Transforming the Art of Cardiac Surgery: Integrating Guidelines and Innovations in Complex Scenarios

Transforming the Art of Cardiac Surgery: Integrating Guidelines and Innovations in Complex Scenarios
  • Dr. Shantesh Kaushik — Consultant Cardio-thoracic and Vascular Surgeon, Jaslok, Nanavati and Bhatia Hospitals, Consultant Cardio-thoracic and Vascular Surgeon, Fortis,Godrej,Hiranandani, Kohinoor Hospitals
  • Dr. Aakash Joshi — Cardiothoracic Surgeon and Assistant Professor at UN Mehta Institute Of Cardiology & Research Center, Ahmedabad, Gujrat

Cardiology · Cardiothoracic and Vascular Surgery

The integration of evidence-based guidelines and cutting-edge innovations is essential for optimal patient outcomes in cardiac surgery. Complex scenarios, such as multi-valve repairs, Coronary Artery Bypass Grafting (CABG) with comorbid conditions, and the management of advanced heart failure demand tailored surgical approaches. The latest clinical guidelines provide a framework for decision-making, including the selection of surgical techniques, grafts, and perioperative management. At the same time, innovations, such as robotic-assisted surgery, minimally invasive approaches, and advanced haemodynamic monitoring offer new opportunities for improving precision, reducing recovery times, and minimising complications.This approach empowers surgeons to combine the best of both worlds—guidelines and innovations—ensuring that even the most challenging cases are managed with expertise, precision, and a patient-centred approach. By mastering this synergy, cardiac surgeons can continue to advance surgical practices and patient care. Learning Objectives: • Analyse 2024 EACTS/EACTAIC guidelines for preoperative testing to predict bleeding risks in adult cardiac surgery, including strategies for anticoagulation and antiplatelet management • Evaluate the latest EACTS/EACTAIC recommendations for cardiopulmonary bypass techniques in patient blood management during adult cardiac surgery, with emphasis on bleeding risk reduction • Assess the evolving approaches in Coronary Artery Bypass Grafting (CABG), including innovations in graft selection, endoscopic-assisted techniques, and antiplatelet therapy, in the context of patient outcomes • Review the indications for and advancements in aortic and mitral valve surgery, focusing on optimal surgical approaches, including SAVR versus TAVI, and mitral valve repair strategies • Examine the latest guidelines on heart transplantation, including patient eligibility criteria, preoperative management, and strategies for post-transplant surveillance and rejection prevention • Discuss key considerations in managing complex cases of cardiac surgery, such as concomitant CABG with abdominal aortic aneurysm repair, and the integration of evidence-based guidelines into real-world practice