Acrometastases | New England Journal of Medicine nejm.org/doi/full/10.10…

Keith Siau NBTE (marantic endocarditis) <Image source: Infectious Disease Fellows Network via GrepMed , tinyurl.com/muyyx2m8>

John Hunter PICU running an Escape Room. The MDT has to work through a series of clues to save their patient. It was a novel, fun and collaborative way to learn and revise knowledge.

A previous fit 48M presented with flank pain, weight loss and these splinter haemorrhages. CT abdomen showed a mass in the pancreas with metastastic lesions in the liver, confirmed on biopsy to be cancer, and splenic and renal infarcts. Echocardiography showed echogenic foci at

Long-Term Outcomes of BAV-0 Patients Compared With BAV-1 and TAV Patients After TAVR: JACC Journals 🥸What are the differences in 5 years outcomes between BAV-0, BAV-1, and TAV after TAVR? 😱Happy Sunday 👇👇👇

jtcvsopen.org/article/S2666-… I hope everybody has seen this important study. Survival after TAVR was half compared to SAVR. If TAVR outcomes were better, this would clearly be published in NEJM. Congratulations to the authors and @JTCVS. #TAVR is for the elderly…don’t drink the

AVR (along with IABP for heart failure) is one intervention that has statistically shown improved survival compared to any other treatment option-and is now being offered to patients under 65 at an alarmingly decreasing rate. jclinepi.com/article/S0895-…

A true nightmare in the cath lab: 50M with inferior STEMI, normal coronaries, then collapsed. Aortogram clip speaks for itself. The saying goes, 'If you haven’t faced it in the cath lab, you haven’t seen enough cases.' Yoni Grossman PCRonline 🫀 mandeep singh

A bioprosthesis implanted on a young patient does not only expose them to the risk of a reoperation but more importantly to a second lifetime cycle of LV strain (aortic) or pulmonary hypertension (mitral) as well to development of endocarditis of the degenerated bioprosthesis.

Are you an Intensive Care Doctor seeking a great team culture, enthusiastic education, great case mix and world class beaches? Applications close tomorrow! #icu #cicm #cicmanz iworkfor.nsw.gov.au/jobs/all-keywo…

Open access in #JTCVS: A multi-center study on valve-sparing #aortic root replacement in bicuspid aortic valves—the reimplantation technique. Read how researchers found excellent results after VSRR reimplantation procedure: doi.org/10.1016/j.jtcv…

📣Hot off the press The Annals of Thoracic Surgery: Protective CABG in acute TAAD is associated with ⬇️ serious AE (operative mortality, stroke, mech support) compared to ostial reconstruction despite ⬆️ severe coronary involvement and malperfusion Read more: annalsthoracicsurgery.org/article/S0003-…

Asking the anesthesiologists and the OR nurses who is the best surgeon for an operation is the only safe way to pick a surgeon. They are the only ones who can separate between who is nice, who would be fun to go out with and who can get the patient out of the OR in one piece.

I was honored to have the attention of so many outstanding MDs at 8 AM this morning in London at Grand Rounds- I want to thank Dr. Eric Lim for his leadership and friendship - I look forward to all of our patients waking up after elective pulmonary resection with no chest tubes

Fame 3 by Filip Casselman at #EACTS2025 showing how some tricks that completelly changes statistics in favor to PCI… incredibly it has only 5 years, and no further Follow-up… the results were better for Surgery, statisticall magic / game gave us a different conclusion.

🫁 Nat Rev Clin Oncol: review on unresectable stage III NSCLC…still a tough battlefield! nature.com/articles/s4157… 🌊 PACIFIC = SOC (CRT→durvalumab) for EGFR/ALK WT 👩🏼 LAURA = osimertinib consolidation for EGFR+ → unprecedented PFS 🎯 ctDNA monitoring, novel RT & chemo-IO

Bad news for enthusiasts of left atrial appendage closure from #AHA25. CLOSURE-AF is not yet published, but reports from New Orleans indicate inferiority compared with best medical care (the trial was designed for non-inferiority, making this the most unexpected and unfavorable

#AHA25 takeaways:

Left Main Revascularization: What Does the Evidence Really Show? Summary of our paper in 6 bullet points…Rafa Sádaba Stefano Urso

Ideal Femoral Access Site ●Femoral arterial anatomy with the ideal target site of arteriotomy being above the bifurcation and below the inferior epigastric artery on the femoral head. ●Common femoral artery (CFA) is the best puncture site because of its larger size and