Research Topics
| Marc GillinovSummaryAffiliation: Cleveland Clinic Foundation Country: USA Publications
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Publications
Is ischemic mitral regurgitation an indication for surgical repair or replacement?A Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation Desk F24, Cleveland, OH, 44195, USA
Heart Fail Rev 11:231-9. 2006..However, the most severely ill patients and those with certain echocardiographic characteristics (e.g. severe bileaflet tethering) should be treated with bioprosthetic mitral valve replacement rather than repair...
Ablation of atrial fibrillation with mitral valve surgeryA Marc Gillinov
The Center for Atrial Fibrillation, Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Curr Opin Cardiol 20:107-14. 2005....
Use of the Alfieri edge-to-edge technique to eliminate left ventricular outflow tract obstruction caused by mitral systolic anterior motionA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Ann Thorac Surg 78:e92-3. 2004..This reduced the gradient across the left ventricular outflow tract to 10 mm Hg and eliminated the mitral regurgitation, which enabled successful separation from cardiopulmonary bypass...
Prandial atrial fibrillation: off-pump pulmonary vein isolation with hiatal hernia repairA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Ann Thorac Surg 78:1836-8. 2004..A 24-hour Holter monitor performed 6 weeks after operation demonstrated a normal sinus rhythm with no atrial fibrillation. Barium swallow demonstrated an intact infradiaphragmatic repair...
Ablation of atrial fibrillation with minimally invasive mitral surgeryA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic, Cleveland, Ohio 44195, USA
Ann Thorac Surg 84:1041-2. 2007..We describe a technique for creation of a biatrial lesion set for atrial fibrillation ablation that is easily employed using the transeptal approach to the mitral valve...
Chordal transfer for repair of anterior leaflet prolapseA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation F24, 9500 Euclid Avenue, Cleveland, OH 44195, USA
Semin Thorac Cardiovasc Surg 16:169-73. 2004..With this technique for correction of anterior leaflet prolapse, 5-year freedom from reoperation after mitral valve repair is 96%...
Choice of surgical lesion set: answers from the dataA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Atrial Fibrillation Innovation Center, The Cleveland Clinic, Cleveland, Ohio 44195, USA
Ann Thorac Surg 84:1786-92. 2007....
Bipolar radiofrequency to ablate atrial fibrillation in patients undergoing mitral valve surgeryA Marc Gillinov
Center for Atrial Fibrillation, The Cleveland Clinic Foundation, Ohio, USA
Heart Surg Forum 7:E147-52. 2004..The optimum treatment of AF in these patients is unclear. The purpose of this study was to describe initial clinical experience using a bipolar radiofrequency clamp to facilitate AF ablation in patients undergoing mitral valve surgery...
Pre-measured artificial chordae for mitral valve repairA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic, Cleveland, Ohio 44195, USA
Ann Thorac Surg 84:2127-9. 2007....
Surgical approaches for atrial fibrillationA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Desk F24, Cleveland, OH 44195, USA
Med Clin North Am 92:203-15, xii. 2008....
Curative surgery for atrial fibrillation: current status and minimally invasive approachesA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, OH 44195, USA
Expert Rev Cardiovasc Ther 1:595-603. 2003..New ablation technologies have been adapted to enable thoracoscopic and minimally invasive surgical AF ablation in patients with isolated AF, extending the possibility of cure to large numbers of patients...
Atrial fibrillation surgery in nonrheumatic mitral valve diseaseMarc Gillinov
The Center for Atrial Fibrillation Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, OH 44195, USA
J Interv Card Electrophysiol 20:101-7. 2007....
Advances in the surgical treatment of atrial fibrillationA Marc Gillinov
Atricure, Inc, USA
Cardiol Clin 22:147-57. 2004..This minimally invasive procedure will enable rapid and effective cure of AF in large numbers of patients...
When is concomitant aortic valve replacement indicated in patients with mild to moderate stenosis undergoing coronary revascularization?A Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation F24, 9500 Euclid Avenue, Cleveland, OH 44195, USA
Curr Cardiol Rep 7:101-4. 2005..In contrast, aortic valve replacement is rarely indicated in those with mild aortic stenosis...
Stapled excision of the left atrial appendageA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Ohio 44195, USA
J Thorac Cardiovasc Surg 129:679-80. 2005
Percutaneous mitral valve repairA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic, Cleveland, OH 44195, USA
Semin Thorac Cardiovasc Surg 18:115-21. 2006....
Surgery for paroxysmal atrial fibrillation in the setting of mitral valve disease: a role for pulmonary vein isolation?A Marc Gillinov
Center for Atrial Fibrillation, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Ann Thorac Surg 81:19-26; discussion 27-8. 2006..Our objective was to assess the impact of different surgical treatments for this arrhythmia in patients undergoing mitral valve surgery...
The Cox maze procedure in mitral valve disease: predictors of recurrent atrial fibrillationA Marc Gillinov
Center for Atrial Fibrillation and the Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA
J Thorac Cardiovasc Surg 130:1653-60. 2005..Therefore, we sought to determine the time-related prevalence of atrial fibrillation and its risk factors after combined Cox maze and mitral valve surgery...
Surgical ablation of atrial fibrillationA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA
Prog Cardiovasc Dis 48:169-77. 2005....
Surgical ablation of atrial fibrillationA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA
J Interv Card Electrophysiol 13:115-24. 2005
Commissural closure for repair of mitral commissural prolapseA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
Ann Thorac Surg 80:1135-6. 2005..When commissural prolapse is identified, simple closure of the commissure combined with annuloplasty enables rapid and reliable mitral valve repair...
Ischemic versus degenerative mitral regurgitation: does etiology affect survival?A Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Ann Thorac Surg 80:811-9; discussion 809. 2005..Thus, we (1) determined survival impact of etiology (degenerative vs ischemic) after combined mitral valve repair and CABG and (2) explored survival differences within etiology groups...
Advances in surgical treatment of atrial fibrillationA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic, Cleveland, OH 44195, USA
Stroke 38:618-23. 2007....
Ablation of atrial fibrillation with concomitant cardiac surgeryA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic, Cleveland, Ohio 44195, USA
Semin Thorac Cardiovasc Surg 19:25-32. 2007....
Surgical ablation of atrial fibrillation with bipolar radiofrequency as the primary modalityA Marc Gillinov
Center for Atrial Fibrillation and the Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio, USA
J Thorac Cardiovasc Surg 129:1322-9. 2005....
Surgery for permanent atrial fibrillation: impact of patient factors and lesion setA Marc Gillinov
Atrial Fibrillation Innovation Center AFIC, The Cleveland Clinic Foundation, Cleveland, Ohio, USA
Ann Thorac Surg 82:502-13; discussion 513-4. 2006..Whether a complete Cox-maze procedure is needed to ablate permanent atrial fibrillation in patients undergoing concomitant cardiac surgery is unknown. Our objective was to assess the effectiveness of different lesion sets in such patients...
Current status of mitral valve repairA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation F25, Cleveland, OH 44195, USA
Am Heart Hosp J 1:47-54. 2003..In patients with atrial fibrillation and mitral valve disease, the Maze procedure or pulmonary vein isolation is performed, eliminating atrial fibrillation and the need for long-term anticoagulation...
Valve repair versus valve replacement for degenerative mitral valve diseaseA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio 44195, USA
J Thorac Cardiovasc Surg 135:885-93, 893.e1-2. 2008....
Artificial chordae for chordal replacement: commentaryA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
J Card Surg 23:207-8. 2008
Should patients with severe degenerative mitral regurgitation delay surgery until symptoms develop?A Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland, OH 44195, USA
Ann Thorac Surg 90:481-8. 2010..This study examined whether delaying surgery until symptoms occur causes adverse cardiac changes and jeopardizes outcome...
Atricure bipolar radiofrequency clamp for intraoperative ablation of atrial fibrillationA Marc Gillinov
The Center for Atrial Fibrillation, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Ann Thorac Surg 74:2165-8; discussion 2168. 2002..This work reports our initial evaluation and clinical experience with the Atricure bipolar radiofrequency (RF) system for intraoperative ablation of atrial fibrillation (AF)...
Microwave ablation of atrial fibrillation during mitral valve operationsA Marc Gillinov
Ann Thorac Surg 74:1259-61. 2002..Microwave creates lines of conduction block by thermal damage and subsequent scar formation. We describe a rapid and simple technique for microwave ablation of atrial fibrillation in patients having mitral valve operations...
Cosgrove-Edwards Annuloplasty System: midterm resultsA M Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Ohio 44195, USA
Ann Thorac Surg 69:717-21. 2000..The purpose of this study was to evaluate midterm clinical and functional results in the first 197 patients receiving this flexible annuloplasty band at mitral valve repair...
The atherosclerotic aorta at aortic valve replacement: surgical strategies and resultsA M Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio, USA
J Thorac Cardiovasc Surg 120:957-63. 2000..2%) patients had a severely atherosclerotic ascending aorta and required hypothermic circulatory arrest to facilitate aortic valve replacement. They form the study group...
A novel synthetic sealant to treat air leaks at cardiac reoperationA M Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Ohio 44195, USA
J Card Surg 16:255-7. 2001..The purpose of this study was to test the efficacy of a new synthetic absorbable sealant at treatment air leaks occurring at cardiac reoperation...
Modified quadrangular resection for mitral valve repairA M Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Ohio 44195, USA
Ann Thorac Surg 72:2153-4. 2001..We present two techniques for posterior leaflet reconstruction when resection results in leaflet edges of different heights...
Is repair preferable to replacement for ischemic mitral regurgitation?A M Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
J Thorac Cardiovasc Surg 122:1125-41. 2001..This study was undertaken to compare mitral valve repair and replacement as treatments for ischemic mitral regurgitation...
Durability of combined aortic and mitral valve repairA M Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Ohio 44195, USA
Ann Thorac Surg 72:20-7. 2001..This study was undertaken to determine the durability of combined aortic and mitral valve repair...
Double valve endocarditisA M Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Ohio 44195, USA
Ann Thorac Surg 71:1874-9. 2001..There are little data concerning surgical outcomes in patients with native valve endocarditis affecting both the aortic and mitral valves...
Atrial fibrillation: current surgical options and their assessmentA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Ann Thorac Surg 74:2210-7. 2002..These operations cure AF in 70% to 80% of patients. This review describes contemporary and emerging surgical approaches to AF, synthesizes results of these operations, and proposes new standards for reporting results of AF treatment...
The Carbomedics Top Hat supraannular aortic valve: a multicenter studyA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Ann Thorac Surg 75:1175-80. 2003..Five institutions pooled their clinical experiences to evaluate early outcome in patients with this prosthesis...
Is prosthetic anuloplasty necessary for durable mitral valve repair?A Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA
Ann Thorac Surg 88:76-82. 2009..Because emerging percutaneous mitral valve repair may address only leaflets and not the anulus, we compared durability of mitral valve repair with and without prosthetic anuloplasty...
Commentary on the American College of Cardiology/American Heart Association/Heart Rhythm Society 2008 guidelines for device-based therapy of cardiac rhythm disordersA Marc Gillinov
Department of Thoracic/Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA
J Thorac Cardiovasc Surg 136:280-2. 2008
Outcomes after repair of the anterior mitral leaflet for degenerative diseaseA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio 44195, USA
Ann Thorac Surg 86:708-17; discussion 708-17. 2008....
Contemporary surgical treatment for atrial fibrillationA Marc Gillinov
Center for Atrial Fibrillation, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Pacing Clin Electrophysiol 26:1641-4. 2003..This article describes contemporary and emerging surgical approaches to AF, synthesizes results of these operations, and proposes a strategy for choice of operation based on patient presentation...
Hemisternotomy approach for aortic and mitral valve surgeryA M Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Ohio 44195, USA
J Card Surg 15:15-20. 2000..4%. Blood use was low with 80% of patients receiving no blood transfusions. We conclude that all primary mitral and aortic procedures can be accomplished safely via partial upper sternotomy...
A self-retaining retractor for the maze procedureA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, OH 44195, USA
J Thorac Cardiovasc Surg 126:287-8. 2003
Mitral valve repair with aortic valve replacement is superior to double valve replacementA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
J Thorac Cardiovasc Surg 125:1372-87. 2003..0006), and in patients receiving a mechanical aortic prosthesis (P =.0002). These differences were used for propensity-matched multivariable comparisons. Follow-up extended reliably to 16 years, mean 6.9 +/- 5.9 years...
Endocarditis after mitral valve repairA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Ohio 44195, USA
Ann Thorac Surg 73:1813-6. 2002..Native valve endocarditis is frequently managed with antibiotics alone, but prosthetic valve endocarditis usually requires an early operation. What is the best treatment of endocarditis after mitral valve repair?..
Repair versus replacement for degenerative mitral valve disease with coexisting ischemic heart diseaseA Marc Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
J Thorac Cardiovasc Surg 125:1350-62. 2003....
Is anterior leaflet repair always necessary in repair of bileaflet mitral valve prolapse?A M Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Ohio 44195, USA
Ann Thorac Surg 68:820-3; discussion 824. 1999..This study was undertaken to evaluate the effectiveness of a strategy of posterior leaflet resection and annuloplasty alone for patients with bileaflet prolapse and no anterior chordal rupture or severe anterior chordal elongation...
Surgical repair of posterior mitral valve prolapse: implications for guidelines and percutaneous repairDouglas R Johnston
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio 44195, USA
Ann Thorac Surg 89:1385-94. 2010..This study provides data on long-term survival and valve function after repair of posterior leaflet prolapse...
Off-pump reoperative coronary artery bypass grafting by thoracotomy: patient selection and operative techniqueF M Azoury
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Ohio 44195, USA
Ann Thorac Surg 71:1959-63. 2001..This is the approach of choice in cases of reoperative CABG to the circumflex system when resternotomy or CPB are undesirable, and the culprit coronary vessels are accessible through a thoracotomy...
Determinants of recurrent or residual functional tricuspid regurgitation after tricuspid annuloplastyShota Fukuda
Department of Cardiovascular Medicine, Cleveland Clinic Foundation, 9500 Euclid Avenue, Desk F15, Cleveland, Ohio 44195, USA
Circulation 114:I582-7. 2006..These factors identify patients at risk for repair failure; such individuals require development of additional surgical strategies to improve results of tricuspid valve repair and close surveillance after surgery...
Failed mitral valve repair caused by polypropylene sutureBuu-Khanh Lam
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio, USA
Ann Thorac Surg 76:1716-7. 2003..Soft, braided suture is preferred for leaflet approximation at mitral valve repair; if polypropylene suture is used, suture tails and knots should be positioned such that they do not come into contact with leaflet tissue...
Incidence of atrial fibrillation post-cavotricuspid isthmus ablation in patients with typical atrial flutter: left-atrial size as an independent predictor of atrial fibrillation recurrenceKeith Ellis
Center for Atrial Fibrillation, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio 44195, USA
J Cardiovasc Electrophysiol 18:799-802. 2007..The long-term occurrence of atrial fibrillation in patients presenting with atrial flutter alone is unknown. We report the long-term follow-up in patients who underwent cavotricuspid isthmus ablation for treatment of lone atrial flutter...
Injury to a patent left internal thoracic artery graft at coronary reoperationA M Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Ohio 44195, USA
Ann Thorac Surg 67:382-6. 1999....
Curative surgery for atrial fibrillation. Current status and minimally invasive approachesJ L Navia
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA
Minerva Cardioangiol 52:155-68. 2004..New ablation technologies have been adapted to enable thoracoscopic and minimally invasive surgical AF ablation in patients with isolated AF, extending the possibility of cure to large numbers of patients...
Recurrent mitral regurgitation after annuloplasty for functional ischemic mitral regurgitationEdwin C McGee
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA
J Thorac Cardiovasc Surg 128:916-24. 2004..Therefore the development of additional techniques is necessary to achieve more secure repair of functional ischemic mitral regurgitation...
Survival after simultaneous left ventricular free wall, papillary muscle, and ventricular septal rupturePeter A Walts
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Ann Thorac Surg 78:e77-8. 2004..We report a case involving rupture at all three sites in the same patient, emphasizing the importance of transesophageal echocardiography and surgical management...
Intraoperative electro-anatomical mapping and beating heart ablation of ventricular tachycardiaSekar S Bhavani
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Ann Thorac Surg 82:1091-3. 2006....
Reoperation after mitral valve repair for degenerative diseaseEric Dumont
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic, Cleveland, Ohio 44195, USA
Ann Thorac Surg 84:444-50; discussion 450. 2007..Objectives of this study were to determine (1) mechanisms for and timing of failed repair of degenerative disease and approach to reoperation, (2) durability of re-repair, and (3) long-term survival after reoperation...
A novel device for left atrial appendage exclusion: the third-generation atrial exclusion deviceHideyuki Fumoto
Department of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA
J Thorac Cardiovasc Surg 136:1019-27. 2008..The third-generation atrial exclusion device, modified to provide uniform distribution of pressure at appendage exclusion, was assessed for safety and effectiveness in a canine model and compared with a surgical stapler...
Evaluation of a novel device for left atrial appendage exclusion: the second-generation atrial exclusion deviceKeiji Kamohara
Department of Biomedical Engineering, Lerner Research Institute, The Cleveland Clinic, Cleveland, Ohio 44195, USA
J Thorac Cardiovasc Surg 132:340-6. 2006..Clinical application may provide a new therapeutic option for reducing the risk of stroke in patients with atrial fibrillation...
Surgical treatment of postinfarction left ventricular pseudoaneurysmFernando A Atik
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio 44195, USA
Ann Thorac Surg 83:526-31. 2007..The purposes of this study were to describe its clinical presentation, assess the accuracy of diagnostic imaging modalities, and determine operative and late surgical results...
Pulmonary vein isolation for the treatment of atrial fibrillation in patients with impaired systolic functionMichael S Chen
Center for Atrial Fibrillation, Department of Cardiovascular Medicine, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA
J Am Coll Cardiol 43:1004-9. 2004..Although our sample size was nonrandomized, our results suggest PVI may be a feasible therapeutic option in AF patients with impaired EF. Randomized studies with more patients and longer follow-up are warranted...
Mitral valve repair with Carpentier-McCarthy-Adams IMR ETlogix annuloplasty ring for ischemic mitral regurgitation: early echocardiographic results from a multi-center studyMasao Daimon
Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, Ohio 44195, USA
Circulation 114:I588-93. 2006..This novel etiology-specific strategy may result in improved outcomes in IMR patients...
Ischemic mitral regurgitation: impact of the left ventricle and mitral valve in patients with left ventricular systolic dysfunctionMonvadi B Srichai
Department of Radiology, Cleveland Clinic Foundation, Cleveland, Ohio, USA
Ann Thorac Surg 80:170-8. 2005..Moderate-to-severe ischemic MR develops in patients with regional scarring of the anterior-lateral and inferior-posterior regions, and new surgical developments should take this into account...
Does preoperative atrial fibrillation reduce survival after coronary artery bypass grafting?Mohammed A Quader
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, Ohio 44195, USA
Ann Thorac Surg 77:1514-22; discussion 1522-4. 2004..Thus, if patients in atrial fibrillation require surgical revascularization, it is appropriate to consider performing a concomitant surgical ablation procedure...
Randomized study comparing combined pulmonary vein-left atrial junction disconnection and cavotricuspid isthmus ablation versus pulmonary vein-left atrial junction disconnection alone in patients presenting with typical atrial flutter and atrial fibrillatOussama Wazni
Center for Atrial Fibrillation, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Circulation 108:2479-83. 2003..CTI block reduced early postablation recurrence of arrhythmias, which in the majority of patients reflects a short-term clinical problem...
Echocardiographic predictors for persistent functional mitral regurgitation after aortic valve replacement in patients with aortic valve stenosisYoshiki Matsumura
Department of Cardiovascular Medicine, Cleveland Clinic, Ohio, USA
Am J Cardiol 106:701-6. 2010..4 cm(2). In conclusion, preoperative MV tenting predicts persistent functional MR after AVR in patients with severe AS...
"Renal dose" dopamine is associated with the risk of new-onset atrial fibrillation after cardiac surgeryMaged Argalious
Department of General Anesthesiology, The Cleveland Clinic Foundation, Cleveland OH 44195, USA
Crit Care Med 33:1327-32. 2005..01). Receipt of rDA increased the odds of developing pAF by 74%, independent of the effect of other variables. CONCLUSIONS: Renal-dose dopamine is associated with a 1.74 odds ratio of pAF developing after CABG...
Revisiting the dome approach for partial sternotomy/minimally invasive mitral valve surgerySherard Little
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio 44195, USA
Ann Thorac Surg 87:694-7. 2009..Limiting the left atrial incision to the dome offers adequate visualization of the mitral valve for standard repairs or replacement. We describe the surgical technique and early experience with this dome approach...
Phased-array intracardiac echocardiography monitoring during pulmonary vein isolation in patients with atrial fibrillation: impact on outcome and complicationsNassir F Marrouche
Center for Atrial Fibrillation, Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Circulation 107:2710-6. 2003..CONCLUSIONS: Intracardiac echocardiography improves the outcome of cooled-tip PVI. Power adjustment guided by direct visualization of microbubble formation reduces the risk of PV stenosis and improves long-term cure...
Echocardiographic insights into atrial and ventricular mechanisms of functional tricuspid regurgitationShota Fukuda
Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
Am Heart J 152:1208-14. 2006....
Association of left atrial endothelin-1 with atrial rhythm, size, and fibrosis in patients with structural heart diseaseFadia Mayyas
Department of Molecular Cardiology, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH 44195, USA
Circ Arrhythm Electrophysiol 3:369-79. 2010..Cardiac endothelin-1 (ET-1) expression responds to wall stress and can promote myocyte hypertrophy and interstitial fibrosis. We tested the hypothesis that atrial ET-1 is elevated in AF and is associated with AF persistence...
Percutaneous mitral valve repair for chronic ischemic mitral regurgitation: a real-time three-dimensional echocardiographic study in an ovine modelMasao Daimon
Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Circulation 111:2183-9. 2005..This suggests the potential clinical application of a new nonsurgical therapeutic approach in patients with IMR...
Modified sliding leaflet technique for repair of the mitral valveA M Gillinov
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Ohio 44195, USA
Ann Thorac Surg 68:2356-7. 1999..The sliding leaflet technique reduces the incidence of left ventricular outflow tract obstruction after mitral valve repair. We report a modification of this technique that simplifies the procedure...
Influence of concentric left ventricular remodeling on early mortality after aortic valve replacementAndra Ibrahim Duncan
Department of Cardiothoracic Anesthesia, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Ann Thorac Surg 85:2030-9. 2008....
Equivalent midterm outcomes after off-pump and on-pump coronary surgeryJoseph F Sabik
Department of Thoracic Surgery, The Cleveland Clinic Foundation, Ohio 44195, USA
J Thorac Cardiovasc Surg 127:142-8. 2004..To determine if there are any differences in later outcomes, we compared midterm results of propensity-matched patients who underwent off- and on-pump coronary artery bypass grafting...
Success of surgical left atrial appendage closure: assessment by transesophageal echocardiographyAnne S Kanderian
Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio 44195, USA
J Am Coll Cardiol 52:924-9. 2008..We sought to determine which surgical technique of left atrial appendage (LAA) closure is most successful by assessing them with transesophageal echocardiography (TEE)...
Approaches to restoring and maintaining normal sinus rhythmDavid O Martin
Department of Cardiovascular Medicine, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Cleve Clin J Med 70:S12-29. 2003
Minimally invasive versus conventional mitral valve surgery: a propensity-matched comparisonLars G Svensson
Center for Aortic Surgery and Marfan and Connective Tissue Disorder Clinic, The Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, 9500 Euclid Ave Mail Stop J4 1, Cleveland, OH 44195, USA
J Thorac Cardiovasc Surg 139:926-32.e1-2. 2010..We sought to compare these minimally invasive approaches fairly with conventional full sternotomy by using propensity-matching methods...
Surgical management of secondary tricuspid valve regurgitation: annulus, commissure, or leaflet procedure?Jose L Navia
Heart and Vascular Institute, Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio 44195, USA
J Thorac Cardiovasc Surg 139:1473-1482.e5. 2010..Our objective was to assess the comparative effectiveness of these techniques in reducing or eliminating secondary tricuspid regurgitation...
Does off-pump coronary surgery reduce morbidity and mortality?Joseph F Sabik
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA
J Thorac Cardiovasc Surg 124:698-707. 2002..To compare hospital outcomes of on-pump and off-pump coronary artery bypass surgery...
Toward predictable repair of regurgitant aortic valves: a systematic morphology-directed approach to bicommissural repairGosta B Pettersson
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio 44195, USA
J Am Coll Cardiol 52:40-9. 2008..Our purpose was to investigate a new approach to bicommissural repair of regurgitant aortic valves...
Cannulation of the axillary artery with a side graft reduces morbidityJoseph F Sabik
Department of Thoracic and Cardiovascular Surgery and Biostatistics and Epidemiology, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Ann Thorac Surg 77:1315-20. 2004..Previously, we cannulated the artery directly; now we use a side graft. The purposes of this study were to (1) investigate cannulation-related morbidity and (2) determine whether use of a side graft reduces it...
Occurrence and risk factors for reintervention after coronary artery bypass graftingJoseph F Sabik
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, 9500 Euclid Avenue Desk F24, Cleveland, Ohio 44195, USA
Circulation 114:I454-60. 2006..Reintervention after coronary artery bypass grafting (CABG) is common. We sought to determine its occurrence and identify patient characteristics and operative techniques that influence the need or bias for reintervention...
The impact of gender on in-hospital mortality and morbidity after isolated aortic valve replacementAndra Ibrahim Duncan
Department of Cardiothoracic Anesthesia, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Anesth Analg 103:800-8. 2006..88) nor other morbidities. These results suggest that there is no greater than a 2.5-fold increase in risk for females compared with males undergoing AVR. Female gender, however, may impart increased risk for cardiac morbidity after AVR...
Influence of patient characteristics and arterial grafts on freedom from coronary reoperationJoseph F Sabik
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
J Thorac Cardiovasc Surg 131:90-8. 2006..We sought to identify patient characteristics and operative factors that predict the need for or bias toward reoperative coronary artery bypass grafting...
Red cell transfusion is associated with an increased risk for postoperative atrial fibrillationColleen Gorman Koch
Department of Cardiothoracic Anesthesia, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Ann Thorac Surg 82:1747-56. 2006..Therefore, we tested the hypothesis that red blood cell transfusion increases the risk of postoperative AF for patients undergoing cardiac surgery...
Invited commentaryNicholas G Smedira
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
Ann Thorac Surg 81:76-7. 2006
Technical challenges and complications of double valve replacement in the presence of small aortic and mitral annuliFernando Antibas Atik
The Cleveland Clinic Foundation, Cleveland, Ohio, USA
Arq Bras Cardiol 87:e247-9. 2006..Postoperatively, the patient developed prolonged respiratory insufficiency and pneumonia, transient myocardial dysfunction and acute renal failure. She was eventually discharged home without residual defects...
Are Marfan syndrome and marfanoid patients distinguishable on long-term follow-up?Lars G Svensson
Center for Aortic Surgery, Marfan Syndrome, and Connective Tissue Disorders Clinic, Cleveland, Ohio 44195, USA
Ann Thorac Surg 83:1067-74. 2007..It is unclear whether late outcome differs for Marfan syndrome and marfanoid patients. Thus, we compared characteristics of Marfan versus marfanoid patients and their survival and requirement for reoperation...
Impact of mitral valve annuloplasty combined with revascularization in patients with functional ischemic mitral regurgitationTomislav Mihaljevic
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio 44195, USA
J Am Coll Cardiol 49:2191-201. 2007..The aim of this work was to determine whether mitral valve (MV) annuloplasty benefits patients with moderate/severe (3+/4+) functional ischemic mitral regurgitation (MR) who undergo coronary artery bypass grafting (CABG)...
Does right thoracotomy increase the risk of mitral valve reoperation?Lars G Svensson
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio 44195, USA
J Thorac Cardiovasc Surg 134:677-82. 2007..The study objective was to determine whether a right thoracotomy approach increases the risk of mitral valve reoperation...
Aortic valve repair and root preservation by remodeling, reimplantation, and tailoring: technical aspects and early outcomeLars G Svensson
Center for Aortic Surgery, Marfan Syndrome and Connective Tissue Disorders Clinic, Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation Cleveland, Ohio 44195, USA
J Card Surg 22:473-9. 2007..Evaluate aortic root preserving/sparing procedures for various pathologies associated with ascending aortic aneurysms, including aortic valve regurgitation...
Percutaneous mitral valve repair: a feasibility study in an ovine model of acute ischemic mitral regurgitationJohn R Liddicoat
Division of Cardiac Surgery, Beth-Israel Deaconess Medical Center, Boston, Massachusetts, USA
Catheter Cardiovasc Interv 60:410-6. 2003..24 +/- 1.7 mm postinsertion; P < 0.03). These preliminary experiments demonstrate that percutaneous mitral annuloplasty is feasible. Further study is necessary to demonstrate long-term safety and efficacy of this novel approach...
Video-assisted bilateral pulmonary vein isolation and left atrial appendage exclusion for atrial fibrillationRandall K Wolf
Section of Cardiothoracic Surgery, The University of Cincinnati College of Medicine, Cincinnati, Ohio 45267, USA
J Thorac Cardiovasc Surg 130:797-802. 2005..Pulmonary vein isolation is curative in selected patients with atrial fibrillation. The objective of this study was to assess the feasibility and safety (midterm results) of video-assisted thoracoscopic epicardial pulmonary vein isolation...
Combined minimally invasive pulmonary vein isolation, left atrial appendage excision and cardiac resynchronization therapy for heart failure: case reportMariano E Brizzio
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Heart Surg Forum 8:E249-52. 2005..The postoperative recovery was unremarkable, with reestablishment of the ventricular synchrony and regular rhythm...
Balloon occlusion of calcified aortic aneurysm with aortic insufficiencyPeter A Walts
J Card Surg 19:279-80. 2004
