Comments for miami minimally invasive valves

Comment on ANSWER: by Miami Minimally Invasive Valves

Miami Minimally Invasive Valves — Mon, 20 May 2013 10:15:34 +0000

Not the easiest valve to implant but great for EOA. You definitely need a knot pusher to get around the struts. Can’t oversize or else it won’t seat

Comment on ANSWER: by Sam Pollock

Sam Pollock — Mon, 20 May 2013 10:12:50 +0000

I saw you do that on a visit last year! How was the Trifecta to put in?

Comment on ANSWER: by Miami Minimally Invasive Valves

Miami Minimally Invasive Valves — Sun, 19 May 2013 18:21:56 +0000

I use retrograde cerebral perfusion. I place a 24 Fr. venous cannula through my chest tube incision and the place it into the SVC.

Comment on ANSWER: by Sam Pollock

Sam Pollock — Sun, 19 May 2013 18:20:08 +0000

Yes. I guess no ategrade cerebral perfusion this way!

Comment on Can you figure out what this is? by Marc Sakwa

Marc Sakwa — Sun, 19 May 2013 11:26:04 +0000

Are you looking down arch seeing arterial cannulae under circulatory arrest??

Sent from my iPad

Comment on Obese Patients Benefit from Minimally Invasive Valve Surgery by Neelan Doolabh

Neelan Doolabh — Sun, 19 May 2013 01:31:04 +0000

I never get CT’s. Every CT I look at makes me think the aortic valve is too far away. The reality is the pericardial sutures if placed well can bring the valve to your incision. Like Joe says “every exposure leads to the next exposure.” One can’t give up from the outset. My biggest patient so far was 400lbs, a sternotomy would have been a rehab nightmare.

Comment on Can you figure out what this is? by Neelan Doolabh

Neelan Doolabh — Sun, 19 May 2013 01:20:52 +0000

Arterial cannula! Nice case Joe! Still can’t fathom doing a circulatory arrest case through the mini incision. Wow!

Comment on Can you figure out what this is? by Robert Binford

Robert Binford — Sun, 19 May 2013 01:07:22 +0000

I think it’s the arterial cannula from the subclavian artery

Comment on Obese Patients Benefit from Minimally Invasive Valve Surgery by Marc Sakwa

Marc Sakwa — Sat, 18 May 2013 21:53:56 +0000

I completely concur. I never get CT scans anymore and I believe obesity is not a contraindication. My experience would also show that these patients do extremely well with less morbidity. Experience with MIVS is essential in making these judgements.

Comment on Minimally Invasive MVRepair, P2 Folding-plasty by Angelo LaPietra

Angelo LaPietra — Sun, 14 Apr 2013 20:57:06 +0000

Great Video

Angelo LaPietra, M.D. Department of Cardiac SurgeryMt. Sinai Medical Center Miami Beach, Florida