Nimesh D Desai

Summary

Affiliation: University of Pennsylvania
Country: USA

Publications

  1. doi request reprint Impact of timing on major complications after thoracic endovascular aortic repair for acute type B aortic dissection
    Nimesh D Desai
    Leonard Davis Institute of Health Economics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa Division of Cardiovascular Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA Electronic address
    J Thorac Cardiovasc Surg 149:S151-6. 2015
  2. doi request reprint Durability of porcine bioroots in younger patients with aortic root pathology: a propensity-matched comparison with composite mechanical roots
    Nimesh D Desai
    Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    Ann Thorac Surg 92:2054-60; discussion 2060-1. 2011
  3. doi request reprint Long-term comparison of thoracic endovascular aortic repair (TEVAR) to open surgery for the treatment of thoracic aortic aneurysms
    Nimesh D Desai
    Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, 3400 Spruce St, 6th Floor Silverstein Pavilion, Philadelphia, PA 19096, USA
    J Thorac Cardiovasc Surg 144:604-9; discussion 609-11. 2012
  4. doi request reprint Distal aortic remodeling using endovascular repair in acute DeBakey I aortic dissection
    Nimesh D Desai
    Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
    Semin Thorac Cardiovasc Surg 21:387-92. 2009
  5. doi request reprint Thoracic endovascular aortic repair: evolution of therapy, patterns of use, and results in a 10-year experience
    Nimesh D Desai
    Department of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
    J Thorac Cardiovasc Surg 142:587-94. 2011
  6. doi request reprint Type A aortic dissection after previous cardiac surgery: results of an integrated surgical approach
    Bartosz Rylski
    Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania Heart Center University Freiburg, Freiburg, Germany Electronic address
    Ann Thorac Surg 97:1582-8; discussion 1588-9. 2014
  7. doi request reprint Graft selection for aortic root replacement in complex active endocarditis: does it matter?
    Arminder Singh Jassar
    Division of Cardiovascular Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania 19104 4283, USA
    Ann Thorac Surg 93:480-7. 2012
  8. doi request reprint Stent grafting for aneurysmal degeneration of chronic descending thoracic aortic dissections
    Derek P Nathan
    Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
    J Vasc Surg 55:963-7. 2012
  9. doi request reprint Reintervention for endograft failures after thoracic endovascular aortic repair
    Wilson Y Szeto
    Division of Cardiovascular Surgery, University of Pennsylvania Medical Center, Philadelphia, PA 19104, USA
    J Thorac Cardiovasc Surg 145:S165-70. 2013
  10. doi request reprint Thoracic endovascular aortic repair for acute complicated type B aortic dissection: superiority relative to conventional open surgical and medical therapy
    Ahmad Zeeshan
    Division of Cardiovascular Surgery, University of Pennsylvania Medical Center, Philadelphia, PA, USA
    J Thorac Cardiovasc Surg 140:S109-15; discussion S142-S146. 2010

Collaborators

Detail Information

Publications51

  1. doi request reprint Impact of timing on major complications after thoracic endovascular aortic repair for acute type B aortic dissection
    Nimesh D Desai
    Leonard Davis Institute of Health Economics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pa Division of Cardiovascular Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA Electronic address
    J Thorac Cardiovasc Surg 149:S151-6. 2015
    ..We analyze the impact of timing of intervention from the onset of symptoms to TEVAR, and its relation to complications...
  2. doi request reprint Durability of porcine bioroots in younger patients with aortic root pathology: a propensity-matched comparison with composite mechanical roots
    Nimesh D Desai
    Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    Ann Thorac Surg 92:2054-60; discussion 2060-1. 2011
    ..We present a comparison of porcine bioroot and composite mechanical root replacement in a large series of patients younger than 60 years who required full root replacement for true root pathology...
  3. doi request reprint Long-term comparison of thoracic endovascular aortic repair (TEVAR) to open surgery for the treatment of thoracic aortic aneurysms
    Nimesh D Desai
    Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, 3400 Spruce St, 6th Floor Silverstein Pavilion, Philadelphia, PA 19096, USA
    J Thorac Cardiovasc Surg 144:604-9; discussion 609-11. 2012
    ..We compared the long-term outcomes of TEVAR with the 3 commercially available stents grafts for thoracic aortic aneurysms to results in control subjects undergoing open surgery...
  4. doi request reprint Distal aortic remodeling using endovascular repair in acute DeBakey I aortic dissection
    Nimesh D Desai
    Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
    Semin Thorac Cardiovasc Surg 21:387-92. 2009
    ..Early results with these techniques are promising but further study is warranted...
  5. doi request reprint Thoracic endovascular aortic repair: evolution of therapy, patterns of use, and results in a 10-year experience
    Nimesh D Desai
    Department of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
    J Thorac Cardiovasc Surg 142:587-94. 2011
    ..The purpose of this analysis is to examine all operations performed using thoracic aortic stent grafts at the University of Pennsylvania Health System...
  6. doi request reprint Type A aortic dissection after previous cardiac surgery: results of an integrated surgical approach
    Bartosz Rylski
    Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania Heart Center University Freiburg, Freiburg, Germany Electronic address
    Ann Thorac Surg 97:1582-8; discussion 1588-9. 2014
    ..Stanford type A aortic dissection in patients with previous cardiac surgery (PCS) is a catastrophic disease. This investigation evaluates the results of a standardized integrated approach to type A dissection after PCS...
  7. doi request reprint Graft selection for aortic root replacement in complex active endocarditis: does it matter?
    Arminder Singh Jassar
    Division of Cardiovascular Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania 19104 4283, USA
    Ann Thorac Surg 93:480-7. 2012
    ..This report is based on an examination of our results for all aortic root replacements in complex, active endocarditis affecting the aortic valve...
  8. doi request reprint Stent grafting for aneurysmal degeneration of chronic descending thoracic aortic dissections
    Derek P Nathan
    Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
    J Vasc Surg 55:963-7. 2012
    ..The objective of this study was to examine the results of thoracic endovascular aneurysm repair (TEVAR) for chronic descending thoracic aortic (DTA) dissections with aneurysmal degeneration...
  9. doi request reprint Reintervention for endograft failures after thoracic endovascular aortic repair
    Wilson Y Szeto
    Division of Cardiovascular Surgery, University of Pennsylvania Medical Center, Philadelphia, PA 19104, USA
    J Thorac Cardiovasc Surg 145:S165-70. 2013
    ..However, endograft failure remains a concern, and its treatment is often challenging. We examined our experience with endograft failure and its treatment by endovascular and open repair...
  10. doi request reprint Thoracic endovascular aortic repair for acute complicated type B aortic dissection: superiority relative to conventional open surgical and medical therapy
    Ahmad Zeeshan
    Division of Cardiovascular Surgery, University of Pennsylvania Medical Center, Philadelphia, PA, USA
    J Thorac Cardiovasc Surg 140:S109-15; discussion S142-S146. 2010
    ..This study compared outcomes between thoracic endovascular aortic repair and conventional open surgical and medical therapies for acute complicated type B aortic dissection...
  11. doi request reprint Moderate mitral regurgitation in aortic root replacement surgery: comparing mitral repair with no mitral repair
    Fenton H McCarthy
    Department of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA Electronic address
    J Thorac Cardiovasc Surg 147:938-41. 2014
    ..This study compares outcomes in patients undergoing aortic root replacement surgery who did or did not receive a mitral valve repair for their preoperative moderate mitral regurgitation...
  12. doi request reprint The St Jude Medical Trifecta aortic pericardial valve: results from a global, multicenter, prospective clinical study
    Joseph E Bavaria
    Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA Electronic address
    J Thorac Cardiovasc Surg 147:590-7. 2014
    ..This study establishes the safety and early clinical and hemodynamic performance of the Trifecta valve...
  13. doi request reprint ''Relining'' of thoracic aortic stent grafts for patients presenting with rupture/impending rupture
    Grace J Wang
    Division of Vascular Surgery and Endovascular Therapy, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
    Vasc Endovascular Surg 45:438-41. 2011
    ..To report a series of patients following thoracic endovascular aortic repair (TEVAR) presenting with rupture, who were effectively treated with TEVAR relining...
  14. doi request reprint Aortic valve morphology determines the presentation and surgical approach to acute type A aortic dissection
    Bartosz Rylski
    Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania Heart Center Freiburg University, Freiburg, Germany Electronic address
    Ann Thorac Surg 97:1991-6; discussion 1996-7. 2014
    ..Data on acute type A aortic dissection in patients with bicuspid aortic valve (BAV) syndrome are limited. This investigation evaluated the clinical details in patients with type A dissection stratified according to aortic valve morphology...
  15. doi request reprint Combined transaortic transcatheter valve replacement and thoracic endografting
    Caroline M Komlo
    Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania
    Ann Thorac Surg 97:696-8. 2014
    ..To our knowledge, this is the first report of a "hybrid" TAVR+TEVAR...
  16. doi request reprint Comparing aortic root replacements: porcine bioroots versus pericardial versus mechanical composite roots: hemodynamic and ventricular remodeling at greater than one-year follow-up
    Fenton H McCarthy
    Department of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    Ann Thorac Surg 94:1975-82; discussion 1982. 2012
    ..Data on the hemodynamics of all root replacements are lacking and questions remain regarding comparative performance...
  17. doi request reprint Transapical deployment of endovascular thoracic aortic stent graft for an ascending aortic pseudoaneurysm
    Wilson Y Szeto
    Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania 19104, USA
    Ann Thorac Surg 89:616-8. 2010
    ..Due to the limitations of the current technology, the endograft was deployed through a left ventricular transapical approach by using a left mini-thoracotomy...
  18. doi request reprint Unconventional Volume-Outcome Associations in Adult Extracorporeal Membrane Oxygenation in the United States
    Fenton H McCarthy
    Division of Cardiovascular Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania Electronic address
    Ann Thorac Surg 102:489-95. 2016
    ..The aim of this study was to evaluate institutional volume-outcome relationships in extracorporeal membrane oxygenation (ECMO) with subanalyses of ECMO in patients with a primary diagnosis of respiratory failure...
  19. doi request reprint Distal aortic reintervention after surgery for acute DeBakey type I or II aortic dissection: open versus endovascular repair
    Bartosz Rylski
    Heart Centre Freiburg University, Freiburg, Germany Hospital of the University of Pennsylvania, Philadelphia, PA, USA
    Eur J Cardiothorac Surg 48:258-63. 2015
    ..Aortic dissection DeBakey type I and II may require distal reinterventions after initial proximal repair. We evaluated outcomes following open versus endovascular approaches to distal aortic pathologies after surgery for acute dissection...
  20. doi request reprint Outcomes of aortic root replacement after previous aortic root replacement: the "true" redo root
    Arminder S Jassar
    Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania
    Ann Thorac Surg 99:1601-8; discussion 1608-9. 2015
    ..Aortic reoperations are technically challenging. This study evaluated outcomes after "true" redo root replacement (previous full root replacement) stratified by cause of prosthesis failure...
  21. doi request reprint Aortic and mitral valve replacement versus transcatheter aortic valve replacement in propensity-matched patients
    Fenton H McCarthy
    Division of Cardiovascular Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania
    Ann Thorac Surg 98:1267-73. 2014
    ....
  22. doi request reprint Transcatheter aortic valve implantation in patients with ascending aortic dilatation: safety of the procedure and mid-term follow-up†
    Bartosz Rylski
    Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA Department of Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Germany
    Eur J Cardiothorac Surg 46:228-33; discussion 233. 2014
    ..This investigation evaluates the safety of TAVI in patients with ascending aortic dilatation and demonstrates mid-term follow-up...
  23. doi request reprint Vascular distribution of stroke and its relationship to perioperative mortality and neurologic outcome after thoracic endovascular aortic repair
    Brant W Ullery
    Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
    J Vasc Surg 56:1510-7. 2012
    ..This study assessed the vascular distribution of stroke after thoracic endovascular aortic repair (TEVAR) and its relationship to perioperative death and neurologic outcome...
  24. doi request reprint Impact of intercostal artery occlusion on spinal cord ischemia following thoracic endovascular aortic repair
    Brant W Ullery
    Division of Vascular Surgery and Endovascular Therapy, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
    Vasc Endovascular Surg 45:519-23. 2011
    ..To evaluate intercostal artery patency following thoracic endovascular aortic repair (TEVAR) and its relationship with spinal cord ischemia (SCI)...
  25. doi request reprint Valve Selection in End-Stage Renal Disease: Should It Always Be Biological?
    Matthew L Williams
    Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania Electronic address
    Ann Thorac Surg 102:1531-1535. 2016
    ..We compared outcomes between ESRD patients who underwent either mechanical or biologic valve replacements at our institution...
  26. doi request reprint Direct innominate artery cannulation: An alternate technique for antegrade cerebral perfusion during aortic hemiarch reconstruction
    Arminder S Jassar
    Division of Cardiovascular Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA
    J Thorac Cardiovasc Surg 151:1073-8. 2016
    ..We describe an alternate technique for establishing antegrade cerebral perfusion (ACP) during hypothermic circulatory arrest via direct, central cannulation of the innominate artery...
  27. doi request reprint Long-term results of neomedia sinus valsalva repair in 489 patients with type A aortic dissection
    Bartosz Rylski
    Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania Heart Center Freiburg University, Freiburg, Germany Electronic address
    Ann Thorac Surg 98:582-8; discussion 588-9. 2014
    ..The aim of this investigation was to describe the durability of aortic valve resuspension and root repair with a novel technique of reconstruction in type A dissection...
  28. doi request reprint Bicuspid Aortic Insufficiency With Aortic Root Aneurysm: Root Reimplantation Versus Bentall Root Replacement
    PRASHANTH VALLABHAJOSYULA
    Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania Electronic address
    Ann Thorac Surg 102:1221-8. 2016
    ..In patients with a bicuspid aortic valve presenting with aortic insufficiency (AI) and root aneurysm, we assessed whether outcomes with primary cusp repair with root reimplantation were equivalent to the gold standard Bentall procedures...
  29. doi request reprint Transcatheter and Surgical Aortic Valve Replacement in Dialysis Patients: A Propensity-Matched Comparison
    Dale M Kobrin
    Division of Cardiovascular Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
    Ann Thorac Surg 100:1230-6; discussion 1236-7. 2015
    ..Transcatheter aortic valve replacement (TAVR) clinical trials in North America excluded patients on dialysis and, consequently, the outcomes of TAVR in dialysis-dependent patients remain unknown...
  30. doi request reprint Bicuspid Aortic Valve Resuspension in Acute Type A Aortic Dissection Patients
    Bartosz Rylski
    Department of Cardiovascular Surgery, Heart Centre Freiburg University, Freiburg, Germany Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania Electronic address
    Ann Thorac Surg 100:827-32. 2015
    ..We investigated surgical outcomes in BAV patients who had undergone aortic valve resuspension versus replacement for dissection type A...
  31. doi request reprint Long-term results of aggressive hemiarch replacement in 534 patients with type A aortic dissection
    Bartosz Rylski
    Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pa Heart Center Freiburg University, Freiburg, Germany Electronic address
    J Thorac Cardiovasc Surg 148:2981-5. 2014
    ..To present the outcomes of routinely performed hemiarch replacement in patients with acute type A aortic dissection...
  32. doi request reprint Outcomes of surgery for chronic type A aortic dissection
    Bartosz Rylski
    Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania Department of Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Germany
    Ann Thorac Surg 99:88-93. 2015
    ..Data on outcomes of surgery for chronic Stanford type A aortic dissection are limited. We investigated the primary surgery and long-term results in patients with chronic dissection of the native ascending aorta...
  33. doi request reprint Ascending aortic cannulation in acute type a dissection repair
    JOHN R FREDERICK
    Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
    Ann Thorac Surg 95:1808-11. 2013
    ....
  34. doi request reprint The progression of a transcatheter aortic valve program: a decision analysis of more than 680 patient referrals
    Joseph E Bavaria
    Division of Cardiovascular Surgery, Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    Ann Thorac Surg 92:2072-6; discussion 2076-7. 2011
    ..This is an overview of one site's management strategy for patient referrals...
  35. doi request reprint At the Root of the Repair Debate: Outcomes After Elective Aortic Root Replacements for Aortic Insufficiency With Aneurysm
    Fenton H McCarthy
    Division of Cardiovascular Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania
    Ann Thorac Surg 102:1199-205. 2016
    ....
  36. doi request reprint The Impact of Deep Versus Moderate Hypothermia on Postoperative Kidney Function After Elective Aortic Hemiarch Repair
    George J Arnaoutakis
    Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania
    Ann Thorac Surg 102:1313-21. 2016
    ..We compared postoperative acute kidney injury (AKI) in in patients who underwent elective hemiarch repair with either DHCA/RCP or MHCA/ACP...
  37. doi request reprint Hemiarch replacement with concomitant antegrade stent grafting of the descending thoracic aorta versus total arch replacement for treatment of acute DeBakey I aortic dissection with arch tear†
    PRASHANTH VALLABHAJOSYULA
    Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, PA, USA
    Eur J Cardiothorac Surg 49:1256-61; discussion 1261. 2016
    ..We assessed early and mid-term outcomes comparing these two surgical strategies for arch tear management...
  38. doi request reprint Increasing Frequency of Left Ventricular Assist Device Exchanges in the United States
    Fenton H McCarthy
    Division of Cardiovascular Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania
    Ann Thorac Surg 100:1660-4; discussion 1665. 2015
    ..Questions remain regarding the current rate and clinical effect of pump exchanges...
  39. doi request reprint Outcomes of transcatheter aortic valve replacement in patients with chronic liver disease
    Anoop M Shah
    Division of Cardiovascular Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
    Catheter Cardiovasc Interv 86:888-94. 2015
    ..Transcatheter aortic valve replacement (TAVR) has emerged as an alternative to high-risk surgery in patients with comorbid conditions. The role of TAVR in patients with liver disease has not been examined...
  40. doi request reprint Moderate versus deep hypothermic circulatory arrest for elective aortic transverse hemiarch reconstruction
    PRASHANTH VALLABHAJOSYULA
    Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania
    Ann Thorac Surg 99:1511-7. 2015
    ..Recently, we have adopted moderate hypothermic (≥ 25 °C) circulatory arrest (MHCA) with antegrade cerebral perfusion (MHCA group). We compared the outcomes for these two circulatory arrest management strategies...
  41. doi request reprint Modeling of predissection aortic size in acute type A dissection: More than 90% fail to meet the guidelines for elective ascending replacement
    Bartosz Rylski
    Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pa Heart Center, University of Freiburg, Freiburg, Germany Electronic address
    J Thorac Cardiovasc Surg 148:944-8.e1. 2014
    ..The present investigation evaluated the incidence of predissection ascending aortic dilatation in acute type A dissection...
  42. doi request reprint Cerebral embolic exposure during transfemoral and transapical transcatheter aortic valve replacement
    Wilson Y Szeto
    Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania 19104, USA
    J Card Surg 26:348-54. 2011
    ..To characterize the cerebral embolic exposure during transfemoral (TF) and transapical (TA) TAVR...
  43. pmc Trends in U.S. Extracorporeal Membrane Oxygenation Use and Outcomes: 2002-2012
    Fenton H McCarthy
    Division of Cardiovascular Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania
    Semin Thorac Cardiovasc Surg 27:81-8. 2015
    ..Mortality rates remained high but stable during this time period. Though there were shifts in relative ECMO use among patient groups, absolute ECMO use increased for all indications over the study period. ..
  44. pmc Geometric orientation of the aortic neoroot in patients with raphed bicuspid aortic valve disease undergoing primary cusp repair and a root reimplantation procedure
    PRASHANTH VALLABHAJOSYULA
    Division of Cardiovascular Surgery, University of Pennsylvania Health System, Philadelphia, PA, USA
    Eur J Cardiothorac Surg 45:174-80; discussion 180. 2014
    ..We assessed whether the geometric orientation of the repaired BAV into its reimplanted neoroot affects outcomes-180°/180° orientation was compared with the 150°/210° orientation...
  45. doi request reprint Endovascular repair of the ascending aorta in patients at high risk for open repair
    PRASHANTH VALLABHAJOSYULA
    Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania Medical Center, Philadelphia, PA
    J Thorac Cardiovasc Surg 149:S144-50. 2015
    ..We reviewed our experience with endovascular repair of ascending aortic pathologies in patients facing high or prohibitive risk with open surgical treatment...
  46. doi request reprint Complex aortic arch aneurysm and dissections: hybrid techniques for surgical and endovascular therapy
    Nimesh D Desai
    Division of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
    Curr Opin Cardiol 24:521-7. 2009
    ..We present a review of the current techniques and results of hybrid aortic arch surgery centered around a new classification scheme for these procedures...
  47. doi request reprint Classification of acute type A dissection: focus on clinical presentation and extent
    John G T Augoustides
    Cardiothoracic and Vascular Section, Anesthesiology and Critical Care, Dulles 680, University of Pennsylvania Medical Center, 3400 Spruce Street, Philadelphia, PA 19104 4283, USA
    Eur J Cardiothorac Surg 39:519-22. 2011
    ..We propose an integration of these three classifications of acute type A dissection as a framework for future advances in diagnosis, intervention and prognosis...
  48. pmc Veno-Venous Extracorporeal Life Support in Hemodynamically Unstable Patients With ARDS
    Jacob T Gutsche
    From the Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania and Pulmonary, Allergy, and Critical Care Division, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania Division of Cardiothoracic Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania Department of Pharmacy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania and Department of Anesthesiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
    Anesth Analg . 2016
    ..Such a strategy may help avoid complications of VA ECLS in patients with both respiratory and hemodynamic failure...
  49. doi request reprint Effect of Clinical Trial Experience on Transcatheter Aortic Valve Replacement Outcomes
    Fenton H McCarthy
    From the Leonard Davis Institute of Health Economics F H M, P W G, N D D, Division of Cardiovascular Surgery, Perelman School of Medicine F H M, D K, K M M, N D D, and Department of Medicine, Perelman School of Medicine P W G, C W, University of Pennsylvania, Philadelphia and Philadelphia Veterans Affairs Medical Center s Center for Health Equity Research and Promotion, PA P W G
    Circ Cardiovasc Interv 8:e002234. 2015
    ..After FDA approval, TAVR was adopted by numerous hospitals that had not participated in TAVR clinical trials. It is uncertain if outcomes at these hospitals were comparable with those at clinical trial hospitals...
  50. doi request reprint How does the ascending aorta geometry change when it dissects?
    Bartosz Rylski
    Division of Cardiothoracic Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania Department of Cardiovascular Surgery, Heart Centre Freiburg University, Freiburg, Germany Electronic address
    J Am Coll Cardiol 63:1311-9. 2014
    ..The purpose of this study is to delineate changes in aortic geometry and diameter due to dissection...
  51. pmc Sex, aging, and preexisting cerebral ischemic disease in patients with aortic stenosis
    Ping Wang
    Department of Radiology, The University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
    Ann Thorac Surg 90:1230-5. 2010
    ..We tested the hypotheses that increasing age, female sex, coronary artery disease, and the severity of AS are predictive of the severity of preexisting cerebral ischemic lesions...