A5036634791- Cardiac and Coronary Surgery Techniques
- Cardiac Valve Diseases and Treatments
- Pleural and Pulmonary Diseases
- Cardiac Structural Anomalies and Repair
- Congenital Diaphragmatic Hernia Studies
- Tracheal and airway disorders
- Cardiac, Anesthesia and Surgical Outcomes
- Lung Cancer Diagnosis and Treatment
- Infective Endocarditis Diagnosis and Management
- Aortic Disease and Treatment Approaches
- Cardiac tumors and thrombi
- Geriatric Care and Nursing Homes
- Pneumothorax, Barotrauma, Emphysema
- Atrial Fibrillation Management and Outcomes
- Emergency and Acute Care Studies
- Coronary Interventions and Diagnostics
- Venous Thromboembolism Diagnosis and Management
- Cerebrovascular and Carotid Artery Diseases
- Myasthenia Gravis and Thymoma
- Congenital Heart Disease Studies
- Testicular diseases and treatments
- Patient Satisfaction in Healthcare
- Appendicitis Diagnosis and Management
- Soft tissue tumor case studies
- Cardiac Ischemia and Reperfusion
Albany Medical Center Hospital
2018-2021
Staten Island University Hospital
1999-2018
Northwell Health
2014-2018
Background: Prior studies investigating deep vein thrombosis (DVT) post cardiac surgery have included mostly on pump surgery. We aimed to evaluate the frequency of DVT in consecutive series patients undergoing by sequential Duplex Venous Sonography (DVS). Methods: A single center prospective cohort study conducted from 2012 2014. All underwent DVS at three-time intervals: Preoperatively, Day Discharge and 5 weeks Postoperatively. subgroup analysis was done compare non-DVT groups look for...
Ischaemic heart disease is the leading cause of death in elderly population. Coronary artery bypass graft (CABG) surgery via sternotomy remains standard care for patients with multivessel coronary (CAD). Minimally invasive cardiac (MICS)-CABG left thoracotomy has been used as an alternative to sternotomy. The aim our study was assess overall survival after MICS-CABG and sternotomy-CABG CAD. This observational included who underwent from 2005 2008. Patients 75 years older (n = 159) were final...
Neutrophil lymphocyte ratio (NLR) is a predictor of major adverse cardiovascular outcomes. Our study explores the value NLR in predicting long-term mortality after minimally invasive coronary artery bypass surgery (MICS) via lateral left-thoracotomy versus conventional sternotomy grafting (CABG) surgery. A total 1126 consecutive patients (729 CABG and 397 MICS) from single tertiary center between 2005 2008 were followed until 2011. We stratified into equal tertiles according to preoperative...
Minimally invasive coronary artery bypass grafting (MICS-CABG) and minimally valve surgery (MIVS) have been used independently to manage occlusive disease valvular diseases, respectively. We present 12 patients who underwent combined MICS-CABG MIVS via bilateral mini-thoracotomies.We retrospectively reviewed 116 consecutive valve/CABG operations by a single surgeon compared the outcomes obtained sternotomy with those minithoracotomies.Six in group aortic replacement (sternotomy group, n =...
Rationale: Prolonged air leak (PAL) after partial lung resection can occur owing to surgical complications or in the presence of residual thoracic space. The former type results drainage-independent PAL (DIPAL), whereas latter drainage-dependent (DDPAL). DDPAL is described thoracentesis patients with nonexpandable lung, where thoracostomy tube be discontinued safely despite an ongoing leak. This distinction clinically relevant, as DDPAL, without need for further interventions. Objectives: To...
Objective Minimally invasive coronary surgery approach for artery bypass grafting is a safe and reproducible procedure multivessel revascularization. This study reviewed single surgeon's experience with minimally grafting, including operative time, number of bypasses, conversion to sternotomy. Methods A prospective database consecutive procedures from 2005 2013 was reviewed. small anterolateral left thoracotomy allowed internal mammary harvest, proximal anastomoses on the ascending aorta,...
Left ventricular outflow tract pseudoaneurysm is an uncommon complication following aortic valve replacement (AVR), occurring most frequently secondary to endocarditis. We present a case of 47-year-old female with history intravenous drug abuse and past surgical two AVRs (2001 2009 root for endocarditis) who presented symptoms lower extremity weakness. Subsequent radiologic imaging revealed the presence left pseudoaneurysm, which was surgically managed homologous conduit.
Lobar torsion is a fatal but fortunately rare occurrence following lung resection. Early clinical signs and radiographic features may be nonspecific resulting in diagnostic delay. A high index of suspicion vital for early diagnosis intervention to avoid further parenchymal necrosis deadly gangrene. We report case left lower lobe 76-year-old female elective upper lobectomy underlying adenocarcinoma. Diagnosis was made highly suggestive findings prompting bronchoscopy revision thoracotomy. An...
Introduction: Atrial fibrillation (AF) is common following cardiac surgery. Reduction of postoperative AF would decrease average length stay and improve patient outcomes. Ranolazine has been shown to prevent by increasing postrepolarization refractoriness in atrial tissue. This study evaluates prophylactic ranolazine on Hypothesis: To assess the effect as a selective sodium channel blocker prevention Methods: double blinded, randomized trial assessed primary with patients undergoing coronary...
Unilateral pulmonary artery atresia (UPAA), while encountered frequently in the congenital cardiac anomaly cohort, is occasionally diagnosed adulthood after typical symptoms of hemoptysis, infection, or as an incidental finding on contrast CT scan. Due to its rarity, a brief discussion UPAA and treatment warranted.A 35 year old male presented with three days hemoptysis. After diagnosis right UPAA, he underwent angioembolization 6 large systemic collaterals supplying his lung, followed by...
Purpose Acute kidney injury (AKI) is a significant cause of morbidity and mortality post cardiac surgery sometimes requiring intermittent hemodialysis (IHD) or continuous veno-venous hemofiltration (CVVH). Previous studies included only procedures utilizing cardiopulmonary bypass (CPB). We reviewed CPB non-CPB patients who developed AKI required CVVH versus no CVVH. Materials Methods 141 undergoing adult AKI. 70 (group1) 71 did not (group2). compared 30 day mortality, renal recovery,...
<strong>Background:</strong> Coronary artery bypass grafting with aortic valve replacement (AVR) or mitral (MVR) is traditionally performed via sternotomy. Minimally invasive coronary surgery (MICS) and minimally have been successfully independently. Patients critical right (RCA) stenosis not amenable to percutaneous intervention are candidates for single vessel bypass. We present our series of six patients who underwent a concomitant thoracotomy.<br...
We report a case of bilateral apical lung bullae that collapsed following an episode community-acquired pneumonia with air fluid levels. With standard treatment for pneumonia, management patient may have qualified bullectomy, (as in our case) showed complete resolution all pathology without surgical intervention. Conservative took precedence alleviating over
Background: Traditional protocols describe emptying procedures such as pyloroplasty and/or pyloromyotomy after an esophagectomy to improve gastric emptying. Pyloric Botox injections well pyloric dilation are safe alternatives that help unwanted side effects as. Few studies compare and specifically. Our study proposes alone with dilation. Methods: Data was gathered from one institution 2010 2016. A total of sixty-four patients esophageal cancer or high-grade dysplasia requiring were included....
Primary cardiac sarcomas are rare tumors with a median survival of 6-12 months. Data suggest that an aggressive multidisciplinary approach may improve patient outcome. We present the case male who underwent resection sarcoma three times from age 32 to 34. This report discusses malignant nature and importance postoperative care.