Why we need more septal myectomy surgeons: An emerging recognition

Slides:



Advertisements
Similar presentations
Transcatheter aortic valve replacement in patients with severe aortic stenosis who are at high risk for surgical complications: Summary assessment of.
Advertisements

Max B. Mitchell, MD  The Journal of Thoracic and Cardiovascular Surgery 
Lost in translation The Journal of Thoracic and Cardiovascular Surgery
Manuel J. Antunes, MD, PhD, DSc 
Stephen R. Broderick, MD, MPHS 
Developed in Collaboration With The American Association for Thoracic Surgery, American Society of Echocardiography, American Society of Nuclear Cardiology,
Kashish Goel, MBBS, Hartzell V. Schaff, MD, Rick A. Nishimura, MD 
Developed in Collaboration With the American Association for Thoracic Surgery, American Society of Echocardiography, American Society of Nuclear Cardiology,
Nonobstructive Hypertrophic Cardiomyopathy Out of the Shadows: Known from the Beginning but Largely Ignored … Until Now  Barry J. Maron, MD, Ethan J.
In surgical training, practice makes…almost perfect
Anticoagulation early after mechanical valve replacement: Improved management with patient self-testing  Jess L. Thompson, MD, Harold M. Burkhart, MD,
Same-day cancellation of cardiac surgery: A retrospective review at a large academic tertiary referral center  Mark M. Smith, MD, William J. Mauermann,
Personalized cardiac surgery: Can noninvasive flow imaging lead to individualized resection strategies for bicuspid aortopathy?  Nicholas D. Andersen,
Septal Myectomy Results in Regression of Left Ventricular Hypertrophy in Patients With Hypertrophic Obstructive Cardiomyopathy  Subrato J. Deb, MD, Hartzell.
Form ever follows function
William M. DeCampli, MD, PhD 
How should we treat air leaks?
New treatment approaches create new disease processes: A short guide on how to reduce unexpected events to a minimum  Martin Czerny, MD, MBA  The Journal.
Quadruple valve replacement in patients with carcinoid heart disease
Surgeons, valve repair in severely unbalanced atrioventricular septal defect, and the emperor's new clothes  David M. Overman, MD  The Journal of Thoracic.
The first Blalock–Taussig shunt
Commentary: Pursuit of the green jacket: Mastery of the long and short games  Daniel P. Raymond, MD  The Journal of Thoracic and Cardiovascular Surgery 
Intraoperative direct measurement of left ventricular outflow tract gradients to guide surgical myectomy for hypertrophic cardiomyopathy  Elena A. Ashikhmina,
The St Jude Medical Trifecta aortic pericardial valve: Results from a global, multicenter, prospective clinical study  Joseph E. Bavaria, MD, Nimesh D.
The lord of the rings  Antonio Miceli, MD, PhD 
Certification in cardiothoracic surgical critical care: A distinction for some or for all?  Nicholas D. Andersen, MD  The Journal of Thoracic and Cardiovascular.
Surgical economics: MACRA, MIPS, and bundles—Lessons learned in the first 3 years of a coronary artery bypass grafting alternative payment model  Daniel.
Aditya K. Kaza, MD  The Journal of Thoracic and Cardiovascular Surgery 
The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery  Vinay Badhwar, MD  The Journal of Thoracic and.
It's not “just a shunt” but sometimes it should be…
Military surgeons just want to have fun
Stephen R. Broderick, MD, MPHS 
Apical myectomy: A new surgical technique for management of severely symptomatic patients with apical hypertrophic cardiomyopathy  Hartzell V. Schaff,
Joseph A. Dearani, MD, Michael J. Ackerman, MD, PhD 
Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD 
Niv Ad, MD, Lawrence M. Wei, MD 
Salah E. Altarabsheh, MD, Joseph A. Dearani, MD, Harold M
Fueling the heart: Shifting the myocardial metabolome by targeting endothelial autophagy  Nicholas D. Andersen, MD  The Journal of Thoracic and Cardiovascular.
Frank C. Spencer, MD, FACS, pioneering cardiothoracic surgeon
The Brockenbrough-Braunwald-Morrow sign
Mycobacterium chimaera: The ethical duty to disclose the minimal risk of infection to exposed patients  Anita Nguyen, MBBS, C. Christopher Hook, MD, Joseph.
Commentary: Do the right thing! Ethical versus legal
Surgical myectomy versus alcohol septal ablation for obstructive hypertrophic cardiomyopathy: A propensity score–matched cohort  Anita Nguyen, MBBS, Hartzell.
Passing the torch The Journal of Thoracic and Cardiovascular Surgery
Who is your plastic surgeon
James I. Fann, MD, John E. Connolly, MD 
Ralph S. Mosca, MD  The Journal of Thoracic and Cardiovascular Surgery 
Innovation in cardiothoracic surgical training
The origins of open heart surgery at the University of Minnesota 1951 to 1956  Richard A. DeWall, MD  The Journal of Thoracic and Cardiovascular Surgery 
Mitral regurgitation surgery in patients with ischemic cardiomyopathy and ischemic mitral regurgitation: Factors that influence survival  Simon Maltais,
The Journal of Thoracic and Cardiovascular Surgery
Discussion The Journal of Thoracic and Cardiovascular Surgery
Extended septal myectomy for hypertrophic obstructive cardiomyopathy with anomalous mitral papillary muscles or chordae  Kenji Minakata, MD, Joseph A.
Commentary: “Isn't cardiac surgery a team sport?”
Ventricular assistant in restrictive cardiomyopathy: Making the right connection  Robert D.B. Jaquiss, MD  The Journal of Thoracic and Cardiovascular Surgery 
Symptom assessment and exercise impairment in surgical decision making in hypertrophic obstructive cardiomyopathy: Relationship to outcomes  Milind Y.
Ralph E. Delius, MD  The Journal of Thoracic and Cardiovascular Surgery 
Should it stay or should it go?
Vinay Badhwar, MD, John S. Ikonomidis, MD, PhD, Jeffrey P. Jacobs, MD 
“The more things change…”: The challenges ahead
John M. Stulak, MD, Joseph A. Dearani, MD, Harold M
Appropriate Use Criteria for coronary revascularization in patients with stable ischemic heart disease: What the surgeon needs to know  Harold L. Lazar,
American College of Cardiology/American Heart Association 2016 dual antiplatelet therapy (DAPT) focused update: Implications for surgeons  Richard J.
Preoperative PFTs: The answer is blowing in the wind
Relationship between left ventricular mass, wall thickness, and survival after subaortic septal myectomy for hypertrophic obstructive cardiomyopathy 
The evolution of cardiothoracic critical care
Meghana R. Kunkala, MD, Hartzell V
Journal changes and initiatives
Descending thoracic and thoracoabdominal aortic aneurysms: “Busted”
Deciding how much to pay for effective care
Presentation transcript:

Why we need more septal myectomy surgeons: An emerging recognition Barry J. Maron, MD, Joseph A. Dearani, MD, Martin S. Maron, MD, Steve R. Ommen, MD, Hassan Rastegar, MD, Rick A. Nishimura, MD, Daniel G. Swistel, MD, Mark V. Sherrid, MD, Anthony Ralph-Edwards, MD, Harry Rakowski, MD, Nicholas G. Smedira, MD, Ethan J. Rowin, MD, Milind Y. Desai, MD, Harry M. Lever, MD, Paolo Spirito, MD, Paolo Ferrazzi, MD, Hartzell V. Schaff, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 154, Issue 5, Pages 1681-1685 (November 2017) DOI: 10.1016/j.jtcvs.2016.12.038 Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Mortality after myectomy is no different from expected in the US population. From Ommen and colleages.1 The Journal of Thoracic and Cardiovascular Surgery 2017 154, 1681-1685DOI: (10.1016/j.jtcvs.2016.12.038) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Flow diagram of patient referral structure leading to surgical myectomy. HCM, Hypertrophic cardiomyopathy; NYHA, New York Heart Association. The Journal of Thoracic and Cardiovascular Surgery 2017 154, 1681-1685DOI: (10.1016/j.jtcvs.2016.12.038) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Mortality after myectomy is no different from expected in the US population. From Ommen et al.1 The Journal of Thoracic and Cardiovascular Surgery 2017 154, 1681-1685DOI: (10.1016/j.jtcvs.2016.12.038) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions