiovascular and thoracic surgery tutorials.

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