Luis E. Martínez-Bravo, MD, Carlos M. Mery, MD, MPH 

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 
Of mice and men and surgical transcatheter aortic valve insertion
Stephen R. Broderick, MD, MPHS 
Anomalous left coronary artery origin from the opposite sinus of Valsalva: Evidence of intermittent ischemia  Julie Brothers, MD, Chris Carter, MD, Michael.
Coronary Artery from the Wrong Sinus of Valsalva: A Physiologic Repair Strategy  Tom R. Karl, MS, MD  Operative Techniques in Thoracic and Cardiovascular.
The hybrid procedure for hypoplastic left heart syndrome: A procedure still looking for its place  Carlos M. Mery, MD, MPH  The Journal of Thoracic and.
Direct Reimplantation as an Alternative Approach for Treatment of Anomalous Aortic Origin of the Right Coronary Artery  Kenta Izumi, MD, Manuel Wilbring,
Anomalous Aortic Origin of a Coronary Artery: Surgical Repair With Anatomic- and Function-Based Follow-Up  Eric N. Feins, MD, Doreen DeFaria Yeh, MD,
Results of a hybrid procedure for patients with proximal left subclavian artery stenosis and coronary artery disease  Hao Hong, MD, Long Wu, MD, Chao.
Repair of anomalous aortic origin of coronary arteries with combined unroofing and unflooring technique  Hagi Dekel, MD, Edward J. Hickey, MD, Jack Wallen,
Actual application of virtual angioscopy: Is it yet to come?
Anomalous aortic origin of a coronary artery in the Ross operation: Attention to minor details averts major problems  Igor E. Konstantinov, MD, PhD, FRACS 
Hitesh Agrawal, MD, S. Kristen Sexson-Tejtel, MD, PhD, Athar M
Form ever follows function
Silvana Molossi, MD, PhD, Carlos M. Mery, MD, MPH 
Multilevel data analysis: What? Why? How?
Harold L. Lazar, MD  The Journal of Thoracic and Cardiovascular Surgery 
Bicuspid aortic valve aortopathy: One size fits all?
Coronary transfer during arterial switch—the heart of the matter?
Commentary: Pursuit of the green jacket: Mastery of the long and short games  Daniel P. Raymond, MD  The Journal of Thoracic and Cardiovascular Surgery 
Risk-corrected impact of mechanical versus bioprosthetic valves on long-term mortality after aortic valve replacement  Ole Lund, MD, PhD, Martin Bland,
Valve-sparing root repair: V-shaped remodeling can be performed in all sinuses  Paul P. Urbanski, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery 
Alexandra Lamari-Fisher, PhD, Carlos M. Mery, MD, MPH 
A rare case of type IV dual left anterior descending artery and anomalous origin of the left coronary artery from the noncoronary sinus  Mahmood Tehrai,
Surgical economics: MACRA, MIPS, and bundles—Lessons learned in the first 3 years of a coronary artery bypass grafting alternative payment model  Daniel.
Anomalous left coronary artery from the pulmonary artery with an intramural course within the aortic wall: Report of 3 surgical cases  Steven P. Goldberg,
Phillip S. Naimo, MD, Edward Buratto, MBBS, Igor E
Does the degree of preoperative mitral regurgitation predict survival or the need for mitral valve repair or replacement in patients with anomalous origin.
Surgical strategies for anomalous origin of the left coronary artery from the right pulmonary artery with an intramural aortic course: A report of 10.
Tyson A. Fricke, MBBS, BMedSci, Igor E. Konstantinov, MD, PhD, FRACS 
Echocardiography underestimates the aortic root diameter in patients with bicuspid aortic valve, but short-axis imaging can help  Hector I. Michelena,
Repair follows anatomy
Transcatheter aortic valve replacement in intermediate-risk patients
The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery  Vinay Badhwar, MD  The Journal of Thoracic and.
Stephen R. Broderick, MD, MPHS 
Commentary: It's time to check our bias: Ensuring health equity for patients with lung cancer  Pamela Samson, MD, MPHS  The Journal of Thoracic and Cardiovascular.
Torsten Doenst, MD, PhD, Markus Richter, MD 
Surgery for aortic and mitral valve disease in the United States: A trend of change in surgical practice between 1998 and 2005  Scott D. Barnett, PhD,
Derrick Y. Tam, MD, Stephen E. Fremes, MD, MSc 
Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD 
Sinus of Valsalva aneurysms: Stabilizing the repair destabilizing the aortic valve?  M. Sertaç Çiçek, MD, FACC  The Journal of Thoracic and Cardiovascular.
Guidelines should bother us, not comfort us
Replicating the success of mitral valve repair in the aortic valve
A fate worse than death  Jennifer S. Lawton, MD 
Anomalous aortic origin of the coronary artery: Does pulmonary artery translocation affect coronary artery course?  Vitor C. Guerra, MD, Michael R. Recto,
Commentary: Bioprosthetic aortic valve replacement: A high standard of comparison for transcatheter aortic valve implantation  Aaron Martin, MD, Michael.
Aortic valve replacement for a case of anomalous origin of the left coronary artery from posterior sinus of Valsalva with intramural aortic course  Naoto.
An acutely angled high takeoff left main coronary artery in an aortic root and proximal arch aneurysm  Kyung Hwa Kim, MD, PhD  The Journal of Thoracic.
Commentary: Do the right thing! Ethical versus legal
Passing the torch The Journal of Thoracic and Cardiovascular Surgery
Michael Mack, MD  The Journal of Thoracic and Cardiovascular Surgery 
Shunt right or left? Decision 2016
Hans-Joachim Schäfers, MD 
Ralph S. Mosca, MD  The Journal of Thoracic and Cardiovascular Surgery 
Commentary: It's all about the distal
The Journal of Thoracic and Cardiovascular Surgery
Discussion The Journal of Thoracic and Cardiovascular Surgery
Keep it short and sweet  Ian A. Makey, MD, Scott B. Johnson, MD 
Severe tricuspid or mitral regurgitation in inoperable patients with aortic stenosis. Can we leave them alone?  Juan A. Crestanello, MD  The Journal of.
Toward a more rational approach in treating type B aortic dissection
Junaid Haroon, MD, Subroto Paul, MD, MPH 
Out of sight, out of mind  Dawn S. Hui, MD, Richard Lee, MD, MBA 
Apples remain apples NO matter what
A large international single-center case-series of coronary artery fistulas in children: When high clinical research standards adopted globally create.
Preoperative PFTs: The answer is blowing in the wind
Principles of aortic valve repair
Intraoperative endocardial ultrasonography: Improving safety in mitral valve surgery  Juan A. Crestanello, MD  The Journal of Thoracic and Cardiovascular.
T. K. Susheel Kumar, MD, Pranava Sinha, MD, Mary T
Paul Philipp Heinisch, MD, Thierry Carrel, MD 
Presentation transcript:

Commentary: The intercoronary pillar—Not necessarily an innocent bystander  Luis E. Martínez-Bravo, MD, Carlos M. Mery, MD, MPH  The Journal of Thoracic and Cardiovascular Surgery  Volume 158, Issue 1, Pages 218-219 (July 2019) DOI: 10.1016/j.jtcvs.2019.02.037 Copyright © 2019 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 The intercoronary pillar, a thickening of the aortic wall extending from the intercoronary commissure cranially toward the sinotubular junction, can be quite thick in some patients (arrow). This pillar likely contributes to the aortic valve support and may play a role in the pathophysiology of anomalous aortic origin of a coronary artery. (©2014 Texas Children's Hospital, reprinted with permission.) The Journal of Thoracic and Cardiovascular Surgery 2019 158, 218-219DOI: (10.1016/j.jtcvs.2019.02.037) Copyright © 2019 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Effect of surgical unroofing of an anomalous coronary artery. A, Unroofing of a long intramural segment increases the size of the ostium, eliminates the intramural portion of the anomalous coronary, and places the ostium in the correct sinus, away from the intercoronary pillar. B, Unroofing of a short intramural segment increases the size of the ostium and eliminates the intramural portion of the coronary artery but may leave the coronary artery in close proximity to the intercoronary pillar and at risk for compression. An alternative surgical intervention, such as coronary translocation, may be preferred. RCA, Right coronary artery; PA, pulmonary artery; ALCA, anomalous left coronary artery. (©2016 Texas Children's Hospital, reprinted with permission.) The Journal of Thoracic and Cardiovascular Surgery 2019 158, 218-219DOI: (10.1016/j.jtcvs.2019.02.037) Copyright © 2019 The American Association for Thoracic Surgery Terms and Conditions

The intercoronary pillar can be quite thick in some patients. The Journal of Thoracic and Cardiovascular Surgery 2019 158, 218-219DOI: (10.1016/j.jtcvs.2019.02.037) Copyright © 2019 The American Association for Thoracic Surgery Terms and Conditions