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Vahe Gasparyan Method of Total Autologous Reconstruction of Mitral Valve

Vahe Gasparyan Method of Total Autologous Reconstruction...

I have developed the method of intra-operative tailoring of the pericardial patch for the total reconstruction of mitral valve. This method is based on the morphometry performed on cadavers hearts. I have found strong relationships between mitral valve fibrous annulus and leaflets parameters (“Total Reconstruction of the Mitral Valve with Autopericardium: Anatomical Study” Asian Cardiovasc Thorac Ann. 2002 June; 10 (2): 137 - 140). This experimental study video shows the total autologous reconstruction of mitral valve using my method of pericardial patch tailoring. The method is very simple, reproducible and precise. All the surgeon will need is to have the molds of different sizes (28, 30, 32, 34, 36, 38) depending on the mitral valve fibrous annulus size to tailor the pericardial patch intra-operatively. This operation could be a good alternative for the mitral valve replacement if the repair is not possible and the replacement is not desirable (especially in children with rheumatic disease). It is a stentless autologous valve.

Essure Placement in Oficce

Essure Placement in Oficce

 39 YO who comes to the office for placement of essure. Note that the video is not edites and the time of placement of de devices Washington about 7 minutes.

Arteriotomy of RCA

Arteriotomy of RCA

In this video you can see arteriotomy of RCA, GSV-RCA anstemosis (CV/6), 3rd ICS, 5,5 trocar for punch, Aorto-GSV anastomosis, aortic clamp off, graft flow measurement. 

Vahe Gasparyan Method of Total Autologous Reconstruction of Aortic Valve

Vahe Gasparyan Method of Total Autologous Reconstruction...

I have developed the method of intra-operative tailoring of the pericardial patch for the total reconstruction of aortic valve. This method is based on the morphometry performed on cadavers hearts. I have found strong relationships between aortic root (inter-commissural distances) and valve leaflets (free edge length, height, commissural height and attachment line radius) parameters (JThCVS, 2000; 119: 386 - 387). This experimental study video shows the total autologous reconstruction of aortic valve using my method of pericardial patch tailoring. The method is very simple, reproducible and precise. There is no need for any kind of templates, molds or devices. The total autologous reconstruction of aortic valve is performed now by many surgeons (Dr. Carlos Duran, Dr. S. Kumar, Dr. S. Ozaki, Dr. D. Mazitelli etc) using different molds and devices for intra-operative tailoring of the pericardial patch. Good results are reported. Good follow up (up to 16 years) results are reported by Dr. Al Halees`s team. My method could make this operation easier and more reproducible. This operation is a good alternative for the valve replacement or Ross operation especially for young patients. It is a stentless autologous valve.

Frenectomy Labial - Midline Diastema Orthodontic Closure

Frenectomy Labial - Midline Diastema Orthodontic...

Frenectomy labial - midline diastema orthodontic closure by Dr.Amr Asker at Asker Orthodontic Center. Video by Dr. Amr Asker.

Canine Exposure With Diathermy (Electrocautary) And Orthodontic Traction

Canine Exposure With Diathermy (Electrocautary)...

In this video Dr. Amr Asker performs upper canine exposure with diathermy, bonding and puts a ligature wire. Video by Dr. Amr Asker

Septate Uterus with Double Cervix and Vaginal Septum

Septate Uterus with Double Cervix and Vaginal...

Uterine malformations are estimated to occur in 3-4%, of which 35% correspond to septate uterus. Consequently, this anomaly is the most common uterine malformation, with a prevalence of 1-2% in the general population. Uterine septum is caused by incomplete absorption of the junction of the two Müllerian ducts, which can lead to a complete or a partial septum. Complete septum reaches the internal os, dividing the uterus completely in two cavities. Partial septum, or subseptate uterus, divides the uterus partially and does not reach the internal os. Complete septum is classified as class Va and incomplete septum as class Vb. Septate uterus with double cervix and vaginal septum is not included in Buttram and Gibbon's classification or in that of the American Society of Fertility. We describe the hysteroscopic management of one case with that same diagnosis. The technique described by Vercellini et al was used.

VAD Thrombosis: "A riddle wrapped in a mystery inside an enigma" - Part 2

VAD Thrombosis: "A riddle wrapped in a...

This video and accompanying manuscript review the state of the art regarding the subject of pump thrombosis (PT). The historical context of PT and the clinical data are described, the etiologic factors are elucidated, preventive strategies are explored, diagnostic modalities are reviewed, and management principles are defined. There clearly remains much work to be done towards solving this riddle wrapped in a mystery inside an enigma, but promising foundations are being established.

VAD Thrombosis: "A riddle wrapped ina mystery inside an enigma" - part 1

VAD Thrombosis: "A riddle wrapped ina...

This lecture and accompanying manuscript reviews the state of the art regarding the subject of pump thrombosis (PT). The historical context of PT and the clinical data are described, the etiologic factors are elucidated, preventive strategies are explored, diagnostic modalities are reviewed, and management principles are defined. There clearly remains much work to be done towards solving this 'riddle wrapped in a mystery inside an enigma,' but promising foundations are being established.

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Chief of Hernia Center, Poona Hospital & Research Center

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Orthopaedic Surgeon, Dir. of the Teaching & Learning Resource Centre, The Chinese University of Hong Kong, China