Education Articles
Post-Infarct Ventricular Septal Defect
A post-infarct VSD is a rare post-MI complication that carries a high mortality and is best diagnosed through echocardiography. It is initially managed medically (reduction of the left-to-right shunt and maintenance of adequate cardiac output), with potential escalation to mechanical circulatory support and surgery. The keys to surgical management include careful myocardial protection, patch closure of the VSD by anchoring it to healthy tissue, addressing concomitant coronary artery disease if there is at-risk myocardium, and a tension-free patch closure of the VSD and ventriculotomy.
Launching a Career in Robotic Cardiac Surgery: What Every Trainee Should Know
Robotic cardiac surgery requires careful planning, support from hospital leadership, intensive training, and collaboration across specialties. For residents and fellows aiming to pursue robotic cardiac surgery, early exposure, hands-on practice, mentorship, and access to simulation labs are essential.
