Bo Yang retweeted
Our team is in the FINAL FOUR of #STATMadness. Vote to help us advance to the championship! @statnews
#Science is a team sport - and our @umichCVC scientists need your vote RIGHT NOW in the #STATmadness tournament of science from @statnews: statnews.com/feature/stat-ma…
Nice work, Alex
We also found a positive volume-outcome relationship for AAE during AVR: Hospitals performing just 12 or more during the study (avg >1 per yr) had lower mortality at 30 d, 1 yr, & 5 yrs compared to hospitals doing <1 per year #STS2026 @TsuyoshiKaneko1 @WashU_CT @STS_CTsurgery
SAVR +Y-incision AAE outperforms TAVR in hemodynamics in low-intermediate risk patients with severe AS during 3 years f/u. see our paper in JTCVS ENDO, (Fig below: mean G and EOA; PPM.) jtcvsstructural.org/action/s…
This is why Ross, upsized Bentall, Ozaki and Y-AAE work so well for valvular AS without enlarging the LVOT. The LVOT is normal in AS patients. NO need to enlarge the LVOT. subaortic web and HOCM are different diseases, can be treated with web resection and myectomy.
With complete transaction of the ascd aorta for Y-AAE, it is very easy to access the MV through the dome of LA since MV is right underneath the root. This approach can be used for concomitant MV repair, replacement or LA Maze, LAA excision.
Happy to share our new publication and accompanying surgical video! @BoYangMD @UMichCTSurgery @AATSHQ
Mitral valve surgery with concomitant Y-incision aortic annular enlargement - JTCVS Techniques jtcvstechniques.org/article/…
We will have a hands-on wet lab of Y-incision AAE at EACTS in Copenhagen. Feel free to sign up. web.cvent.com/event/9ed56135…
Deep dissection is critical to achieve a competent aortic valve in David procedure. It can be challenging when the R cor sinus is ventricularized and VAJ is high. This video shows how to perform deep dissection without worry about RVOT injury for perfect David procedure.
Right Ventricular Outflow Tract Injury During Deep Dissection in Valve-Sparing Aortic Root Replacement
This excellent video from @SanjRamdeen and @BoYangMD showcases an RVOT injury and its subsequent repair during a David procedure.
🔗ow.ly/G03a50WNLHq
#RVOT #surgery
A lot of excitement at EACTS this year
Join us at the 39th EACTS Annual Meeting! Prof. Michael Borger and Dr. @BoYangMD will unveil a new double annular enlargement technique.
View the programme: eacts.org/39th-eacts-annual-…
Y-incision AAE has been criticized not enlarging the basal ring/LVOT. Nor does Ross, Bentall, Ozaki procedure. All four techniques place a valve with large opening above the LVOT with great hemodynamics. Y-AAE is the simplest and prepare for TAVR. AV stenosis is not LVOT stenosis
This study emphasizes the importance of aortic annular/root enlargement during SAVR to implant size 27-29 valves to avoid PPM, PVL and slow down SVD (larger EOA at implantation). TAVR can’t enlarge the aortic annulus/root. Surgeons need to do more AAE in SAVR.
Finally out @JACCJournals 5y BVD in CoreValve/Evolut #TAVR vs SAVR. ⬇️BVD SVD NSVD (PPM) in #TAVR. BVD ⬆️☠️. Bottom line: Any AVR avoid BVD! We can control NSVD (PVL, PPM) but SVD harder to predict. Operators should optimize index #TAVR when feasible and safe in all pts. @MDT_StructHeart Congrats my friend @StevenYakubov @drnvanmieghem @KendraGrubb et al on this important paper!
Using a mitral composite valve graft with a sling to enlarge both mitral and aortic annuli by 3 valve sizes - JTCVS Techniques. Simpler and more effective than Commando. Does not obstruct the LVOT. Great potential for future TMVR and TAVR if needed. jtcvstechniques.org/article/…
A podcast by EACTS on Y-incision aortic annular enlargement:
Expanding Aortic Roots and Surgical Horizons eacts.org/publications/a-cut…
We made Arc modification of Y-AAE to avoid the tensing of the suture line of the patch to the aorta-mitral curtain (a bar below the valve). It maintains most aorta-mitral curtain, the flexibility of the aortic root, the shape of the basal ring. annalsthoracicsurgeryshortre…
Bo Yang retweeted
Wrapping up #OkitaAortic with a fantastic #Tokyo evening boat ride - amazing fun with unbelievable camaraderie from the #aortic greats. Thank you for the opportunity and privilege to be the #SoMe ambassador!
The application for aortic fellowship at Michigan will open soon
Come join our team as an Advanced Fellow in Cardiac Surgery! As a fellow, you will have the opportunity to work alongside leading experts and enhance your surgical skills in a dynamic and supportive environment. @UMichCTSurgery @umichCVC @umichmedicine careers.umich.edu/job_detail…
I showed this case to leaders in cardiology. Their comments are this is good results. But most surgeons in the US would put a size 19 or 21 for this pt. Not sure that is better than TAVR.
