2017
Fate of remnant sinuses of Valsalva in patients with bicuspid and trileaflet valves undergoing aortic valve, ascending aorta, and aortic arch replacement
Milewski RK, Habertheuer A, Bavaria JE, Siki M, Szeto WY, Krause E, Korutla V, Desai ND, Vallabhajosyula P. Fate of remnant sinuses of Valsalva in patients with bicuspid and trileaflet valves undergoing aortic valve, ascending aorta, and aortic arch replacement. Journal Of Thoracic And Cardiovascular Surgery 2017, 154: 421-432. PMID: 28599977, DOI: 10.1016/j.jtcvs.2017.03.150.Peer-Reviewed Original ResearchConceptsAortic valve replacementBicuspid aortic valveAorta replacementTricuspid aortic valveValve replacementAortic valveValsalva dimensionsPreoperative sinusSinus segmentValvular morphologyValvular pathologyElective aortic valve replacementMultivariable Cox regression modelsAortic arch replacementKaplan-Meier analysisAortic valve morphologyCox regression modelAortic valvulopathyArch replacementSurgical managementAortic aneurysmAortic rootLongitudinal sinusValsalva groupPatients
2016
Valve Selection in End-Stage Renal Disease: Should It Always Be Biological?
Williams ML, Bavaria JE, Acker MA, Desai ND, Vallabhajosyula P, Hargrove WC, Atluri P, Szeto WY. Valve Selection in End-Stage Renal Disease: Should It Always Be Biological? The Annals Of Thoracic Surgery 2016, 102: 1531-1535. PMID: 27544289, DOI: 10.1016/j.athoracsur.2016.04.092.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedAnticoagulantsAortic ValveBioprosthesisCalcinosisContraindicationsEndocarditisHeart Valve DiseasesHeart Valve ProsthesisHeart Valve Prosthesis ImplantationHumansKaplan-Meier EstimateKidney Failure, ChronicMiddle AgedMitral ValvePostoperative ComplicationsProportional Hazards ModelsProsthesis-Related InfectionsRenal DialysisRetrospective StudiesThrombophiliaConceptsEnd-stage renal diseaseValve replacementProportional hazards modelESRD patientsMechanical valvesRenal diseaseHazards modelImproved long-term survivalCox proportional hazards modelAortic valve replacementMechanical valve replacementMitral valve replacementKaplan-Meier methodLong-term survivalValve selectionESRD populationPatient ageUnadjusted survivalImproved survivalPatient populationPatientsSurvivalDiseaseMinimal differencesYears
2015
Minimally Invasive Port Access Approach for Reoperations on the Mitral Valve
Vallabhajosyula P, Wallen T, Pulsipher A, Pitkin E, Solometo LP, Musthaq S, Fox J, Acker M, Hargrove WC. Minimally Invasive Port Access Approach for Reoperations on the Mitral Valve. The Annals Of Thoracic Surgery 2015, 100: 68-73. PMID: 25975939, DOI: 10.1016/j.athoracsur.2015.02.039.Peer-Reviewed Original ResearchConceptsPort-access groupPort-access approachInvasive port access approachMitral valveAccess groupConcomitant proceduresSternotomy approachNew York Heart Association class 2Aortic cross-clamping timeCardiopulmonary bypass timeCross-clamping timeMean hospital lengthAccess approachPostoperative strokeSternotomy groupBypass timeHospital lengthPostoperative echocardiographyPostoperative mortalityMV replacementSurgical indicationsMore patientsRetrospective reviewAtrial fibrillationMitral regurgitation
2014
Aortic and Mitral Valve Replacement Versus Transcatheter Aortic Valve Replacement in Propensity-Matched Patients
McCarthy FH, Desai ND, Herrmann HC, Kobrin D, Vallabhajosyula P, Fox Z, Menon R, Augoustides JG, Giri JS, Anwaruddin S, Li RH, Jagasia DH, Bavaria JE, Szeto WY. Aortic and Mitral Valve Replacement Versus Transcatheter Aortic Valve Replacement in Propensity-Matched Patients. The Annals Of Thoracic Surgery 2014, 98: 1267-1273. PMID: 25149054, DOI: 10.1016/j.athoracsur.2014.05.075.Peer-Reviewed Original ResearchMeSH KeywordsAgedAortic ValveFemaleHumansMaleMitral ValveMitral Valve InsufficiencyTranscatheter Aortic Valve ReplacementConceptsTranscatheter aortic valve replacementAortic valve replacementSignificant mitral regurgitationMitral regurgitationValve replacementMVR groupTAVR groupMidterm survivalOpen aortic valve replacementEquivalent perioperative outcomesGreater mitral regurgitationPostoperative mitral regurgitationThoracic Surgeons scoreHigh-risk patientsPropensity-matched analysisPropensity-matched pairsPairs of patientsMitral valve repairMVR patientsPreoperative endocarditisPropensity matching techniquesTAVR patientsPerioperative outcomesEjection fractionSurgeons scoreMinimally Invasive Mitral Valve Surgery Utilizing Heart Port Technology
Vallabhajosyula P, Wallen TJ, Solometo LP, Fox J, Vernick WJ, Hargrove WC. Minimally Invasive Mitral Valve Surgery Utilizing Heart Port Technology. Journal Of Cardiac Surgery 2014, 29: 343-348. PMID: 24495015, DOI: 10.1111/jocs.12293.Peer-Reviewed Original ResearchConceptsMitral valve surgeryInvasive mitral valve surgeryPort-access technologyPrevious cardiac operationsValve surgeryMitral regurgitationMitral stenosisGroup 1Operative outcomesCardiac operationsPrevious aortic valve surgeryPrevious mitral valve surgeryPrevious coronary artery bypassMedian hospital stayMitral valve casesAortic valve surgeryCardiac surgery patientsCoronary artery bypassSevere mitral regurgitationTrace mitral regurgitationChitwood clampFibrillatory arrestArtery bypassHospital mortalityHospital stay