James J. Livesay, MD

James J. Livesay, M.D. is an accomplished surgeon with extensive experience in cardiovascular, thoracic, and general procedures. An Associate Surgeon at the Texas Heart Institute (THI), Houston, Texas, since 1981, Dr. Livesay is also an Associate Surgeon at Baylor St. Luke’s Medical Center, Houston, Texas, and is on the Consulting Staff, Cardiovascular Service, Texas Children’s Hospital, Houston, from that time. He was a member of the Active Staff, General Surgery and Thoracic and Cardiac Surgery, Gulf Coast Hospital, Wharton, Texas, from 1989 to 2013, and held a Courtesy Staff position in General Surgery and Thoracic and Cardiac Surgery at Hermann Hospital, Houston, Texas from 1982 to 1998. He is Clinical Associate Professor of Surgery, University of Texas Medical School, Houston, Texas.

Show full bio

James J. Livesay, M.D. received the Doctor of Medicine degree from Baylor College of Medicine, Houston Texas, which he attended 1969-1973 after graduating (B.S. Cum Laude) from Washington and Lee University, Lexington, Virginia, in 1969. Dr. Livesay did his internship and surgery residency training at University of California Los Angeles Center for Health Sciences 1973-1975. He then did a Research Fellowship in Cardiac Physiology at the University of California Los Angeles, Division of Cardiovascular Surgery from 1975 to 1976, becoming Resident and Chief Resident in Surgery, University of California Los Angeles Center for Health Sciences, a position he held from 1976 to 1979. He also completed a Residency training in Thoracic and Cardiovascular Surgery at the Texas Heart Institute, and M.D. Anderson Hospital and Tumor Institute, Houston, Texas, from 1979 to 1981.

Dr. Livesay is certified by the American Board of Surgery (1980, 1989) and by the American Board of Thoracic Surgery (1983, 1993), and is licensed by the State of Texas and the State of California. He is a Fellow of the American College of Surgeons and a Fellow of the American College of Cardiology. He is also a member of the American Medical Association, Texas Medical Association, Harris County Medical Association, Harris County Cardiology Society, American Heart Association Council on Cardiovascular Surgery, Denton A. Cooley Cardiovascular Surgical Society, Cooley Hands, M.D. Anderson Associates, The International Society for Cardiovascular Surgery, Southern Thoracic Surgical Association, and The Society of Thoracic Surgeons.

See Publications

Texas Heart Institute Positions

Education

  • Undergraduate:

    Washington and Lee University (Lexington, Virginia)

  • Medical School:

    Baylor College of Medicine

  • Internship:

    University of California Los Angeles Center for Health Sciences

  • Residency:

    University of California Los Angeles Center for Health Sciences

  • Fellowships:

    University of California Los Angeles Center for Health Sciences
    Texas Heart Institute
    M.D. Anderson Cancer Center

Academic & Clinical Affiliations

Publications

4862227 RB8ZRZCJ 1 alternatives-to-animal-experimentation 10 date desc Livesay 1981 https://www.texasheart.org/wp-content/plugins/zotpress/
%7B%22status%22%3A%22success%22%2C%22updateneeded%22%3Afalse%2C%22instance%22%3Afalse%2C%22meta%22%3A%7B%22request_last%22%3A0%2C%22request_next%22%3A0%2C%22used_cache%22%3Atrue%7D%2C%22data%22%3A%5B%7B%22key%22%3A%22TAYE8WN8%22%2C%22library%22%3A%7B%22id%22%3A4862227%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Miranda%20et%20al.%22%2C%22parsedDate%22%3A%222022-01-01%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BMiranda%2C%20J.%20A.%2C%20Khouqeer%2C%20A.%2C%20%26lt%3Bstrong%26gt%3BLivesay%26lt%3B%5C%2Fstrong%26gt%3B%2C%20J.%20J.%20et%20al.%20%282022%29.%20Very%20late%20aortic%20endograft%20infection%20with%20listeria%20monocytogenes%20in%20an%20elderly%20man.%20%26lt%3Bi%26gt%3BTex%20Heart%20Inst%20J%26lt%3B%5C%2Fi%26gt%3B%20%26lt%3Bi%26gt%3B49%26lt%3B%5C%2Fi%26gt%3B%2C%20e207298.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.14503%5C%2FTHIJ-20-7298%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.14503%5C%2FTHIJ-20-7298%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Very%20late%20aortic%20endograft%20infection%20with%20listeria%20monocytogenes%20in%20an%20elderly%20man%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jorge%20A.%22%2C%22lastName%22%3A%22Miranda%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ahmed%22%2C%22lastName%22%3A%22Khouqeer%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22James%20J.%22%2C%22lastName%22%3A%22Livesay%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Miguel%22%2C%22lastName%22%3A%22Montero-Baker%22%7D%5D%2C%22abstractNote%22%3A%22Endograft%20infection%20with%20Listeria%20monocytogenes%20is%20a%20rare%2C%20potentially%20devastating%20complication%20of%20endovascular%20aortic%20aneurysm%20repair.%20To%20our%20knowledge%2C%20only%208%20cases%20have%20been%20reported.%20We%20describe%20the%20case%20of%20a%2072-year-old%20man%20who%20presented%20with%20L.%20monocytogenes%20endograft%20infection%20and%20a%2019-cm%20degenerative%20aneurysm%209%20years%20after%20having%20undergone%20endovascular%20repair%20of%20an%20abdominal%20aortic%20aneurysm.%20The%20infection%20was%20successfully%20treated%20with%20open%20surgical%20excision%20of%20the%20infected%20aortoiliac%20endograft%20and%20its%20replacement%20with%20a%20rifampin-soaked%2C%20bifurcated%20Dacron%20graft.%22%2C%22date%22%3A%22Jan%2001%202022%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.14503%5C%2FTHIJ-20-7298%22%2C%22ISSN%22%3A%221526-6702%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22RB8ZRZCJ%22%2C%228PULYTSK%22%2C%22LNSKD4V3%22%5D%2C%22dateModified%22%3A%222022-05-12T20%3A44%3A43Z%22%7D%7D%2C%7B%22key%22%3A%22EFZ9YY7A%22%2C%22library%22%3A%7B%22id%22%3A4862227%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Kherallah%20et%20al.%22%2C%22parsedDate%22%3A%222021-09%22%2C%22numChildren%22%3A3%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BKherallah%2C%20R.%20Y.%2C%20Koneru%2C%20S.%2C%20Krajcer%2C%20Z.%20et%20al.%20%282021%29.%20Hemodynamic%20outcomes%20after%20valve-in-valve%20transcatheter%20aortic%20valve%20replacement%3A%20a%20single-center%20experience.%20%26lt%3Bi%26gt%3BAnn%20Cardiothorac%20Surg%26lt%3B%5C%2Fi%26gt%3B%20%26lt%3Bi%26gt%3B10%26lt%3B%5C%2Fi%26gt%3B%2C%20630%26%23x2013%3B640.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.21037%5C%2Facs-2021-tviv-131%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.21037%5C%2Facs-2021-tviv-131%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Hemodynamic%20outcomes%20after%20valve-in-valve%20transcatheter%20aortic%20valve%20replacement%3A%20a%20single-center%20experience%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22R.%20Yazan%22%2C%22lastName%22%3A%22Kherallah%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Srikanth%22%2C%22lastName%22%3A%22Koneru%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zvonimir%22%2C%22lastName%22%3A%22Krajcer%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ourania%22%2C%22lastName%22%3A%22Preventza%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kathryn%20G.%22%2C%22lastName%22%3A%22Dougherty%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Melissa%20L.%22%2C%22lastName%22%3A%22McCormack%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Briana%20T.%22%2C%22lastName%22%3A%22Costello%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Stephanie%22%2C%22lastName%22%3A%22Coulter%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Neil%20E.%22%2C%22lastName%22%3A%22Strickman%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Juan%20Carlos%22%2C%22lastName%22%3A%22Plana%20Gomez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ali%22%2C%22lastName%22%3A%22Mortazavi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jose%20G.%22%2C%22lastName%22%3A%22D%5Cu00edez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22James%20J.%22%2C%22lastName%22%3A%22Livesay%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Joseph%20S.%22%2C%22lastName%22%3A%22Coselli%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Guilherme%20V.%22%2C%22lastName%22%3A%22Silva%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%22Sept%202021%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%2210.21037%5C%2Facs-2021-tviv-131%22%2C%22ISSN%22%3A%222225319X%2C%2023041021%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.annalscts.com%5C%2Farticle%5C%2Fview%5C%2F16858%5C%2Fhtml%22%2C%22collections%22%3A%5B%22DV9ZHE2J%22%2C%223WHLRQCH%22%2C%22SQD2CTYV%22%2C%22BJSZ96GT%22%2C%22YL3LPZGE%22%2C%22Z2XX7DHR%22%2C%22M32R8FP2%22%2C%22YQ6XGPLC%22%2C%22RB8ZRZCJ%22%2C%222K4N54U2%22%2C%22QSVIJDTT%22%2C%22MZXU6P62%22%2C%228PULYTSK%22%5D%2C%22dateModified%22%3A%222022-05-12T20%3A43%3A50Z%22%7D%7D%2C%7B%22key%22%3A%223SXXRRI8%22%2C%22library%22%3A%7B%22id%22%3A4862227%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Kherallah%20et%20al.%22%2C%22parsedDate%22%3A%222021-04-15%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BKherallah%2C%20R.%20Y.%2C%20Harrison%2C%20D.%2C%20Preventza%2C%20O.%20et%20al.%20%282021%29.%20Transcatheter%20aortic%20valve%20replacement%20after%20chest%20radiation%3A%20A%20propensity-matched%20analysis.%20%26lt%3Bi%26gt%3BInt%20J%20Cardiol%26lt%3B%5C%2Fi%26gt%3B%20%26lt%3Bi%26gt%3B329%26lt%3B%5C%2Fi%26gt%3B%2C%2050%26%23x2013%3B55.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.ijcard.2020.12.054%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.ijcard.2020.12.054%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Transcatheter%20aortic%20valve%20replacement%20after%20chest%20radiation%3A%20A%20propensity-matched%20analysis%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Riyad%20Y.%22%2C%22lastName%22%3A%22Kherallah%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Darren%22%2C%22lastName%22%3A%22Harrison%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ourania%22%2C%22lastName%22%3A%22Preventza%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Guilherme%20V.%22%2C%22lastName%22%3A%22Silva%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Kathryn%20G.%22%2C%22lastName%22%3A%22Dougherty%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Stephanie%20A.%22%2C%22lastName%22%3A%22Coulter%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Leo%22%2C%22lastName%22%3A%22Simpson%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Neil%20E.%22%2C%22lastName%22%3A%22Strickman%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ali%22%2C%22lastName%22%3A%22Mortazavi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nicolas%22%2C%22lastName%22%3A%22Palaskas%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Richard%20D.%22%2C%22lastName%22%3A%22Fish%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zvonimir%22%2C%22lastName%22%3A%22Krajcer%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Raymond%20F.%22%2C%22lastName%22%3A%22Stainback%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Juan%20Carlos%20Plana%22%2C%22lastName%22%3A%22Gomez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22James%20J.%22%2C%22lastName%22%3A%22Livesay%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Joseph%20S.%22%2C%22lastName%22%3A%22Coselli%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Srikanth%22%2C%22lastName%22%3A%22Koneru%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20Chest%20radiation%20therapy%20%28CRT%29%20for%20malignant%20thoracic%20neoplasms%20is%20associated%20with%20development%20of%20valvular%20heart%20disease%20years%20later.%20As%20previous%20radiation%20exposure%20can%20complicate%20surgical%20treatment%2C%20transcatheter%20aortic%20valve%20replacement%20%28TAVR%29%20has%20emerged%20as%20an%20alternative.%20However%2C%20outcomes%20data%20are%20lacking%20for%20TAVR%20patients%20with%20a%20history%20of%20CRT.%5CnMETHODS%3A%20We%20conducted%20a%20retrospective%20study%20of%20all%20patients%20who%20underwent%20a%20TAVR%20procedure%20at%20a%20single%20institution%20between%20September%202012%20and%20November%202018.%20Among%201341%20total%20patients%2C%2050%20had%20previous%20CRT.%20These%20were%20propensity-matched%20in%20a%201%3A2%20ratio%20to%20100%20patients%20without%20history%20of%20CRT.%20Thirty-day%20adverse%20events%20were%20analyzed%20with%20generalized%20estimating%20equation%20models.%20Overall%20mortality%20was%20analyzed%20with%20stratified%20Cox%20regression%20modelling.%5CnRESULTS%3A%20Median%20clinical%20follow-up%20was%2024%5Cu00a0months%20%28interquartile%20range%20%5BIQR%5D%2C%2012-44%5Cu00a0months%29.%20There%20was%20no%20difference%20between%20CRT%20and%20non-CRT%20patients%20in%20overall%20mortality%20%28hazard%20ratio%20%5BHR%5D%200.84%20%5B0.37-1.90%5D%2C%20P%5Cu00a0%3D%5Cu00a00.67%29%2C%2030-day%20mortality%20%28HR%203.1%20%5B0.49-20.03%5D%2C%20P%5Cu00a0%3D%5Cu00a00.23%29%2C%20or%2030-day%20readmission%20rate%20%28HR%201.0%20%5B0.43-2.31%5D%2C%20P%5Cu00a0%3D%5Cu00a01%29.%20There%20were%20no%20differences%20in%20the%20rates%20of%20most%20adverse%20events%2C%20but%20patients%20with%20CRT%20history%20had%20higher%20rates%20of%20postprocedural%20respiratory%20failure%20%28HR%203.63%20%5B1.32-10.02%5D%2C%20P%5Cu00a0%3D%5Cu00a00.01%29%20and%20permanent%20pacemaker%20implantation%20%28HR%202.84%20%5B1.15-7.01%5D%2C%20P%5Cu00a0%3D%5Cu00a00.02%29.%5CnCONCLUSIONS%3A%20For%20patients%20with%20aortic%20valve%20stenosis%20and%20previous%20CRT%2C%20TAVR%20is%20safe%20and%20effective%2C%20with%20outcomes%20similar%20to%20those%20in%20the%20general%20aortic%20stenosis%20population.%20Patients%20with%20history%20of%20CRT%20are%20more%20likely%20to%20have%20postprocedural%20respiratory%20failure%20and%20to%20require%20permanent%20pacemaker%20implantation.%22%2C%22date%22%3A%22Apr%2015%2C%202021%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.ijcard.2020.12.054%22%2C%22ISSN%22%3A%221874-1754%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22DV9ZHE2J%22%2C%223WHLRQCH%22%2C%22SQD2CTYV%22%2C%22BJSZ96GT%22%2C%22YRK99JHR%22%2C%22Z2XX7DHR%22%2C%22M32R8FP2%22%2C%22AAQ89W3S%22%2C%22X6Y3USZ6%22%2C%22YQ6XGPLC%22%2C%22RB8ZRZCJ%22%2C%222K4N54U2%22%2C%22MZXU6P62%22%2C%228PULYTSK%22%2C%22MDTREPAF%22%5D%2C%22dateModified%22%3A%222022-11-04T15%3A27%3A39Z%22%7D%7D%2C%7B%22key%22%3A%22MPDDAKWR%22%2C%22library%22%3A%7B%22id%22%3A4862227%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Livesay%22%2C%22parsedDate%22%3A%222020-08-01%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3B%26lt%3Bstrong%26gt%3BLivesay%26lt%3B%5C%2Fstrong%26gt%3B%2C%20J.%20J.%20%282020%29.%20A%20History%20of%20Cardiac%20Surgery%3A%20An%20Adventurous%20Voyage%20from%20Antiquity%20to%20the%20Artificial%20Heart.%20%26lt%3Bi%26gt%3BTex%20Heart%20Inst%20J%26lt%3B%5C%2Fi%26gt%3B%20%26lt%3Bi%26gt%3B47%26lt%3B%5C%2Fi%26gt%3B%2C%20339%26%23x2013%3B341.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.14503%5C%2FTHIJ-20-7383%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.14503%5C%2FTHIJ-20-7383%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22A%20History%20of%20Cardiac%20Surgery%3A%20An%20Adventurous%20Voyage%20from%20Antiquity%20to%20the%20Artificial%20Heart%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22James%20J.%22%2C%22lastName%22%3A%22Livesay%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%22Aug%201%2C%202020%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.14503%5C%2FTHIJ-20-7383%22%2C%22ISSN%22%3A%221526-6702%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22RB8ZRZCJ%22%5D%2C%22dateModified%22%3A%222022-04-26T14%3A04%3A03Z%22%7D%7D%2C%7B%22key%22%3A%22WGQ99AYD%22%2C%22library%22%3A%7B%22id%22%3A4862227%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Chen%20et%20al.%22%2C%22parsedDate%22%3A%222016-10%22%2C%22numChildren%22%3A3%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BChen%2C%20P.%20C.%2C%20Greenberg%2C%20S.%2C%20Mathuria%2C%20N.%20et%20al.%20%282016%29.%20Operative%20repair%20of%20iatrogenic%20innominate%20artery%20to%20left%20innominate%20vein%20arteriovenous%20fistula%20after%20pacemaker%20laser%20lead%20extraction.%20%26lt%3Bi%26gt%3BJ%20Thorac%20Cardiovasc%20Surg%26lt%3B%5C%2Fi%26gt%3B%20%26lt%3Bi%26gt%3B152%26lt%3B%5C%2Fi%26gt%3B%2C%20e85-87.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.jtcvs.2016.05.062%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.jtcvs.2016.05.062%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Operative%20repair%20of%20iatrogenic%20innominate%20artery%20to%20left%20innominate%20vein%20arteriovenous%20fistula%20after%20pacemaker%20laser%20lead%20extraction%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Peter%20C.%22%2C%22lastName%22%3A%22Chen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Scott%22%2C%22lastName%22%3A%22Greenberg%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Nilesh%22%2C%22lastName%22%3A%22Mathuria%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22James%20J.%22%2C%22lastName%22%3A%22Livesay%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%22Oct%202016%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.jtcvs.2016.05.062%22%2C%22ISSN%22%3A%221097-685X%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22RB8ZRZCJ%22%2C%22CEPAWXUI%22%2C%22N9SIXG4E%22%5D%2C%22dateModified%22%3A%222022-05-12T20%3A44%3A11Z%22%7D%7D%2C%7B%22key%22%3A%22MBY2FDM7%22%2C%22library%22%3A%7B%22id%22%3A4862227%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Nascimbene%20et%20al.%22%2C%22parsedDate%22%3A%222015-04%22%2C%22numChildren%22%3A4%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BNascimbene%2C%20A.%2C%20Azpurua%2C%20F.%2C%20%26lt%3Bstrong%26gt%3BLivesay%26lt%3B%5C%2Fstrong%26gt%3B%2C%20J.%20J.%20et%20al.%20%282015%29.%20Transcatheter%20aortic%20valve%20implantation%20despite%20challenging%20vascular%20access.%20%26lt%3Bi%26gt%3BTex%20Heart%20Inst%20J%26lt%3B%5C%2Fi%26gt%3B%20%26lt%3Bi%26gt%3B42%26lt%3B%5C%2Fi%26gt%3B%2C%20144%26%23x2013%3B147.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.14503%5C%2FTHIJ-13-4383%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.14503%5C%2FTHIJ-13-4383%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Transcatheter%20aortic%20valve%20implantation%20despite%20challenging%20vascular%20access%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Angelo%22%2C%22lastName%22%3A%22Nascimbene%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Federico%22%2C%22lastName%22%3A%22Azpurua%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22James%20J.%22%2C%22lastName%22%3A%22Livesay%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22R.%20David%22%2C%22lastName%22%3A%22Fish%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zvonimir%22%2C%22lastName%22%3A%22Krajcer%22%7D%5D%2C%22abstractNote%22%3A%22We%20describe%20transcatheter%20aortic%20valve%20implantation%20in%20a%20patient%20who%20had%20severe%20peripheral%20artery%20disease.%20The%20patient%26%23039%3Bs%20vascular%20condition%20required%20additional%20preliminary%20peripheral%20intervention%20to%20enable%20adequate%20vascular%20access.%20A%2078-year-old%20man%20with%20severe%20aortic%20stenosis%2C%20substantial%20comorbidities%2C%20and%20severe%20heart%20failure%20symptoms%20was%20referred%20for%20aortic%20valve%20replacement.%20The%20patient%26%23039%3Bs%2020-mm%20aortic%20annulus%20necessitated%20the%20use%20of%20a%2023-mm%20Edwards%20Sapien%20valve%20inserted%20through%20a%2022F%20sheath%2C%20which%20itself%20needed%20a%20vessel%20diameter%20of%20at%20least%207%20mm%20for%20percutaneous%20delivery.%20The%20left%20common%20femoral%20artery%20was%20selected%20for%20valve%20delivery.%20The%20left%20iliac%20artery%20and%20infrarenal%20aorta%20underwent%20extensive%20intervention%20to%20achieve%20an%20intraluminal%20diameter%20larger%20than%207%20mm.%20After%20aortic%20valvuloplasty%2C%20valve%20deployment%20was%20successful%2C%20and%20the%20transaortic%20gradient%20decreased%20from%2040%20mmHg%20to%20less%20than%205%20mmHg.%20The%20patient%20was%20discharged%20from%20the%20hospital%204%20days%20postoperatively.%20We%20conclude%20that%20transcatheter%20aortic%20valve%20implantation%20can%20be%20successfully%20performed%20in%20patients%20with%20obstructed%20vascular%20access%2C%20including%20stenosis%20of%20the%20infrarenal%20aorta%20and%20the%20subclavian%20and%20coronary%20arteries.%22%2C%22date%22%3A%22Apr%202015%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.14503%5C%2FTHIJ-13-4383%22%2C%22ISSN%22%3A%221526-6702%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%223WHLRQCH%22%2C%22YRK99JHR%22%2C%22RB8ZRZCJ%22%2C%228PULYTSK%22%5D%2C%22dateModified%22%3A%222022-05-12T20%3A44%3A39Z%22%7D%7D%2C%7B%22key%22%3A%22PVA8JAEX%22%2C%22library%22%3A%7B%22id%22%3A4862227%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Livesay%22%2C%22parsedDate%22%3A%222014-11%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3B%26lt%3Bstrong%26gt%3BLivesay%26lt%3B%5C%2Fstrong%26gt%3B%2C%20J.%20J.%20%282014%29.%20Invited%20commentary.%20%26lt%3Bi%26gt%3BAnn%20Thorac%20Surg%26lt%3B%5C%2Fi%26gt%3B%20%26lt%3Bi%26gt%3B98%26lt%3B%5C%2Fi%26gt%3B%2C%201618%26%23x2013%3B1619.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.athoracsur.2014.07.003%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.athoracsur.2014.07.003%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Invited%20commentary%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22James%20J.%22%2C%22lastName%22%3A%22Livesay%22%7D%5D%2C%22abstractNote%22%3A%22%22%2C%22date%22%3A%22Nov%202014%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.athoracsur.2014.07.003%22%2C%22ISSN%22%3A%221552-6259%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22RB8ZRZCJ%22%5D%2C%22dateModified%22%3A%222022-05-12T20%3A43%3A59Z%22%7D%7D%2C%7B%22key%22%3A%225R3YIYZQ%22%2C%22library%22%3A%7B%22id%22%3A4862227%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Preventza%20et%20al.%22%2C%22parsedDate%22%3A%222014-08%22%2C%22numChildren%22%3A8%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BPreventza%2C%20O.%2C%20Mohammed%2C%20S.%2C%20Cheong%2C%20B.%20Y.%20et%20al.%20%282014%29.%20Endovascular%20therapy%20in%20patients%20with%20genetically%20triggered%20thoracic%20aortic%20disease%3A%20applications%20and%20short-%20and%20mid-term%20outcomes.%20%26lt%3Bi%26gt%3BEur%20J%20Cardiothorac%20Surg%26lt%3B%5C%2Fi%26gt%3B%20%26lt%3Bi%26gt%3B46%26lt%3B%5C%2Fi%26gt%3B%2C%20248%26%23x2013%3B253%3B%20discussion%20253.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1093%5C%2Fejcts%5C%2Fezt636%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1093%5C%2Fejcts%5C%2Fezt636%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Endovascular%20therapy%20in%20patients%20with%20genetically%20triggered%20thoracic%20aortic%20disease%3A%20applications%20and%20short-%20and%20mid-term%20outcomes%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ourania%22%2C%22lastName%22%3A%22Preventza%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Somala%22%2C%22lastName%22%3A%22Mohammed%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Benjamin%20Y.%22%2C%22lastName%22%3A%22Cheong%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Lorena%22%2C%22lastName%22%3A%22Gonzalez%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Maral%22%2C%22lastName%22%3A%22Ouzounian%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22James%20J.%22%2C%22lastName%22%3A%22Livesay%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Denton%20A.%22%2C%22lastName%22%3A%22Cooley%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Joseph%20S.%22%2C%22lastName%22%3A%22Coselli%22%7D%5D%2C%22abstractNote%22%3A%22OBJECTIVES%3A%20For%20patients%20with%20genetically%20triggered%20thoracic%20aortic%20disease%2C%20the%20morbidity%20and%20mortality%20associated%20with%20reoperation%20are%20high%2C%20making%20endovascular%20treatment%20an%20appealing%20option.%20We%20evaluated%20the%20short-%20and%20mid-term%20outcomes%20of%20different%20applications%20of%20endovascular%20intervention%20in%20such%20patients.%5CnMETHODS%3A%20Between%20January%202003%20and%20April%202013%2C%2060%20patients%20received%20endovascular%20or%20hybrid%20treatment%20for%20genetically%20triggered%20thoracic%20aortic%20disease.%20The%20inclusion%20criteria%20were%20based%20on%20those%20devised%20by%20the%20National%20Registry%20of%20Genetically%20Triggered%20Thoracic%20Aortic%20Aneurysms%20and%20Cardiovascular%20Conditions.%20We%20included%20patients%20with%20thoracic%20aneurysm%20or%20dissection%20not%20due%20to%20trauma%20in%20a%20patient%20aged%20%5Cu226450%20years%20%28n%20%3D%2030%29%2C%20bicuspid%20aortic%20valve%20%28BAV%29%20and%20coarctation%20%28n%20%3D%2011%29%2C%20Marfan%20syndrome%20%28n%20%3D%2010%29%2C%20BAV%20with%20thoracic%20aneurysm%20%28n%20%3D%204%29%2C%20Loeys-Dietz%20syndrome%20%28n%20%3D%203%29%2C%20familial%20thoracic%20aneurysm%20or%20dissection%20%28n%20%3D%203%29%20and%20genetic%20mutations%20%28n%20%3D%202%29.%20Some%20patients%20met%20more%20than%20one%20inclusion%20criterion.%20Forty-one%20%2868.3%25%29%20patients%20were%20treated%20with%20only%20endovascular%20stent%20grafting.%20Nineteen%20%2831.7%25%29%20patients%20underwent%20a%20hybrid%20procedure%20with%20open%20proximal%20or%20total%20arch%20replacement%20and%20concomitant%20endovascular%20stenting%20of%20the%20aortic%20arch%20or%20the%20descending%20thoracic%20aorta.%20Twenty-nine%20%2848.3%25%29%20had%20previous%20cardiovascular%20operations%20%28mean%20%5Cu00b1%20SD%2C%201.9%20%5Cu00b1%201.4%29%20before%20undergoing%20hybrid%20or%20endovascular%20therapy.%20The%20median%20follow-up%20was%202.3%20years%20%28interquartile%20interval%2025-75%25%2C%201.4-4.6%20years%29.%5CnRESULTS%3A%20The%20technical%20success%20rate%20was%20100%25.%20In-hospital%20mortality%20was%203.3%25%20%28n%20%3D%202%29%20and%20neurological%20events%20occurred%20in%202%20patients%3B%201%20%281.6%25%29%20had%20a%20stroke%20and%201%20%281.6%25%29%20suffered%20paraparesis%20with%20partial%20recovery.%20Fifteen%20repeat%20open%20or%20endovascular%20interventions%20were%20required%20in%2010%20surviving%20patients%20%2817.2%25%29.%20Overall%20survival%20during%20follow-up%20was%2094.8%25%20%2855%5C%2F58%29.%5CnCONCLUSIONS%3A%20Endovascular%20technology%20can%20be%20helpful%20in%20treating%20selected%20young%20patients%20with%20genetically%20triggered%20thoracic%20aortic%20disease.%20Long-term%20studies%20and%20further%20evolution%20of%20endovascular%20technology%20will%20be%20necessary%20for%20it%20to%20be%20incorporated%20into%20the%20armamentarium%20of%20surgical%20options%20for%20this%20challenging%20patient%20population.%22%2C%22date%22%3A%22Aug%202014%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1093%5C%2Fejcts%5C%2Fezt636%22%2C%22ISSN%22%3A%221873-734X%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22SQD2CTYV%22%2C%22BJSZ96GT%22%2C%22CXMKC5YW%22%2C%22RB8ZRZCJ%22%5D%2C%22dateModified%22%3A%222022-05-12T20%3A43%3A43Z%22%7D%7D%2C%7B%22key%22%3A%22YV593JUU%22%2C%22library%22%3A%7B%22id%22%3A4862227%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Hale%20et%20al.%22%2C%22parsedDate%22%3A%222013-08%22%2C%22numChildren%22%3A2%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BHale%2C%20B.%2C%20Pan%2C%20W.%2C%20Misselbeck%2C%20T.%20S.%20et%20al.%20%282013%29.%20Combined%20clopidogrel%20and%20aspirin%20therapy%20in%20patients%26%23xA0%3B%20undergoing%20carotid%20endarterectomy%20is%20associated%20with%26%23xA0%3B%20an%20increased%20risk%20of%20postoperative%20bleeding.%20%26lt%3Bi%26gt%3BVascular%26lt%3B%5C%2Fi%26gt%3B%20%26lt%3Bi%26gt%3B21%26lt%3B%5C%2Fi%26gt%3B%2C%20197%26%23x2013%3B204.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1177%5C%2F1708538113478763%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1177%5C%2F1708538113478763%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Combined%20clopidogrel%20and%20aspirin%20therapy%20in%20patients%20%20undergoing%20carotid%20endarterectomy%20is%20associated%20with%20%20an%20increased%20risk%20of%20postoperative%20bleeding%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Brittani%22%2C%22lastName%22%3A%22Hale%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Wei%22%2C%22lastName%22%3A%22Pan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Timothy%20S.%22%2C%22lastName%22%3A%22Misselbeck%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Vei-Vei%22%2C%22lastName%22%3A%22Lee%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22James%20J.%22%2C%22lastName%22%3A%22Livesay%22%7D%5D%2C%22abstractNote%22%3A%22This%20present%20study%20investigated%20the%20influence%20of%20combined%20preoperative%20clopidogrel%20and%20aspirin%20%28ASA%29%20administration%20on%20adverse%20postoperative%20outcomes%20and%20bleeding%20risk%20in%20patients%20undergoing%20carotid%20endarterectomy%20%28CEA%29.%20A%20retrospective%20cohort%20study%20of%20all%20consecutive%20patients%20undergoing%20isolated%20CEA%20%28n%20%3D%201488%29%20between%201998%20and%202005%20was%20performed.%20Patients%20were%20classified%20into%20three%20groups%3A%20patients%20receiving%20combined%20preoperative%20clopidogrel%5C%2FASA%20therapy%20%28n%20%3D%20315%29%2C%20patients%20receiving%20preoperative%20ASA%20only%20%28n%20%3D%20639%29%20and%20patients%20receiving%20no%20preoperative%20antiplatelet%20therapy%20%28n%20%3D%20518%29.%20Multivariate%20logistic%20regression%20was%20performed%20to%20determine%20if%20combined%20preoperative%20clopidogrel%20and%20ASA%20therapy%20is%20independently%20associated%20with%20improved%20perioperative%20outcomes%20after%20CEA%20in%20the%20absence%20of%20significant%20bleeding%20risk.%20Clopidogrel%5C%2FASA%20therapy%20was%20independently%20associated%20with%20a%20five-fold%20increased%20risk%20of%20postoperative%20bleeding%20after%20CEA%20%28odds%20ratios%20%3D%205.1%3B%2095%25%20confidence%20intervals%3A%201.8%5Cu201314.2%3B%20P%20%26lt%3B%200.002%29.%20No%20increase%20in%20bleeding%20risk%20or%20reoperation%20was%20observed%20in%20patients%20receiving%20ASA%20alone.%20However%2C%20the%20postoperative%20length%20of%20hospital%20stay%20%28PLOHS%29%20was%20significantly%20shorter%20%28P%20%3D%200.01%29%20for%20patients%20receiving%20combined%20clopidogrel%5C%2FASA%20therapy%20%282.5%20%5Cu00b1%202.3%20days%29%20versus%20those%20receiving%20no%20antiplatelet%20agents%20%283.2%20%5Cu00b1%205.9%20days%29.%20Preoperative%20clopidogrel%5C%2FASA%20therapy%20increases%20risk%20of%20postoperative%20bleeding%20after%20CEA%2C%20yet%20reduces%20overall%20PLOHS.%22%2C%22date%22%3A%22Aug%202013%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1177%5C%2F1708538113478763%22%2C%22ISSN%22%3A%221708-539X%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%22RB8ZRZCJ%22%2C%22WI5Z8WFT%22%5D%2C%22dateModified%22%3A%222022-05-12T20%3A43%3A15Z%22%7D%7D%2C%7B%22key%22%3A%22RACPHI3E%22%2C%22library%22%3A%7B%22id%22%3A4862227%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Preventza%20et%20al.%22%2C%22parsedDate%22%3A%222013-06%22%2C%22numChildren%22%3A6%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BPreventza%2C%20O.%2C%20%26lt%3Bstrong%26gt%3BLivesay%26lt%3B%5C%2Fstrong%26gt%3B%2C%20J.%20J.%2C%20Cooley%2C%20D.%20A.%20et%20al.%20%282013%29.%20Coarctation-associated%20aneurysms%3A%20a%20localized%20disease%20or%20diffuse%20aortopathy.%20%26lt%3Bi%26gt%3BAnn%20Thorac%20Surg%26lt%3B%5C%2Fi%26gt%3B%20%26lt%3Bi%26gt%3B95%26lt%3B%5C%2Fi%26gt%3B%2C%201961%26%23x2013%3B1967%3B%20discussion%201967.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.athoracsur.2013.03.062%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1016%5C%2Fj.athoracsur.2013.03.062%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Coarctation-associated%20aneurysms%3A%20a%20localized%20disease%20or%20diffuse%20aortopathy%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ourania%22%2C%22lastName%22%3A%22Preventza%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22James%20J.%22%2C%22lastName%22%3A%22Livesay%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Denton%20A.%22%2C%22lastName%22%3A%22Cooley%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zvonimir%22%2C%22lastName%22%3A%22Krajcer%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Benjamin%20Y.%22%2C%22lastName%22%3A%22Cheong%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Joseph%20S.%22%2C%22lastName%22%3A%22Coselli%22%7D%5D%2C%22abstractNote%22%3A%22BACKGROUND%3A%20We%20evaluated%20the%20occurrence%20and%20treatment%20of%20aortic%20aneurysms%20in%20coarctation%20patients.%5CnMETHODS%3A%20During%201962%20to%202011%2C%20943%20cases%20of%20coarctation%20were%20repaired.%20Aortic%20aneurysms%20were%20identified%20in%2055%20patients%20%285.8%25%29.%20Forty-eight%20had%20prior%20coarctation%20repair%20%28median%2023%20years%20earlier%2C%20interquartile%20range%2018%20to%2026%20years%29.%20Forty-two%20aneurysms%20were%20found%20in%20the%20descending%20thoracic%20aorta%20%2876.4%25%29%2C%2018%20in%20the%20ascending%20aorta%20%2832.7%25%29%2C%208%20in%20the%20left%20subclavian%20artery%20%2814.5%25%29%2C%20and%201%20each%20%281.8%25%29%20in%20the%20abdominal%20aorta%2C%20iliac%20artery%2C%20and%20innominate%20artery.%20Twenty-three%20patients%20%2841.8%25%29%20had%20multiple%20aneurysms.%20Twenty-five%20patients%20%2845.4%25%29%20had%20a%20bicuspid%20aortic%20valve.%5CnRESULTS%3A%20Fifty-three%20patients%26%23039%3B%20aneurysms%20were%20treated%20surgically.%20Thirty-five%20%2866.0%25%29%20had%20descending%20thoracic%20aortic%20repair%2C%20of%20whom%2011%20had%20aorto-left%20subclavian%20bypass.%20Aortic%20cross-clamping%20alone%20was%20used%20in%2023%20patients%2C%20left%20heart%20bypass%20in%204%2C%20and%20circulatory%20arrest%20in%208.%20Eleven%20patients%20underwent%20endovascular%20repair%20%2820.8%25%29.%20Proximal%20aortic%20aneurysms%20were%20repaired%20in%207%20patients%20%2813.2%25%29%3B%201%20had%20simultaneous%20antegrade%20endostent%20delivery.%20Four%20patients%20had%20ascending-to-descending%20aortic%20bypass%20%287.3%25%29.%20Concomitant%20valve-sparing%20root%20repair%20was%20performed%20in%202%20patients%2C%20Bentall%20in%204%2C%20aortic%20valve%20replacement%20in%203%2C%20and%20coronary%20artery%20bypass%20in%201.%20One%2030-day%20death%20occurred%20%281.9%25%29.%20Three%20patients%20%285.7%25%29%20had%20transient%20neurologic%20deficits%2C%202%20%283.8%25%29%20required%20tracheostomy%2C%20and%2011%20%2820.8%25%29%20had%20vocal%20cord%20paralysis.%5CnCONCLUSIONS%3A%20Coarctation%20is%20a%20marker%20for%20aortic%20aneurysm%20formation%20in%20adults%20and%20merits%20long-term%20surveillance.%20Anatomic%20complexity%20and%20associated%20conditions%20can%20complicate%20the%20surgical%20repair.%20Various%20open%2C%20extra-anatomic%2C%20and%20endovascular%20techniques%20may%20be%20used.%22%2C%22date%22%3A%22Jun%202013%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.athoracsur.2013.03.062%22%2C%22ISSN%22%3A%221552-6259%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%223WHLRQCH%22%2C%22SQD2CTYV%22%2C%22BJSZ96GT%22%2C%22CXMKC5YW%22%2C%22RB8ZRZCJ%22%2C%228PULYTSK%22%5D%2C%22dateModified%22%3A%222022-05-12T20%3A43%3A11Z%22%7D%7D%5D%7D
Miranda, J. A., Khouqeer, A., Livesay, J. J. et al. (2022). Very late aortic endograft infection with listeria monocytogenes in an elderly man. Tex Heart Inst J 49, e207298. https://doi.org/10.14503/THIJ-20-7298.
Kherallah, R. Y., Koneru, S., Krajcer, Z. et al. (2021). Hemodynamic outcomes after valve-in-valve transcatheter aortic valve replacement: a single-center experience. Ann Cardiothorac Surg 10, 630–640. https://doi.org/10.21037/acs-2021-tviv-131.
Kherallah, R. Y., Harrison, D., Preventza, O. et al. (2021). Transcatheter aortic valve replacement after chest radiation: A propensity-matched analysis. Int J Cardiol 329, 50–55. https://doi.org/10.1016/j.ijcard.2020.12.054.
Livesay, J. J. (2020). A History of Cardiac Surgery: An Adventurous Voyage from Antiquity to the Artificial Heart. Tex Heart Inst J 47, 339–341. https://doi.org/10.14503/THIJ-20-7383.
Chen, P. C., Greenberg, S., Mathuria, N. et al. (2016). Operative repair of iatrogenic innominate artery to left innominate vein arteriovenous fistula after pacemaker laser lead extraction. J Thorac Cardiovasc Surg 152, e85-87. https://doi.org/10.1016/j.jtcvs.2016.05.062.
Nascimbene, A., Azpurua, F., Livesay, J. J. et al. (2015). Transcatheter aortic valve implantation despite challenging vascular access. Tex Heart Inst J 42, 144–147. https://doi.org/10.14503/THIJ-13-4383.
Livesay, J. J. (2014). Invited commentary. Ann Thorac Surg 98, 1618–1619. https://doi.org/10.1016/j.athoracsur.2014.07.003.
Preventza, O., Mohammed, S., Cheong, B. Y. et al. (2014). Endovascular therapy in patients with genetically triggered thoracic aortic disease: applications and short- and mid-term outcomes. Eur J Cardiothorac Surg 46, 248–253; discussion 253. https://doi.org/10.1093/ejcts/ezt636.
Hale, B., Pan, W., Misselbeck, T. S. et al. (2013). Combined clopidogrel and aspirin therapy in patients  undergoing carotid endarterectomy is associated with  an increased risk of postoperative bleeding. Vascular 21, 197–204. https://doi.org/10.1177/1708538113478763.
Preventza, O., Livesay, J. J., Cooley, D. A. et al. (2013). Coarctation-associated aneurysms: a localized disease or diffuse aortopathy. Ann Thorac Surg 95, 1961–1967; discussion 1967. https://doi.org/10.1016/j.athoracsur.2013.03.062.

Recent News

THI Perfusion School Honors Asia Nguyen With Sal Guercio Memorial Scholarship

The Texas Heart Institute School of Perfusion Technology has honored student Asia Nguyen with the third annual Sal Guercio Memorial...

Texas Heart Institute Surgeons Recognized for Quality Care

HOUSTON, TX, February 15, 2024— Three Texas Heart Institute Center for Cardiovascular Care surgeons, Drs. James Livesay, Jennifer Cozart and...

International Interactive Symposium Welcomes Experts from Across the US and Around the Globe

HOUSTON (Oct. 23, 2023) — The International Society for Endovascular Specialists (ISEVS) celebrated its 30th anniversary with a prestigious symposium...