Luis J Castro MD

TAVR implanted 7 years ago, now w CHF, sev AS/AI. I've had repeated success finding plane btwn native valve cusps & TAVR skirt, working w elevator instrument in R hand and gentle traction grasping top of frame w L hand to "pop" valve out. @M_Pompeu_Sa_MD @tomcnguyen #TAVR

PDA endarterectomy through 1cm arteriotomy w "Mills instruments" in spec time. Great job, Dr. Amir Sarkeshik! Mentoring the next gen on complex open maneuvers is more critical than ever. Mastering these skills is what keeps our field safe. #CTO @M_Pompeu_Sa_MD @georgetolisjr

Rheumatic mitral valve disease persists in the US. In this case, severe MR/mild MS and severe TR. This 49 year old tolerated Coumadin without complications for six years, making mitral replacement with a mechanical heart valve an easy choice.

#inspiris implanted 6 years ago. There is very little clinical data to suggest this valve will be as durable as it's predecessor, Magna or MagnaEase. But certainly more expensive. @tomcnguyen @DrZeigler1 @Abedeanda @APolancoMD

Incredible information gained with modern transesophageal imaging! In this case, a previously repaired valve with long-standing residual regurgitation. Hint hint, the mitral valve doesn't quite look like that.