
Cardiac and Aortic Surgeon @Pitt/UPMC
Pittsburgh, PA
Joined August 2023
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Derek Serna-Gallegos MD retweeted
🔥Hof off the press🔥 Read our special edition about #AorticSurgery in @JACCJournals #JACCCaseReports #AortaEd sciencedirect.com/science/ar…
💥Special thanks to @IbrahimSultanMD and @DSGMD for my #aortic training with them in 2023/2024 at @UPMC_CTSurgery @HviUpmc. Really good times!
Welcome to our APRIL 29 issue of #JACCCaseReports @JACCJournals, with a mini-focus on AORTIC disease. This is an important area for both diagnosis and management, affecting a large % of the Asian population. Hope you enjoy reading these publications. Thank you @M_Pompeu_Sa_MD for authoring the Editor’s Page on this topic.
Acute Aortic Syndromes: A Call for Specialization, Centralization and Collaboration
jacc.org/doi/10.1016/j.jacca…
jacc.org/journal/case-report…
Full PDF here:
jacc.org/doi/10.1016/S2666-0…
@minnowwalsh
@hmkyale
@Justine_Turco
AORTIC MINI-FOCUS
Transcatheter Aortic Valve Replacement in a Failed Homograft
jacc.org/doi/10.1016/j.jacca…
How to Plan a Transcatheter Aortic Valve Replacement in a Failed Aortic Homograft
jacc.org/doi/10.1016/j.jacca…
“Roundabout” Bailout Stenting for Subacute Right Coronary Artery Obstruction After Self-Expandable Transcatheter Aortic Valve Replacement
jacc.org/doi/10.1016/j.jacca…
Valve Pop-Up and Infolding in Transcatheter Aortic Valve Replacement for a Heavily Calcified Bicuspid Valve
jacc.org/doi/10.1016/j.jacca…
Successful Transcatheter Aortic Valve Implantation for Severe Stenosis of a Quadricuspid Aortic Valve
jacc.org/doi/10.1016/j.jacca…
Left Bundle Branch Area Pacing After Subaortic Membrane Resection
jacc.org/doi/10.1016/j.jacca…
Heart Transplantation as Salvage Therapy of Candida tropicalis Prosthetic Aortic Valve Endocarditis
jacc.org/doi/10.1016/j.jacca…
Safety and Feasibility of Transcatheter Aortic Valve Replacement in Patients With Hematologic Neoplasms
jacc.org/doi/10.1016/j.jacca…
Extended Root and Arch Replacement for Filamin A–Related Aortopathy With Severe Aortic Regurgitation
jacc.org/doi/10.1016/j.jacca…
Beyond Diameter: Insights From the Aortic Wall in FLNA-Related Aortopathy
jacc.org/doi/10.1016/j.jacca…
Infectious Aortitis Following Type B Dissection
jacc.org/doi/10.1016/j.jacca…
Hemodynamic Effects of Adjunct Intra-Aortic Balloon Pumping During Veno-Arterial ECMO: A Pressure-Volume Loop Study
jacc.org/doi/10.1016/j.jacca…
Unilateral Renal Denervation for Refractory Hypertension in Aortic Dissection
jacc.org/doi/10.1016/j.jacca…
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Closing thoughts. Your team is like a family you see each other through difficult and stressful situations. Gaining the respect of the team is imperative to being a productive leader and that takes time and effort and eventually trust of each team member #CTcareers
T4 Emotion can be a great thing if it’s productive. Minimizing unproductive emotion is key while sharing positive emotion with the whole team can elevate everyone’s ability to take on tough challenges. Focus on productive emotions #CTCareers
T3 response. Any way that you can! Look for areas that need a leader and fill those positions. As a team player it’s important to find things that need improvement and to take initiative to improve those things #CTcareers
T2 response. In developing leadership style it’s important to realize it’s not something to be born with it takes effort to develop. Goals are important to set as to what to accomplish in leadership position #CTCareers
For me leading in the OR is making sure everyone is on the same page and understands their individual responsibilities for getting the patient the best possible outcome. Defining roles is one of the best ways to make sure everyone is engaged in a shared common goal #CTCareers
Derek Serna-Gallegos cardiac surgeon in Pittsburgh PA.
#CTCareers
Derek Serna-Gallegos MD retweeted
After propensity score matching, TAVR was associated with ⬇️ mid-term survival and ⬆️ heart failure readmissions vs SAVR in pts <65 years
🔗: pubmed.ncbi.nlm.nih.gov/4116…
@EishanAshwatMD @sarahyousefmd @DSGMD @Irsa_Hasan @IbrahimSultanMD @AATSHQ #JTCVS #JTCVSOpen #TAVR #SAVR
Derek Serna-Gallegos MD retweeted
Women undergoing isolated SAVR have similar morbidity and mortality compared to men, suggesting sex may no longer be a risk factor for worse outcomes
🔗: pubmed.ncbi.nlm.nih.gov/4095…
@HviUpmc @Irsa_Hasan @JuliePhillippi @DSGMD @cediazc @IbrahimSultanMD @ccijournal #SAVR #AVR
Derek Serna-Gallegos MD retweeted
Neochord implantation for posterior leaflet pathology is associated with ⬆️ risk of mitral valve reintervention vs leaflet resection in the long-term
🔗: pmc.ncbi.nlm.nih.gov/article…
📹: aats.org/resources/posterior…
@Irsa_Hasan @DSGMD @IbrahimSultanMD @HviUpmc @AATSHQ #JTCVS #MVR
Derek Serna-Gallegos MD retweeted
Retrospective database study of CABGs did not find independent association between epiaortic ultrasound use & postop stroke
🔗: pubmed.ncbi.nlm.nih.gov/3949…
📹: aats.org/resources/the-impac…
@sarahyousefmd @M_Pompeu_Sa_MD @DSGMD @DavidKaczoro @IbrahimSultanMD @HviUpmc @AATSHQ #JTCVS #CABG
Derek Serna-Gallegos MD retweeted
This is going to be a great session. Please log in!
🚀 First 5 years in CT surgery? Let’s talk contracts, cases & career moves. Join @DSGMD, Dr. Douglas Liou & @jgrizzity LIVE on Instagram — Tues, Sept 16 at 7 p.m. ET. No reg needed, just follow STS & tune in! #CTsurgery #EarlyCareerSurgeons
Derek Serna-Gallegos MD retweeted
🚀 First 5 years in CT surgery? Let’s talk contracts, cases & career moves. Join @DSGMD, Dr. Douglas Liou & @jgrizzity LIVE on Instagram — Tues, Sept 16 at 7 p.m. ET. No reg needed, just follow STS & tune in! #CTsurgery #EarlyCareerSurgeons
Derek Serna-Gallegos MD retweeted
🔥Hot off the press in @JCVAonline🔥
#TAVR vs #SAVR in pts with EF<50%
205 #PSM pairs
No difference in 30d☠️, stroke and reinterventions
PVL and MG⬆️with TAVI
TAVR with ⬆️ ☠️ in 6y follow-up
@IbrahimSultanMD @DSGMD @UPMC_CTSurgery @HviUpmc
jcvaonline.com/article/S1053…
Derek Serna-Gallegos MD retweeted
Incidence of hemodynamic valve deterioration 1y post #TAVI was 6.2% in a retrospective cohort study, with ⬇️ valve size associated w/early HVD
🔗: pubmed.ncbi.nlm.nih.gov/4079…
@EishanAshwatMD @DSGMD @Amber_MakaniMD @Irsa_Hasan @CatalinPToma @IbrahimSultanMD @annalsthorsurg @HviUpmc
Derek Serna-Gallegos MD retweeted
Early HVD, per VARC-3 criteria, is an important outcome after TAVI.
Our findings:
🔹HVD in 6.2% of pts 1-yr post-TAVI
🔹Smaller valve size ↑ HVD risk
🔹Larger valves = protective
@IbrahimSultanMD @DSGMD @HviUpmc @annalsthorsurg
📎authors.elsevier.com/sd/arti…
Derek Serna-Gallegos MD retweeted
Tracheostomy is associated with significant longitudinal mortality and readmissions following acute type A aortic dissection repair
🔗: pubmed.ncbi.nlm.nih.gov/4063…
@cediazc @DSGMD @DavidKaczoro @JuliePhillippi @danial_ahmad93 @IbrahimSultanMD @AATSHQ #JTCVS #AorticDissection #Aorta
Derek Serna-Gallegos MD retweeted
🚨 In patients <65, TAVR is not an equivalent index operation to SAVR
10-year analysis shows ⬇️ 5-year survival and ⬆️ HF readmissions in matched TAVR vs SAVR pts <65, supporting ACC/AHA Class I SAVR guidelines
@IbrahimSultanMD @DSGMD @UPMC_CTSurgery
jtcvsopen.org/article/S2666-…
Derek Serna-Gallegos MD retweeted
10-year experience w/#MechanicalValve conduits for aortic root replacement shows 30d mortality rate of 6.9% and stroke rate of 3.7%, comparable to other centers
🔗: pubmed.ncbi.nlm.nih.gov/4063…
@danial_ahmad93 @sarahyousefmd @DSGMD
@DavidKaczoro @Irsa_Hasan @IbrahimSultanMD @HviUpmc
Derek Serna-Gallegos MD retweeted
#AdultCardiac #CME article from Brown et al on Natural History of Mitral Regurgitation After Transcatheter Aortic Valve Implantation: 10.1016/j.athoracsur.2024.09.008 #AnnalsCME
@sarahyousefmd @M_Pompeu_Sa_MD @danial_ahmad93 @DSGMD @CatalinPToma @Amber_MakaniMD @IbrahimSultanMD




















