Cardiac and Aortic Surgeon @Pitt/UPMC

Joined August 2023
Photos and videos
Derek Serna-Gallegos MD retweeted
🔥Hof off the press🔥 Read our special edition about #AorticSurgery in @JACCJournals #JACCCaseReports #AortaEd sciencedirect.com/science/ar… 💥Special thanks to @IbrahimSultanMD and @DSGMD for my #aortic training with them in 2023/2024 at @UPMC_CTSurgery @HviUpmc. Really good times!
Welcome to our APRIL 29 issue of #JACCCaseReports @JACCJournals, with a mini-focus on AORTIC disease. This is an important area for both diagnosis and management, affecting a large % of the Asian population. Hope you enjoy reading these publications. Thank you @M_Pompeu_Sa_MD for authoring the Editor’s Page on this topic. Acute Aortic Syndromes: A Call for Specialization, Centralization and Collaboration jacc.org/doi/10.1016/j.jacca… jacc.org/journal/case-report… Full PDF here: jacc.org/doi/10.1016/S2666-0… @minnowwalsh @hmkyale @Justine_Turco AORTIC MINI-FOCUS Transcatheter Aortic Valve Replacement in a Failed Homograft jacc.org/doi/10.1016/j.jacca… How to Plan a Transcatheter Aortic Valve Replacement in a Failed Aortic Homograft jacc.org/doi/10.1016/j.jacca… “Roundabout” Bailout Stenting for Subacute Right Coronary Artery Obstruction After Self-Expandable Transcatheter Aortic Valve Replacement jacc.org/doi/10.1016/j.jacca… Valve Pop-Up and Infolding in Transcatheter Aortic Valve Replacement for a Heavily Calcified Bicuspid Valve jacc.org/doi/10.1016/j.jacca… Successful Transcatheter Aortic Valve Implantation for Severe Stenosis of a Quadricuspid Aortic Valve jacc.org/doi/10.1016/j.jacca… Left Bundle Branch Area Pacing After Subaortic Membrane Resection jacc.org/doi/10.1016/j.jacca… Heart Transplantation as Salvage Therapy of Candida tropicalis Prosthetic Aortic Valve Endocarditis jacc.org/doi/10.1016/j.jacca… Safety and Feasibility of Transcatheter Aortic Valve Replacement in Patients With Hematologic Neoplasms jacc.org/doi/10.1016/j.jacca… Extended Root and Arch Replacement for Filamin A–Related Aortopathy With Severe Aortic Regurgitation jacc.org/doi/10.1016/j.jacca… Beyond Diameter: Insights From the Aortic Wall in FLNA-Related Aortopathy jacc.org/doi/10.1016/j.jacca… Infectious Aortitis Following Type B Dissection jacc.org/doi/10.1016/j.jacca… Hemodynamic Effects of Adjunct Intra-Aortic Balloon Pumping During Veno-Arterial ECMO: A Pressure-Volume Loop Study jacc.org/doi/10.1016/j.jacca… Unilateral Renal Denervation for Refractory Hypertension in Aortic Dissection jacc.org/doi/10.1016/j.jacca… @aroniskn @CraigBasman @JACabreraCardio @MiChen__ @aabha_divya @sarano_maurice @MarcEngels7 @Miho_Fukui_ @ErikaHuttce @Nishaki1 @MMarinCuartas @ChrissyMD2000 @ACHDocTMoe @PanjrathG @jsaef1 @Kentso987 @TagliariPaula @m_taramasso @SyedZaidMD
7
24
2,996
Closing thoughts. Your team is like a family you see each other through difficult and stressful situations. Gaining the respect of the team is imperative to being a productive leader and that takes time and effort and eventually trust of each team member #CTcareers
1
4
9
1,236
T4 Emotion can be a great thing if it’s productive. Minimizing unproductive emotion is key while sharing positive emotion with the whole team can elevate everyone’s ability to take on tough challenges. Focus on productive emotions #CTCareers
2
2
8
1,248
T3 response. Any way that you can! Look for areas that need a leader and fill those positions. As a team player it’s important to find things that need improvement and to take initiative to improve those things #CTcareers
1
4
893
T2 response. In developing leadership style it’s important to realize it’s not something to be born with it takes effort to develop. Goals are important to set as to what to accomplish in leadership position #CTCareers
2
6
675
For me leading in the OR is making sure everyone is on the same page and understands their individual responsibilities for getting the patient the best possible outcome. Defining roles is one of the best ways to make sure everyone is engaged in a shared common goal #CTCareers
1
3
3
608
Derek Serna-Gallegos cardiac surgeon in Pittsburgh PA. #CTCareers
3
145
Derek Serna-Gallegos MD retweeted
After propensity score matching, TAVR was associated with ⬇️ mid-term survival and ⬆️ heart failure readmissions vs SAVR in pts <65 years 🔗: pubmed.ncbi.nlm.nih.gov/4116… @EishanAshwatMD @sarahyousefmd @DSGMD @Irsa_Hasan @IbrahimSultanMD @AATSHQ #JTCVS #JTCVSOpen #TAVR #SAVR
1
18
72
42,049
Derek Serna-Gallegos MD retweeted
Women undergoing isolated SAVR have similar morbidity and mortality compared to men, suggesting sex may no longer be a risk factor for worse outcomes 🔗: pubmed.ncbi.nlm.nih.gov/4095… @HviUpmc @Irsa_Hasan @JuliePhillippi @DSGMD @cediazc @IbrahimSultanMD @ccijournal #SAVR #AVR
3
7
761
Derek Serna-Gallegos MD retweeted
Neochord implantation for posterior leaflet pathology is associated with ⬆️ risk of mitral valve reintervention vs leaflet resection in the long-term 🔗: pmc.ncbi.nlm.nih.gov/article… 📹: aats.org/resources/posterior… @Irsa_Hasan @DSGMD @IbrahimSultanMD @HviUpmc @AATSHQ #JTCVS #MVR
1
7
27
2,019
Derek Serna-Gallegos MD retweeted
Retrospective database study of CABGs did not find independent association between epiaortic ultrasound use & postop stroke 🔗: pubmed.ncbi.nlm.nih.gov/3949… 📹: aats.org/resources/the-impac… @sarahyousefmd @M_Pompeu_Sa_MD @DSGMD @DavidKaczoro @IbrahimSultanMD @HviUpmc @AATSHQ #JTCVS #CABG
1
4
17
1,474
Derek Serna-Gallegos MD retweeted
This is going to be a great session. Please log in!
🚀 First 5 years in CT surgery? Let’s talk contracts, cases & career moves. Join @DSGMD, Dr. Douglas Liou & @jgrizzity LIVE on Instagram — Tues, Sept 16 at 7 p.m. ET. No reg needed, just follow STS & tune in! #CTsurgery #EarlyCareerSurgeons
2
7
2,134
Derek Serna-Gallegos MD retweeted
🚀 First 5 years in CT surgery? Let’s talk contracts, cases & career moves. Join @DSGMD, Dr. Douglas Liou & @jgrizzity LIVE on Instagram — Tues, Sept 16 at 7 p.m. ET. No reg needed, just follow STS & tune in! #CTsurgery #EarlyCareerSurgeons
8
24
4,752
Derek Serna-Gallegos MD retweeted
🔥Hot off the press in @JCVAonline🔥 #TAVR vs #SAVR in pts with EF<50% 205 #PSM pairs No difference in 30d☠️, stroke and reinterventions PVL and MG⬆️with TAVI TAVR with ⬆️ ☠️ in 6y follow-up @IbrahimSultanMD @DSGMD @UPMC_CTSurgery @HviUpmc jcvaonline.com/article/S1053…
2
15
45
3,555
Derek Serna-Gallegos MD retweeted
Incidence of hemodynamic valve deterioration 1y post #TAVI was 6.2% in a retrospective cohort study, with ⬇️ valve size associated w/early HVD 🔗: pubmed.ncbi.nlm.nih.gov/4079… @EishanAshwatMD @DSGMD @Amber_MakaniMD @Irsa_Hasan @CatalinPToma @IbrahimSultanMD @annalsthorsurg @HviUpmc
1
8
27
1,725
Derek Serna-Gallegos MD retweeted
Early HVD, per VARC-3 criteria, is an important outcome after TAVI. Our findings: 🔹HVD in 6.2% of pts 1-yr post-TAVI 🔹Smaller valve size ↑ HVD risk 🔹Larger valves = protective @IbrahimSultanMD @DSGMD @HviUpmc @annalsthorsurg 📎authors.elsevier.com/sd/arti…
1
4
12
1,121
Derek Serna-Gallegos MD retweeted
Tracheostomy is associated with significant longitudinal mortality and readmissions following acute type A aortic dissection repair 🔗: pubmed.ncbi.nlm.nih.gov/4063… @cediazc @DSGMD @DavidKaczoro @JuliePhillippi @danial_ahmad93 @IbrahimSultanMD @AATSHQ #JTCVS #AorticDissection #Aorta
4
17
892
Derek Serna-Gallegos MD retweeted
🚨 In patients <65, TAVR is not an equivalent index operation to SAVR 10-year analysis shows ⬇️ 5-year survival and ⬆️ HF readmissions in matched TAVR vs SAVR pts <65, supporting ACC/AHA Class I SAVR guidelines @IbrahimSultanMD @DSGMD @UPMC_CTSurgery jtcvsopen.org/article/S2666-…
2
10
300
Derek Serna-Gallegos MD retweeted
10-year experience w/#MechanicalValve conduits for aortic root replacement shows 30d mortality rate of 6.9% and stroke rate of 3.7%, comparable to other centers 🔗: pubmed.ncbi.nlm.nih.gov/4063… @danial_ahmad93 @sarahyousefmd @DSGMD @DavidKaczoro @Irsa_Hasan @IbrahimSultanMD @HviUpmc
3
6
693
Derek Serna-Gallegos MD retweeted
#AdultCardiac #CME article from Brown et al on Natural History of Mitral Regurgitation After Transcatheter Aortic Valve Implantation: 10.1016/j.athoracsur.2024.09.008 #AnnalsCME @sarahyousefmd @M_Pompeu_Sa_MD @danial_ahmad93 @DSGMD @CatalinPToma @Amber_MakaniMD @IbrahimSultanMD
6
15
1,821