- Aortic Disease and Treatment Approaches
- Cardiac Valve Diseases and Treatments
- Aortic aneurysm repair treatments
- Congenital Heart Disease Studies
- Cardiac Structural Anomalies and Repair
- Cardiac and Coronary Surgery Techniques
- Lung Cancer Diagnosis and Treatment
- Infective Endocarditis Diagnosis and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Medical Imaging and Pathology Studies
- Electrospun Nanofibers in Biomedical Applications
- Cardiac tumors and thrombi
- Transplantation: Methods and Outcomes
- Blood transfusion and management
- Renal Transplantation Outcomes and Treatments
- Infectious Aortic and Vascular Conditions
- Mechanical Circulatory Support Devices
- Emergency and Acute Care Studies
- Tracheal and airway disorders
- Hip and Femur Fractures
- Blood Coagulation and Thrombosis Mechanisms
- Organ and Tissue Transplantation Research
- Vascular Anomalies and Treatments
- Coronary Interventions and Diagnostics
- Pneumothorax, Barotrauma, Emphysema
Northwell Health
2017-2024
Lenox Hill Hospital
2024
North Shore University Hospital
2020-2024
Yale University
2022-2023
Hofstra University
2016-2022
Donald & Barbara Zucker School of Medicine at Hofstra/Northwell
2020
Albany Medical Center Hospital
2014
This 27-year-old female patient is undergoing a reoperation for recurrent subaortic membrane causing significant left ventricular outflow obstruction. The re-sternotomy uneventful and cardiopulmonary bypass established. tract accessed through the previously implanted semi-calcified homograft aortic root. fibrous tissue of resected as crescent, along with septal myectomy. annulus previous are to enlarge root from 12 mm 21 mm. then reconstructed pericardium, valved conduit replacement, size...
Acute type A aortic dissection (ATAAD) is a surgical emergency with significant morbidity and mortality, as well center-level variation in outcomes. Our study aims to leverage nationally representative database assess contemporary in-hospital outcomes repair of ATAAD, the association age sex The National Inpatient Sample was queried identify hospital discharge records patients aged ≥18 years who underwent urgent ATAAD between 2017 2018. Patients diagnosis thoracic dissection, intervention...
Abstract OBJECTIVES We sought to examine management and outcomes of (Stanford) type A aortic dissection (TAAAD) in patients aged >70 years. METHODS All with TAAAD enrolled the International Registry Acute Aortic Dissection database (1996–2018) were studied (n = 5553). Patients stratified by age therapeutic strategy. Outcomes for octogenarians compared those septuagenarians. Variables associated in-hospital mortality identified multivariable logistic regression. RESULTS In-hospital all...
Background:Prolonged pulmonary air leaks (PALs) are associated with increased morbidity and extended hospital stay. We sought to investigate the role of bronchoscopic placement 1-way valves in treating this condition.Methods:We queried a prospectively maintained database patients PAL lasting more than 7 days at tertiary medical center. Main outcome measures included duration chest tube stay before after valve deployment.Results:Sixteen were eligible be enrolled from September 2012 through...
Aortobronchial fistula after TEVAR remains a vexing clinical problem associated with high mortality. Although combination of endovascular and open surgical strategies have been reported in managing this pathology, there is as yet no definitive treatment algorithm that can be used for all patients. We discuss our approach to an aortobronchial overtly infected aortic endograft.A 49-year-old female sustained traumatic transection 14 years prior, managed by stent-graft. Due persistent endoleak,...
BackgroundTime of day has been associated with adverse outcomes in certain surgical pathologies. Because acute type A aortic dissection typically mandates immediate repair, relatively little attention paid to the potential impact day–night timing operation itself. We sought determine whether patients treated during typical working hours demonstrated a difference compared those who required surgery after hours.MethodsWe undertook comprehensive review our prospectively collected database from...
High institutional transplant volume is associated with improved outcomes in isolated heart and kidney transplant. The aim of this study was to assess trends simultaneous heart-kidney (SHKT) nationally, as well the impact on survival. All adult patients who underwent SHKT between 2005–2019 were identified using United Network for Organ Sharing (UNOS) database. Annual volumes single organ determined. Univariate multivariable analyses conducted demographics, comorbidities, 1-year 1564...
Recent years have seen a trend towards utilizing video-assisted thoracic surgery (VATS) approach for treatment of thymoma. Although increasing in practice, intermediate- and long-term oncologic outcome data is lacking the VATS approach. There no uniportal We sought to evaluate feasibility impact on patient survival thymectomy early-stage thymoma.The clinical outcomes 17 patients with Masaoka stage I II thymomas treated between January 2009 July 2014 at single institution were collected...
The ability to localize pulmonary nodules via the robotic thoracic technique can be challenging at times. This is most evident when are small and/or ground glass in nature. Information regarding methods available these difficult nodules, while maintaining a minimally invasive approach, limited.We describe diagnostic and therapeutic method of combining electromagnetic navigational bronchoscopy with total approach that identifies difficult-to-localize nodules. entails use place pleural dye...
The utilization of extracorporeal membrane oxygenation (ECMO) during cardiopulmonary resuscitation (ECPR) has demonstrated promising evidence for the management out-of-hospital cardiac arrest (OHCA). We aim to describe contemporary and predictors survival patients receiving ECPR OHCA.The National Inpatient Sample (NIS) was queried identify hospital discharge records aged ≥18 years who underwent from 2012 2017. Patients with an International Classification Diseases, Tenth Revision, Clinical...
BackgroundPerioperative bleeding and transfusion have been associated with major morbidity mortality after cardiac surgery. As concerns remain regarding potential graft thrombosis following administration of a prothrombin factor concentrate, the use eight inhibitor bypassing activity (FEIBA) in managing refractory postoperative has never evaluated patients undergoing isolated coronary artery bypass grafting (CABG).ObjectivesWe aimed to examine safety FEIBA CABG, respect 30‐day mortality,...
Abstract A 40-year-old male presented with symptomatic severe mitral stenosis and moderate insufficiency was recommended to undergo valve replacement. While undergoing preoperative workup, the patient found have positive cold agglutinin (CA) autoantibodies. The underwent a successful mechanical replacement maintenance of systemic normothermia myocardial hypothermia. Postoperatively, no neurologic or thrombotic sequelae were observed discharged home complications. We propose management...
Central MessageTAVR explant is the fastest growing cardiac surgical operation. Some cases will require radical debridement of aortomitral curtain. A sound understanding Commando procedure required.See Commentary on page XXX. TAVR required. See Because transcatheter aortic valve replacement operation in Society Thoracic Surgeons database,1Bowdish M.E. Habib R.H. Kaneko T. Thourani V.H. Badhwar V. Cardiac surgery after replacement: trends and outcomes.Ann Thorac Surg. 2024; 118:...
Perioperative bleeding and transfusion have been associated with adverse outcomes after cardiac surgery. The use of factor eight inhibiting bypass activity (FEIBA) in managing repair acute Stanford type A aortic dissection (ATAAD) has not previously evaluated. We report our experience utilizing FEIBA ATAAD repair.A retrospective review was undertaken all consecutive patients who underwent between July 2014 December 2019. Patients were divided into two groups, dependent upon whether or they...