Chris Burke
@chrisryanburke
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Cardiac surgeon at the University of Washington specializing in thoracic aortic disease. Also, fly fishing
Seattle, WA
Joined November 2015
RT @BlakeEMurphy: #CIA2025 served excellent programming, insights from the best international #aorticsurgeons, and beautiful Miami sunshine….
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Take a look at our article highlighting the “Seattle shawl” technique. A simple method for providing autograft protection during a Ross procedure!.
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Congratulations to our outgoing advanced fellow, @callistusditah. Big things ahead and can’t wait to follow along as this rising star makes his mark in upstate New York!.
Becoming a heart surgeon was hard. I do so as I reflect on how drastically my environment has changed around me. Growing up as a little boy in Cameroon, it was daring just to dream I'd find myself in a position to simply be alive at this stage, let alone seek to accomplish more.
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Small root is one of the biggest challenges to the aortic surgeons. This make us better surgeons!!!.
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Key is to have many “tools” in the arsenal. No one technique can be used universally. Also, none should be simply discarded as there are subtle technical points with all of them.
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There are many useful ways to approach small annulus. Posterior patch, Konno, Freestyle, even Ross is a good option in some small annulus patients. Even a sutureless valve can serve a handy bailout.
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A key technical point is not to oversize the valve and not to travel too far up the patch. Riding sutures high on the commissure will cant the valve and can’t distort the LVOT. However, keeping stitches low will maintain geometry and allow ~ 2 sizes up.Which is fine in most cases.
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The above patient has a BSA of 1.9. Root measured 21mm. Posterior rectangular “Yang patch” used to enlarge to a 25 Konect. MG 5 mmHG post. LVOT wide open.
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There seems to be a lot of interest online lately on annular enlargement. I thought I’d share a few thoughts ⬇️
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Dr. @ADhanekulaMD presenting our data on redo aortic arch replacement at the WTSA meeting in Vail. Excellent talk. Redo arch with similar outcomes as native chest. Amazing advancement of safety in complex reoperative arch surgery!.#WTSA #WTSAis50
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Please join us Wednesday morning for what will be a great discussion on an interesting, challenging topic! The small root/annulus is a formidable issue that requires creativity!.
Four leading surgeons will present their ideas on surgical management of the small #aortic annulus this Wednesday, 3/6. Register to hear analyses of aortic root enlargement, stentless root replacement, and the Ross Procedure:
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Exceptional training in a fabulous environment and place to live. If interested, please DM me or email ctrespa@uw.edu!!!
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📣 UW is hiring an Advanced Cardiac Surgical Fellow for AY 24/25!! Opportunities includes:. - Advanced aortic surgery.- Structural heart.- Mitral valve . Want to learn aortic valve repair, Ross, advanced aortic arch intervention, and arch/ascending TEVAR in the PNW?
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Really enjoyed recording this conversation. Always nice to reflect on what we do and why.
And for more on @uwmtap and the co-director @chrisryanburke check out our latest podcast episode of Coffee and Cardiology - Burke’s Surgeon Knot.
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RT @UWMedHeart: A great article highlighting our Multidisciplinary Thoracic Aortic Program and the comprehensive, thoughtful care we provid….
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@UWMedHeart @UWSurgery @uwmtap And huge congratulations to Dr Bilodeau for winning the Norman E. Shumway Award for Best Resident Manuscript! Well done!.
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Kyle Bilodeau presenting on dissemination & implementation science assessment of a new Ross program at the WTSA annual meeting. Findings ➡️ 1) The “Ross team” model is crucial for success and 2) continuous program self assessment and audit is critical for maintenance of success
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Last call! Any Ross surgeons out there yet to complete this survey. Only takes a few minutes!!.
Do you perform the Ross procedure? Yes or no, please fill out our international survey to help define best practices. @ctsnetorg @AATSHQ @STS_CTsurgery @EACTS @cscs_sccc @HeartValveOrg @IHamamsy @OuzounianMD @chrisryanburke @MichaelMwachu.
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