Omar Jarral

Cardiac Aortic Surgeon @lenoxhill. Trained at Duke, Penn, Bart's and St. Thomas'. Londoner living in New York.

[CTSNet @ctsnetorg]

Branch-First Arch Replacement: How to Do It

This fantastic video from @triplevalve summarizes the key steps in performing branch-first arch replacement, a technique which is growing in popularity.

🔗https://t.co/9UEWyzU1N4

#aorta #technique #video

[Omar Jarral @triplevalve]

Anomalous Origin of the RCA—Tailoring the Operative Strategy in Complex Aortic Pathology https://t.co/ets6lOVRDx

[Xin Eric Wang @xwang_lk]

DeepSeek did something no one else has done before—it made my parents show true interest in what I am working on for the first time. Really.

[Omar Jarral @triplevalve]

@DrDavidWarriner Thanks David. Usually 8-10% for a Commando if it is their first sternotomy, and sometimes significantly more if it is a redo sternotomy or they have co-morbidities such as dialysis dependent renal failure.

[Omar Jarral @triplevalve]

TAVR explant is the fastest growing cardiac surgical operation. Some cases require radical debridement of the aortomitral curtain. Check out our approach to this @lenoxhill.

https://t.co/2u062iVhai

[Omar Jarral @triplevalve]

Register at https://t.co/LXH7SW3STD

[Omar Jarral @triplevalve]

Register Today! Join us on Saturday, May 11th, 2024 for the Annual Northwell Health Aortic Symposium featuring primary focus on treatment of aortic disease. The symposium takes place at Donald & Barbara Zucker School of Medicine at Hofstra and will also have a virtual option

[Duke Center for Aortic Disease @DukeAortic]

We present mid-term outcomes of aortic valve repair using an anatomically shaped internal annuloplasty ring in the largest single institutional experience internationally and with no commercial affiliation with the manufacturer.
https://t.co/JejARb9rdL
#AVr #annuloplasty @triplevalve @DukeSurgery @DukeHeartCenter @DukeCTSurgery

[Duke Surgery @DukeSurgery]

#DukeSurgery is pleased to announce that Carmelo Milano, MD, Professor of Surgery, has been appointed Division Chief of @DukeCTSurgery.

We would like to thank Edward P. Chen, MD, for his dedicated leadership of the division since 2021.

Read more: https://t.co/caPNSqEYJG

[Omar Jarral @triplevalve]

5/ Bioroot: they implant the valve inside the graft a few rings higher than the actual proximal anastomosis. This simplifies a redo AVR if needed:

[Omar Jarral @triplevalve]

2/ Principles of rheumatic MV repair: 1) assess anterior leaflet mobility 2) restore leaflet mobility by debriding excess tissue and calcium 3) Commissurotomy or chordal resection if needed 4) Add pericardial patches if needed. Prof. El-Lhoury using sharp dissection on MV:

[Omar Jarral @triplevalve]

4/ Left button implantation for a root: They leave the left main attached to the ascending aorta, which prevents twisting or kinking.

[Omar Jarral @triplevalve]

1/ Having been trained to do roots with interrupted pledgeted sutures, the semi-continuous technique is something I’ll now consider. This is Prof. de Kerchove implanting a Pulmonary autograft (in a Valsalva graft) with the semi-continuous technique:

[Omar Jarral @triplevalve]

Huge thanks to master surgeons Prof. Gebrine El-Khoury & Prof. Laurent de Kerchove who I recently spent time with learning aortic valve repair & the Ross procedure in Brussels. @GebrineK @EACTS #aortaed. Here are a few of the technical tips I learnt 👇:

[Omar Jarral @triplevalve]

@CristianRosuMD @MaineMed Congrats Cristian! Incredible news and have no doubt you’ll be a huge success there

[Omar Jarral @triplevalve]

Thank you @EACTS for making this incredible opportunity possible! Highly recommend young surgeons apply for the chance to learn advanced techniques from European masters. #EACTS #SurgicalEducation

[Omar Jarral @triplevalve]

Had an incredible week in Homburg, learning aortic valve repair techniques from legendary Prof. Hans-Joachim Schäfers. Huge thanks to him and his team for their hospitality. @schaefers_hans @eacts #aortaed

[Omar Jarral @triplevalve]

8/8: At Saarland University Hospital, they wash everyones scrub shoes whenever needed, and plenty of sizes available for visitors. Wish we had this in London!