Ioana Florea, MD MPHS

Isolated RV #failure is challenging, but we have several options to deal with this as Roberto Lorusso and Jan Belohlavek said during the #ACVC26 session about altered physiology during #MCS.

A State-of-the-Art Review published in #JACC provides a comprehensive overview of support and management of dLVAD-related emergencies, with an intent to provide a rapid-response guide for clinicians who encounter emergencies in patients with dLVADs. 🔗 bit.ly/4sOg4G6

I've used em-dashes my whole life — they add rhythm and grace to writing. But now they're an AI tell. Can we get a grandfather clause for those of us who were fluent in em-dashes before ChatGPT launched in November 2022?

ECMO shows potential in trauma-related ARDS. In 1,526 patients, it significantly reduced mortality, especially with VV ECMO. ICU stays were longer, but complication and infection rates were similar. Early data suggests a survival benefit worth exploring. #ECMO #ARDS #Trauma journals.lww.com/jtrauma/abstra…

Thanks Michael and @TCTMD for highlighting our paper just published in @JACCJournals on current trends and outcomes of the Ross procedure. jacc.org/doi/10.1016/j.…

“This is Jules Verne” - Leo Eloesser, on hearing John Gibbon’s initial ideas for a heart-lung machine, as retold by @BavariaMd A privilege to be learn from the best! (And get stuck in Houston due to rain delays!)

Excited for the opportunity to attend the Houston Aortic Symposium this weekend, learn from true experts in this setting and present some of the complex hybrid cases we’ve performed over the last year!

Should advanced age be a reason to withhold resuscitative thoracotomy in the ED? @RiddhiMehta25 says no, not in all cases. @Bardiya_z, @jordanmkirsch, @gabrielfroulaDO, #wmchealth, #WTA2026

A privilege to hear Dr Rachel Kelz deliver Grand Rounds today for the Rudolph C Camishion inaugural lectureship @CooperHealthNJ!

Learning hemodynamics is hard. I created a simulator that let's you titrate vasopressors, inotropes, vasodilators, and fluids across different hemodynamic states. How can I make this even more realistic? Still some hemodynamics responses to optimize. Try it and let me know👇

Excellent talk by an excellent educator (who has drilled the Laplace Law into all his fellows’ brains). Watch for CME below! #AortaEd @KyleEudaileyMD @AorticHope @UABSurgery @MarfanFdn

There are no words to describe so incredible an opportunity, and so many of them sound “empty” in searching.What a privilege it is to help operate on a child’s heart and be surrounded by such gifted,passionate teammates. I feel so lucky to learn so much and meet remarkable people

Excited and nervous to travel to Guyana today with @goli_intl to assist with surgery on some of the many children around the world born with congenital heart defects! Thank you to the @ThoracicSurgFnd International Medical Volunteer scholarship for this amazing opportunity!!!

Finally, EVOLUTE low risk curves start to cross over in favour of surgery. Significant differences driven by repeat intervention at 6 years but all cause mortality and strokes also now favour surgery. Long term data in low risk patients is critical

Exploratory laparotomy in #ECMO: 🔍 > 1,3K #ECLS patients: 4% abdominal exploration to manage various complications as mesenteric ischemia, intra-abdominal hemorrhage, abdominal compartment syndrome, bowel perforation 🩺 indications included bowel pneumatosis, portal venous gas, free intraperitoneal air, mesenteric edema, or progressive abdominal distention + rapid Hb decrease, increasing vasopressor requirements, or rising ventilatory pressure 🔪 surgical procedures included resection of necrotic bowel, repair of bowel perforations, other 🪦 mortality 57%; higher disease severity scores, diagnosis of mesenteric ischemia, pre-ECMO lactate = significant factors influencing mortality 🩸 most ischemic injuries represented watershed hypoperfusion related to CS or ECMO physiology: thromboembolic occlusion uncommon Early recognition, multidisciplinary care, aggressive management essential to improving outcomes 🔗 bit.ly/4alLSvB

@DrPatGeraghty @goli_intl @ThoracicSurgFnd Thank you for everything you taught me when I was a baby resident!

@ibflormed @goli_intl @ThoracicSurgFnd Thank you for helping those children @ibflormed! Safe travels 👍🏻

Cardiac surgery outcomes at Veterans Affairs hospitals remained stable over 20 years despite rising patient risk and procedural complexity, indicating maintenance of high-quality #CardiacSurgery care for US veterans. bit.ly/409JBgN

summer olympics mfs: he accidentally sprained his leg, he will never be able to compete at any level again winter olympics mfs:

Just one week after tearing her ACL, Lindsey Vonn has completed her Olympic training run in Cortina. The women's downhill competition takes place this Sunday.

Read our comprehensive review on HCM, led by Ananthanarayanan and Dr. Smedira, the leading experts on the topic. Surgical myectomy w/ remarkable outcomes: 0.38% mortality, gradient 63→15, NYHA I at follow-up. Based on 4,000+ patients over 50 years. link.springer.com/article/10.100…