Fascinated by these 3D printed hearts.
@Dr_HaniNajm
pushing the limits of the possible in complex congenital heart surgery. Don’t underestimate the value of a casual visit to a colleague’s office
@CleClinicHVTI
@CCF_CTSRes
The CABG advantage: Fake assertion or obvious reality? Patient alive decades after CABG thanks to a patent LTA-LAD as the only blood supply to the entire heart through collaterals! No stent can ever do that!
@TallRoundsTM
@ClevelandClinic
I have never seen anyone more dedicated to the well-being of his patients. Patients always came first. He worked super-human hours to save the lives of countless patients-many were turned down by other surgeons because of the risk/complexity of the surgery. He was their last hope
Not a single trial has ever reported a complete revascularization rate that is that low with CABG. A rate of 35.7% is implausible and incompatible with real world practice. I call for an independent inquiry and review of the data and methodology.
Persistent violation of protocol and artificial definitions are a characteristic of certain authors. Nonetheless that does not stop journals accepting their manuscripts…E pur si muove.
@FaisalBakaeen
@rafasadaba
@pomyers
@JoeSabik
Congratulations
@Dr_HaniNajm
This is a tremendous recognition for all the great work that you do to save and improve lives
@CleClinicHVTI
@ClevelandClinic
This award underscores the important impact of innovations in cardiac surgery on medicine that you helped bring to light.
2021: The American Association for Thoracic Surgery Expert Consensus Document: Coronary artery bypass grafting in patients with ischemic cardiomyopathy and heart failure.
@AATSHQ
@AATSJournals
@TallRoundsTM
@CleClinicMD
A world-renowned cardiologist
@tavrkapadia
become a member of the
@AATSHQ
#AATS2034
| The future is about innovation and collaboration | Congratulations Samir!
CABG not bad for the brain! Association of CABG vs PCI With Memory Decline in Older Adults Undergoing Coronary Revascularization | Cardiology | JAMA |
@TallRoundsTM
@AATSHQ
@STS_CTsurgery
@JAMANetwork
The advantage of surgical revascularization in diabetic patients with multivessel disease: More arterial conduits, more benefit - The Journal of Thoracic and Cardiovascular Surgery
@AATSJournals
@TallRoundsTM
Surgical approach (developed by Dr. Gosta Pettersson
@ClevelandClinic
) to the aneurysmal RCA w middle cardiac vein fistula (below): suture closure of fistula, marsupialization of RCA & reconstruction w SVG & reattachment of RCA branches (N=8)
@CleClinicHVTI
Before,during,after
Indiscriminate/excessive use of surgical glue is associated with tissue damage, poor healing, pseudoaneurysms, and infections. Expect a hostile reoperative field that looks black like this:
Honored to present
@EACTS
. Many fantastic talks and late breaking data at
#EACTS2022
. Looking forward to connecting with friends from around the world.
Please join me in welcoming Dr. Gösta Pettersson
@MdGosta
to Twitter. Recent picture below: planning an urgent 5th-time redo multi-valve endocarditis. Enough said!
2021: The American Association for Thoracic Surgery Expert Consensus Document: CABG in Patients with Ischemic Cardiomyopathy and Heart Failure Presented at
#AATS2021
& simultaneously published
@AATSJournals
Cath findings of RCA ectasia, CTA reveals true aneurysm size. Intraop picture of open sac after evacuation of intramural hematoma. Kawasaki disease: coronary involvement can range from transient mild dilatation occurring in up to 40% of patients, to giant coronary aneurysms
@pomyers
giving a phenomenal talk on how to develop guidelines
@EACTS
#EACTS2022
. The path forward is Open Process, Open Data, Open Science, and Accountability. No room for Bias or Manipulations. Quality and trustworthiness are assured.
Today we honor Cleveland Clinic heart surgeon René Favaloro on what would have been his 100th birthday.
Dr. Favaloro introduced coronary artery bypass surgery into clinical practice.
It's a procedure that has saved countless lives since.
A rise over time in the number of open operations in patients with prior TAVR. Many are complex, urgent, or reoperative cases. Some did not have all the cardiac pathologies addressed at the time of TAVR. Wisdom: use TAVR appropriately or face a bigger problem down the road.
Worth sharing with our patients: The historical concerns about the heart & lung machine and risk of cognitive decline are irrelevant in modern-day CABG.
Serving on
@JAMASurgery
@JAMA_current
editorial board is a distinct privilege. Today I witnessed first hand the amazing team dynamics and how impactful decisions are made at the highest levels at the world’s leading surgical journal.
@kibbemr
The highlight of the year and the best night of all:
@CCF_CTSRes
graduation ceremony. Congratulations to all our amazing trainees! You will take cardiothoracic surgery to new heights.
Commentary: Timing of CABG after ST elevation myocardial infarction: All judgment, no magic - The Journal of Thoracic and Cardiovascular Surgery
@AATSJournals
The heavier the atherosclerotic burden, the greater the benefit of CABG over PCI. Experts agree that in appropriately selected patients: Multi-arterial CABG=longer life
This is the largest series on reoperations in patients w patent BITAs. RITAs crossing the midline are at increased risk of injury & should inform planning during primary CABG. Risk of low cardiac output underscores the challenge of myocardial protection.
There is a dose response relationship between myocardial mass supplied by ITAs and survival. Importantly, if the LAD is not a wrap around LAD the second ITA should, when possible, go to multiple important targets to achieve better long term-survival.
Beneficial effect of BIMA multiarterial grafting depends on LAD dominance at
@JACCJournals
This study surely contributes to define the subgroup of pts who might benefit most from BIMA. Congratulations
@FaisalBakaeen
This is how I teach it today, and this is how I wish someone has taught it to me back then. Mutiarterial grafting is a boutique offering that can shift to mass production with appropriate training and quality control.
Excellent plenary presentation
@STS_CTsurgery
#STS2023
by a rising star in our specialty
@R_Strobes
.
#COVID
19 associated with increased perioperative risk in cardiac surgery regardless of socioeconomic status
Join us at
#AATS2024
to listen in on a guest lecture from global icon Arnold Schwarzenegger titled “My Journey Leading in America.” Hear
@Schwarzenegger
’s inspiring story in Toronto this April:
Enjoyed this episode of Giants of Cardiothoracic Surgery: An Interview With Lars Svensson
@ctsnetorg
From the importance of mentors, teams & leaders, to innovations, elephant trunks & lions. Prediction of a productive & bright future for our profession
CABG is durable and saves lives. This patient had stable angina 25 years ago. There is absolutely no other therapy that could have kept this patient alive today. Now, with occluded LM and RCA. The left mammary supplies the entire heart through collaterals.
Ms. Kolata
@ginakolata
your article title
@nytimes
misrepresents the findings of the trial. Stents are not heart surgery. Most surgery is warranted and done on patients with severe coronary disease and symptoms. That’s why trial only had a minority of CABG patients
#ISCHEMIA
An eye opener: Operative mortality of 17% for open surgery after TAVR. Although rare, we will be seeing more of this as more patients get TAVR. Experience in complex cardiac procedures is paramount in mitigating the risk and optimizing outcomes.
Among the small fraction of patients who undergo redo surgery for a failed TAVR device, outcomes are worse than for those receiving initial surgical aortic valve replacement, according to registry data
@ojawitzMD