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TLH BSO dunk

TLH BSO dunk

Total laparoscopic hysterectomy and bilateral salpingo-oophorectomy with bowel resection for advanced endometriosis using a "dental floss dunk" technique.

Coronary Artery Grafting with Bilateral Internal Mammary Arteries Using Y-Graft Technique

Coronary Artery Grafting with Bilateral Internal...

The right internal mammary artery (RIMA) is harvested as a skeletonized free graft first and then the left internal mammary artery (LIMA) is harvested as a skeletonized pedicled graft. The site of Y-graft anastomosis is marked on the LIMA at the level of the left atrial appendage and the proximal end of the RIMA is anastomosed to the LIMA at the marked site before going on bypass. The composite Y-graft is now ready. The patient is cannulated and the bypass is started. The Diagonal artery and LAD are grafted using LIMA sequential graft and the OM and PDA are grafted using the RIMA sequential graft for this particular patient. 64 slice contrast CT scan is used for grafts patency control 3 moths after surgery. Dupplex control also can be used to assess the blood flow in LIMA stem with dominant diastolic component.

Coronary Angiogram 5 years after BIMA Coronary Grafting

Coronary Angiogram 5 years after BIMA Coronary...

Bilateral IMA coronary grafting was performed on this 32 years-old diabetic patient using Y-graft technique along with one vein graft. CABGx5 was performed with the following coronaries grafted: LIMA to Diagonal and LAD (sequential); RIMA to OM1 and PDA (Sequential) and SVG to OM2 graft. This coronary angiogram 5 years after surgery shows patent SVG to OM2 graft and patent composite BIMA Y-graft. Good feeling of Diagonal and LAD from LIMA and OM1 and PDA from RIMA is seen.

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

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