A Cut Above: Cardiothoracic insights from EACTS

Scalpel to Startup: Turning Ideas into Impact

Our hosts are joined by Joseph Bavaria for a practical discussion on surgical innovation and industry collaboration. The conversation covers pathways from idea to device - patents, partnering with companies, and when a startup makes sense - along with funding from angel backing to venture rounds and the realities of regulatory approval. Bavaria reflects on advisory board work, managing conflicts of interest in clinical trials, and why surgeons should help shape product design while advocating for the broader platform rather than a single brand. He also offers guidance for early-career clinicians on finding mentors, protecting IP, and building the multidisciplinary ecosystem needed to bring ideas to patients.

From One Heart to Another: The Renaissance of Heart Valve Transplants

In this episode, we are joined by Dr. Emile Bacha to discuss the emerging field of partial heart transplantation. The conversation explores the history of the concept, its reintroduction in recent years, and how techniques such as domino procedures are being developed to expand donor availability. Dr. Bacha explains the practical challenges of regulation, organ procurement, and immunosuppression, as well as early outcomes seen in paediatric patients. With reflections on valve durability, patient growth, and the future potential of this approach, this episode offers a detailed look into a promising area of congenital cardiac surgery and beyond.

The Unplanned Plan B: SAVR After TAVR

In this episode, our hosts are joined by Sabine Bleiziffer and Augusto D’Onofrio to discuss SAVR after TAVR - exploring key decision-making factors, including valve selection, explantation techniques, and patient-specific risk profiles. The guests share experiences with challenging cases, technical tips, and thoughts on how procedural volume, planning, and shared decision-making can impact outcomes. We also consider the future of lifetime valve management and what young surgeons need to know as this field continues to evolve.

Dissection Roulette: How to Survive the Most Unforgiving Surgery

This month’s episode focuses on the complex management of acute aortic dissection. Our hosts are joined by Florian Schoenhoff and Chris Malaisrie to discuss current strategies in surgical planning and intraoperative decision-making. Topics include CT-based assessment, cannulation techniques, malperfusion management, and valve preservation. The conversation also considers how to optimise outcomes, the role of conservative management in select cases, and the potential future impact of endovascular approaches. Listen for a practical overview of key considerations in this complex procedure.

Double-valve trouble or life-time solution: mastering the Ross procedure

Recorded at the AATS annual meeting in Seattle, our hosts are joined by Dr. El-Hamamsy & Dr. Ouzounian to explore the resurgence of the Ross procedure. The discussion covers the evolving evidence base, training requirements, and technical considerations surrounding this increasingly prevalent operation. Dr. El-Hamamsy and Dr. Ouzounian share their own learning curves, views on centralising care, and the importance of surgical volume for patient outcomes. Listeners will also hear about best practices in patient selection, graft support strategies, and the future of Ross—including potential innovations to expand access globally.