This presentation on day one of STS 2024 will report on a comprehensive approach that focuses on maximizing survival and optimizing the utilization of donor hearts in patients with hypoplastic left heart syndrome (HLHS) and HLHS-related malformations with functionally univentricular ductal-dependent systemic circulation. 

"Dr. Mark Bleiweis"
Dr. Mark Bleiweis will report on study findings of a comprehensive approach to treating neonates with HLHS and HLHS-related 

“A Comprehensive Approach to the Management of Patients with HLHS and HLHS-Related Malformation” will begin at 9:45 a.m. CT in room Stars at Night 1.  The presentation is part of the STS “Cardiac Center in Evolution: Management of Single Ventricle” session.
  
Dr. Mark Bleiweis, from the University of Florida, will report on findings describing outcomes that resulted from using this approach in 100 consecutive neonates. During the talk, Dr. Bleiweis will detail how these neonates with HLHS and HLHS-related malformations, during an eight-year period, were stratified into three different pathways based on their risk factors, and mortality rates that resulted for these neonates.

“This study is based on the principle that some patients with HLHS or HLHS-related malformations are at very high-risk for Norwood (Stage 1) palliation or hybrid palliation secondary to important cardiac risk factors,” said Dr. Bleiweis.  

Jan 26, 2024
1 min read
"Dr. Christopher Mehta"
During his talk, Dr. Christopher Mehta will provide insight into how comprehensive data helps inform multidisciplinary heart teams in making decisions for patients.

On Saturday, January 27 at 9:45 a.m. CT, Christopher Mehta, MD, from Northwestern Memorial Hospital in Chicago, will present “Age-Stratified Surgical Aortic Valve Replacement for Aortic Stenosis: An Analysis of the Society of Thoracic Surgeons Adult Cardiac Surgery Database (ACSD).” 

The study is part of the STS 2024 session titled, “Trends and Research from the STS ACSD.” During his talk, Dr. Mehta will provide insight into how comprehensive data help inform multidisciplinary heart teams in making decisions between surgical aortic valve replacement (SAVR) and transcatheter aortic valve replacement (TAVR) for patients. 

Attendees will learn how the national landscape for SAVR and TAVR changed between 2011 and 2022, as experts evaluated age-specific trends and outcomes in surgical aortic valve replacement (AVR) in patients with bicuspid (BAV) or tricuspid (TAV) aortic valve by analyzing data from the STS ACSD. 

Throughout the 11-year study, which followed more than 200,000 adult patients with BAV or TAV who underwent AVR for moderate and severe aortic stenosis, age-specific trends and outcomes were evaluated. 

Jan 26, 2024
1 min read
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Advocacy alert
Last week, the Centers for Medicare & Medicaid Services (CMS) issued a final rule aimed at reforming the prior authorization (PA) process. The U.S. Department of Health and Human Services (HHS) estimates that these changes will result in approximately $15 billion in savings for physician practices over the next decade. 
2 min read
Molly Peltzman, STS Advocacy

A new and exciting space, The Hub will be the center of activity for programs, sessions, networking, and mentoring specifically for cardiothoracic surgery trainees and early surgeons.  Use the following schedule to plan to connect with your colleagues and refresh during the meeting:

"STS celebrates its 60th Annual Meeting"
The Hub will make its first appearance at STS 2024

Saturday, January 27
Juice Shots Available
9 - 9:45 a.m.

Early Career Insights with Dr. Leah Backhus, sponsored by AstraZeneca
9:10 - 9:40 a.m. 
Small Theater

STS Trainee Luncheon
11:15 a.m. - 12:30 p.m.
Large Theater

Leaders in CT surgery, including members of the STS Board of Directors, Workforces, and Task Forces, will be seated with trainees to discuss topics of interest to residents. Discussion topics include subspecialty training, dedicated research time, interventional and catheter-based skills during training, gaps in diversity, training paradigms, the current job market, and addressing non-clinical training needs. Attendance is limited to trainees (residents, fellows, medical students, LTTF scholars) and invited faculty. 

Sunday, January 28
Ask the Experts: How I Succeeded as an Early Career Surgeon
7 - 8 a.m. 
Large Theater

Listen to a panel discussion from your colleagues who found success early in their careers. 

Moderators:
Dr. Brian Mitzman – University of Utah
Dr. Jessica Rove – University of Colorado

Panelists:
Dr. Amy Fiedler – University of California San Francisco
Dr. Stephanie Worrell – University of Arizona
Dr. Reilly Hobbs – University of Utah/Primary Children's Hospital
Dr. Derek Serna-Gallegos – University of Pittsburgh Medical Center
Dr. Olugbenga Okusanya – Thomas Jefferson University

Juice Shots Available
9:45 - 10:30 a.m.

Early Career Journey Roundtables
9:55 - 10:30 a.m.
Large Theater

Early career surgeons and trainees have the opportunity to meet in an informal setting with STS leaders, who will offer insight into topics relevant to their career stages. Early career surgeons and trainees are on a unique journey, and seasoned surgeons will provide high-value information and an opportunity to meet and network with leaders in the specialty. 
(The roundtables listed below will be held concurrently.) 

STS: Your Career Journey Partner
This roundtable discussion will focus on how STS is a surgeon’s partner throughout one’s career journey, including how to become a more active and involved member; tap into award and fellowship opportunities; engage in STS’s resources, avenues of support, and advocacy opportunities; and make the most of the STS Annual Meeting. 

Trade Secrets for a Successful Career Journey
This roundtable discussion will focus on how surgeons can set themselves up for success early in their career journey, including how to navigate a job transition, negotiate a contract, get the most out of being a mentor or mentee, best manage one’s time, lead an OR team, and network with peers and colleagues. 

TSRA Luncheon
11:30 a.m. -12:45 p.m.
Large Theater

Join fellow trainees for the TSRA Luncheon moderated by TSRA President, Dr. David Blitzer. The program will include TSRA Awards, an update on TSDA activities, and a "State of the Workforce," including the job market and policy changes impacting trainees. 

Monday, January 29
STS Trainee Symposium: Professionalism Puzzles You May Encounter During Residency: How to Piece Together a Resolution
7:15 - 8:45 a.m.
Large Theater
Continental breakfast will be served 

This session showcases challenging situations that occur in medical practice regarding professionalism using real and hypothetical scenarios. 

Moderators: 
Dr. Elizabeth Dexter – Roswell Park Comprehensive Cancer Center
Dr. Amber Duda – University of Nebraska Medical Center

Presentations:
Dr. Pauline Go — Penn State College of Medicine - Proper Use of Social Media for Surgeons
Dr. Clauden Louis – BayCare Medical Systems – Named in a Malpractice Lawsuit? Keep Calm, Consult with a Malpractice Lawyer, and Learn On
Dr. Aundrea Oliver – East Carolina Heart Institute at East Carolina University – Harassment in Residency
Dr. Sean A. Jordon – University of Tennessee Medical Center – A Co-Residents Substance Abuse is Affecting Their Work – What Now?  
Dr. Melanie Edwards – Trinity Health Care – Financial Planning During Training and the Transition from Training to Practice

Presentations of Thoracic Surgery Foundation Research Award Recipients
9:30 - 10 a.m.
Large Theater

A highlight of research being conducted by cardiothoracic surgeon and trainee recipients of a TSF Research Award. 

Juice Shots Available 
10:30 - 11:15 a.m.

Early Career Journey Roundtable: My Approach to Wellness
10:40 - 11:15 a.m.
Large Theater
Coffee will be served

Early career surgeons and trainees have an opportunity to meet in an informal setting with STS leaders who will provide insight into topics relevant to their career stage. Early career surgeons and trainees are on a unique journey, and seasoned surgeons will provide high value information and an opportunity to meet and network with leaders in the specialty.

This roundtable discussion will focus on achieving personal and professional wellness, how to avoid burnout, advice on personal self-care, and tips for achieving financial stability. 

Mock Oral Exams
Saturday, Jan. 27, 9 - 9:45 a.m.
Sunday, Jan. 28, 6:30 - 7 a.m. and 9:45 - 10:30 a.m.
Monday, Jan. 29, 12 - 1:15 p.m.

This program is designed to help decrease the stress of the American Board of Thoracic Surgery (ABTS) exam by allowing trainees to prepare for and practice with the oral exam format. Registrants will receive access to a collection of online modules and resources that provide an overview of effective oral exam test-taking strategies, the anatomy of an oral exam, mock oral exam dos and don’ts; and an in-person session with a mock examiner (including small group of other trainees) who will present case scenarios, pose questions, and provide individualized verbal and written feedback to each participant. Limited spots are available, and priority will be given to cardiothoracic surgery residents who are registered for the Annual Meeting and scheduled to take the ABTS oral examination in June 2024. 

STS Mentorship Program
STS Mentorship Program mentors and mentees are encouraged to meet up in the Networking Lounge. The STS Annual Meeting is an excellent opportunity for mentors and mentees to meet face-to-face with their program partners during breaks, meals, or any other time that works best for both parties. 

Painting with a Purpose
While in The Hub, tap into your creative side and contribute to Painting with a Purpose by adding your personal touch to a mural that will be completed through meeting-goers’ collected efforts and donated to Shriners Children’s Hospital in Galveston, TX, after the meeting.

Jan 17, 2024
5 min read

An in-depth session on day one of STS 2024 will showcase study results of the potential importance of treating preoperative anemia — often a marker of more advanced coronary disease and illness, and often associated with adverse outcomes — to reduce intraoperative RBC transfusions to help improve outcomes after CABG.  

“A Mediation Analysis of Anemia and Transfusions with CABG Outcomes in the National STS Database” will be presented at 1:15 p.m. CT on Saturday, January 27, during the STS Annual Meeting.  The presentation is part of the STS “How to Achieve a 0% Transfusion Rate after CABG” session.  

Dr. Motahar Hosseini, from Massachusetts General Hospital, will report on findings that utilize data of more than 53,000 patients from the National STS Adult Cardiac Surgery Database who underwent CABG in 2019, comparing operative mortality and outcomes of patients who presented with preoperative anemia to those who were non-anemic at baseline.  

“Preoperative anemia is associated with increased risk of operative mortality and longer ICU and hospital stays,” said Hosseini. “Interestingly, the study results showed that most of these effects were mediated through the effect of intraoperative RBC transfusions, while the higher association of preoperative anemia and higher rates of postoperative dialysis were largely due to direct effects of anemia itself, and only partially mediated by intraoperative transfusions.” 

Jan 17, 2024
1 min read

On day one of STS 2024, Dr. Moritz Wyler von Ballmoos, of Texas Health Resources, will present a session titled, “The STS 2023 Clinical Practice Guidelines for the Surgical Treatment of Atrial Fibrillation: Key Takeaways and How Do They Differ from the ACC/AHA Atrial Fibrillation Clinical Practice Guidelines?”

During his talk — one of several STS 2024 sessions to feature late-breaking studies that significantly influence advances in cardiothoracic patient care — Dr. Wyler von Ballmoos will share the latest evidence for surgical ablation (SA) and left atrial appendage occlusion (LAAO) across various clinical scenarios from the clinical practice guidelines. Emphasis is on the evolving role of surgical ablation and left atrial appendage occlusion in managing atrial fibrillation. 

The recommendations highlight the importance of a multidisciplinary team, comprehensive assessment, and long-term follow-up with specific attention to diverse clinical scenarios. The Class I recommendation for LAAO and expanded use of SA signify the growing confidence in these interventions based on recent evidence. 

This discussion is part of a larger session, titled "Leaving Money on the Table: Benefits of Ablation and Left Atrial Appendage Management in Atrial Fibrillation" that includes four additional presentations on the topic, as well as an expert panel discussion and question and answer sessions that follow each presentation.

Jan 17, 2024
1 min read

The Society of Thoracic Surgeons is excited to reconvene for its 60th Annual Meeting January 27 - 29 in San Antonio, which brings together cardiothoracic surgeons from around the world and features late-breaking scientific research, cutting-edge technologies, innovative cardiothoracic surgery products, and meaningful networking opportunities.

"Downtown San Antonio skyline"
STS 2024 will be held in San Antonio, Texas

This year’s meeting venue, the Henry B. Gonzalez Convention Center, offers attendees – more than 2,000 multidisciplinary cardiothoracic professionals at all career stages – everything they’ll need for a seamless experience with 80 educational sessions throughout the three-day conference.

The morning of Saturday, January 27, kicks off with the Extraordinary Women in Cardiothoracic Surgery Awards Breakfast, which recognizes women surgeons who have achieved excellence in clinical practice and demonstrate integrity, leadership, creativity, and expertise in carrying out day-to-day duties and supporting the specialty.

On Sunday evening, the President's Reception at The Witte Museum – a beautiful and immersive venue "where nature, science, and culture meet – will celebrate the term of current STS President Dr. Tom MacGillivray, as guests experience the history, culture, and natural artifacts of Texas while reuniting with – and meeting new – friends and colleagues. 

The STS Annual Meeting exhibit hall will feature live product demonstrations, as well as more than 130 exhibitors showcasing the latest tools and technologies for surgical practice. Conference goers will not want to miss the CT Surgery Resident Showdown final, where the North American and European champions will face off against each other in a test of knowledge.

For the first time, the meeting will include a hub for early career surgeons. At The Hub, located next to the Exhibit Hall, you’ll find early career roundtable discussions with STS leaders, a trainee symposium, a mock oral exam course, an early career insight talk by Dr. Leah Backhus, and more. You also can join your peers in a “painting with a purpose” art installation activity for the Shriners Children's Texas in Galveston.

Attendees will also be able to engage in wellbeing activities, such as step tracking, wellness-related educational sessions, a golf simulator, and more. Industry symposia, held onsite during lunch and offsite in the mornings and evenings, offer opportunities to explore new techniques and interventions. Two exhibit hall theaters will allow attendees to experience e-posters and interactive industry presentations. 

There’s still time to register, add ticketed events, and start planning your San Antonio experience at sts.org/annualmeeting

Jan 17, 2024
2 min read

In this episode of The Resilient Surgeon, Dr. Michael Maddaus interviews Monica Parker, author of The Power of Wonder: The Extraordinary Emotion That Will Change the Way You Live, Learn, and Lead. 

Parker has spent decades helping people discover how to lead and live wonderfully by cultivating curiosity, empathy, and open mindedness. Here, she explains the elements and elicitors of wonder, and how it can transform people's brains and bodies. It's about "becoming more wonder-prone and reconnecting with a reverence for the world and all the magic in it."

1 hr

The editors of the European Journal of Cardio-Thoracic Surgery (EJCTS), The Annals of Thoracic Surgery, and The Journal of Thoracic and Cardiovascular Surgery (JTCVS) recognize the value of a streamlined and consistent submission process. To provide a simplified experience for our authors as they submit, we have harmonized our submission requirements for full-length original research articles. The newly aligned standards are listed below:

  • 4,500 word count maximum (this includes all elements of the manuscript)  
  • Maximum combined limit of seven figures and tables
  • 40 reference maximum
  • Strict adherence to the AMA Manual of Style for citations 
  • No limit to the number of videos an author can submit

These changes are intended to reduce confusion and save time for our busy authors. These unified requirements will make it easier to resubmit to a different journal, if needed. Additionally, strict adherence to AMA style will make it easier for our authors to use reference management tools such as EndNote, Zotero, and Mendeley.

We are confident that this congruency will simplify the user experience when submitting to EJCTS, JTCVS, and The Annals.   

Sincerely,
Joanna Chikwe, MD, Editor-in-Chief, STS Journals
G. Alexander Patterson, MD, Editor-in-Chief, AATS Journals
Matthias Siepe, MD, EACTS Editor-in-Chief

Jan 10, 2024
1 min read

In this episode of The Resilient Surgeon, Gloria Mark, PhD, Chancellor’s Professor of Informatics at the University of California, Irvine, explains how people interact with information technology in their everyday life: How it affects multitasking, attention, mood, and above all, stress. She studies people's behavior in real-world settings and has found that most people experience information overload, which continues to shrink their attention spans.

1 hr. 8 min.
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ai and lung cancer screenings
Lung cancer is the deadliest cancer in the U.S. Early detection of lung cancer through low-dose computed tomography (LDCT) screening has been shown to significantly reduce lung cancer mortality in high-risk populations and is currently recommended annually by the U.S.
5 min read
Chi-Fu Jeffrey Yang, MD
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lung preservation
While expanding geographic boundaries will ultimately enable better organ and recipient matching, it poses inherent challenges to organ preservation.
3 min read
Brandon A. Guenthart, MD