Colleagues, how would you fix this single leaflet perforation in a healthy 20 year old man? History of traumatic MVC. No known history of endocarditis. Torrential AR. R/N cusps pristine. See image in comments.
I was planning to do Ross but given the nice thick rim of scar tissue, decided to patch with fresh untreated autologous pericardium and running 7-0 prolene tied away from the free margin...
Proud to share a glimpse into the work underway at the Mass General Brigham Heart & Vascular Institute as we push toward becoming a high reliability organization. Improving quality and safety in cardiac surgery requires relentless self-evaluation, teamwork, innovation, and transparency and our teams are fully committed to that mission. @mghachd@MGHHeartHealth@patrick_ellinor@MGBHeart@MGBHeartSurgeryyoutube.com/watch?v=R_8hLFHE…
I still cannot understand why people replace regurgitant bicuspid aortic valves in young patients. This patient had seen multiple specialists who recommended aortic valve replacement because of calcium on the fused cusp. Please repair or refer!! @AortaEd@mghachd@MGHHeartHealth
Honored and privileged to serve as the Mortimer J. Buckley Visiting Professor at @MassGenBrigham. Many thanks to the Buckley family, Thor Sundt, and entire @Harvard faculty and staff for your graciousness. Special recognition to the superb residents in whom I see...
A powerful and sobering presentation by @LucyLNam, our national data reveal a shocking reality that women with Turner Syndrome undergoing aortic surgery in the U.S. face disproportionately high morbidity and mortality. This is a call to action that cannot be ignored. @TurnerSyndSoc@AATSHQ@STS_CTsurgery@mghachd@AortaEd@MGHHeartHealth
At @AATSHQ, the conversation is finally changing. Reconstructive aortic valve surgery and the Ross are taking center stage. About time we faced the fact that prosthetic aortic valves shorten life. #SurviveAS@AortaEd#RepairAR
Aortic valve repair colleagues...does anyone use anything other than prolene for free margin plication? I now have two terrible cases where the suture caused adjacent leaflet damage and I want to use a softer material like Gore-tex or Ethibond. Please advise! @AortaEd@GebrineK@ChrisMalaisrie@schaefers_hans@OuzounianMD@IHamamsy @boodwani @OuzounianMD
Great visit with colleagues and friends at @uvmvermont Medical Center. The collaboration between @MGHHeartHealth, @mghachd, and our UVM partners has been incredible and I’m honored to play a small role in the care of their patients.
Taking my second 19mm mechanical valve of the week out today for severe patient prosthesis mismatch and panus. Patients always report being told that mechanical valves last forever...