Chief of Adult Cardiac Surgery, #TallRounds Activity Director & Vice Chair of Condition Centers @CleClinicHVTI, Family Man, Michigan Fan (Opinions my own)
Staying current in aortic disease management is increasingly complex, as evidence & technologies evolve.
Join @CleClinicHVTI 9/18-19 for a multidisciplinary, case‑based program focused on the management of aortic disease.
Register: clevelandclinicmeded.com/liv…#aortaed#CLEaorta
Milestones week - performed Valve Preserving Root Replacement /Reimplantation (#VSRR David procedure) #400 on birthday #50. Feeling blessed with health, love and support of family friends & colleagues, and the privilege of patients’ trust to practice this incredible specialty 🙏
Bicuspid aortic valve aortopathy can progress after valve replacement! This pt is 45 years post first op and 36 years post ball-in-cage AVR (still working) now with >5cm aneurysm #LifelongCare@ClevelandClinic#AortaCenter#StarrEdwards
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 #AortaEdjtcvs.org/article/S0022-5223…
Must read 4 any current/future CTsurgeon - thanks 4 writing/sharing @FaisalBakaeen (true CABG authority)!
Stories behind the history highlight importance of collaboration & how knowledge creates new knowledge.
Superficial arguments @ “who’s 1st” miss bigger idea: saving lives!
New solutions -> new complications. #CardiacSurgery indicated: TAVR in mitral ring 26mm S3 well seated, treated MR and severe heart failure … but MS developed due to thrombus on one cusp (shown). Replaced with 31mm bioprosthesis, recovered well @ClevelandClinic HVTI #TAVRTeam
Proud of our team’s great work to achieve such fantastic results for total arch replacement using the B-SAFER technique - first publication from the PS-IDE in @AATSJournals full text now available as open access jtcvs.org/article/S0022-5223…#aortaed
Interesting thread discussing root/anulus enlargement in AS vs small LVOT - some need both anulus & LVOT addressed & for that we @CleClinicHVTI have preferred an anterior modified Bentall w/ Single Patch Konno Enlargement (BSPoKE) technique as shown #AortaEd
You are absolutely correct. All these iterations do not represent an annular enlargement. They simply allow you to tilt the valve up toward the neo-aorta, thus allowing you to fit a larger valve. The LVOT is still the area-limiting factor, whether you squeeze in a 23 or a 27
Fond farewell yesterday to one of our surgeon brothers @CleClinicMD @DougJohnstonMD Best wishes from all of us as you brings your greatness to a leadership position in Chicago @NorthwesternU
It’s been an amazing 6 years training these chiefs @CleClinicHVTI@CCF_CTSRes who walked “through these portals” for the last time as residents yesterday @FrankCikachMD @KarolisBauzaMD @MikeJavorskiMD
Going to annual physical, who do I see? Legendary Mehdi Razavi, cards founder of CC Global Pt Services & former Mason Sones fellow. Then post stress test, going to operate I run into mentor Toby Cosgrove - no intro needed! Both looking great! #GratefulDay@CleClinicHVTI
We’ve got all the valves and aorta covered! Great to run into friends and colleagues upon arrival @AATSHQ#AATS2023@JCoselli_MD @KevinAccolaMD @1heartsurgeon (Richard Shemin) Going to be a great meeting here in LA!
@FaisalBakaeen@CleClinicHVTI clarifies w/ authority that ISCHEMIA trial means little to CABG (&guidelines)! Because 1)pts were not randomized to CABG 2)pts had light atherosclerosis burden 3)results short term
➡️CABG remains standard for multivessel dz regardless EF! @EACTS ‘22
One of the most incredible stories in all of medicine - the courage to take on a potential 200% mortality to save a child’s life (she reportedly lived for decades afterward) Dr Lillehei had his own journey as a young cancer pt and was an inspiration to so many #KingOfHearts
Lite clinic from non-essential cancellations, so distributed impt medical supplies: BLOOD!#donateblood Red Cross needs more blood donations! cleveland.com/galleries/3QKS…
#OnThisDay in 1983 Prof Sir Magdi Yacoub performed the UK’s first heart & lung #transplant.
At Harefield Hospital transplant unit we see lives transformed by #OrganDonation. We are proud to carry on his legacy through pioneering work in heart & lung transplantation 🫀🫁 #NHS
Matt, you absolutely crushed it during your research year in the MATADORS Lab and during your SubI and clinical rotations - congrats on making the great choice to continue your CTS career here @CCF_CTSRes !
Thrilled to match at Cleveland Clinic Cardiothoracic Surgery! @CCF_CTSRes
Thank you to @CleClinicLCM, @EricRoselliMD, and @Bptkramer for the incredible education and mentorship that led me here
As part of World Elephant Day (Aug 12, 2021), we congratulate Dr. Eric E Roselli of Cleveland Clinic -- Recognized as an Expertscape World Expert in Elephants.
expertscape.com/ex/elephants
Innovative science, the latest technologies & great idea sharing - that’s what @AATSHQ#Aortic2024 has to offer.
Join me & my colleagues 4/25 & 4/26 in NYC for an excellent #AortaEd learning opportunity!
Learn more & register @ events.aats.org/aortic-sympo…
(prices increase on 4/18)
So Incredible for @AmyYasbeck4real to spend wknd w/ us @ClevelandClinic during CLE Aorta Symposium [on John Ritter’s bday (yesterday) & their wedding anniversary (today) no less] as keynote speaker on topic of optimizing #AorticAwareness and #AortaEd Thank you!@JohnRitterFdn
Dr Eric Roselli will always have a special place in my heart. For episode 23 we sat down with Eric and talked about my experience, what it takes to be a heart surgeon and what goes through your mind when you hold someone’s heart in your hands. @club30podlinktr.ee/club30
Can’t TAVR this! Worst aortic valve stenosis in 61y F, valve area 0.29cm2, peak / mean grad 171/110 mmHg, EF 38% - Tx: MiniSAVR Cardiac surgery picture of the week #CardSurgPOW
Great example of less common ‘Fibrosis’ mode of failure / SVD of bioprosthesis in young pt 7y post AVR 25mm Trifecta. Represented 7.1% of SVD in study published here @NickSmediraMD @GeneBlackstoneMD J Heart Valve Dis. 2006 May;15(3):421-7. PMID: 16784083. #AorticValve
Always great to discuss cardio-aortic surgery and especially with an aspiring surgeon / medical student like @Adham_Ahmed_64 for the @ThoracicStudent group #AortaEd#AorticAwareness
This is groundbreaking work - this biomarker has the potential to refine operative timing decisions for moderate sized ascending aneurysms - and congratulations on winning the Kouchoukos Award @Bptkramer ! #AortaEd
Aggrecan is a novel biomarker of ascending aortopathy and tissue mechanical dysfunction! 🫀
Thank you for the opportunity to present our work. @AATSHQ#Aortic2024. Thank you @EricRoselliMD for your support and excellent mentorship!
#Aortad
B-SAFER safely performed by >12 different surgeons in our practice & many elsewhere. Technique we use for >70% acute Type A’s & nearly any other indication for total arch. This is 1st publication in 178pts from May ‘21-Dec ‘22 currently >350pts in study and approved for 490
70 years ago (May 6, 1953), Dr. John Gibbon used a heart-lung machine for the first time on an 18-year-old female ASD patient. A well-prepared giant achievement and the very begin of modern cardiac surgery! It also may remind us to foster innovation and allow disruptive ideas.
It was an honor to spend time with @HLundqvist and @jliddell_nyc in the @club30pod. Thanks for your trust in us and the chance to speak about the great privilege of taking care of people that my team and I share #Club73@CleClinicHVTI
Dr Eric Roselli will always have a special place in my heart. For episode 23 we sat down with Eric and talked about my experience, what it takes to be a heart surgeon and what goes through your mind when you hold someone’s heart in your hands. @club30podlinktr.ee/club30
Outstanding presentation from the MATADORS study by MS4 @DurbakEmily from @CleClinicLCM during the #AATS2021 on biomechanical analysis demonstrating variable elastic energy along the length of zone 0 / ascending #Aorta. She crushed it! @scottlemaire@EmertonBrook
Looking forward to participating in @AATSHQ’s Global Grand Rounds Webinar - “Reoperative Cardiac Surgery: Staying out of Trouble”.
Save the date & join us on Wednesday, 4/5, 8-9 EST at link: bit.ly/3LP0RCo
Was so cool to connect with a most grateful patient @AATSHQ#AATS2024 meeting in Toronto last week & 3y post very successful David’s valve reimplantation operation (photos posted w/ permission) He also recounted zero pain postop @ERASCardiac thanks to #RigidFixation#AortaEd
Tx Acute Aortic Dissection & Ischemia in Hybrid OR: Accurate wire position for B-SAFER FET, split perfusion central & femoral sheath, IVUS before & after to understand morphology & confirm success, expedited adjunctive distal +/- branch stenting @CleClinicMD #ThinkAorta
Virtual meetings have proven efficient for many objectives, BUT for other goals, live, sit-down conversation is critical
Thanks for your time and commitment to progress @TomMihaljevicMD@LarsSvenssonMD@AskDrMarc and CTS Staff
The residents’s prayer: “Thank you, God, for getting all of us through another shift ... and thank you for coffee!” ... then to himself “and thank God I can still smell this!” #COVID19#coffeetime#BewareOfAnosmia
What are the 2-year outcomes after #TAVR for low surgical risk patients?
Results of the PARTNER 3 study are published in #JACC: bit.ly/30m9sDj @MartyMleon #CardioTwitter
ALT Time-to-Event Curves and Disease-Specific Health Status in TAVR Versus Surgery Through 2 Years
Leon, M.B. et al. J Am Coll Cardiol. 2021;77(9):1149-61
Opioid epidemic is a national emergency - creative minds like @UsmanAhmadMD from @CleClinicMD are developing better ways to treat pain like this novel neuromodulation system placed robotically for post Cardiothoracic surgery pain presented today at #STS2019
It was great to join colleagues as a panelist at #ACC25’s Innovations in Valvular Heart Disease Town Hall!
Excellent discussion on the use of imaging, shared decision making processes & opportunities to improve patient care.
@CleClinicHVTI@CCF_CTSRes@CCFcards@tavrkapadia
Great lead off to Aorta Universe: Birth to Adulthood session @STS_CTsurgery 61st Annual Mtg in beautiful (and resilient) Los Angeles hearing personal & community of patients’ experience from @JohnRitterFdn CEO & dissection survivor Meredith Ford O’Neal #AortaEd#Inspirational
Been enjoying the 34th Annual @EACTS meeting as an avatar in Barcelona. Still sharing knowledge with high quality video and live video discussion (but looking forward to the real thing again).
#EndoBentall Great discussion @ future of #CardioAortic and #StructuralHeart intervention sponsor: Association of Cardiovascular Intervention (Br) via Sao Paolo, @CleClinicMD, @USC @AmarKrishnaswamyMD, @FernandoFleischmanMD, @DiegoGaiaMD @BraileBiomedica
Surgeon falsely accused of wrongdoing tries to recover his name @CNNcnn.it/2OLUrDS Riccardo is hard-working and trustworthy and has been doing a great job with us here in Cleveland. Thanks to CNN for bringing some positive attention to his story.
SAVE Living Valves! Op mort 0% @ index, & 0% in 43 reops (8 TAVR) Of 9 w/ late AR, 6 had dilated sinuses, 8 dilated anulus & prob have David reimplantation today Thanks @FYazdchi@DesaiMilindY @DrGeneBlackstone @MattAThompson24 & others @CleClinicHVTI Aorta & Aortic Valve Centers
Should a well-functioning bicuspid aortic valve (BAV) be preserved or replaced in patients undergoing aortic replacement for the ascending phenotype of BAV aortopathy? @EricRoselliMD & others explain in this #JTCVS article: doi.org/10.1016/j.jtcvs.2022…#HeartMonth
Packed!
@CtacSurg knows how to fill a room.
Expert surgeons, junior surgeons, trainees, industry reps, and researchers from across 🇨🇦 mixed and mingling as one united thoracic aortic community–a true collaborative 🤝
#CTAC2023
A lot happened in my life back in 20-21. It was definitely a roller coaster. This is a film about hockey, life and the question most athletes face at some point, who am I really without my sport.
Mortality can be less (<10%) with 1) dedicated multi-disciplinary systems to provide centralized care, 2) improved education for earlier and more accurate diagnosis, and 3) improving technology - nice video, @tomcnguyen ! #AorticAwareness
Great meme, Joe 😂@VascSurgMD! Along with our medical director of the Aortic Center from cardiology, @DesaiMilindY, we are truly collaborative across disciplines and focused on patients first! #AorticAwareness
Congratulations to @FrankCaputoMD on being named Co-director of Cleveland Clinic Aortic Surgery program... along with @EricRoselliMD. What a tandem !
Proud of you, Frank ! #aorticsurgery I picture the two of you like this in the OR 😜