Gebrine El Khoury

✨ Dr. @GebrineK presenting as this year's Dr. Craig Miller Visiting Professor talk at @StanfordMed, "The Journey of Aortic Valve Repair."🫀Great insights from his years of pioneering work in aortic valve repair, aortic root reconstruction, mitral valve repair, & Ross procedures.

@JordanBloomMD @AortaEd @schaefers_hans Good luck

Fellow VSRR surgeons...how would you deal with this 6cm root aneurysm in the setting of an asymmetric trileaflet valve with moderate regurgitation? Any tips for managing the asymmetry? @AortaEd @GebrineK @schaefers_hans

@JordanBloomMD @AortaEd @schaefers_hans Put on very small cusp on 120 results in restricted motion and possible prolapse of the others

@JordanBloomMD @AortaEd @schaefers_hans It is the only setting when one cusp , usually he left ,I recommend to respect the asymmetry of the commissural in distribution. Aflter 3 commissural stitches being on traction , have the tube facing , and then have the corresponding Marcks on the tube …

Outstanding 2-days hosted by Munir Boodhwani @HeartInstitute. 5 complex live cases - (Ross @IHamamsy and AoV repair @GebrineK + Munir) and great discussions Join us next year in Philly! @JordanBloomMD @NimeshDesaiMD @markpeterson @MichaelMwachu @BavariaMd @EricRoselliMD

@jloumiotis @JordanBloomMD @schaefers_hans Agree with Jordan … large decalcification bad result and reputation… supported Ross is my favourite approach… if not decal it respecting the integrity of the leaflets (no patches) might be acceptable alternative … good luck

Trileaflet valve with no AI, young patient with a large root aneurysm, Calcification mostly at annular level and the “belly” of right cusp. Would you repair? #aortaed #aneurysm @GebrineK @JordanBloomMD @schaefers_hans

@JordanBloomMD @schaefers_hans @IHamamsy @BavariaMd I think , no need for any enlargement

@GebrineK @schaefers_hans @IHamamsy @BavariaMd Thanks. That’s my plan. Do you think will need Konno or other annular augmentation?

Colleagues, what would you do for this 27 year old female who wishes to become pregnant with critical unicuspid AS (mean gradient 117mmHg, AVA 0.3). Root diameter around 2cm, annular diameter around 1.4cm!! BSA 1.4 (50kg, 1.43M). @GebrineK @schaefers_hans @IHamamsy @BavariaMd @OuzounianMD @chrisryanburke @aorta @mghachd @MGHHeartHealth

@schaefers_hans @JordanBloomMD @IHamamsy @BavariaMd Totally agree with my friend jochen By the way best wishes for 2025

@JordanBloomMD @GebrineK @IHamamsy @BavariaMd Classic scenario for Ross

@JordanBloomMD @IHamamsy @OuzounianMD @chrisryanburke @MichaelMwachu So , yes for your patient , I will do , good luck

Ross surgeons, would you consider doing Ross for a patient with BAV/AS who had radiation 2 decades ago for Non-Hodgkins Lymphoma. No signs of RHD by echo. Large annulus. No diastolic dysfunction. PA/PV look normal. @IHamamsy @OuzounianMD @chrisryanburke @MichaelMwachu @BavariaMd @ShinFukuharaMD @GebrineK

@JordanBloomMD @IHamamsy @OuzounianMD @chrisryanburke @MichaelMwachu More than 20 years ago one of my professors came to me with the same story , apricots valve stenosis nav and Hodgkin disease 30 years before. He was 56 years old. In addituhe needs graft on the PDA . He came and told me I want you to do a ross and graft (GEA) . I did it . Perfect

An outstanding event. 5 complex live cases (aortic valve repairs & Ross procedures) over 2 days, interactive presentations by an international faculty + wet lab. Don’t miss the ⁦@EACTS⁩ and Brussels course on AV-repair and Ross procedures next year. ⁦@GebrineK⁩

@JordanBloomMD @schaefers_hans Exactly

@GebrineK @schaefers_hans Thanks so much. So you would simply dissect it away from the root and proceed with reimplantation VSRR?

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 @EmmanuelLansac @AortaEd

@JordanBloomMD @schaefers_hans Exactly Jordan dissect it away from and do sparing surgery

@JordanBloomMD @schaefers_hans I was focusing jochen on the abnormal cx . Certainly cusp repair and réimplantation 😜resolve the problem

Prof El Khoury is an artist, as every doctor should be. He is one of those geniuses that are born every now and then, combining dedication and creativity. With surprising technique and good humor, he humbly and proudly preserves his simple Lebanese origins.

@ejchammas Ascending aorta and root are normal? Bicuspid aortic valve?coarctation? « Total »angio scan to be done , other localisations …

27 y old female. Dyspnea. No risk factors . No medical,surgical or accident history: Aortis Arch at 9,5 CM ! Any thoughts ! @JGrapsa @cardiopole @iamritu @MAecocardio @ASE360 #echofirst #CardioTwitter @DonalErwan @Cosyns @BSCImaging @echocardiac @echotalk @Echocardioblog #POCUS

The fellows have the chance to interview each Cardiology Grand Rounds speaker before their talk. We were lucky to have the opportunity to chat with @GebrineK, a global leader in aortic valve repair. @OhadOrenMD @RachGoldB @PNelsonHsieh

Lessons from a legend - fantastic talk on the approaches to repair the aortic valve by @GebrineK today @MGHHeartHealth grand rounds.

@patrick_ellinor @MGHHeartHealth I enjoyed very much discussing with you and the audience