As the government funding Dec. 20 deadline approaches, Congress is working to finalize plans for either a continuing resolution (CR) or an omnibus spending package. House Republicans are advocating for a CR that would extend funding through March, allowing the new GOP trifecta (President, House, and Senate) to have greater leverage in the upcoming year.
A groundbreaking surgical achievement has been made by the team at West Virginia University (WVU) Heart and Vascular Institute, led by Dr. Vinay Badhwar, the executive chair of the WVU Heart and Vascular Institute and the second vice president of the Society of Thoracic Surgeons. On October 31, 2024, the team performed the world’s first combined robotic aortic valve replacement (AVR) and coronary artery bypass grafting (CABG) through a single small incision.
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Dr. Vinay Badhwar
The pioneering procedure was performed on 73-year-old Poppy McGee, a patient with a complex medical history, including a stroke, brain surgery, and significant weight loss. Referred to Dr. Badhwar for treatment of both aortic valve disease and coronary artery disease, McGee initially faced the prospect of traditional open-heart surgery. However, when she and her family learned of its risks—over a 10% chance of mortality and nearly 50% likelihood of complications—they inquired about alternative options.
Dr. Badhwar explained his team had developed a novel robotic approach that had yet to be tested on a patient. After a thorough discussion of the risks and benefits, McGee and her family agreed to proceed with the innovative robotic surgery.
The procedure involved both AVR and CABG, performed entirely robotically through a single incision on the far right of McGee’s chest. The success of the surgery has sparked optimism about the potential for broader adoption of robotic heart surgery for patients with complex conditions.
“While we are still in the early days of this latest innovation, the ability to perform valve surgery and coronary artery bypass surgery fully robotically through a single incision has the potential to open up a new era of robotic heart surgery,” Dr. Badhwar noted in a prepared statement. “We must always keep quality outcomes at the forefront of all innovation. However, if surgeons adopt and gain experience with techniques such as this one, they will tackle this last frontier that previously limited a robotic approach. One day in the near future, this may serve as a platform to perform nearly all types of heart surgery.”
This revolutionary procedure potentially paves the way for less invasive operations. Dr. Lawrence Wei, a professor at the WVU Department of Cardiovascular and Thoracic Surgery, remarked on the impact of this advancement: "Patients who have both valve disease and coronary artery disease have traditionally been treated by open-heart surgery performed through the breastbone. This new robotic technique could redefine how we approach these cases."
Dr. Goya Raikar, an assistant professor at WVU and a member of Badhwar’s robotics team, also underscored the procedure's significance: "Until now, the main exclusion for us to perform a robotic approach has been the coexistence of valve and coronary artery disease. Building on our experience with robotic aortic valve surgery, this new approach may help us extend robotic surgery options to many more patients."
The patient’s daughter, Mollie Wilcosky, expressed gratitude for the groundbreaking care provided by the WVU team. “We are so thankful for Dr. Badhwar and the team at the WVU Heart and Vascular Institute for developing this robotic procedure to help my mother recover so well,” Wilcosky said. “She is getting stronger every day.”
The full details of the procedure will be in The Annals of Thoracic Surgery, highlighting how innovative approaches like this continue to redefine the future of cardiothoracic surgery.
References:
• Cardiovascular Business article on the WVU Heart and Vascular Institute's groundbreaking surgery.
• WV News article detailing the multidisciplinary team and procedural innovations at WVU Medicine’s WVU Heart and Vascular Institute.
On October 25-26, 2024, more than 230 members of perioperative and critical care teams from around the world gathered in Philadelphia for the 2024 Perioperative & Critical Care Conference. The conference focused on the latest techniques and management strategies in cardiovascular and thoracic critical care, as well as enhanced recovery after surgery. Participants gained valuable insights and practical strategies aimed at optimizing patient care and improving outcomes.
The two-day event covered a wide range of topics, including fundamentals of waveforms and monitoring, goal-directed hemodynamic therapy and AKI prevention, ECMO fundamentals, improving communication in the cardiothoracic intensive care unit, and vasoplegia management.
Here's what a few attendees said about the Perioperative & Critical Care Conference:
"In the ECMO session, we not only saw the latest in technology and innovation, but also learned techniques that will help us treat our patients and get them out of the hospital in better condition,” Dr. Jeremiah Hayanga, West Virginia University Health System
"The conference was well-paced and engaging. The speakers were captivating, and the discussions were thought-provoking. The two days flew by!"
"The STS team did a fantastic job with the logistics of this large-scale conference. The recordings and slides will be a great way to review the material and share it with colleagues.”
"The conference was informative and highlighted areas where we can improve our practices. I appreciate the multidisciplinary focus, which is essential for optimal patient care."
"As an APP, I truly enjoyed the conference and felt that the presentation and topics aligned well with my role. I look forward to attending again next year."
In this first episode of Thinking Thoracic, podcast host Dr. Erin Gillaspie talks with Dr. Wade Iams about notable takeaways on key clinical trials presented at the 2024 World Conference on Lung Cancer and how these findings will help shape the thoracic surgery landscape. They share proactive steps on enhancing relationships within a multidisciplinary lung cancer care team and improving handoffs between specialties like surgery, medical oncology, and radiation.
As Lung Cancer Awareness Month begins, it’s important to reflect on the significant efforts made by STS over the past year to advocate for improved lung cancer outcomes and raise awareness. Key initiatives have included:
Zoom credentials will be shared with registrants closer to the event date.
Join STS-PAC Chair Keith S. Naunheim, MD, and STS Council on Health Policy and Relationships Chair Joseph C. Cleveland Jr., MD, for a conversation about the outcome of the 2024 election and how it will affect cardiothoracic surgeons, their practices, and their patients.
Dr. Steven Gerndt is a cardiothoracic surgeon, speaker, and leadership mentor who developed the concept “Civilitas,” a system-wide cultural transformation focused on psychological safety and fostering of leadership by example. In this episode, Dr. Gerndt talks about his work dedicated to helping organizations and people navigate personal crises through counseling, affirmation, and empathy. He emphasizes the critical importance of allowing people in crisis to be heard.
CHICAGO, IL – October 17, 2024 – The Society of Thoracic Surgeons (STS) announces the release of two new risk calculators to inform physician-patient decision-making in thoracic surgery. Engineered using contemporary data from the STS General Thoracic Surgery Database, these interactive tools provide surgeons with accurate, preoperative risk estimations for outcomes of esophagectomy for cancer and pulmonary resection for lung cancer.
STS podcasts feature conversations with member surgeons and expert influencers that shine a light on the most pressing issues and opportunities in CT surgery, leadership and surgeon wellness. Discover new ideas. Hear different perspectives, Find connections.
Thank you to our 2024 STS-PAC Contributors January 1 to October 9, 2024
Platinum Level ($2,500-$5,000)
Vinay Badhwar, MD
Joseph Bavaria, MD
Edward Bove, MD
Joanna Chikwe, MD
Joseph Cleveland Jr., MD
Anthony L. Estrera, MD
Robert Headrick, MD
Dawn Hui, MD
Karen Kim, MD
Samuel Kim, MD
Thomas MacGillivray, MD
Cullen Morris, MD
Wilson Szeto, MD
Jess Thompson III, MD
Vinod Thourani, MD
Eric Vallieres, MD
