Future of cardiac surgery. A view by pioneering cardiac surgeon with over 40 years of experience. Dr. Lawrence H. Cohn, MD. Breakthroughs in heart failure surgery. Endovascular transcatheter heart valve replacement. "The only way to predict the future is to invent it”. Dr. Norman Shumway. Eminent cardiac surgeon speaks about the future of cardiac surgery. Dr. Lawrence H. Cohn, MD. What are advances in minimally invasive cardiac surgery? What is future treatment of aortic valve stenosis? Dr. Anton Titov, MD. What advances are made in heart failure surgery? What is transcatheter aortic valve replacement (TAVR)? What is future of coronary artery bypass grafting surgery? Video interview with Professor Lawrence H. Cohn. Video interview with leading expert in cardiac surgery. Second opinion confirms that heart failure diagnosis is correct and complete. Second opinion helps to choose the best treatment for congestive heart failure. Get second opinion on congestive heart failure and be confident that your treatment is the best. Minimally invasive cardiac surgery. Aortic valve stenosis. Heart failure surgery. Dr. Norman Shumway with whom you worked at Stanford University said this. The only way to predict the future is to invent it yourself. Dr. Cohn. Yes. Where do you see cardiac surgery going in the next decade? Dr. Anton Titov, MD. What treatment methods will be available to patients that they are rare or not existing today? 1234 (Cardiac Surgeon, Harvard Medical School) Dr. Lawrence H. Cohn, MD. I cannot speak for the congenital heart surgery. Because I do not do children's heart surgery. But I think there is still going to be a place for coronary artery bypass grafting surgery. Because the mammary artery bypass to the LAD (Left Anterior Descending artery) is the best revascularization procedure that has ever been invented. Or that ever will be invented. Dr. Lawrence H. Cohn, MD. We have patients with patent anastomoses 30 years after bypass surgery. It's really very very good. There still will be a need for that. In heart valve surgery, the surgeons are starting to learn how to do catheter-based heart valve insertion. I think that method of surgery is going to assume a bigger and bigger role. As it should be. Because it's less traumatic. You get pretty good results of heart valve function. Surgeons will be more involved in catheter-based heart valve insertions. Also in aortic aneurysm surgery. Stent grafting method now for aortic aneurysms is increasing greatly. It is really going way up. I think that is not going to go down. Finally, other area that is just enormous. It is increasing right now in our country is heart failure surgery. Obviously very few patients are going to have a heart transplant. There is only 2,500 transplants done in our country every year. There is going to be a lot of machines for heart failure patients. New devices are increasingly being utilized for heart failure patients. There are left ventricular assist devices and all these things. Machines and devices to treat heart failure will continue to grow. Then maybe non-transplant heart failure operations will increase. Dr. Lawrence H. Cohn, MD. That we have not even developed yet. Heart failure surgery methods will be developed. It will be relatively simple to help the patients with heart failure. That is a huge area. 1234 Professor Laurence Cohn, thank you very much for this most interesting discussion. Dr. Anton Titov, MD. Thank you for sharing your vast experience with all our viewers. It was very illuminating to hear your view on state-of-the-art in cardiac surgery. Dr. Anton Titov, MD. Thank you for discussing heart surgery direction in the future. Thank you very much! 1234 Dr. Lawrence H. Cohn, MD. My pleasure. Future of cardiac surgery. Coronary artery bypass grafting, abdominal aortic aneurysm repair, heart failure surgery, minimally invasive valve surgery, TAVR.
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