@PatrickVargoMD profile picture
Patrick R. Vargo @PatrickVargoMD

Heart and Aorta Surgeon @ClevelandClinic. Opinions expressed here are my own.

Joined May 2020
  • Tweets 90
  • Following 89
  • Followers 558
Photos and videos
Patrick R. Vargo retweeted
AATS@AATSHQ
15 Feb 2025
Researchers at @CleClinicHVTI found age is superior to aortopathy phenotype as a predictor of aortic mechanics in patients with bicuspid valve. Get access by logging in to #JTCVS: doi.org/10.1016/j.jtcvs.2023… @Bptkramer @EricRoselliMD
In total, 105 adults undergoing elective ascending aortic replacement in the setting of bicuspid aortic valve were enrolled. The aorta was resected en bloc and cut into specimens for uniaxial or biaxial testing from the aortic root, proximal, middle, and/or distal ascending regions. Age, ascending aortic length, and maximum ascending aortic diameter appeared the most frequently in variable importance plots denoting contribution to models of physiologic and failure metrics. We conclude that aortic tissue stiffens, withstands lower wall stress, and weakens with age. Bicuspid aortopathy phenotype and valve morphology were not associated with mechanical behavior. VIMP, Variable importance.

ALT In total, 105 adults undergoing elective ascending aortic replacement in the setting of bicuspid aortic valve were enrolled. The aorta was resected en bloc and cut into specimens for uniaxial or biaxial testing from the aortic root, proximal, middle, and/or distal ascending regions. Age, ascending aortic length, and maximum ascending aortic diameter appeared the most frequently in variable importance plots denoting contribution to models of physiologic and failure metrics. We conclude that aortic tissue stiffens, withstands lower wall stress, and weakens with age. Bicuspid aortopathy phenotype and valve morphology were not associated with mechanical behavior. VIMP, Variable importance.
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Patrick R. Vargo retweeted
Haytham Elgharably, MD, PhD, FACS@HElgharablyMD
11 Jan 2025
Single vs Double Lung Transplantation in Older Adults - CHEST. Propensity match of UNOS data (~10,000 patients). Single LTx remains a reasonable option with acceptable outcomes, with the consideration of long-term outcomes and estimated survival journal.chestnet.org/article…

Single vs Double Lung Transplantation in Older Adults

Our findings show that in older adults, SLT is associated with less morbidity and comparable early survival relative to BLT, but lower 5-year survival. This suggests that SLT is reasonable to perform...

journal.chestnet.org
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Patrick R. Vargo retweeted
AATS@AATSHQ
8 Sep 2024
New open access article in #JTCVS: Early results from a physician-sponsored investigational device exemption study on branched stented anastomosis frozen elephant trunk repair. Learn more: doi.org/10.1016/j.jtcvs.2023… @EricRoselliMD @PatrickVargoMD @FaisalBakaeen @DJPBurns @AskDrMarc
Computed tomography and magnetic resonance imaging morphologic comparison identifies aortic phenotypes for early differentiation.

ALT Computed tomography and magnetic resonance imaging morphologic comparison identifies aortic phenotypes for early differentiation.
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Patrick R. Vargo retweeted
Haytham Elgharably, MD, PhD, FACS@HElgharablyMD
28 May 2024
Is Going to an LTAC as good as home? | The American Association for Thoracic Surgery | AATS aats.org/resources/going-to-…

Is Going to an LTAC is Just as Good as Going Home?

At the Forefront of Cardiothoracic Surgery, AATS members have a proven record of distinction within the specialty and have made significant contributions…

aats.org
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Patrick R. Vargo retweeted
Faisal Bakaeen MD@FaisalBakaeen
4 May 2024
From destroyed valve, to no valve, to reconstructed valve ⁦@CleClinicHVTI⁩
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Patrick R. Vargo retweeted
Haytham Elgharably, MD, PhD, FACS@HElgharablyMD
2 May 2024
We took a deep dive into our database to look at predictors of very long term weaning of Mech Vent after Lung Transplant and impact on survival @CleClinicHVTI ccts.amegroups.org/article/v…

Prolonged mechanical ventilation after lung transplant: predictors and impact on survival

Prolonged mechanical ventilation after lung transplant: predictors and impact on survival

ccts.amegroups.org
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Patrick R. Vargo retweeted
CTSNet@ctsnetorg
25 Apr 2024
“World’s Best United States: LIMA and Radial Artery Harvest” | Watch Professor Faisal Bakeen demonstrate his method for LIMA artery and radial artery harvest at the Cleveland Clinic. ow.ly/Wef450Rna8k
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Patrick R. Vargo retweeted
Marc Gillinov@AskDrMarc
18 Apr 2024
In patients with degenerative mitral regurgitation, mitral valve re-repair is associated with very low operative risk & a durable improvement in mitral valve function - regardless of failure timing. @CleClinicHVTI @CCF_CTSRes @LarsSvenssonMD consultqd.clevelandclinic.or…

Mitral Valve Re-Repair for Degenerative Disease Found Safe and Durable

Mitral valve re-repair is most feasible after early repair failure and carries low operative risk and good durability regardless of its timing, a new study shows.

consultqd.clevelandclinic.org
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Patrick R. Vargo retweeted
CTSNet@ctsnetorg
20 Mar 2024
“World’s Best: Aortic Root Replacement and an Interview With Lars Svensson” | Lars Svensson demonstrates his technique for valve-sparing aortic root replacement and discuss the history of the groundbreaking cardiac surgeries pioneered at Cleveland Clinic. ow.ly/oQ0E50QUEvS
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Patrick R. Vargo retweeted
Cleveland Clinic CTS Residency@CCF_CTSRes
15 Mar 2024
Welcome to @ClevelandClinic @CleClinicHVTI @daniel_ragheb @NikaSamadzadeh @MattAThompson24! Greatness awaits. #MatchDay2024 @ThoracicStudent @TSRA_official @JamesJYunMDPhD @PatrickVargoMD @GooseDocMD @karamlou
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Patrick R. Vargo retweeted
Cleveland Clinic Heart, Vascular & Thoracic@CleClinicHVTI
23 Feb 2024
Vital statistics in adult cardiac surgery, valve surgery & aorta surgery 🫀 Check out @ClevelandClinic’s latest volume & outcomes data in these key areas. @LarsSvenssonMD @AskDrMarc @EricRoselliMD @CCF_CTSRes consultqd.clevelandclinic.or…

Vital Statistics in Adult Cardiac Surgery, Valve Surgery and Aorta Surgery

Check out this scannable summary of Cleveland Clinic's most recent cardiac surgery outcomes and volume data.

consultqd.clevelandclinic.org
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Patrick R. Vargo retweeted
Haytham Elgharably, MD, PhD, FACS@HElgharablyMD
20 Feb 2024
Lessons learned from our battle against opioid addiction in patients presenting with endocarditis for cardiac surgery. High rates of lost to follow-up, drug relapse, and late mortality. Room for intervention in the first year #CCEndocarditis @CleClinicHVTI jacc.org/doi/10.1016/j.jacc.…

Infective Endocarditis in Patients Addicted to Injected Opioid Drugs:

jacc.org
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Patrick R. Vargo retweeted
John Treffalls, MD@JohnTreffalls
18 Dec 2023
I highly recommend any med students/aspiring CT surgeons watch this case video from @CCF_CTSRes, I scrubbed a few cases with Dr. @HElgharablyMD during my sub-I, and I could barely comprehend the redo-redo-redo cardiac anatomy 🤯 mmcts.org/case-report/1856

Re-operation for a detached left coronary button from an aortic root conduit causing a large...

mmcts.org
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Patrick R. Vargo retweeted
Eric E. Roselli@EricRoselliMD
14 Dec 2023
For subset of pts w/ Ascending aortic aneurysm (not root) that requires operation, & #BicuspidAorticValve that functions well, just fixing the aneurysm and leaving the #BAV is ok. Freedom from valve op is 95% @ 5y 83% @ 10y 63% @ 15y & reops safe #AortaEd jtcvs.org/article/S0022-5223…
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Patrick R. Vargo retweeted
Haytham Elgharably, MD, PhD, FACS@HElgharablyMD
10 Dec 2023
One way to handle a large retrosternal aortic pseudoaneurysm originating from a dehisced left coronary button. It takes a team of teams to succeed in this challenge @CleClinicHVTI MMCTS mmcts.org/case-report/1856

Re-operation for a detached left coronary button from an aortic root conduit causing a large...

mmcts.org
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Patrick R. Vargo retweeted
Haytham Elgharably, MD, PhD, FACS@HElgharablyMD
7 Dec 2023
#CCEndocarditis announces a hotline email (referccendocarditis@ccf.org) to receive second opinion inquires of endocarditis cases or facilitate transfer to our center, after evaluation by our multi-disciplinary team and respond within 2 business days. my.clevelandclinic.org/depar…
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Patrick R. Vargo retweeted
Eric E. Roselli@EricRoselliMD
12 Nov 2023
Great work from the Cardio-Rheum Center and @DrHebaMD @CleClinicHVTI presented @American_Heart
heba wassif@DrHebaMD
11 Nov 2023
SLE versus controls propensity cohort, 275,827 patients years and 4.3 years of follow up after cardiac surgery (valve /CABG). Powerful data, single center comparable outcomes 30 days&1y ⁦@EricRoselliMD⁩ ⁦@tavrkapadia⁩ ⁦@LarsSvenssonMD⁩ ⁦⁦@ELittlejohnDO⁩
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Patrick R. Vargo retweeted
Haytham Elgharably, MD, PhD, FACS@HElgharablyMD
12 Nov 2023
Abstract 15376: Candidacy and Fate of Right Heart Failure Patients Undergoing Tricuspid Valve Surgery | Circulation ahajournals.org/doi/10.1161/…

Abstract 15376: Candidacy and Fate of Right Heart Failure Patients Undergoing Tricuspid Valve...

Objective: There are no current guidelines for risks and benefits of cardiac surgery for patients with right heart failure (RHF). In this study, we analyzed pre-operative RHF variables aiming to...

ahajournals.org
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Patrick R. Vargo retweeted
TSRA
@TSRA_official
25 Oct 2023
Our JTCVS article of the month: Branched Stented Anastamosis Frozen Elephant Trunk Repair (B-SAFER): Early Results from a Physician-sponsored Investigational Device Exemption Study Author: Eric Roselli, and colleagues jtcvs.org/article/S0022-5223…

Branched stented anastomosis frozen elephant trunk repair: Early results from a physician-sponsored...

Multisegment thoracic aortic disease typically requires total aortic arch replacement, affects a heterogenous population, and carries a high risk even at centers of excellence. Risk has been associ...

jtcvs.org
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Patrick R. Vargo retweeted
AATS Journals@AATSJournals
24 Oct 2023
Is RV free wall revascularization underrated? Sequential bypass of mid-right coronary artery to resolve acute RV dysfunction. Read the #JTCVS TECH article by Pizano, Elgharably, et al: doi.org/10.1016/j.xjtc.2023.… @AATSHQ @tssmn @jbumana @SergeHarbMD @FaisalBakaeen @HElgharablyMD
Bypass (arrow) of the mid-right coronary artery (RCA) using a saphenous vein graft (SVG).

ALT Bypass (arrow) of the mid-right coronary artery (RCA) using a saphenous vein graft (SVG).
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