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Society for Cardiothoracic Surgery

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uuid003m9zi

Namestring
Society for Cardiothoracic Surgery
Legal namestring
Society for Cardiothoracic Surgery in Great Britain & Ireland
Websiteurl
scts.org
Company typeenum
Private
Founded yearint
1934
Descriptiontext

The Society for Cardiothoracic Surgery in Great Britain and Ireland (SCTS) is a registered UK charity (No. 1113536) and private non-profit professional medical society headquartered at 38-43 Lincoln's Inn Fields, London. It functions as the recognised professional body for the cardiothoracic surgical community in Great Britain and Ireland, serving consultant surgeons, NTN trainees, Trust-Appointed Doctors, medical students, nursing and allied health professionals, and patients seeking information on cardiac, thoracic, and congenital conditions. Its core activities span education (courses, fellowships, SCTS-Ionescu University), an annual scientific meeting, publications (SCTS Bulletin, From The Chest, books), research coordination via the Cardiothoracic Interdisciplinary Research Network (CIRN), and national policy engagement through NHS England's Cardiac Clinical Reference Group.

The society operates a membership-based digital platform (scts.org) providing access to educational resources, event booking, a member directory, and patient-facing information covering procedures, glossaries, and outcome data. Technology is conventional web content management without proprietary AI or platform IP; the technology layer supports rather than differentiates the organisation. The society also runs specialised training courses delivered at partner venues such as Keele Anatomy & Surgical Training Centre and the J&J MedTech Pinewood Campus.

SCTS generates revenue through five streams: annual membership subscriptions (Direct Debit/online), paid educational courses (e.g., £200 for the ST7.1 Pre-Consultant Course and the Curriculum Review Course), annual meeting registration with corporate exhibition and sponsorship, charitable donations and fundraising events (notably the London to Brighton Cycle Ride), and corporate sponsorship packages. The go-to-market motion is community-led, centred on membership acquisition and event-driven engagement, with marketing distributed across the website, weekly e-newsletter, social channels (LinkedIn, X, Facebook, Instagram), and the flagship annual meeting. No headcount, revenue figures, or financial statements are disclosed in the available data.

Short descriptiontext

The Society for Cardiothoracic Surgery in Great Britain and Ireland (SCTS) is a UK-registered charity and the recognised professional body for cardiothoracic surgeons, trainees, students, nursing and allied health professionals in Great Britain and Ireland, delivering education, annual meetings, research coordination, and patient information resources.

Operating statusenum
Operating
Ownership categoryenum
Headcount rangeband
1–10
akta.pro rankint
HeadquartersLondon, United Kingdom
HQ citystring
London
HQ countrystring
United Kingdom
HQ regionstring
Europe
Markets served

Serves global market

Offices1 record

Each record includes

City, Country, Type, Description, Source

Keyword5 values
cardiothoracic surgery society, professional medical membership, surgical education courses, annual medical conference, clinical research network
NAICS code2 codes
  • Professional, Scientific, and Technical Services54
  • Professional, Scientific, and Technical Services541
SIC code2 codes
  • Services-Membership Organizations8600
  • Services-Health Services8000
Product category
Professional Medical Society Services
GTM motion2 records

Each record includes

Type, Description, Source

Revenue model5 records
1Membership Fees
TypeSubscription Recurring
Description

Annual membership subscriptions for cardiothoracic surgeons and related professionals, processed via Direct Debit or online payment.

scts.org
2Educational Events and Courses
TypeOne Time License
Description

Fee-based educational courses including the ST7.1 Pre-Consultant Course at £200 and Cardiothoracic Curriculum Review Course at £200, with course dinners and materials included.

scts.org
3Annual Meeting Registration
TypeOne Time License
Description

Registration fees for the annual meeting with exhibition and sponsorship opportunities for medical companies.

scts.org
4Donations and Fundraising
TypeAffiliate Referral
Description

Charitable donations including the London to Brighton Cycle Ride where riders raise sponsorship (aiming £150 per rider) supporting educational and professional development activities.

scts.org
5Sponsorship
TypeAdvertising
Description

Corporate sponsorship opportunities for annual events including kit branding, event-day presence, social media features, and recognition in media coverage.

scts.org
Marketing channels9 records

Each record includes

Title, Type, Stage, Description, Source

Distribution channels4 records

Each record includes

Title, Type, Scope, Target buyer, Description, Source

Cost components5 values
Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure
Pricing details5 tiers
1ST7.1 Cardiothoracic Surgery Pre-Consultant Course
ModelUnit PricingBilling cadencePay-as-you-go
Notes

£200 per delegate for ST7 level NTNs and Trust Appointed Doctors. Course fee is non-refundable. Certificate provided upon completion of feedback form post-course.

scts.org
2Cardiothoracic Curriculum Review Course for Trust-Appointed Doctors
ModelUnit PricingBilling cadencePay-as-you-go
Notes

£200 fee for successful candidates. Includes refreshments, lunches, and course dinner on Day 1. Travel and accommodations not included.

scts.org
3London to Brighton Cycle Ride 2026 - General Entry
ModelUnit PricingBilling cadencePay-as-you-go
Notes

£55 per rider general entry. Includes fully supported ride, complimentary water stops, and medal at finish.

scts.org
4London to Brighton Cycle Ride 2026 - Trainee Entry
ModelUnit PricingBilling cadencePay-as-you-go
Notes

£35 trainee entry fee.

scts.org
5London to Brighton Cycle Ride 2026 - Student Entry
ModelUnit PricingBilling cadencePay-as-you-go
Notes

£20 student and unwaged entry fee.

scts.org
GTM typeB2B
B2B
Offering typeServices
Services
Core offering1 text field

SCTS is a registered professional medical society that provides cardiothoracic surgery professionals with membership services, accredited education and training courses, an annual scientific meeting, fellowship programmes, research coordination through the Cardiothoracic Interdisciplinary Research Network (CIRN), publications, and public patient information resources across cardiac, thoracic, and congenital subspecialties in Great Britain and Ireland.

Differentiator
Functional benefit
Problem solved
Quantifiable outcome1 of 2 values shown
  • National cardiac transformation programme working with NHS England to improve minimally invasive cardiac surgery coding and establish best practice tariff for enhanced recovery.
+1 more record
Product overview1 text field

The Society for Cardiothoracic Surgery operates a membership-based professional organization offering educational programs (courses, fellowships, SCTS-Ionescu University), annual conferences, patient information resources, publications (SCTS Bulletin, From The Chest, Books), research support, and member services. The organization serves cardiac, thoracic, and congenital subspecialties through training, education, and professional development across multiple career stages from medical students to consultants.

Product and service1 record
1SCTS Professional Membership
Scale indicator1 record

Each record includes

Type, Value, Description, Source

Partnership6 partners
Strategic tierCoreTypeStrategic or Co-development PartnerAnnounced on2026-09-24
Description

J&J MedTech provides support for the Cardiothoracic Curriculum Review Course for Trust-Appointed Doctors. The 2-day course is run at J&J MedTech's state-of-the-art Pinewood Campus facility, demonstrating a strategic partnership for surgical education and training delivery.

Strategic tierCoreTypeStrategic or Co-development Partner
Description

SCTS maintains an office at the Royal College of Surgeons and collaborates on professional standards, surgical education, and representation. The President participates in College events including the Buxton Browne lecture.

Strategic tierCoreTypeStrategic or Co-development Partner
Description

SCTS works closely with NHS England's Cardiac Clinical Reference Group on the national cardiac transformation programme, specifically for increasing uptake of minimally invasive cardiac surgery and enhanced recovery protocols.

4Cardiothoracic Surgery Research Network (CIRN)
Strategic tierCoreTypeStrategic or Co-development Partner
Description

CIRN is the research network under SCTS governance, coordinating clinical research and trials in cardiothoracic surgery across member institutions.

scts.org
Strategic tierMinorTypeGTM or Marketing Partner
Description

Charity partner for the London to Brighton Cycle Ride 2026, with riders from the You okay doc? charity participating in the fundraising event.

Strategic tierMinorTypeChannel Partner/ Reseller/ Distributor
Description

Event management partner for the London to Brighton Cycle Ride, providing online registration and event logistics through booking.skylineevents.co.uk platform.

Recent move6 records

Each record includes

Date, Type, Title, Description, Source

Expansion highlight5 records

Each record includes

Type, Description

Peers10 records
TypeBroad incumbent
Description

The principal UK professional society for cardiologists, overlapping with SCTS in cardiovascular patient pathways, NHS policy engagement, and educational programming. Comparable as a UK-based cardiovascular specialty society, though focused on cardiology rather than surgery.

TypeBroad incumbent
Description

The UK professional body for physicians, providing training, education, and policy representation. Comparable as a much larger UK medical professional membership organization that SCTS members frequently also belong to.

TypeEmerging player
Description

A smaller international professional society focused specifically on heart and lung transplantation, a sub-domain of cardiothoracic surgery that SCTS also serves. Comparable in niche specialty focus and meeting-led education, though narrower in clinical scope.

TypeBroad incumbent
Description

The UK-wide trade union and professional association for doctors. Comparable as a UK-wide medical membership organization that negotiates on physician workforce, pay, and conditions — a much broader-scale counterpart of the specialist-society model SCTS operates.

TypeBroad incumbent
Description

The leading European cardiology society with annual congresses, guidelines, and education that intersect with SCTS's cardiac surgery agenda. Comparable as a peer in the cardiovascular clinical specialty space, though operating at much greater scale across the cardiology discipline.

6The Society of Thoracic Surgeons (STS)
TypeDirect peer
Description

The US-based professional society for cardiothoracic surgeons, providing annual meetings, workforce education, clinical guidelines, and national outcome databases. Highly comparable to SCTS in mission, structure, and product mix; differs primarily by geography and scale.

TypeDirect peer
Description

Historic North American specialty society for thoracic and cardiovascular surgeons, running annual meetings, research awards, and education. Directly comparable as a peer cardiothoracic surgery professional society with a similar membership-led, education-and-research mission.

TypeDirect peer
Description

The leading European professional society for cardiothoracic surgery, offering annual meetings, educational courses, fellowships, and clinical guidelines. Direct overlap with SCTS in membership, education, and standards-setting for cardiothoracic surgeons in Europe.

TypeBroad incumbent
Description

The overarching UK professional body for surgeons across all specialties. SCTS operates from RCS office space, collaborates on standards and lectures, and is a sub-specialty society within the broader RCS ecosystem — comparable as a wider-scope incumbent that SCTS both partners with and sits beneath.

10Association for Cardiothoracic Anaesthesia and Critical Care (ACTACC)
TypeEmerging player
Description

A UK-based professional society for cardiothoracic anaesthetists and intensivists who work alongside cardiothoracic surgeons. Comparable as a closely adjacent specialty society with overlapping educational events and NHS-facing policy work.

Market position
Strengths5 records

Each record includes

Headline, Details, Source

Weaknesses5 records

Each record includes

Headline, Details, Source

Competitive moat5 records

Each record includes

Type, Details

Key risks6 records

Each record includes

Headline, Details, Source

Key highlights7 records

Each record includes

Headline, Details, Source

Customer concentration

Classification, Details

Named customers4 records

Each record includes

Name, Industry, Type, Use case, Source, UUID

Segment4 records

Each record includes

Title, Type, Primary, Description, Pain point addressed, Use case, Source

Ideal customer profile4 records

Each record includes

Profile, Firmographic size, Sales motion, Sales cycle length, Buying structure, Purchase trigger, Buyer persona, Geography, Industry vertical, Primary use case, Description, Pain points, Evidence proof points, Target buyer

Technology focused
No
API detail
Has APIbool
No

Docs URL, Description

AI maturity
App detail

Has app

Core technology
Revenue estimate
Valuation estimate
Number of profiles
Profiles4 records

Each record includes

Name, Designation, Designation category, Overview, Profile commentary, Source

No data
No data
Funding overview

Funding stage, Last funding date, Total funding USD

Funding rounds

Each record includes

Round, Amount USD, Date, Pre money valuation, Total investors, Investors, News

Investors

Each record includes

Name, Type, Date of entry, Rounds participated, Website

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Each record includes

Name, Acquisition type, Announced date, Completed date, Status, Website, News

Investment

Each record includes

Name, Round, Announced date, Lead investor, Website, News

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Society for Cardiothoracic Surgery

Professional Medical Society Servicesscts.org

The Society for Cardiothoracic Surgery in Great Britain and Ireland (SCTS) is a UK-registered charity and the recognised professional body for cardiothoracic surgeons, trainees, students, nursing and allied health professionals in Great Britain and Ireland, delivering education, annual meetings, research coordination, and patient information resources.

What Society for Cardiothoracic Surgery does

The Society for Cardiothoracic Surgery in Great Britain and Ireland (SCTS) is a registered UK charity (No. 1113536) and private non-profit professional medical society headquartered at 38-43 Lincoln's Inn Fields, London. It functions as the recognised professional body for the cardiothoracic surgical community in Great Britain and Ireland, serving consultant surgeons, NTN trainees, Trust-Appointed Doctors, medical students, nursing and allied health professionals, and patients seeking information on cardiac, thoracic, and congenital conditions. Its core activities span education (courses, fellowships, SCTS-Ionescu University), an annual scientific meeting, publications (SCTS Bulletin, From The Chest, books), research coordination via the Cardiothoracic Interdisciplinary Research Network (CIRN), and national policy engagement through NHS England's Cardiac Clinical Reference Group.

The society operates a membership-based digital platform (scts.org) providing access to educational resources, event booking, a member directory, and patient-facing information covering procedures, glossaries, and outcome data. Technology is conventional web content management without proprietary AI or platform IP; the technology layer supports rather than differentiates the organisation. The society also runs specialised training courses delivered at partner venues such as Keele Anatomy & Surgical Training Centre and the J&J MedTech Pinewood Campus.

SCTS generates revenue through five streams: annual membership subscriptions (Direct Debit/online), paid educational courses (e.g., £200 for the ST7.1 Pre-Consultant Course and the Curriculum Review Course), annual meeting registration with corporate exhibition and sponsorship, charitable donations and fundraising events (notably the London to Brighton Cycle Ride), and corporate sponsorship packages. The go-to-market motion is community-led, centred on membership acquisition and event-driven engagement, with marketing distributed across the website, weekly e-newsletter, social channels (LinkedIn, X, Facebook, Instagram), and the flagship annual meeting. No headcount, revenue figures, or financial statements are disclosed in the available data.

Society for Cardiothoracic Surgery firmographics

Firmographics
Name
Society for Cardiothoracic Surgery
Legal name
Society for Cardiothoracic Surgery in Great Britain & Ireland
Website
https://scts.org
Company type
Private
Founded year
1934
Operating status
Operating
Headcount range
1–10 employees
Short description
The Society for Cardiothoracic Surgery in Great Britain and Ireland (SCTS) is a UK-registered charity and the recognised professional body for cardiothoracic surgeons, trainees, students, nursing and allied health professionals in Great Britain and Ireland, delivering education, annual meetings, research coordination, and patient information resources.
Ownership category
akta.pro rank

Where Society for Cardiothoracic Surgery is headquartered

Location

Headquarters

HQ city
London
HQ country
United Kingdom
HQ region
Europe

Offices1 record

Markets served

Society for Cardiothoracic Surgery business model

Business model
GTM type
B2B
Offering type
Services
Cost components
Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

  1. Membership Fees: Annual membership subscriptions for cardiothoracic surgeons and related professionals, processed via Direct Debit or online payment.
  2. Educational Events and Courses: Fee-based educational courses including the ST7.1 Pre-Consultant Course at £200 and Cardiothoracic Curriculum Review Course at £200, with course dinners and materials included.
  3. Annual Meeting Registration: Registration fees for the annual meeting with exhibition and sponsorship opportunities for medical companies.
  4. Donations and Fundraising: Charitable donations including the London to Brighton Cycle Ride where riders raise sponsorship (aiming £150 per rider) supporting educational and professional development activities.
  5. Sponsorship: Corporate sponsorship opportunities for annual events including kit branding, event-day presence, social media features, and recognition in media coverage.

Pricing tiers

ModelBillingPrice
Unit PricingPay-as-you-goST7.1 Cardiothoracic Surgery Pre-Consultant Course
Unit PricingPay-as-you-goCardiothoracic Curriculum Review Course for Trust-Appointed Doctors
Unit PricingPay-as-you-goLondon to Brighton Cycle Ride 2026 - General Entry
Unit PricingPay-as-you-goLondon to Brighton Cycle Ride 2026 - Trainee Entry
Unit PricingPay-as-you-goLondon to Brighton Cycle Ride 2026 - Student Entry

Go-to-market motion2 records

Distribution channels4 records

Marketing channels9 records

Society for Cardiothoracic Surgery product offering

Product offering

Core offering

SCTS is a registered professional medical society that provides cardiothoracic surgery professionals with membership services, accredited education and training courses, an annual scientific meeting, fellowship programmes, research coordination through the Cardiothoracic Interdisciplinary Research Network (CIRN), publications, and public patient information resources across cardiac, thoracic, and congenital subspecialties in Great Britain and Ireland.

Product overview

The Society for Cardiothoracic Surgery operates a membership-based professional organization offering educational programs (courses, fellowships, SCTS-Ionescu University), annual conferences, patient information resources, publications (SCTS Bulletin, From The Chest, Books), research support, and member services. The organization serves cardiac, thoracic, and congenital subspecialties through training, education, and professional development across multiple career stages from medical students to consultants.

Differentiator

Problem solved

Functional benefit

Products and services

  • SCTS Professional Membership

Quantifiable outcome

  • National cardiac transformation programme working with NHS England to improve minimally invasive cardiac surgery coding and establish best practice tariff for enhanced recovery.
  • +1 more outcomes

Companies that use Society for Cardiothoracic Surgery

Customer profile

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Society for Cardiothoracic Surgery technology and API

Technology

Technology focussed No

API detail

Has API
No
API docs
API detail

Core technology

AI maturity

App detail

Society for Cardiothoracic Surgery partnerships and signals

Strategic signal

Partnerships

Six partnerships are on record, tiered core and minor.

  • J&J MedTechcoreStrategic or Co-development Partner · 24 September 2026J&J MedTech provides support for the Cardiothoracic Curriculum Review Course for Trust-Appointed Doctors. The 2-day course is run at J&J MedTech's state-of-the-art Pinewood Campus facility, demonstrating a strategic partnership for surgical education and training delivery.
  • Royal College of SurgeonscoreStrategic or Co-development PartnerSCTS maintains an office at the Royal College of Surgeons and collaborates on professional standards, surgical education, and representation. The President participates in College events including the Buxton Browne lecture.
  • NHS England - Cardiac Clinical Reference GroupcoreStrategic or Co-development PartnerSCTS works closely with NHS England's Cardiac Clinical Reference Group on the national cardiac transformation programme, specifically for increasing uptake of minimally invasive cardiac surgery and enhanced recovery protocols.
  • Cardiothoracic Surgery Research Network (CIRN)coreStrategic or Co-development PartnerCIRN is the research network under SCTS governance, coordinating clinical research and trials in cardiothoracic surgery across member institutions.
  • You okay doc?minorGTM or Marketing PartnerCharity partner for the London to Brighton Cycle Ride 2026, with riders from the You okay doc? charity participating in the fundraising event.
  • Skyline EventsminorChannel Partner/ Reseller/ DistributorEvent management partner for the London to Brighton Cycle Ride, providing online registration and event logistics through booking.skylineevents.co.uk platform.

Scale indicators1 record

Recent moves6 records

Expansion highlights5 records

Society for Cardiothoracic Surgery competitors and assessment

Company assessment

Broad incumbents

  • British Cardiovascular Society (BCS): The principal UK professional society for cardiologists, overlapping with SCTS in cardiovascular patient pathways, NHS policy engagement, and educational programming. Comparable as a UK-based cardiovascular specialty society, though focused on cardiology rather than surgery.
  • Royal College of Physicians: The UK professional body for physicians, providing training, education, and policy representation. Comparable as a much larger UK medical professional membership organization that SCTS members frequently also belong to.
  • British Medical Association (BMA): The UK-wide trade union and professional association for doctors. Comparable as a UK-wide medical membership organization that negotiates on physician workforce, pay, and conditions — a much broader-scale counterpart of the specialist-society model SCTS operates.
  • European Society of Cardiology (ESC): The leading European cardiology society with annual congresses, guidelines, and education that intersect with SCTS's cardiac surgery agenda. Comparable as a peer in the cardiovascular clinical specialty space, though operating at much greater scale across the cardiology discipline.
  • Royal College of Surgeons of England: The overarching UK professional body for surgeons across all specialties. SCTS operates from RCS office space, collaborates on standards and lectures, and is a sub-specialty society within the broader RCS ecosystem — comparable as a wider-scope incumbent that SCTS both partners with and sits beneath.

Emerging players

  • International Society for Heart and Lung Transplantation (ISHLT): A smaller international professional society focused specifically on heart and lung transplantation, a sub-domain of cardiothoracic surgery that SCTS also serves. Comparable in niche specialty focus and meeting-led education, though narrower in clinical scope.
  • Association for Cardiothoracic Anaesthesia and Critical Care (ACTACC): A UK-based professional society for cardiothoracic anaesthetists and intensivists who work alongside cardiothoracic surgeons. Comparable as a closely adjacent specialty society with overlapping educational events and NHS-facing policy work.

Direct peers

  • The Society of Thoracic Surgeons (STS): The US-based professional society for cardiothoracic surgeons, providing annual meetings, workforce education, clinical guidelines, and national outcome databases. Highly comparable to SCTS in mission, structure, and product mix; differs primarily by geography and scale.
  • American Association for Thoracic Surgery (AATS): Historic North American specialty society for thoracic and cardiovascular surgeons, running annual meetings, research awards, and education. Directly comparable as a peer cardiothoracic surgery professional society with a similar membership-led, education-and-research mission.
  • European Association for Cardio-Thoracic Surgery (EACTS): The leading European professional society for cardiothoracic surgery, offering annual meetings, educational courses, fellowships, and clinical guidelines. Direct overlap with SCTS in membership, education, and standards-setting for cardiothoracic surgeons in Europe.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

Society for Cardiothoracic Surgery social profiles

Digital presence

Society for Cardiothoracic Surgery financial estimates

Financial estimate

Revenue estimate

Valuation estimate

Society for Cardiothoracic Surgery leadership team

Management profile

Number of profiles

Profiles4 records

Society for Cardiothoracic Surgery funding detail

Funding detail

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

Society for Cardiothoracic Surgery M&A and investment

M&A and investment

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Society for Cardiothoracic Surgery

What does Society for Cardiothoracic Surgery do?

SCTS is a registered professional medical society that provides cardiothoracic surgery professionals with membership services, accredited education and training courses, an annual scientific meeting, fellowship programmes, research coordination through the Cardiothoracic Interdisciplinary Research Network (CIRN), publications, and public patient information resources across cardiac, thoracic, and congenital subspecialties in Great Britain and Ireland.

Is Society for Cardiothoracic Surgery a public or private company?

Society for Cardiothoracic Surgery is a private company. It is classified as nonprofit foundation owned and is currently operating.

When was Society for Cardiothoracic Surgery founded?

Society for Cardiothoracic Surgery was founded in 1934. It employs 1 to 10 people.

Where is Society for Cardiothoracic Surgery based?

Society for Cardiothoracic Surgery is headquartered in London, United Kingdom, in the Europe region.

How does Society for Cardiothoracic Surgery make money?

Five revenue lines are on record. Membership Fees are the primary driver. The others are educational Events and Courses, annual Meeting Registration, donations and Fundraising and sponsorship.

Who are Society for Cardiothoracic Surgery's main competitors?

Broad incumbents on record are British Cardiovascular Society (BCS), Royal College of Physicians, British Medical Association (BMA), European Society of Cardiology (ESC) and Royal College of Surgeons of England. Emerging players are International Society for Heart and Lung Transplantation (ISHLT) and Association for Cardiothoracic Anaesthesia and Critical Care (ACTACC). Direct peers are The Society of Thoracic Surgeons (STS), American Association for Thoracic Surgery (AATS) and European Association for Cardio-Thoracic Surgery (EACTS).

Does Society for Cardiothoracic Surgery have an API?

No public API is recorded for Society for Cardiothoracic Surgery.

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