2023
Utility of Hook Sign in the Diagnosis of Median Arcuate Ligament Syndrome
Chan S, Weininger G, Kozhimala M, Sumpio B, Levine L, Harris S, Zheng S, Ochoa Chaar C, Guzman R, Sumpio B. Utility of Hook Sign in the Diagnosis of Median Arcuate Ligament Syndrome. Annals Of Vascular Surgery 2023, 94: 165-171. PMID: 37023920, DOI: 10.1016/j.avsg.2023.03.018.Peer-Reviewed Original ResearchConceptsMedian arcuate ligament syndromeBody mass indexCeliac artery compressionArcuate ligament syndromeCeliac arteryInstitutional review board-approved retrospective chart reviewDiagnosis of MALSElectronic medical record reviewMedian arcuate ligamentNonspecific abdominal painRetrospective chart reviewMedical record reviewTertiary academic centerSignificant predictorsHook signWilcoxon rank sum testRank sum testMALS patientsAbdominal painTomography angiography imagesArtery compressionChart reviewPatient demographicsArcuate ligamentRadiologic characteristicsA robotic-assisted approach to sliding plasty, neochordoplasty, and annuloplasty in a technically complex mitral valve repair.
Amabile A, LaLonde M, Komlo C, Hameed I, Weininger G, Agrawal A, Krane M, Geirsson A. A robotic-assisted approach to sliding plasty, neochordoplasty, and annuloplasty in a technically complex mitral valve repair. Multimedia Manual Of Cardio-Thoracic Surgery 2023, 2023 PMID: 36701207, DOI: 10.1510/mmcts.2022.057.Peer-Reviewed Original Research
2022
Impact of secondary mitral regurgitation on survival in atrial and ventricular dysfunction
Mori M, Zogg C, Amabile A, Fereydooni S, Agarwal R, Weininger G, Krane M, Sugeng L, Geirsson A. Impact of secondary mitral regurgitation on survival in atrial and ventricular dysfunction. PLOS ONE 2022, 17: e0277385. PMID: 36548259, PMCID: PMC9778994, DOI: 10.1371/journal.pone.0277385.Peer-Reviewed Original ResearchConceptsSecondary mitral regurgitationVentricular dysfunctionHazard of deathAtrial dysfunctionMitral regurgitationMild secondary mitral regurgitationSevere secondary mitral regurgitationCox proportional hazards modelRisk-adjusted hazardRetrospective cohort studySurvival of patientsProportional hazards modelCohort studyPatient demographicsSeverity strataBetter survivalHazards modelPatientsDysfunctionNatural historyPropensity scoreSeverityDifferent severitySurvivalRegurgitationPrevalence and Characteristics of Patients with Median Arcuate Ligament Syndrome in a Cohort Diagnosed with Celiac Artery Compression.
Kozhimala M, Chan S, Weininger G, Sumpio B, Levine L, Harris S, Zheng S, Longo W, Ochoa Chaar C, Guzman R, Sumpio B. Prevalence and Characteristics of Patients with Median Arcuate Ligament Syndrome in a Cohort Diagnosed with Celiac Artery Compression. Journal Of The American College Of Surgeons 2022, 236: 1085-1091. PMID: 36476640, DOI: 10.1097/xcs.0000000000000500.Peer-Reviewed Original ResearchConceptsMedian arcuate ligament syndromeCeliac artery compressionArcuate ligament syndromeCharacteristics of patientsMALS patientsArtery compressionArtery diseaseRenal diseaseMesenteric artery diseasePeripheral arterial diseasePeripheral artery diseaseRetrospective chart reviewCohort of patientsMedical record reviewFrequent differential diagnosisSignificant differencesAbdominal symptomsAtherosclerotic characteristicsEpigastric painGastrointestinal comorbiditiesChart reviewArterial diseaseAtherosclerotic diseaseRecord reviewClinical symptomsLong‐term risk of arch complications in Loeys Dietz syndrome patients undergoing proximal ascending aortic replacement
Weininger G, Zafar M, Ziganshin BA, Mori M, Papanikolaou D, Sekar RB, Amabile A, Degife E, O'Marr J, Geirsson A, Elefteriades JA, Assi R, Vallabhajosyula P. Long‐term risk of arch complications in Loeys Dietz syndrome patients undergoing proximal ascending aortic replacement. Journal Of Cardiac Surgery 2022, 37: 3688-3692. PMID: 35989525, DOI: 10.1111/jocs.16855.Peer-Reviewed Original ResearchConceptsLoeys-Dietz syndromeProximal aortic replacementAortic replacementLDS patientsLong-term riskLoeys-Dietz syndrome patientsPathogenic variantsUnknown significanceLower long-term riskRare connective tissue disorderAscending Aortic ReplacementTotal arch replacementAortic valve replacementRecords of patientsConnective tissue disordersWhole-exome genetic testingArch replacementMedian followLatest followValve replacementOperative coursePatient chartsAortic diameterAortic dimensionsAortic archInstitution representation in publications reporting mitral valve repair durability: A scoping review
Komlo CM, Brooks C, Amabile A, Mori M, Najem M, Mullan C, Weininger G, Krane M, Vallabhajosyula P, Geirsson A. Institution representation in publications reporting mitral valve repair durability: A scoping review. Journal Of Cardiac Surgery 2022, 37: 2163-2165. PMID: 35506749, DOI: 10.1111/jocs.16498.Peer-Reviewed Original ResearchGrowth rate of ascending thoracic aortic aneurysms in a non-referral-based population
Weininger G, Mori M, Yousef S, Hur DJ, Assi R, Geirsson A, Vallabhajosyula P. Growth rate of ascending thoracic aortic aneurysms in a non-referral-based population. Journal Of Cardiothoracic Surgery 2022, 17: 14. PMID: 35109884, PMCID: PMC8812194, DOI: 10.1186/s13019-022-01761-6.Peer-Reviewed Original ResearchConceptsAneurysm growth rateAortic dilatationAortic aneurysmStudy populationCT scanInitial aneurysm sizeTrue natural historyPatients age 50High-risk patientsMedian time intervalLarge institutional databaseThoracic aortic aneurysmComputed tomography scanAortic aneurysm diseaseRisk patientsAortic sizeInstitutional databaseTomography scanAneurysm diseaseRadiologic diagnosisAneurysm sizeBackgroundPrior studiesAge 50PatientsNatural history
2021
Socioeconomic disparities in surveillance and follow‐up of patients with thoracic aortic aneurysm
Shang M, Weininger G, Mori M, Kahler‐Quesada A, Degife E, Brooks C, Yousef S, Williams M, Assi R, Geirsson A, Vallabhajosyula P. Socioeconomic disparities in surveillance and follow‐up of patients with thoracic aortic aneurysm. Journal Of Cardiac Surgery 2021, 37: 831-839. PMID: 34873754, DOI: 10.1111/jocs.16173.Peer-Reviewed Original ResearchConceptsAortic aneurysmArea Deprivation IndexCardiovascular specialistsSocioeconomic statusSurgical interventionAneurysm sizeReferral of patientsRisk of deathSignificant risk factorsThoracic aortic aneurysmComputed tomography scanLowest socioeconomic quartileLow socioeconomic statusLower Socioeconomic StatusADI quartileAortic surveillanceAortic dissectionConsecutive patientsPrimary outcomeSpecialist referralSurgical repairTimely followSurveillance imagingRisk regressionRisk factorsRobotic, totally endoscopic excision of mitral valve papillary fibroelastoma.
Amabile A, Morrison A, Weininger G, LaLonde M, Krane M, Geirsson A. Robotic, totally endoscopic excision of mitral valve papillary fibroelastoma. Multimedia Manual Of Cardio-Thoracic Surgery 2021, 2021 PMID: 34491636, DOI: 10.1510/mmcts.2021.045.Peer-Reviewed Case Reports and Technical NotesDevelopment and Validation of a Predictive Model to Identify Patients With an Ascending Thoracic Aortic Aneurysm
Mori M, Gan G, Deng Y, Yousef S, Weininger G, Daggula KR, Agarwal R, Shang M, Assi R, Geirsson A, Vallabhajosyula P. Development and Validation of a Predictive Model to Identify Patients With an Ascending Thoracic Aortic Aneurysm. Journal Of The American Heart Association 2021, 10: e022102. PMID: 34743563, PMCID: PMC8751931, DOI: 10.1161/jaha.121.022102.Peer-Reviewed Original ResearchConceptsThoracic aortic aneurysmAortic aneurysmPatient riskTomography scanHigher body surface areaTertiary care centerAortic valve diseaseHistory of arrhythmiaAvailable clinical informationBody surface areaScreening of patientsCross-sectional studyRisk prediction algorithmAscending Thoracic Aortic AneurysmsLogistic regression modelsClinical characteristicsAortic dissectionUnique patientsValve diseaseC-statisticFemale sexThoracic aortaCare centerComorbidity variablesMultivariable modelThe impact of trainees' working hour regulations on outcome in CABG and valve surgery in the State of New York
Amabile A, Mori M, Brooks C, Weininger G, Shang M, Fereydooni S, Komlo CM, Mullan CW, Hameed I, Geirsson A. The impact of trainees' working hour regulations on outcome in CABG and valve surgery in the State of New York. Journal Of Cardiac Surgery 2021, 36: 4582-4590. PMID: 34617327, DOI: 10.1111/jocs.16058.Peer-Reviewed Original ResearchConceptsShort-term outcomesRisk-adjusted mortality ratesDuty hour regulationsTeaching hospitalBetter short-term outcomesWorse short-term outcomesCoronary artery bypassDuty hour policiesOverall surgical volumeArtery bypassCABG surgeryValve surgeryCABG proceduresCardiac surgeryValve proceduresSurgical volumeFirst-year residentsHospital typeMortality rateSurgeryCABGCall dutiesReporting System dataGraduate Medical EducationOutcomesIntracardiac Cement Embolism
Weininger G, Elefteriades JA. Intracardiac Cement Embolism. New England Journal Of Medicine 2021, 385: e49. PMID: 34596982, DOI: 10.1056/nejmicm2032931.Peer-Reviewed Original ResearchLipid profiles help to explain protection from systemic atherosclerosis in patients with ascending aortic aneurysm
Weininger G, Ostberg N, Shang M, Zafar M, Ziganshin BA, Liu S, Erben Y, Elefteriades JA. Lipid profiles help to explain protection from systemic atherosclerosis in patients with ascending aortic aneurysm. Journal Of Thoracic And Cardiovascular Surgery 2021, 163: e129-e132. PMID: 34635315, DOI: 10.1016/j.jtcvs.2021.09.031.Peer-Reviewed Original ResearchOutcomes for extensive infective endocarditis: One, no one, and one hundred thousand
Amabile A, Weininger G, Geirsson A. Outcomes for extensive infective endocarditis: One, no one, and one hundred thousand. Journal Of Cardiac Surgery 2021, 36: 4682-4683. PMID: 34549459, DOI: 10.1111/jocs.16004.Peer-Reviewed Original ResearchRisk reduction and pharmacological strategies to prevent progression of aortic aneurysms
Weininger G, Chan SM, Zafar M, Ziganshin BA, Elefteriades JA. Risk reduction and pharmacological strategies to prevent progression of aortic aneurysms. Expert Review Of Cardiovascular Therapy 2021, 19: 619-631. PMID: 34102944, DOI: 10.1080/14779072.2021.1940958.Peer-Reviewed Original ResearchConceptsAortic aneurysmAbdominal aortic aneurysmß-blockersAngiotensin II receptor blockersAngiotensin-converting enzyme inhibitorAnti-platelet medicationDifferent pharmacologic therapiesII receptor blockersAortic aneurysm patientsThoracic aortic aneurysmRisk reductionAortic aneurysm growthPharmacologic managementReceptor blockersPharmacologic therapyMedical therapySurgical interventionAneurysm patientsMiscellaneous drugsAneurysm diseasePharmacological strategiesSyndrome patientsMarfan syndromeEnzyme inhibitorsAneurysmsSurvival of Patients With Mild Secondary Mitral Regurgitation With and Without Mild Tricuspid Regurgitation
Mori M, Weininger G, Agarwal R, Shang M, Amabile A, Kahler-Quesada A, Yousef S, Pichert M, Vallabhajosyula P, Zhang Y, Sugeng L, Geirsson A. Survival of Patients With Mild Secondary Mitral Regurgitation With and Without Mild Tricuspid Regurgitation. Canadian Journal Of Cardiology 2021, 37: 1513-1521. PMID: 34119634, DOI: 10.1016/j.cjca.2021.06.005.Peer-Reviewed Original ResearchConceptsMild secondary mitral regurgitationLeft ventricular ejection fractionSecondary mitral regurgitationMild tricuspid regurgitationNormal left ventricular ejection fractionTricuspid regurgitationHazard of deathGroup 1Valvular abnormalitiesMitral regurgitationGroup 2Mean age 61 yearsGroup 4Cox proportional hazards modelGroup 1 patientsGroup 2 patientsGroup 3 patientsGroup 4 patientsAge 61 yearsRetrospective cohort studySurvival of patientsSubgroup of patientsProportional hazards modelCohort studyHealth care networkComplex Case Outcomes and Case Risk Distribution of Early-career Cardiac Surgeons
Weininger G, Geirsson A. Complex Case Outcomes and Case Risk Distribution of Early-career Cardiac Surgeons. The Annals Of Thoracic Surgery 2021, 113: 2107-2108. PMID: 33971173, DOI: 10.1016/j.athoracsur.2021.04.079.Peer-Reviewed Original ResearchCavitron ultrasonic surgical aspirator for mitral annular decalcification.
Weininger G, Green J, Mori M, Geirsson A. Cavitron ultrasonic surgical aspirator for mitral annular decalcification. Multimedia Manual Of Cardio-Thoracic Surgery 2021, 2021 PMID: 33691046, DOI: 10.1510/mmcts.2021.009.Peer-Reviewed Original ResearchConceptsMitral annular calcificationCavitron Ultrasonic Surgical AspiratorUltrasonic surgical aspiratorAnnular calcificationSurgical aspiratorAnnular decalcificationMitral annulusSevere mitral annular calcificationMitral valve surgeryProper surgical techniqueProper techniqueValve surgerySurgical complicationsSevere calcificationHigh morbidityPostoperative imagingPatient presentationSurgical techniqueCalcificationPatientsAspiratorDecalcificationMorbidityComplicationsSurgeryPatterns of Surveillance Imaging for Incidentally Detected Ascending Aortic Aneurysms
Weininger G, Mori M, Shang M, Degife E, Amick M, Yousef S, Assi R, Milewski R, Geirsson A, Vallabhajosyula P. Patterns of Surveillance Imaging for Incidentally Detected Ascending Aortic Aneurysms. The Annals Of Thoracic Surgery 2021, 113: 125-130. PMID: 33609548, DOI: 10.1016/j.athoracsur.2021.02.010.Peer-Reviewed Original ResearchConceptsAneurysm sizeLogistic regression modelsAortic aneurysmTomography scanCardiac surgeonsHigh-risk patient populationHigh-risk patientsAscending Aortic AneurysmLow clinical penetranceMedian aneurysm sizeYear of detectionPatterns of surveillanceMedian followCare patientsRegression modelsSurveillance imagingSurveillance intervalsPatient populationIncidental detectionFamily historyClinical penetrancePatientsPatient's aneurysmSilent killerTimely interventionVariables That Account for the Heterogeneity in Left-Sided Infective Endocarditis
Weininger G, Mori M, Geirsson A. Variables That Account for the Heterogeneity in Left-Sided Infective Endocarditis. The Annals Of Thoracic Surgery 2021, 112: 1034-1035. PMID: 33484677, DOI: 10.1016/j.athoracsur.2020.11.057.Peer-Reviewed Original Research