Duke University Hospital · Decision guide
Durham, North Carolina, United States · Aortic reconstruction, transplantation and mechanical support
Duke combines cardiac and vascular aortic expertise with an advanced heart-failure service. Hughes’s team covers the root through the thoraco-abdominal aorta; Schroder’s surgical remit includes transplantation, LVAD, ECMO and total artificial heart.
The centre describes imaging, genetics and lifelong surveillance alongside open and endovascular treatment.
Sources: Duke Center for Aortic Disease combines cardiothoracic and vascular surgery · G. Chad Hughes, MD
In 71 HAART-ring repairs, 11 patients developed at least moderate leakage at mean 3.9-year follow-up; all had trileaflet valves.
Sources: Mid-term outcomes of aortic valve repair using an anatomically shaped internal annuloplasty ring.
Duke’s advanced heart-failure surgery service includes durable LVAD, temporary ECMO, total artificial heart and transplantation.
Sources: Jacob N. Schroder named Surgical Director for Advanced Heart Failure
Your diagnosis, selected specialist and treatment priorities.
Sources: Duke Center for Aortic Disease combines cardiothoracic and vascular surgery · G. Chad Hughes, MD · Mid-term outcomes of aortic valve repair using an anatomically shaped internal annuloplasty ring. · Jacob N. Schroder named Surgical Director for Advanced Heart Failure · Jacob Niall Schroder — faculty profile · Transplantation Outcomes with Donor Hearts after Circulatory Death.
Sources: Duke Center for Aortic Disease combines cardiothoracic and vascular surgery · G. Chad Hughes, MD · Mid-term outcomes of aortic valve repair using an anatomically shaped internal annuloplasty ring. · Jacob N. Schroder named Surgical Director for Advanced Heart Failure · Jacob Niall Schroder — faculty profile · Transplantation Outcomes with Donor Hearts after Circulatory Death.
Durham, North Carolina · United States
cardiac surgeon
G. Chad Hughes’s Duke practice covers aortic valve repair, valve-sparing root replacement and disease extending to the arch and thoraco-abdominal aorta. His team has also published late limitations of a specific repair device.
Sources: Duke Center for Aortic Disease combines cardiothoracic and vascular surgery · G. Chad Hughes, MD
Durham, North Carolina · United States
cardiac surgeon
Jacob Schroder leads surgical advanced heart-failure care at Duke. His remit connects heart transplantation with durable LVADs, temporary ECMO and total artificial-heart care, addressing different degrees and durations of circulatory support.
Sources: Jacob N. Schroder named Surgical Director for Advanced Heart Failure · Transplantation Outcomes with Donor Hearts after Circulatory Death.
Read alongside G. Chad Hughes’s profile →
Hughes coauthored a 71-patient HAART-ring repair series. At mean follow-up of 3.9 years, 11 patients had at least moderate regurgitation, all with trileaflet valves; four needed reoperation, including three for ring dehiscence.
How to interpret this: The authors urged caution with this subannular approach in trileaflet valves. This device-specific cohort should not be generalized to all Duke aortic surgery or all valve-sparing techniques; it is not an individual risk estimate.
Sources: Mid-term outcomes of aortic valve repair using an anatomically shaped internal annuloplasty ring.
Read alongside Jacob N. Schroder’s profile →
The 2023 multicentre randomized trial led by Schroder met its noninferiority endpoint for risk-adjusted survival six months after transplantation using the studied DCD/perfusion pathway.
How to interpret this: Primary analysis was as treated. Selected donors, recipients and equipment limit generalization; this is not a personal survival rate, universal eligibility rule or long-term equivalence claim.
Sources: Transplantation Outcomes with Donor Hearts after Circulatory Death.
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