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Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology

Background:

  • Structural heart disease treatments are rapidly evolving, impacting traditional cardiovascular surgery.
  • Cardiovascular surgeons in Brazil currently perform transcatheter procedures, complex redo interventions, and endovascular aortic approaches.

Purpose of the Study:

  • To discuss the integration of new transcatheter and endovascular techniques into cardiovascular surgery.
  • To address the urgent need for catheter-based skills acquisition in Brazil's cardiovascular surgery training.
  • To analyze these needs in the context of recent changes in Brazil's medical residency program.

Main Methods:

  • Review of current practices in cardiovascular surgery in Brazil.
  • Analysis of the impact of new technologies on surgical training.
  • Discussion of the implications of medical residency program changes.

Main Results:

  • Cardiovascular surgeons in Brazil are actively engaged with advanced interventional techniques.
  • There is a recognized and urgent requirement for enhanced catheter-based skills.
  • Recent shifts in residency programs highlight the need for curriculum adaptation.

Conclusions:

  • The landscape of cardiovascular surgery in Brazil is shifting towards interventional and endovascular approaches.
  • Adapting surgical training programs is crucial to equip future surgeons with necessary catheter-based skills.
  • Integrating these skills is vital for the continued advancement of structural heart disease treatment by Brazilian surgeons.