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Bo Yang
@BoYangMD
Cardiac Surgeon I University of Michigan, Michigan Medicine
Ann Arbor, MI
Joined September 2018
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    We developed a new technique, a "Y" incision and rectangular patch to enlarge the aortic annulus by 2-3 valve size without cutting into the MV, RVOT, or LA. it is very effective and safe. Paper published in JTCVS Tech. sciencedirect.com/science/articl… CentralFigure.tif
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    Explanted 23 sapient, enlarged the annulus from 19 to 25. The opening of old TAVR valve was < 1/3 of the new SAVR valve. coronary Ostia were above the SAVR valve. Aortic annular enlargement should be routine in SAVR like LIMA in CABG, especially in redo SAVR after SAVR or TAVR.
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    Sarah did the whole case! Well done Sarah!!!!!
    Another type A dissection in the books with @BoYangMD “Michigan Style” - no felt, no bioglue, no pledgets (and no transfusions 🩸) Great mentor with superb technique @UMichCTSurgery @UMichSurgery @GAilawadiMD
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    Last case with our aortic fellow, Ken Hassler. Congratulations, Ken, a bright future is waiting for you!!
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    In MV or AV repair, we don’t accept mild MR or AI. But why do we tolerated mild even mod AS after AVR for AS Pts. As a specialty, We should consider root enlargement as a standard care for AS Pts with normal annulus due to the sewing ring and struts of prosthetic valve!
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    Share our experience of Mosaic valve too. 4-year old, 21 mm Mosaic, pristine, but too small, mean gradient was 46 mmHg, inner diameter was 14 mm. "Y" incision/rectangular patch, replaced with a 27 Magna, mean G: 3 mmHg, peak G: 6. Any stented valve <25 should not be implanted.
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    Great to have Sarah Chen, CT resident fro UC Davis visiting us for a week as the winner of TSRA/STS Traveling Fellowship in Cardiothoracic Surgery
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    Dept of Cardiac Surgery at Umich hosted the first wet lab of aortic root enlargement for cardiac surgeons in Michigan through MSTCVS. great time with Colleagues @GAilawadiMD @KarenMKimMD1 @ShinFukuharaMD photo from Jerry_all.heicKaren Kim.heicAilawadi.heicBo.heic
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    We have done 140+ consecutive now, including two cases of endocarditis. The results remained the same. Hemodynamics and LVH further improved in the second year. Median AVA went up to 2.4 cm2, and mean gradient remained 6-7 mmHg, better than TAVR (presented at STS 2023)
    .@BoYangMD @umichmedicine et al. took a look at the safety and efficacy of #aortic valve replacement with Y-incision aortic annular enlargement and gave conclusions based on the findings in #JTCVS. Read more: doi.org/10.1016/j.jtcv…
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    Very kind of the reviewers of CTSNet. We hope every surgeon can use technique to give Pts much bigger valve they deserve!!!!
    Replying to @ctsnetorg
    And finally, our number 1 most popular video of 2021! A “Y” Incision/Rectangular Patch to Enlarge the Aortic Annulus by 4 Valve Sizes in TAV and BAV Patients ow.ly/8vaq50HhJOP By Bo Yang
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    This is the updated steps and results of Y incision aortic annular enlargement of 119 pts. Anyone can download this article using this link if they are interested. nam02.safelinks.protection.outlook.com/?url=https%3A%…
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    This is the updated steps and results of Y incision aortic annular enlargement of 119 pts. Anyone can download this article using this correct link if they are interested. nam02.safelinks.protection.outlook.com/?url=https%3A%…
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    Michigan aortic fellows at STS 2023, go blue!!
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    Congratulations to our graduating aortic fellows, Alex Brescia, Ken Hassler and Farhang Yazdchi. You all have done a great job. The world is waiting for you!! Good luck to your new jobs. You all have bright future!! Save more patients!!