In this issue, we celebrate the accomplishments of our
growing department and provide updates on upcoming events, clinical trials, and
research initiatives. We welcome Christopher Sciortino, MD, PhD, surgical
director, UPMC Advanced Heart Failure Center and are excited to share his plans
for the UPMC Heart Transplant Program. In addition, we share the expertise of
Jose Pedro da Silva, MD, surgical director, Center for Valve Therapy, Heart
Institute at Children’s Hospital of Pittsburgh of UPMC and his work in treating
Ebstein’s anomaly in the pediatric patient. We are also pleased to highlight
the ongoing collaboration between the Division of Lung Transplant/Lung Failure
and the Division of Thoracic and Foregut Surgery to provide robotic-assisted
surgery techniques to patients with gastroesophageal reflux. Lastly, we discuss
the challenges associated with reoperative esophageal surgery and the work our
experts are doing to meet and exceed these challenges.
Upon completion of this activity, participants should be
- Recognize ways to improve identification of potential heart
transplant recipients early in the course of heart failure progression.
- Discuss measures that could increase the availability of
donor hearts for transplantation.
- Articulate the potential benefits and limitations of robotic
- Recognize the challenges unique to performing antireflux
surgery on lung transplant recipients.
- Discriminate between the anatomy characteristic of Ebstein’s
anomaly and the anatomy of other congenital heart abnormalities.
- Describe the basic steps of
the cone procedure for repair of Ebstein’s anomaly.
- Recognize the patient
population with the best survival outcomes after cone repair of Ebstein’s
- Describe the major surgical options
for redo antireflux surgery.
- Execute a thorough preoperative evaluation for patients with
recurrent symptoms after antireflux surgery or hiatal hernia repair.
- Ng K, Steinhubl SR, deFilippi C, Dey S,
Stewart WF. Early Detection of Heart Failure Using Electronic Health Records:
Practical Implications for Time Before Diagnosis, Data Diversity, Data
Quantity, and Data Density. Circ Cardiovasc Qual Outcomes. 2016 Nov;9(6):649-658.Meystre SM, Kim Y, Gobbel GT, Matheny ME, Redd A, Bray BE, Garvin JH. Congestive heart failure information extraction framework for automated treatment performance measures assessment. J Am Med Inform Assoc. 2017 Apr 1;24(e1):e40-e46.
- Hsich EM. Matching the Market for Heart
Transplantation. Circ Heart Fail. 2016 Apr;9(4):e002679.
- Sarkaria IS, Rizk NP, Grosser R, Goldman D,
Finley DJ, Ghanie A, Sima CS, Bains MS, Adusumilli PS, Rusch VW, Jones DR.
Attaining Proficiency in Robotic-Assisted Minimally Invasive Esophagectomy
While Maximizing Safety During Procedure Development. Innovations (Phila). 2016
- Sarkaria IS, Latif MJ, Bianco VJ, Bains MS,
Rusch VW, Jones DR, Rizk NP. Early operative outcomes and learning curve of
robotic assisted giant paraesophageal hernia repair. Int J Med Robot. 2017
Mar;13(1). Epub 2016 Feb 29.Abbassi-Ghadi N, Kumar S, Cheung B, McDermott A, Knaggs A, Zacharakis E, Moorthy K, Carby M, Hanna GB. Anti-reflux surgery for lung transplant recipients in the presence of impedance-detected duodenogastroesophageal reflux and bronchiolitis obliterans syndrome: a study of efficacy and safety. J Heart Lung Transplant. 2013 Jun;32(6):588-95
- Hartwig MG, Anderson DJ, Onaitis MW, Reddy S, Snyder LD, Lin SS, Davis RD. Fundoplication after lung transplantation prevents the allograft dysfunction associated with reflux. Ann Thorac Surg. 2011 Aug;92(2):462-8; discussion; 468-
- Burton PR, Button B, Brown W, Lee M, Roberts
S, Hassen S, Bailey M, Smith A, Snell G. Medium-term outcome of fundoplication
after lung transplantation. Dis Esophagus. 2009;22(8):642-8.
- da Silva JP, da Silva Lda F. Ebstein's anomaly
of the tricuspid valve: the cone repair. Semin Thorac Cardiovasc Surg Pediatr
Card Surg Annu. 2012;15(1):38-45.
- da Silva JP, Baumgratz JF, da Fonseca L,
Franchi SM, Lopes LM, Tavares GM, Soares AM, Moreira LF, Barbero-Marcial M. The
cone reconstruction of the tricuspid valve in Ebstein's anomaly. The operation:
early and midterm results. J Thorac Cardiovasc Surg. 2007 Jan;133(1):215-23.
- Lange R, Burri M, Eschenbach LK, Badiu CC, da Silva JP, Nagdyman N, Fratz S, Hörer J, Kühn A, Schreiber C, Vogt MO. Da Silva's cone repair for Ebstein's anomaly: effect on right ventricular size and function. Eur J Cardiothorac Surg. 2015 Aug;48(2):316-20; discussion 320-1
- Ibrahim M, Tsang VT, Caruana M, Hughes ML,
Jenkyns S, Perdreau E, Giardini A, Marek J. Cone reconstruction for Ebstein's
anomaly: Patient outcomes, biventricular function, and cardiopulmonary exercise
capacity. J Thorac Cardiovasc Surg. 2015 Apr;149(4):1144-50.
- Awais O, Luketich JD, Reddy N, Bianco
V, Levy RM, Schuchert MJ, et al. Roux-en-Y near esophagojejunostomy for
failed antireflux operations: outcomes in more than 100 patients. Ann Thorac
Surg. 2014;98(6):1905-11; discussion 11-3.
- Awais O, Luketich JD, Schuchert MJ,
Morse CR, Wilson J, Gooding WE, et al. Reoperative antireflux surgery
for failed fundoplication: an analysis of outcomes in 275 patients. Ann Thorac
Surg. 2011;92(3):1083-9; discussion 9-90.
- Luketich JD, Pennathur A, Awais O,
Levy RM, Keeley S, Shende M, et al. Outcomes after minimally invasive
esophagectomy: review of over 1000 patients. Ann Surg. 2012;256(1):95-103
- Pennathur A, Awais O, Luketich JD. Minimally invasive redo
antireflux surgery: lessons learned. Ann Thorac Surg. 2010;89(6):S2174-9.
- Stefanidis D, Hope WW, Kohn GP, Reardon PR, Richardson WS, Fanelli RD; SAGES Guidelines Committee.. Guidelines for surgical treatment of gastroesophageal reflux disease. Surg Endosc. 2010 Nov;24(11):2647-69
- Kohn GP, Price RR, DeMeester SR, Zehetner J, Muensterer OJ, Awad Z, Mittal SK, Richardson WS, Stefanidis D, Fanelli RD; SAGES Guidelines Committee..Guidelines for the management of hiatal hernia. Surg Endosc. 2013 Dec;27(12):4409-28.
- Dallemagne B, Arenas Sanchez M,
Francart D, et al. Long-term results after laparoscopic
reoperation for failed antireflux procedures. Br J Surg 2011;98:1581–7.
Drs. Sciortino, D’Cunha, Sarkaria, da Silva, Awais, and Levy
have reported no relevant relationships with any entities producing
health care goods or services
All presenters disclosure of relevant financial
relationships with any entity producing, marketing, re-selling, or distributing
health care goods or services, used on, or consumed by, patients is listed
above. No other planners, members of the planning committee, speakers,
presenters, authors, content reviewers and/or anyone else in a position to
control the content of this education activity have relevant financial
relationships to disclose.
The University of Pittsburgh School of Medicine is
accredited by the Accreditation Council for Continuing Medical Education (ACCME)
to provide continuing medical education for physicians.
The University of Pittsburgh School of Medicine designates
this enduring material for a maximum of .5 AMA PRA Category 1
Credits™. Each physician should only claim credit commensurate with
the extent of their participation in the activity. Other health care
professionals are awarded (0.05) continuing education units (CEU) which are
equivalent to .5 contact hour.
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Release Date: 8/21/2017 | Last Modified On: 8/21/2017 |