Jordan Bloom
@JordanBloomMD
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Dad/Husband. Heart surgeon (ACHD/Aorta/Ross) at Mass General Hospital. Hazy IPA lover.
Boston, MA
Joined November 2011
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It never ceases to amaze me how much a large ascending aortic aneurysm can displace the heart southeast in the chest. It's amazing that patients are usually asymptomatic!
@AortaEd
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We just performed the first aortic valve repair at the MGH using the HAART rigid annuloplasty ring for a young man with a forme fruste bicuspid valve with “swiss cheese” leaflets. Thanks to these master surgeons, Drs. Sundt and Rankin for being there to support this endeavor.
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This video shows the steps of unroofing an anomalous coronary artery, an elegant procedure that can save lives!
#ACHD
#Unroofing
#ANOCA
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While I may not be a huge fan of minimally invasive cardiac surgery, a right mini-thoracotomy is a fantastic approach for addressing an atrial septal defect in a young patient.
@MGHHeartHealth
#ACHD
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How is it possible that a study on TAVR vs SAVR in low risk patients gets published in the NEJM with equivalence at one year? Who cares about one year in low risk patients?
#falsenews
@NEJM
@MGHHeartHealth
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COR-KNOT fans BEWARE. This case provided further evidence of the danger of using rigid fasteners to secure an aortic valve prosthesis.
#JUSTTIE
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14 years ago colleagues and I founded the Philadelphia Surgery Symposium with a mission to integrate surgically minded students from 5 medical schools. I was humbled and thrilled to give the keynote address at the 14th annual Philadelphia Surgery Symposium.
#gibbonsurgicalsociety
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Amazing to be in the presence of these legends taking about what life was like when they were literally pioneering our specialty. Thanks to
@JCoselli_MD
and Tirone David for figuring everything out so we can provide the best care to our patients.
#AATSHQ
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Colleagues, please help...man in his 20s with 5.1 cm aortic root and severe AR. Leaflets are thin and mobile. He has an anomalous LCX coming from the RCA and traveling around the circumference of the basal ring. What operation would you do?
@schaefers_hans
@GebrineK
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To all of my health care provider colleagues, I wanted to share these words written by my mentor which really resonate with me.
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An ex-Navy SEAL and Harvard doc is now the first Korean-American headed to space
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ABTS oral exam done. Three weeks to relax. Congrats to all that took or are taking the exam.
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This is a voice annotated video of a patient ~10 years s/p VSRR who presented with recurrent AR due to conjoined leaflet prolapse that I re-repaired.
@AortaEd
@schaefers_hans
@Kareem_Bedeir
@jloumiotis
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This was a fascinating and puzzling case of a man that presented with angina about one-year s/p acute type A aortic dissection with malperfusion. He had a history of Kawasaki Disease and had a chronic large RCA aneurysm that was actually growing and causing coronary ischemia,
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@georgetolisjr
Diameter based decision making is too primitive. We need better genetic testing and biomarkers to predict who actually needs to have surgery.
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Hope you can join us for "Tips and Tricks for Maintaining a Successful Relationship as a Cardiothoracic Surgeon"
May 20, 2021 at 8:00pm EST
Pre-register here:
#TSRA
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Completely starstruck at the
#EACTS
Aortic Forum. One session = Yacoub, David, El Khoury and Schafers. Truly unparalleled innovation and timeless contribution to our specialty.
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Just finished an amazing course by
@edwardtufte
on the visual display and presentation of complex data. Highly recommend!!
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Great to shine light on the fastest growing population in need of cardiac interventions.
#ACHD
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Do you perform the Ross procedure? Yes or no, please fill out our international survey to help define best practices.
@ctsnetorg
@AATSHQ
@STS_CTsurgery
@EACTS
@cscs_sccc
@HeartValveOrg
@IHamamsy
@OuzounianMD
@chrisryanburke
@MichaelMwachu
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Calling all current-, future- or even anti-Ross surgeons. We have launched an international survey to better understand current best practices regarding all things Ross. The survey is anonymous and should take 5 minutes to complete. Please consider our survey.
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50-year-old man s/p VSRR ~10 years ago now with recurrent severe symptomatic AR with LV dilation. What would you do? Re-repair? Ross? AVR Tissue? AVR Mechanical?
@AortaEd
@MGHHeartHealth
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Great first day at
#EACTS
Aortic
Forum. Basically an entire meeting dedicated to aortic valve reconstruction.
#Survive
#AvoidProstheticValves
@IHamamsy
@JosephDearaniMD
@BavariaMd
@NimeshDesaiMD
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Amazing time playing in the
@HeartfeltLtd
3rd Annual Celebrity Classic golf tournament. Great day and great cause.
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Great experience presenting projects at the 5th International Coronary Congress. This was an intimate meeting filled with international leaders in coronary surgery.
@MarcoZenatiMD
@MGHSurgery
@MGHHeartHealth
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@mikeibrahimmd
When will cardiologists and cardiac surgeons stop talking about anticoagulation vs. reoperation...? Dead patients don't care. Let's talk survival! How much data will it take...?
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@georgetolisjr
I have n=7 cases already. Can’t wait to report. These things should never be used for AVR.
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@georgetolisjr
I learned this from you and wholeheartedly agree. The fundamental problem is 40-45% of SAVR is complicated by PPM (TAVR no better). Since 100% of biological valves fail by progressive stenosis (SVD), all patients who undergo AVR with a biological valve will suffer from many
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@AATSHQ
@Kunaal_Sarnaik
Wow!! Amazing results. Lifetime cost of $54,233 vs $507,240 (Ross vs. mAVR). We need to start offering Ross to patients in countries with limited resources!!!
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@PJSpen1982
I agree with you 100% that our team is the most amazing group of people in the world. That said this is a testament to the way you treat people PJ.
#GentleHandling
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@BusraCangutMD
@AATSHQ
@MountSinaiHeart
@IHamamsy
@OPreventzaMD
@OuzounianMD
@JCoselli_MD
Amazing, wish I was there. I am currently writing my own experience which is zero for two.
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@jloumiotis
@schaefers_hans
@GebrineK
@JJahanyarMDPhD
@AortaSurg
@DrZeigler1
There is a principle here to respect..."Just because you can, doesn't mean you should"
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@M_Pompeu_Sa_MD
@JAHA_AHA
@XanderJacquemyn
@JefVandenEynde
@DSGMD
@tjarkebels
@ClavelLabo
@PPibarot
@IbrahimSultanMD
@HviUpmc
@UPMCPhysicianEd
@UPMC_CTSurgery
@AHAScience
@KardiologieHH
@ShelleyWood2
@byMichaelWalter
@TCTMD_Yael
@BoYangMD
Well done
@M_Pompeu_Sa_MD
! This important contribution to the literature reinforces what we all should know, that PPM (AKA aortic stenosis) should be avoided at all costs when treating patients who need aortic valve replacement.
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Who is your Twitter twin? 👯
@JordanBloomMD
=
@TSRA_official
JordanBloomMD and TSRA_official are Twitter twins!
Perfect match! Love the TSRA!!
#twitterTwin
#toasteed
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@jloumiotis
Duke Cameron taught me to repair the valve prior to reimplantation. You have the best exposure and sewing it into the graft shouldn’t change the geometry. Nice case!
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@jon_mcdonagh
Hi Jon, i respect your comment and opinion but in the right hands the autograft can last for life. Emerging data from numerous large series have shown that freedom free reoperation on the autograft exceeds 90% at 20 years.
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How to Make a High-Quality Cardiac Surgery Video
Great job to Stan et al. for making this important instructional video. Journals are seeking high quality video for education and this concise, instructional guide will help!!
@mghctsurgery
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@LuisCastroMD
@AortaSurg
@DrZeigler1
@BoYangMD
@M_Pompeu_Sa_MD
Cool idea I do this routinely for the pulmonary valve, but have never considered it for the aortic valve. I wonder if it will outlast a smaller pericardial valve.
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@DrManiCTSurgery
@BrentKeeling
I have had three cases like this in the last 6 months. The fasteners may be oriented correctly when you deploy them but you cannot control how the scar tissue forms around the sewing ring and how that may in turn angulate the fastener. This cannot happen if you just tie knots.
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Very cool case of iatrogenic cor triatriatum dexter presented by Akash and Adam. Great job guys.
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@Laserrman
I don’t know the secret but we use ASA/Plavix starting immediately post operatively and strictly do not use any antifibrinolytics during or after the procedure.
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@jloumiotis
@schaefers_hans
@JJahanyarMDPhD
@AortaSurg
@DrZeigler1
@StephenSpindel
@ovidiogarciav
What’s the BSA and what size valve?
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@Kareem_Bedeir
We use ASA/Plavix starting immediately post operatively and strictly do not use any antifibrinolytics during or after the procedure.
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@JonAbbate
@BavariaMd
@NimeshDesaiMD
@AortaEd
@OuzounianMD
I am pro repair but more pro durable repair.
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@jloumiotis
@schaefers_hans
@JJahanyarMDPhD
Agree this valve does not look like it would be amendable to a durable repair. What was the age of the patient? I would’ve considered Ross versus what you did.
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Cardiac Tamponade Due to a Strangulated Visceral Pericardial Hernia After Convergent Procedure
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