Tom C. Nguyen, MD
@tomcnguyen
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Chief Medical Executive Miami Cardiac and Vascular Institute; Professor of Surgery; Director of Minimally Invasive Surgery; Education proponent; 2nd time dad.
Miami, FL
Joined May 2009
After 9.5 years of training, birth of two children, a handful of midnight emergencies, and lots of CT surgery, today was @BarbHamiltonMD's last day as @ucsf cardiothoracic surgery fellow. Incredibly proud of her. We look forward to seeing more of her soon.
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It's official. I edited my profile to SECOND time dad. It's magic and love all over again.Our hearts have doubled in size and we're full. So special when our first daughter got to see baby sister. Thanks Gina, @UCSFChildrens, all nurses, Dr. Farooqi, Lee, Pedrum and many others.
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This is how to get your attention (and compliance) in Texas. food talks. Works for me. #COVD19 #corononavirus
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I am humbled, honored, and appreciative to join this storied world-class institution @UCSFSurgery and work closely under the leadership of @Jasosamd to work with all the superstars in the CT surgery division. @Gina_Landinez_ is also ecstatic to join the phenomenal UCSF IR program.
We are thrilled to have @tomcnguyen join us as a transformative leader for CT Surgery at @UCSFHospitals @UCSFMedicine & @UCSFSurgery. Welcome Tom! #Rockstar @ctsnetorg @AATSHQ @STS_CTsurgery.
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Packing office & stumbled across coronaries I practiced on as fellow. Reminds me of where I’ve been, who I am, & where I’m going. Forever grateful for all the mentors & supporters these 20+ yrs. Thank you Dr. Sosa/UCSF for the opportunity to lead. Excited to see you soon Miami.
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Bittersweet.🥲 For nearly a decade, @UTH_CVSurgery has been my professional home. Today was my last day operating in Houston (OR#4) with this wonderful team, friends, and many more. Thank you to everyone who has supported and trusted me with their patients. Next stop @UCSFSurgery
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Robotic surgery comes to Miami. Excited to work with FIU in recruiting Dr Makoto Hashimoto (Sapporo, Japan) to lead our robotic heart surgery program at Baptist Miami Cardiac & Vascular Institute. We are building. 🧰 @BaptistHealthSF @FIUMedicine @FIU
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First beating heart mitral valve repair with HARPOON in the West Coast. Excellent results. Team effort between @HeartUCSF, @UCSFCardiology, and @UCSFAnesthesia. Appreciate participation in the Restore clinical trial.
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10,000+ hours & 5 P’s. @marko_boskovski and Dr Tseng log countless reps prior to their first Ross (visiting 3 centers, 10 pig and 3 human hearts, endless videos) culminating in 3 successful Ross procedures in 4 days as UCSF officially launches our program! Thank you @IHamamsy 🙏
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Sad to announce that we'll be leaving @UCSFsurgery. We were welcomed with open arms and made lifelong friends. Excited about the unique opportunity to join @BaptistHealthSF and lead the Miami Cardiac Vascular Institute. New favorite drink is now a cortadito. @Gina_Landinez_.
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Minimally invasive removal of a failed Amplatzer septal occluder in a patient also needing mitral surgery. Removal requires resection of surrounding septal tissue.
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It’s also bring your daughter to work day! Please don’t eat my badge. Future woman cardiac surgeon but need to get out of diapers first. #ismics2019 #nyc #ilooklikeasurgeon #father @Gina_Landinez_
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FYI for surgeons out there. Let's add heavy loupes and a headlight to the mix. As surgeon-athletes, we need to be conditioned for the long hours in the OR including strength training and appropriate surgeon ergonomics. More to come in a study by @BarbHamiltonMD @midairywala
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Severe aortic stenosis. This is what a diseased calcified aortic valve looks like. #heartsurgery #aorta #medicine #anatomy #doctor
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Prior Ross and ascending aorta replacement. Several years later, pt underwent redoAVR. This lasted ~10 years then transcatheter valve-in-valve. Pt now presents with acute torrential aortic regurgitation. 3rd time redo revealed this interesting finding. 😳
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Happy Father’s Day! Whatever our day/night jobs, today is a reminder that we are fathers first. And in this picture, my daughter is reminding me (by her stare) that she needs a diaper change. #FathersDay
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Failed MitraClip. Very difficult to surgically repair an otherwise repairable valve once a clip has been placed. Are we clipping too many patients? #mitraclip #mitral #anatomy #surgeon #heart #cardiolgy
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A glimpse of our future leaders in cardiothoracic surgery and current CT surgery fellows @UCSFSurgery. If your program needs a superstar, ping Barbara Hamilton, Jennifer Perri, Ramon Riojas (@riojas_ramon), or Hubert Luu.
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My immigrant story from taking English as a second language, choosing the name "Tom" from watching Tom and Jerry, many failures along the way, to eventually becoming a cardiothoracic surgeon. Humbled to be interviewed by @DavidCookeMD and @STS_CTsurgery @HeartUCSF @UCSFSurgery.
When considering the future of treating #patients with heart disease, Dr. @tomcnguyen thinks “less is more.” Hear more of his predictions for CT surgery and what he thinks the specialty should embrace so it doesn’t become extinct. #TheFaceofCTSurgery
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Preoperative planning for a high risk patient with severe MAC. Scheduled for minimally invasive TAVR in MAC. Patient specific 3D printing c/o @shafkatanwar provides important anatomic spatial relation, ie avoid LVOTO. @HeartUCSF @UCSFSurgery @UCSFCardiology
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If you find yourself sitting up straighter while reading this, ergonomics during surgery is important. 80% of surgeons experience pain. Proud to co-author this article in @JAMASurgery with Dr. Pouya Hemmati and @JosephDearaniMD. Link to article here:
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Conclusions need to be tempered until long-term data surface. especially in younger patients. Below are examples how outcomes can change with time. #tssmn #cardioTwitter #EACTS2019 #sts_ctsurgery #TAVR #coronary #heart #acc @ctsnetorg @AATSHQ @AATSJournals
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A day at the office for our ct surgery fellow, Dr Jennifer Perri, performing a minimally patch closure of a large atrial septal defect. @UCSFCTSurgery @HeartUCSF @UCSFSurgery
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Possibly a game-changer. PROACT Mitral randomized trial shows that a lower INR target (2.0-2.5) was not inferior to current recommendations w a target of 2.5-3.5 presented by @MichaelMwachu. Less coumadin is a good thing. @annalsthorsurg @STS_CTsurgery @CryoLife
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Thanks for postings this. Proud graduate of the phenomenal @CyFairISD public school system. I started off by taking ESL classes in kindergarten and eventually AP classes in high school. I remain indebted to all the teachers and counselors that mentored me along the way. #BFND.
Meet Dr. Tom Nguyen: Chief of Cardiac Surgery, CFISD graduate. When Tom Nguyen’s parents moved to Texas, their hearts were set on ensuring their son was academically challenged and inspired. That’s why they chose Cypress-Fairbanks ISD.
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My New Years Resolution is wellness. Goal is to run at least 1 mile everyday for 2021. My dad passed suddenly from heart disease and something i'd prefer to avoid. Track, motivate, or join me on @MyFitnessPal username "tom2nguyen" Onward and upward.
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The journey begins. Robotic heart surgery in Houston. Deliberately practicing on a Saturday. Thanks @sloaneguy, Eugene Grossi, Didier Loulmet, @IntuitiveSurg.#tssmn #robots #heart
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After a long day at work, this is all that matters. Any troubles washed away. Is there any better feeling? @Gina_Landinez_ #family #Frenchies
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Tamponade: Our new recruit Dr. De Souza teaching our fellow Dr. Hamilton how to do a thoracoscopic pericardial window here @UCSFSurgery @HeartUCSF. 10mm ports = fast recovery. @rodrigo_md_79 @BarbHamiltonMD
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Hot off the press from TVT registry (over 400K pts) presented by Joe Bavaria at Ancona, Italy meeting. Real-world data shows 11.3% 1yr TAVR mortality for all pts and 5% 1yr TAVR mortality for low-risk pts. @STS_CTsurgery @HeartUCSF @TCTMD
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Minimally invasive explant of an infected TAVR published in JTCVS (. Given the expansion and potential for reoperation, surgeons need to understand potential techniques of extracting THV. #TAVR #surgeon #jtcvs #medicine #infected #ctsurgery #endocarditis
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We are incredibly lucky to recruit Dr. Amy Fiedler @FiedlerAmy to our growing @HeartUCSF Division of Cardiothoracic Surgery. Dr Fiedler is a superstar on all fronts and we will do our best to support her already explosive growth. Stay tuned. @UCSFSurgery @UCSFCardiology.
‼️New Week, New Faculty Alert‼️We are excited to announce that👩🏼⚕️Dr. Amy Fiedler @FiedlerAmy from The University of Wisconsin will be joining The Department of Surgery as a Cardiac Surgeon & Assistant Professor of Clinical Surgery with a focus in Heart failure/Transplant and MCS🎉
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Ever wonder what an in-situ Amplatzer plug and hole in a bioprosthetic valve looks like? The minimal amount of endothelialization on the plug is interesting.
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Hair jealousy from my 5 month old daughter. @Gina_Landinez_ Time flies. I learned that we'll spend 80% of the time w our kids during their first 18 years.
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Finally published in @annalsthorsurg. Hopefully this doesn't happen again.
Analysis of 700,000 adult 🫀 surgery patients during pandemic by Dr. @tomcnguyen et al. @annalsthorsurg:. ⚠️ 52.7% ⬇️ volume. ⚠️ 65.5% ⬇️ elective cases. ⚠️ Volume has not yet recovered. ⚠️ 148% ⬆️ in O:E mortality for isolated CABG. Read #OpenAccess:
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Not all patients w severe aortic insufficiency need their valves replaced. Aortic valve repair with aortic annuloplasty (HAART), valve-sparing aortic root replacements, or Ross procedures should be explored. TAVR still not a viable option for AI. @IHamamsy @OuzounianMD
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Role of minimally invasive mitral in complex repairs? Study using the STS national database with 41K patients showing HIGHER repair rates with mini vs. sternotomy as well as lower strokes, afib, and length of stay. @STS_CTsurgery @annalsthorsurg
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Launching a study sponsored by @whoop looking at surgeon biometrics during rest and stress. PI is our new faculty @BarbHamiltonMD in collaboration with @StanfordGenSurg Dr. Cindy Kin. @UCSFSurgery @HeartUCSF
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No patients harmed: Learning heart surgery using simulators at STS University. Good to great while mastering needle angles before operating on humans. #sts2019 #ismics #surgeon #heart #doctor #medicine #medstudent #thesocietyofthoracicsurgeons
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A little biased, but this is our fantastic cardiothoracic surgery team. Not pictured are our wonderful APPs, nurses, and perfusionists.
The entire UCSF Cardiothoracic Surgery physician team in one place, at the same time? Just another way that we are #RedefiningPossible at #UCSF. 🤣
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Bucket list: Riding mopeds through the streets of Vietnam w Tirone David. ✅
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Largest and only randomized trial comparing sternotomy vs. minimally invasive mitral surgery. Fun discussing this topic with @JoChikweMD thanks to @Medscape and @CardioResearch.
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Resident sim lab: Simulation provides a framework to maximize educational encounters. Simulation affords endless practice opportunities and offers students "permission to fail" in an environment that does not hurt patients. #education #simulation #medicine #surgery #doctor
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That one time ~ 12-years ago when I volunteered as a surgeon in Africa (Asmara, Eritrea). Incredibly humbling and life-changing experience that I would recommend to all those in the medical field.
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Our new surgical director of heart transplant and MCS @JasonWSmithMD performs his first heart transplant followed by a kidney transplant at UCSF last wk in his hometown 10 blocks away from his childhood home. Pt is doing great. Fortunate to have Jason join our team. @UCSFSurgery
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Noted from Bavaria, it’s no longer TAVR. Take away the “T”, it’s now just AVR. In 2016, TAVR surpassed ISOLATED SAVR. Several months ago in 2019, TAVR now surpassed SAVR in all forms. Complex SAVR, I predict, is here to stay.Slide c/o @BavariaMd. TVT/STS #TAVR @STS_CTsurgery
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Hello New Orleans. Proud to be co-director of STS University #STS2020 minimally invasive valve simulation lab with Juan Umana and all our wonderful faculty and participants. @RobinsonPoffo @ctsnetorg @STS_CTsurgery @tssmn
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Infective endocarditis of the aortic valve. Patient should feel better now this is removed. #aortic #endocarditis #infection #surgeon #medicine
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If my 17 month daughter can wash her hands, we can too. at least 20 seconds y’all. #WashingHands #COVID19 @Gina_Landinez_
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Important article on surgeon ergonomics written by our CT fellow Barbara Hamilton and medical student @midairywala. Appropriate loupes and table height is only a small part of the equation. @STS_CTsurgery @UCSFHospitals @UCSFSurgery.
"Despite the obvious parallels to high-performance sports, CT surgery as a specialty has been slow to openly talk about the physical suffering that surgeons endure." Check out a new blog article on how to achieve healthy ergonomics.
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First in man endo-Bentall. Excited that Dr Ghoreishi will be joining Baptist MCVI. One surgeon described “that some surgeons are gifted while others are magical. Dr. Ghoreishi is magical.” Building something special. More news to come. @BaptistHealthSF @dr_ghoreishi
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Congratulations to my good friend Dr. Maral Ouzounian @OuzounianMD. The University of Toronto is lucky to benefit from HER leadership. True role model for men and women out there.
Congratulations Maral Ouzounian (@OuzounianMD), new Chief of Cardiovascular Surgery @UHN_Surgery and @PMunkCardiacCtr. An exceptional surgeon-scientist entrusted with the future of this historic program. @Skeshavjee, @drbarryrubin, @UofTSurgery
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