Mahesh Ramchandani

Right Anterior Minithoractomy Aortic Valve Replacement, Ascending Aorta, and Hemiarch Repair

Ziyab Khan Sarfaraz, Tommaso Cambiaghi, I. Istvan Gecse, Mahesh Ramchandani

This video demonstrates a technique for performing aortic valve replacement, ascending aorta replacement, and hemiarch replacement.

Right Anterior Minithoractomy Aortic Valve Replacement, Ascending Aorta, and Hemiarch Repair

Ziyab Khan Sarfaraz, Tommaso Cambiaghi, I. Istvan Gecse, Mahesh Ramchandani

This video demonstrates a technique for performing aortic valve replacement, ascending aorta replacement, and hemiarch replacement.

Teaching minimally invasive coronary artery bypass grafting: a structured framework for well tolerated adoption and training

Ziyab K Sarfaraz, Qasim Al Abri, Mahesh Ramchandani

PURPOSE OF REVIEW: Minimally invasive coronary artery bypass grafting (MICS CABG) offers the benefits of surgical revascularization without sternotomy but remains underutilized due to technical demands and a lack of structured training. This review outlines a stepwise framework for safe adoption. RECENT …

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Chronic Calcified Pericardial Hematoma: A Rare Cause of Constrictive Pericarditis

Karl Abou Zeid, Joe Aoun, Ziyab K Sarfaraz, Mahesh Ramchandani et autres

Constrictive pericarditis is a chronic inflammatory condition characterized by pericardial fibrosis and thickening, leading to impaired diastolic filling of the heart. It typically occurs as a delayed complication of viral pericarditis, cardiac surgery, or radiation therapy, and in rare cases, it can …

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Tricuspid valve detachment for ischemic ventricular septal defect closure in adults: A novel and safe alternative to infarct exclusion

Albert Oh, Ahmad Tabatabaeishoorijeh, Ziyab K Sarfaraz, Imran Sunesara et autres

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Left Atrium Compression by Iatrogenic Hematoma Due to Left Atrial Appendage Clipping in Open Coronary Artery Bypass Grafting Surgery

Ahmad Tabatabaeishoorijeh, Albert Oh, Ziyab K Sarfaraz, Mahesh Ramchandani

Left atrial appendage (LAA) clipping during open cardiac surgery is widely used for stroke and embolization prevention in atrial fibrillation. Various devices are available for this purpose, including the AtriCure AtriClip and the recently introduced Medtronic Penditure clip. We present a case …

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A MULTIDISCIPLINARY APPROACH TOWARDS RESECTING A MOBILE, CONTINUOUS LEIOMYOMA TO THE HEART

Fatima Qamar, Marcel Gugala, Muskan Khan, Areeba Ali et autres

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Sutureless Perceval Valve: Size Matters

Adham Elmously, Shubham Lahan, Qasim Al Abri, Moritz C. Wyler von Ballmoos et autres

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Surgical Salvage of Annular Rupture After Transcatheter Aortic Valve Implantation by Conversion Into Annular Enlargement

Lamees I. El Nihum, Qasim Al Abri, Amr Telmesani, Areeba Ali et autres

We describe an 88-year-old woman who experienced annular rupture during transcatheter aortic valve replacement despite preventative measures. She underwent Y incision and rectangular patch for the double purpose of repairing the rupture and enlarging the aortic root. We highlight the heart team’s …

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Self-expanding Transcatheter vs Surgical Aortic Valve Replacement in Intermediate-Risk Patients

Nicolas M. Van Mieghem, G. Michael Deeb, Lars Søndergaard, Eberhard Grube et autres

Importance: In patients with severe aortic valve stenosis at intermediate surgical risk, transcatheter aortic valve replacement (TAVR) with a self-expanding supra-annular valve was noninferior to surgery for all-cause mortality or disabling stroke at 2 years. Comparisons of longer-term clinical and hemodynamic outcomes …

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Acute mitral valve regurgitation secondary to papillary muscle rupture due to infective endocarditis

Farshad Amirkhosravi, Qasim Al Abri, Alexander Lu, Lamees I. El Nihum et autres

BACKGROUND: Papillary muscle rupture due to infective endocarditis is a rare event and proper management of this condition has not been described in the literature. Our case aims to shed light on treatment strategies for these patients using the current guidelines. CASE …

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Papillary Fibroelastoma Incidentally Found on Left Atrial Wall During Minimally Invasive Aortic Valve Replacement

Qasim Al Abri, Lamees I. El Nihum, M. Mujeeb Zubair, Roberto Barrios et autres

A 60-year-old man was about to undergo minimally invasive aortic valve replacement when transesophageal echocardiography revealed an intracardiac mass on the left atrial free wall. Multimodal images from 5 months earlier had shown no mass. We converted the procedure to open surgery. …

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