UPMC Heart and Vascular Institute Pitt Cardiothoracic Surgery Department at #NYValves2024 with #Pitt med student @EishanAshwat presenting data about invasive vs #echo gradients after #TAVR #TAVI #StructuralHeart🫀 Ibrahim Sultan Derek Serna-Gallegos MD Amber Makani Catalin Toma, MD @dkliner412

Read our study just published in American Journal of Cardiology: Age-Based Outcomes after #SAVR with Bioprosthetic versus Mechanical #HeartValves doi.org/10.1016/j.amjc… #StructuralHeart🫀 #aortaed Danial Ahmad, MD, MPH Michel Pompeu Sá Derek Serna-Gallegos MD Ibrahim Sultan Pitt Cardiothoracic Surgery Department

Patients who undergo SAVR with #bioprosthetic valve (esp those <65 yo) experience comparable survival to mechanical #SAVR but ⬆️ rates of valve reintervention 🔗: ajconline.org/article/S0002-… American Journal of Cardiology UPMC Heart and Vascular Institute @EishanAshwat Danial Ahmad, MD, MPH Michel Pompeu Sá Derek Serna-Gallegos MD Ibrahim Sultan

🔥Hot off the press🔥 Read our new studies in American Journal of Cardiology about #mechanical vs #tissue valves in #SAVR and age 💥ajconline.org/article/S0002-… 💥ajconline.org/article/S0002-… 💥Nice collaboration with @EishanAshwat Danial Ahmad, MD, MPH Xander Jacquemyn Derek Serna-Gallegos MD Ibrahim Sultan Pitt Cardiothoracic Surgery Department

🔥New European Society of Cardiology guidelines for #Aortic diseases are out and I am glad to see the work developed during my recent aortic fellowship under Ibrahim Sultan and Derek Serna-Gallegos MD at Pitt Cardiothoracic Surgery Department making its way into the guidelines. Important information about #TEVAR in #AorticDissection #IMH

🔥Hot off the press🔥 If you want to have an overview of the current state of #TAVI #TAVR #explant, read our paper just published in the Annals of Cardiothoracic Surgery annalscts.com/article/view/1… Derek Serna-Gallegos MD Asishana Osho, MD, MPH Jordan Bloom Ibrahim Sultan Pitt Cardiothoracic Surgery Department MGH CT Surgery Residency Program

Timely collaboration with Michel Pompeu Sá Xander Jacquemyn Derek Serna-Gallegos MD Ibrahim Sultan Jordan Bloom Asishana Osho, MD, MPH on one of the fastest-growing cardiac surgeries in the US 📈: #TAVRExplant Pitt Cardiothoracic Surgery Department MGH CT Surgery Residency Program *See SAVR after TAVR PROM calc.: sts.org/resources/savr….

Helped out with a brief podcast on the #SpoonfulOfSugar series about the basics of aortic aneurysms and dissections. Hope it can be useful for any med students prepping for boards or cardiac surgery rotations! open.spotify.com/episode/2BEYKU… #AortaEd TSMA Think Aorta US

🔥Hot off the press in The Annals of Thoracic Surgery Just how mild is mild PVL? Great work by a fellow Pitt med student, Nav! Mild PVL after TAVI associated with reduced survival compared to no PVL on landmark KM analysis 📉 doi.org/10.1016/j.atho… Pitt Cardiothoracic Surgery Department Derek Serna-Gallegos MD Ibrahim Sultan

Retrospective single institution cohort study of #TAVI shows that after TAVI, >moderate paravalvular leak is associated with ⬇️ survival vs none/trace PVL 🔗: linkinghub.elsevier.com/retrieve/pii/S… Derek Serna-Gallegos MD Ibrahim Sultan @EishanAshwat Catalin Toma, MD Amber Makani UPMC Heart and Vascular Institute The Annals of Thoracic Surgery

We are excited to welcome our next incoming general surgery residents! Welcome to the Mayo family! #gensurgmatch2025 #mayo #youlooklikeasurgeon #leftglovefirst

A #SystematicReview demonstrates that while #TAVR explant is a rare event, its clinical impact is non-negligible 🔗: pubmed.ncbi.nlm.nih.gov/40270844/ Michel Pompeu Sá Ibrahim Sultan Xander Jacquemyn Danial Ahmad, MD, MPH Eishan Ashwat Derek Serna-Gallegos MD UPMC Heart and Vascular Institute

Surgical aortic valve replacement with root enlargement vs transcatheter aortic valve replacement in patients with a small annulus, presented by Eishan Ashwat at #AATS2025 Seattle Convention Center | Summit, Level 2 Friday 5/2/25 @ 4:35pm AATS UPMC Heart and Vascular Institute UPMC Physician Resources

Honored to have presented our work as a plenary presentation at #AATS2025. SAA patients represent an important subgroup of those receiving AVR. Hopeful for prospective studies on SAVR + root enlargement v TAVR in the near future. Ibrahim Sultan Derek Serna-Gallegos MD Pitt Cardiothoracic Surgery Department AATS

💥Hot off the press in JTCVS #SAVR and #TAVR prove comparable in patients with low-flow, low-gradient (LFLG) aortic stenosis No differences in mortality or HF readmissions jtcvs.org/article/S0022-… Nav Warraich Danial Ahmad, MD, MPH Derek Serna-Gallegos MD Ibrahim Sultan Pitt Cardiothoracic Surgery Department AATS

🚨 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 Ibrahim Sultan Derek Serna-Gallegos MD Pitt Cardiothoracic Surgery Department jtcvsopen.org/article/S2666-…

jtcvsopen.org/article/S2666-… I hope everybody has seen this important study. Survival after TAVR was half compared to SAVR. If TAVR outcomes were better, this would clearly be published in NEJM. Congratulations to the authors and @JTCVS. #TAVR is for the elderly…don’t drink the

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 Ibrahim Sultan Derek Serna-Gallegos MD UPMC Heart and Vascular Institute The Annals of Thoracic Surgery 📎authors.elsevier.com/sd/article/S00…

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/40794007/ Eishan Ashwat Derek Serna-Gallegos MD Amber Makani Irsa Hasan Catalin Toma, MD Ibrahim Sultan The Annals of Thoracic Surgery UPMC Heart and Vascular Institute

🔥Hot off the press in Journal of Cardiothoracic and Vascular Anesthesia🔥 #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 Ibrahim Sultan Derek Serna-Gallegos MD Pitt Cardiothoracic Surgery Department UPMC Heart and Vascular Institute jcvaonline.com/article/S1053-…