1. Urgent Ultrasound-Guided Bilateral Stellate Ganglion Blocks in a Patient With Medically Refractory Ventricular Arrhythmias.

    Critical Care Medicine 43(8):e316 (2015) PMID 25978339

    To describe the successful treatment of medically refractory ventricular arrhythmias in the ICU with ultrasound-guided bilateral stellate ganglion blocks. The data were gathered from the medical record. This case was selected as it describes the use of ultrasound in the successful termination of...
  2. On-pump coronary artery bypass graft operation: Is one crossclamp application better than two?

    Journal of Thoracic and Cardiovascular Surgery 150(1):145 (2015) PMID 25963439

    Several factors may increase the risk of stroke during coronary artery bypass grafting. These include age and atherosclerosis, which are not modifiable, and aortic manipulation, which may be modifiable. This study reports our experience with variable degrees of aortic manipulation (ie, single vs...
  3. Acute Aortic Dissection Extending Into the Lung.

    Annals of Thoracic Surgery 100(1):315 (2015) PMID 26140779

    The radiologic manifestations of ruptured acute aortic dissection, Stanford type A aortic dissection, DeBakey type 1 can present in different radiographic scenarios with devastating outcomes. Here, we present a rare case of a 70-year-old man who presented to the emergency department with chest p...
  4. Transapical Myectomy for Septal Hypertrophy Not Accessible Through the Aortic Root.

    World Journal for Pediatric and Congenital Hear... 6(3):455 (2015) PMID 26180164

    Exposure of the basal and midventricular septum through the aortic root to relieve obstruction in hypertrophic cardiomyopathy can be challenging. Inadequate myectomy will lead to persistent symptoms and disability. Adequate exposure of the obstructive left ventricular septum is of paramount impo...
  5. Aortic arch surgery after previous type A dissection repair: results up to 5 years†.

    Interactive CardioVascular and Thoracic Surgery 21(1):81 (2015) PMID 25842076

    Open aortic arch surgery after type A dissection repair is challenging. We sought to review our surgical experience to analyse the causes and timing, establish the risk profile for this patient population, and better define outcomes. From 2000 to 2014, we identified 55 patients who required aort...
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  6. Septal myectomy after failed alcohol ablation: Does previous percutaneous intervention compromise outcomes of myectomy?

    Journal of Thoracic and Cardiovascular Surgery 150(1):159 (2015) PMID 25940414

    The impact of prior alcohol septal ablation in patients who require septal myectomy for hypertrophic obstructive cardiomyopathy is unknown. Thirty-one patients with unsuccessful alcohol septal ablation who underwent septal myectomy were matched 1:2 to patients having had a myectomy as the only i...
  7. Is there an outcome penalty linked to guideline-based indications for valvular surgery? Early and long-term analysis of patients with organic mitral regurgitation.

    Journal of Thoracic and Cardiovascular Surgery 150(1):50 (2015) PMID 25986494

    The timing of surgical correction of mitral regurgitation remains controversial. A major source of dispute regards the potential short- and long-term postoperative outcome penalty associated with the type of guideline-based indication for surgery. Between 1990 and 2000, 1512 patients (aged 64 ± ...
  8. Extracorporeal Membrane Oxygenation Support in Postcardiotomy Elderly Patients: The Mayo Clinic Experience.

    Annals of Thoracic Surgery 99(6):2053 (2015) PMID 25865760

    We conducted a retrospective study to assess whether providing extracorporeal membrane oxygenation (ECMO) support to elderly patients (aged 70 years or more) who failed separation from cardiopulmonary bypass after cardiac surgery was a viable option. From 2003 to 2013, 45 patients aged 70 years ...
  9. Surgery for biventricular obstruction in hypertrophic cardiomyopathy in children and young adults: technique and outcomes†.

    European Journal of Cardio-thoracic Surgery 47(6):1006 (2015) PMID 25108895

    Biventricular obstruction in hypertrophic cardiomyopathy (HCM) is uncommon, and some clinicians believe that, when symptoms are refractory to medical treatment, this severe form of HCM is best treated by transplantation. We describe our conventional surgical approach and outcomes to treat bivent...
  10. Bioprosthetic valve thrombosis: The eyes will not see what the mind does not know.

    Journal of Thoracic and Cardiovascular Surgery 149(6):e86 (2015) PMID 25862603

  11. Optimal surgical ablation of atrial tachyarrhythmias during correction of Ebstein anomaly.

    Annals of Thoracic Surgery 99(5):1700 (2015) PMID 25825196

    Ebstein anomaly (EA) is commonly associated with atrial flutter or fibrillation (AFl/F), which adversely affects outcome. Surgical ablation of AFl/F during surgery for EA has been shown to be effective, but the optimal lesion set remains unknown. Between 1995 and 2010, 86 patients had corrective...
  12. Mechanical support of patients with heart failure: What are the future hurdles?

    Trends in Cardiovascular Medicine 25(4):370 (2015) PMID 25576035

  13. Surgical ablation of atrial fibrillation--when, why, and how?

    New England Journal of Medicine 372(15):1465 (2015) PMID 25853752

    In 1987, Dr. James L. Cox performed the first maze procedure for surgical ablation of atrial fibrillation.(1) Previous efforts at surgical correction were not uniformly successful, and some procedures corrected cardiac rhythm but did not restore synchronized atrial contraction. Cox's maze proced...
  14. Effect of left ventricular ejection fraction on postoperative outcome in patients with severe aortic stenosis undergoing aortic valve replacement.

    Circulation: Cardiovascular Imaging 8(4) (2015) PMID 25852129

    In asymptomatic patients with severe aortic stenosis, guidelines recommend left ventricular ejection fraction (LVEF) of <50% as the threshold for referral for aortic valve replacement. We investigated the importance of LVEF on long-term outcome after aortic valve replacement in symptomatic and a...
  15. Misconceptions, diagnostic challenges and treatment opportunities in bioprosthetic valve thrombosis: lessons from a case series.

    European Journal of Cardio-thoracic Surgery 47(4):725 (2015) PMID 24829402

    Bioprosthetic valve thrombosis (BPVT) is a rare but potentially life-threatening complication. Current guidelines favour surgery or thrombolysis as initial treatment. We set forth to characterize timing, diagnostic criteria and treatment strategies in BPVT. A free-text search tool was used to id...
  16. Untreated aortic valve stenosis identified at the time of coronary artery bypass grafting: thresholds associated with adverse prognosis.

    European Journal of Cardio-thoracic Surgery 47(4):712 (2015) PMID 24906802

    Aortic valve replacement (AVR) for severe aortic valve stenosis (AS) is a Class I indication at the time of coronary artery bypass grafting (CABG). Management of less-than-severe AS in patients undergoing CABG is uncertain however, because the thresholds at which untreated AS impacts long-term o...
  17. Untreated aortic valve stenosis identified at the time of coronary artery bypass grafting: thresholds associated with adverse prognosis.

    European Journal of Cardio-thoracic Surgery 47(4):712 (2015) PMID 24906802

    Aortic valve replacement (AVR) for severe aortic valve stenosis (AS) is a Class I indication at the time of coronary artery bypass grafting (CABG). Management of less-than-severe AS in patients undergoing CABG is uncertain however, because the thresholds at which untreated AS impacts long-term o...
  18. Misconceptions, diagnostic challenges and treatment opportunities in bioprosthetic valve thrombosis: lessons from a case series.

    European Journal of Cardio-thoracic Surgery 47(4):725 (2015) PMID 24829402

    Bioprosthetic valve thrombosis (BPVT) is a rare but potentially life-threatening complication. Current guidelines favour surgery or thrombolysis as initial treatment. We set forth to characterize timing, diagnostic criteria and treatment strategies in BPVT. A free-text search tool was used to id...
  19. Bioprosthetic Valve Thrombosis: the Eyes Will Not See What the Mind Does Not Know

    Journal of Thoracic and Cardiovascular Surgery (2015)

  20. Psychoemotional and Quality of Life Response to Mitral Operations in Patients With Mitral Regurgitation: A Prospective Study.

    Annals of Thoracic Surgery 99(3):847 (2015) PMID 25620595

    Severe mitral regurgitation (MR) is associated with frequent alteration of psychoemotional status (PES), with anxiety and stress symptoms related to health-related quality of life (HR-QOL). Yet, it is unknown whether surgical correction of MR leads to improvement or deterioration in PES and HR-Q...