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153 results on '"Komlo, Caroline"'

8. A Primer for Students Regarding Advanced Topics in Cardiothoracic Surgery: Part 2

Author

Aranda-Michel, Edgar, primary, Toubat, Omar, additional, Brennan, Zach, additional, Bhagat, Rohun, additional, Siki, Mary, additional, Paluri, Sarin, additional, Duda, Matthew, additional, Han, Jason, additional, Komlo, Caroline, additional, Blitzer, David, additional, Louis, Clauden, additional, Pruitt, Eric, additional, and Sultan, Ibrahim, additional

Published
2023
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21. How I perform totally endoscopic robotic mitral valve repair.

Author

Yost, Colin C, Rosen, Jake L, Wu, Meagan, Komlo, Caroline M, Goldhammer, Jordan E, Guy, T Sloane, Yost, Colin C, Rosen, Jake L, Wu, Meagan, Komlo, Caroline M, Goldhammer, Jordan E, and Guy, T Sloane

Abstract

A sixty-two-year-old male presented with significant symptoms related to severe mitral regurgitation with posterior leaflet flail and prolapse on transesophageal echocardiogram (TEE). Preoperative computed tomography (CT) angiography showed normal caliber thoracoabdominal aorta and patent access vessels. The patient underwent totally endoscopic robotic mitral valve repair (rMVr) with left atrial CryoMAZE procedure.

Published
2022

40. Type II arch hybrid debranching procedure

Author

Vallabhajosyula, Prashanth, Szeto, Wilson Y., Desai, Nimesh, Komlo, Caroline, and Bavaria, Joseph E.

Subjects
Safeguards and Pitfalls, cardiovascular system
Abstract

Management of aortic arch aneurysm and dissection continues to evolve as endovascular options play an increasing role in treating thoracic aortopathies. Although conventional open treatment of aortic arch disease with total arch replacement still remains the gold standard, in patients with old age and/or high comorbid disease index, there is significant associated morbidity and mortality. The hybrid arch procedure, which aims to minimize cardiopulmonary bypass and circulatory arrest times, is a particularly appealing surgical option in this cohort of patients. The hybrid arch concept essentially entails three main principles: (I) open debranching of the great vessels; (II) creation of proper proximal (zone 0 landing) and distal landing zones, and; (III) concomitant or delayed endovascular stent grafting of the aortic arch. The classification scheme for hybrid arch debranching procedures is based on the extent of proximal and distal landing zone reconstruction required, and thus the need and extent of cardiopulmonary bypass and circulatory arrest management strategies to be employed. In this illustrated article, we describe the details of the type II hybrid arch debranching procedure, where the ascending aorta and aortic arch pathology is typically treated by reconstruction of ascending aorta ﹢ arch vessel debranching, with concomitant antegrade stent grafting of the aortic arch.

Published
2013

45. CRT-110 The Execution and Management of a Complex Clinical Trial

Author

Walsh, Elizabeth K., primary, Komlo, Caroline, additional, Fox, Zachary, additional, DiBiase, Lauren, additional, Callahan, Rachel, additional, Carlin, Alice, additional, Desai, Nimesh, additional, Szeto, Wilson, additional, Herrmann, Howard C., additional, and Bavaria, Joseph E., additional

Published
2013
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46. Geometric orientation of the aortic neoroot in patients with raphed bicuspid aortic valve disease undergoing primary cusp repair and a root reimplantation procedure†.

Author

Vallabhajosyula, Prashanth, Szeto, Wilson Y., Komlo, Caroline M., Ryan, Liam P., Wallen, Tyler J., Gorman, Robert C., Desai, Nimesh D., and Bavaria, Joseph E.

Subjects
MITRAL valve diseases, REIMPLANTATION (Surgery), AORTIC valve insufficiency treatment, AORTIC valve surgery, CARDIAC pacemakers, MORTALITY, FOLLOW-up studies (Medicine)
Abstract

OBJECTIVES Primary cusp repair + aortic root reimplantation in bicuspid aortic valve (BAV) disease presenting with root aneurysm with aortic insufficiency (AI) is an effective surgical treatment. 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. METHODS From 2005 to 2012, 66 BAV repairs were performed. This is a retrospective review of all types of Ib/II BAV AI patients undergoing root reimplantation (n = 26) at two different geometric orientations: 180°/180° (n = 11) vs 150°/210° (n = 15). In the 180°/180° group, reimplantation into the neoroot was such that both conjoint and non-conjoint cusps occupied 180° of the annular circumference. In the 150°/210° group, the repaired valve was configured to the more typical native orientation of a type I BAV: the non-conjoint cusp occupied 150°, and the conjoint cusp occupied 210° of the annular circumference. RESULTS Preoperative characteristics were similar in both groups. In-hospital mortality, stroke, reoperation, renal failure and pacemaker rates were zero in both groups. No patient left the operating room with >1+ AI and one had a peak gradient >20 mmHg. Transvalvular gradients were higher in the 180°/180° group, but not significant (P > 0.05). M.ean follow-ups for the 180°/180° and 150°/210° group were 48 and 33 months, respectively. Actuarial freedom from AI >2+ at 5 years was 100% in both groups. Freedom from AI >1+ at 5 years was 90 ± 10% in the 150°/210° group and 86 ± 13% in the 180°/180° group (P = 0.71). Freedom from peak gradient >20 mmHg was 80% (n = 8) in the 180°/180° group and 100% in the 150°/210° group at 1-year follow-up. Transvalvular gradients were higher in the 180°/180° group (16 ± 8 vs 10 ± 4 mmHg, P = 0.02; 9 ± 3 vs 5 ± 3 mmHg, P = 0.01). Five-year actuarial survival and freedom from aortic reoperation have remained at 100% in the entire cohort. CONCLUSION Cusp repair + root reimplantation for BAV type Ib/II AI can be safely performed at either geometric orientation. Conceptually, 150°/210° orientation respects the natural type I BAV anatomy with regard to cusp surface area and leaflet insertion perimeter. The 180°/180° group may have higher transvalvular gradients and smaller coaptation zones than the 150°/210° group. Further follow-up may reveal the superiority of one geometric orientation over the other. [ABSTRACT FROM PUBLISHER]

Published
2014
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47. Feasibility of Robotic Mitral Valve Repair Using Barbed Nonabsorbable Sutures: A Preliminary Single-Center Experience.

Author

Round KJ, Yost CC, Rosen JL, Haenen FWN, Komlo CM, Wong DH, Mandel JL, Prochno KW, Ott NY, and Guy TS

Subjects
Humans, Suture Techniques, Mitral Valve surgery, Feasibility Studies, Sutures adverse effects, Treatment Outcome, Robotic Surgical Procedures adverse effects, Cardiac Surgical Procedures
Abstract

Objective: Barbed nonabsorbable sutures have been widely adopted for tissue closure in noncardiac robotic surgery to improve intraoperative efficiency. Here, we examine the profile in robotic mitral valve repair (rMVR), which utilized barbed nonabsorbable sutures. To our knowledge, this is the first report to describe clinical outcomes for rMVR with barbed nonabsorbable sutures., Methods: A retrospective review identified 90 patients who underwent rMVR using barbed nonabsorbable sutures at our center between 2019 and 2021. The primary outcome measure was dehiscence, while other relevant outcomes included 30-day readmission and 30-day mortality., Results: In addition to fixation of the mitral annuloplasty band, barbed nonabsorbable sutures were employed commonly in concomitant pericardiectomy closure (100.0%, 90 of 90), atriotomy closure (100.0%, 90 of 90), and left atrial appendage closure (if eligible; 98.8%, 83 of 84). One patient who underwent mitral valve annuloplasty using only barbed nonabsorbable suture required reoperation for annuloplasty ring dehiscence. Immediate postoperative ring dehiscence was not observed in any patients after the routine reinforcement of barbed nonabsorbable sutures with everting pledgeted polyester sutures, and no additional patients required reoperation for suture-related complications. Clinical signs of dehiscence were not observed after pericardiectomy, atriotomy, or left atrial appendage closure with barbed nonabsorbable sutures. The 30-day readmission rate was 3.3% (3 of 90), and 30-day mortality was 0% (0 of 90)., Conclusions: These data suggest the initial feasibility of barbed nonabsorbable sutures in robotic cardiac surgery, specifically within rMVR. Further research is necessary to explore the long-term safety and efficacy profile of such approach.

Published
2023
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48. A New Frontier: No Working Port for Robotic Mitral Valve Repair.

Author

Rosen JL, Yost CC, Prochno KW, Komlo CM, Mandel JL, Wu M, and Guy TS

Subjects
Male, Humans, Middle Aged, Mitral Valve surgery, Minimally Invasive Surgical Procedures, Robotic Surgical Procedures methods, Robotics, Mitral Valve Insufficiency surgery, Cardiac Surgical Procedures methods
Abstract

A 61-year-old male presented via referral for mitral regurgitation and was deemed an appropriate robotic surgery candidate for complex mitral valve repair with the maze procedure and patent foramen ovale and left atrial appendage closures, using all percutaneous cannulation. We report upon the first case in the literature that describes the use of only 4 robotic ports, with no working port used.

Published
2023
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49. A robotic-assisted approach to sliding plasty, neochordoplasty, and annuloplasty in a technically complex mitral valve repair.

Author

Amabile A, LaLonde MR, Komlo CMK, Hameed I, Weininger G, Agrawal A, Krane M, and Geirsson A

Subjects
Male, Humans, Aged, Mitral Valve surgery, Treatment Outcome, Mitral Valve Prolapse surgery, Robotic Surgical Procedures, Mitral Valve Insufficiency surgery, Mitral Valve Annuloplasty
Abstract

In experienced hands, complex mitral valve repair can be safely and effectively performed in a totally endoscopic, robotic-assisted manner. We present a technically complex case of a 76-year-old man with severe, symptomatic mitral regurgitation due to Barlow's disease, moderate-to-severe tricuspid regurgitation, and atrial fibrillation., (© The Author 2023. Published by MMCTS on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.)

Published
2023
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50. Redo mitral valve surgery: A totally endoscopic, robotic-assisted approach for adhesiolysis and complex repair.

Author

Amabile A, LaLonde MR, Hameed I, Mullan CW, Degife E, Morrison A, Shang M, Komlo CMK, Krane M, and Geirsson A

Subjects
Humans, Mitral Valve surgery, Endoscopy methods, Robotic Surgical Procedures methods, Mitral Valve Insufficiency surgery, Cardiac Surgical Procedures methods
Abstract

We describe our technique for totally endoscopic, robotic-assisted thoracic and pericardial adhesiolysis and redo complex mitral valve repair., (© The Author 2022. Published by MMCTS on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.)

Published
2022
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