CTSNet’s 10 Most Popular Articles of April 2023

April was a newsworthy month in the cardiothoracic surgery world. The most popular content last month included news on aortic aneurysm outcomes, a guest editor series from Gry Dahle, the relaunch of CTSNet’s flagship podcast, and more.

1. JANS: Fate of the Unoperated Ascending Thoracic Aortic Aneurysm—Three-Decade Experience from the Aortic Institute at Yale University

The most popular article last month was a JANS post outlining an important study on aortic aneurysm outcomes. The study concluded that aortic growth may not be a proper indicator for intervention and changed the criterial size for intervention.

2. Mitral Valve Translocation: A Novel Technique for Patients with Secondary Mitral Regurgitation
By Salman Zaheer, Nolan Winicki, James Gammie

The current standard of treatment for secondary mitral regurgitation, restrictive mitral annuloplasty, is associated with poor durability and high recurrence. April’s top clinical video demonstrates a novel method of repair, step by step.

3. Robotic Assisted Mitral Valve Repair After Failed Transcatheter Edge-to-Edge Repair
By Rishab Humar, Qiudong (Kevin) Chen, Jad Malas, Alfredo Trento, Jo Chikwe, Dominic Emerson

In this Resident Video Competition submission, when the patient’s mitral regurgitation did not improve after edge-to-edge repair, surgeons decided to carefully repair the valve using a robotic technique.

4. JANS: Junior Doctors in England to Strike for Four Days in April

News of a physician strike in the UK hit in mid-April after a pay dispute with the government and NHS. The strike disrupted patient care in March as well, and the conflict is ongoing.

5. Guest Editor Series: 21 Years After First TAVI: Will the Pace of Innovations Continue for All Heart Valves?
By Gry Dahle

In this late March entry into the CTSNet Guest Editor Series collection, Gry Dahle, MD, PhD presents a curated collection of videos on the history, current challenges, and future advances of transcatheter valve replacement.

6. Sublobar Resections and Evolving Techniques for Lung Cancer: Session 2
By Alessio Mariolo, Prasad Adusumilli, Linda Martin, Dominique Gossot, Shinya Tane

The second session of the 4th International Conference for Sublobar Resections and Evolving Techniques, held in January 2023, was a hit with CTSNet users because of its full roster of talks on sublobar resection for subsolid nodules from five experts.

7. JANS: First-Ever Cardiac Surgery Trial in Women Poised to Launch—ROMA-Women

This trial was designed to address the lack of women in surgical studies, and therefore the lack of guideline-directed surgical care for women patients. Researchers aimed to alter the historical trend by creating a trial for women to determine whether multiarterial grafts are better than single arterial grafts in CABG.

8. JANS: Bioprosthetic Valve Dysfunction Less Common in TAVR vs. Surgery at 5 years

The next JANS item on the list outlines two trials comparing TAVR to SAVR. As the first analysis to validate observed clinical outcomes, the trials found that valve dysfunction is less common after five years in TAVR patients, which is a critical factor in long-term success.

9. JANS: 2023 Physician Compensation Report

Based on survey results of 31,000 patients, physician compensation declined by 2.4 percent in 2022. Thoracic surgeons received the second-highest salary, and the gender gap remains substantial with women physicians compensated 26 percent less than their colleagues who are men.

10. The Beat with Joel Dunning Ep. 1
By Joel Dunning

Finally, CTSNet relaunched The Beat in April with the site’s new Editor in Chief, Joel Dunning. In the first episode, Joel runs through the latest, most popular content on ctsnet.org and breaking CT surgery news and research from around the world. Make sure to keep up with the podcast each week!

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