Dr. Alysha Joseph
Internal Medicine Resident
1 Podcast on BackTable
Dr. Alysha Joseph is a PGY-4 internal medicine resident at UT Southwestern in Dallas, Texas.
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Episode # 454 • 09 Jun 2026
ACHD Surgery 101: Thinking Like a Surgeon
Using a case of a young adult undergoing a Ross procedure, the episode walks through what happens in the operating room—from induction and intraoperative transesophageal echocardiography (TEE) to cardiopulmonary bypass (CPB), myocardial protection, and surgical repair. The discussion highlights key concepts including cardioplegia, cross-clamp and bypass times, hypothermic circulatory arrest, and the complexity of redo sternotomy. This episode provides learners with a practical framework to interpret operative reports, anticipate postoperative physiology, and better collaborate with surgical teams.
This episode was produced by the CardioNerds ACHD Council and planned by Dr. Rawan Amir.
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