Jordan Bloom

Our newest @JAHA_AHA review on the #RossProcedure is out today... a surgeon/cardiologist collaboration offering a modern look at patient selection, surgical technique, and long-term outcomes to guide practice. @IHamamsy @OuzounianMD @LucyLNam @ddefariayeh @MGHHeartHealth @mghachd @AortaEd ahajournals.org/doi/10.1161/JA…

I still cannot understand why people replace regurgitant bicuspid aortic valves in young patients. This patient had seen multiple specialists who recommended aortic valve replacement because of calcium on the fused cusp. Please repair or refer!! @AortaEd @mghachd @MGHHeartHealth

Honored and privileged to serve as the Mortimer J. Buckley Visiting Professor at @MassGenBrigham. Many thanks to the Buckley family, Thor Sundt, and entire @Harvard faculty and staff for your graciousness. Special recognition to the superb residents in whom I see...

@pannvar @TuftsMedicalCtr @TuftsMedicine Congrats!!!

Honored to join @TuftsMedicalCtr and @TuftsMedicine as Division Chief of Cardiac Surgery. Excited to work alongside an outstanding team and partner with colleagues across the Tufts Medicine system to continue advancing patient-centered cardiovascular care.#CardiacSurgery

A powerful and sobering presentation by @LucyLNam, our national data reveal a shocking reality that women with Turner Syndrome undergoing aortic surgery in the U.S. face disproportionately high morbidity and mortality. This is a call to action that cannot be ignored. @TurnerSyndSoc @AATSHQ @STS_CTsurgery @mghachd @AortaEd @MGHHeartHealth

At @AATSHQ, the conversation is finally changing. Reconstructive aortic valve surgery and the Ross are taking center stage. About time we faced the fact that prosthetic aortic valves shorten life. #SurviveAS @AortaEd #RepairAR

@AATSHQ @IHamamsy @david_tirone Great session!!

Packed #AATS2026 Adult Cardiac Masterclass listening to @IHamamsy host a case based discussion on #aortic root challenges.

Women of childbearing age stand to gain the most benefit from the #RossProcedure... Read our call to action: "Elevating the Ross Procedure to First-Line Therapy for Young Women Planning Pregnancy". @OuzounianMD @ddefariayeh @CandiceSilvers1 @mghachd @MGHHeartHealth #surviveAS @JACCJournals @WomenHeartOrg @MGBWomenHeart jacc.org/doi/10.1016/j.…

@jloumiotis Yep. Game day decision making critical for AV repair / Ross.

Not every bicuspid aortic valve is created equal — and not every one can be saved. This specimen tells that story-->Severe asymmetry, thickening and morphology with poor long term durability. The valve had to be replaced and these decisions can only be made in the operating room. What would you do? @GebrineK @JordanBloomMD @BavariaMd

Taxes done (47 min), USA Census done (53 min)...#painful

@djc795 @TWilsonMD @AortaEd @GebrineK Yes this is true… sadly a limitation of much surgical research.

@JordanBloomMD @TWilsonMD @AortaEd @GebrineK Very hard to judge. The issue with these kinds of data is there is enormous publication bias. No one with less than stellar results is willing to publish their dirty laundry. And often the definition of a high-quality surgeon is retrospective (which represents circular reasoning)

Aortic valve repair colleagues...does anyone use anything other than prolene for free margin plication? I now have two terrible cases where the suture caused adjacent leaflet damage and I want to use a softer material like Gore-tex or Ethibond. Please advise! @AortaEd @GebrineK @ChrisMalaisrie @schaefers_hans @OuzounianMD @IHamamsy @boodwani @OuzounianMD

@TWilsonMD @AortaEd @GebrineK Yes.

@JordanBloomMD @AortaEd @GebrineK Assume these are BAVs with AR the vast majority of the time? Initial review on my end includes case series and retrospective reviews. Will keep in mind for younger patients w regurgitant valves.

Tom thanks for your comment. There is a wealth of data on the topic and many series showing excellent long term outcomes and more importantly normal survival after valve repair. As with most nuanced procedures patient selection and surgeon volume are critical to good long term outcomes.

@JordanBloomMD @AortaEd @GebrineK Has anyone ever proven the rationale behind aortic valve repair? I’ll admit selection bias, but I’ve ever seen one last even a few years (or even less) without developing problems (AR).

Thanks so much for your response. I know that the Gore-Tex suture can cause early valve calcification when used for free margin suspension, which obviously puts lots of suture in the cusp and in particular at the rotation point. A simple interrupted Gore-Tex used for plication. I’m not certain would have the same effect. I look forward to hearing what others have to say about this. I don’t have the suture type that you’re referring to which appears to be a nylon, but I would have a similar concern. I guess one option would be to use a smaller bore suture, I have historically used 5-0.

@JordanBloomMD @AortaEd @GebrineK I used to use CV7 Goretex suture but stopped as I have heard that it causes leaflets to calcify. I was using prolene after that but now use Cardionyl 5/0 or6/0 and it works well and so far there has been no issues.

Great visit with colleagues and friends at @uvmvermont Medical Center. The collaboration between @MGHHeartHealth, @mghachd, and our UVM partners has been incredible and I’m honored to play a small role in the care of their patients.