{"schema_version":"bookimed.page-context.v1","id":"clinic-duke","url":"https://hub.bookimed.com/heart-surgery/clinic-duke/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-duke.json","index_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/index.json","full_dataset_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/content.json","content_revision":"source-driven-rankings-20261008","date_modified":"2026-10-08","language":"en","kind":"clinic-profile","title":"Duke University Hospital: heart surgery expertise","summary":"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.","research_credit":{"name":"Yevhenii Kozlov","role":"Co-Founder of Bookimed","url":"https://us-uk.bookimed.com/ceo/kozlov/","contribution":"Research personally prepared and reviewed","assistance":"AI tools assisted source research."},"editorial_scope":"Source-based patient information; an individual treatment plan requires clinical review.","research_method":"How this guide is researched and compared Research project led by Yevhenii Kozlov . We link clinical guidance, primary studies and named hospital or offer sources beside the relevant statements. Comparisons distinguish individual operators from programme results and preserve the study population, follow-up and limitations. Prices are dated examples with their stated scope. Research and editorial preparation are separate from clinical review; no named clinician has medically reviewed this edition. Bookimed provides care coordination. Partner and reference programmes are identified from their sources; paid ordering is not used in our published-cohort comparison. Read the editorial policy .","key_takeaways":[{"label":"Aortic continuity of care","text":"The centre describes imaging, genetics and lifelong surveillance alongside open and endovascular treatment.","sources":["pd-adult-duke-programme","pd-adult-hughes-official"]},{"label":"Repair durability is technique-specific","text":"In 71 HAART-ring repairs, 11 patients developed at least moderate leakage at mean 3.9-year follow-up; all had trileaflet valves.","sources":["pd-adult-hughes71"]},{"label":"Support and transplant pathways","text":"Duke’s advanced heart-failure surgery service includes durable LVAD, temporary ECMO, total artificial heart and transplantation.","sources":["SP06"]}],"benefits":[{"text":"Aortic disease can be managed across cardiac and vascular disciplines, while a separate service offers transplant and temporary or durable circulatory support.","sources":["pd-adult-duke-programme","pd-adult-hughes-official","pd-adult-hughes71","SP06","SP05","SP17"]}],"limitations":[{"text":"The HAART findings concern one internal-ring technique, not every Duke repair. Schroder’s donor-heart trial is multicentre evidence with six-month follow-up, not the hospital’s overall transplant survival rate.","sources":["pd-adult-duke-programme","pd-adult-hughes-official","pd-adult-hughes71","SP06","SP05","SP17"]}],"sections":[{"id":"benefit-balance","title":"Clinical benefits and limitations","text":"Clinical benefits and limitations Potential advantages Aortic disease can be managed across cardiac and vascular disciplines, while a separate service offers transplant and temporary or durable circulatory support. 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. Trade-offs and limits The HAART findings concern one internal-ring technique, not every Duke repair. Schroder’s donor-heart trial is multicentre evidence with six-month follow-up, not the hospital’s overall transplant survival rate. 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.","links":[{"label":"Duke Center for Aortic Disease combines cardiothoracic and vascular surgery","url":"https://physicians.dukehealth.org/articles/duke-center-aortic-disease-combines-expertise-cardiothoracic-and-vascular-surgery"},{"label":"G. Chad Hughes, MD","url":"https://www.dukehealth.org/find-doctors-physicians/g-chad-hughes-md"},{"label":"Mid-term outcomes of aortic valve repair using an anatomically shaped internal annuloplasty ring.","url":"https://pubmed.ncbi.nlm.nih.gov/38006340/"},{"label":"Jacob N. Schroder named Surgical Director for Advanced Heart Failure","url":"https://surgery.duke.edu/news/jacob-n-schroder-md-named-surgical-director-advanced-heart-failure"},{"label":"Jacob Niall Schroder — faculty profile","url":"https://medschool.duke.edu/profile/jacob-niall-schroder"},{"label":"Transplantation Outcomes with Donor Hearts after Circulatory Death.","url":"https://pubmed.ncbi.nlm.nih.gov/37285526/"},{"label":"Duke Center for Aortic Disease combines cardiothoracic and vascular surgery","url":"https://physicians.dukehealth.org/articles/duke-center-aortic-disease-combines-expertise-cardiothoracic-and-vascular-surgery"},{"label":"G. Chad Hughes, MD","url":"https://www.dukehealth.org/find-doctors-physicians/g-chad-hughes-md"},{"label":"Mid-term outcomes of aortic valve repair using an anatomically shaped internal annuloplasty ring.","url":"https://pubmed.ncbi.nlm.nih.gov/38006340/"},{"label":"Jacob N. Schroder named Surgical Director for Advanced Heart Failure","url":"https://surgery.duke.edu/news/jacob-n-schroder-md-named-surgical-director-advanced-heart-failure"},{"label":"Jacob Niall Schroder — faculty profile","url":"https://medschool.duke.edu/profile/jacob-niall-schroder"},{"label":"Transplantation Outcomes with Donor Hearts after Circulatory Death.","url":"https://pubmed.ncbi.nlm.nih.gov/37285526/"}]},{"id":"specialists","title":"Specialists and their clinical work","text":"Specialists and their clinical work Portrait source ↗ Durham, North Carolina · United States cardiac surgeon G. Chad Hughes → 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. Duke University Hospital → Sources: Duke Center for Aortic Disease combines cardiothoracic and vascular surgery · G. Chad Hughes, MD View expertise and research → Portrait source ↗ Durham, North Carolina · United States cardiac surgeon Jacob N. Schroder → 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. Duke University Hospital → Sources: Jacob N. Schroder named Surgical Director for Advanced Heart Failure · Transplantation Outcomes with Donor Hearts after Circulatory Death. View expertise and research →","links":[{"label":"Portrait source ↗","url":"https://www.dukehealth.org/find-doctors-physicians/g-chad-hughes-md"},{"label":"G. Chad Hughes →","url":"https://hub.bookimed.com/heart-surgery/doctor-g-chad-hughes/"},{"label":"Duke University Hospital →","url":"https://hub.bookimed.com/heart-surgery/clinic-duke/"},{"label":"Duke Center for Aortic Disease combines cardiothoracic and vascular surgery","url":"https://physicians.dukehealth.org/articles/duke-center-aortic-disease-combines-expertise-cardiothoracic-and-vascular-surgery"},{"label":"G. Chad Hughes, MD","url":"https://www.dukehealth.org/find-doctors-physicians/g-chad-hughes-md"},{"label":"View expertise and research →","url":"https://hub.bookimed.com/heart-surgery/doctor-g-chad-hughes/"},{"label":"Portrait source ↗","url":"https://medschool.duke.edu/profile/jacob-niall-schroder"},{"label":"Jacob N. Schroder →","url":"https://hub.bookimed.com/heart-surgery/doctor-jacob-schroder/"},{"label":"Duke University Hospital →","url":"https://hub.bookimed.com/heart-surgery/clinic-duke/"},{"label":"Jacob N. Schroder named Surgical Director for Advanced Heart Failure","url":"https://surgery.duke.edu/news/jacob-n-schroder-md-named-surgical-director-advanced-heart-failure"},{"label":"Transplantation Outcomes with Donor Hearts after Circulatory Death.","url":"https://pubmed.ncbi.nlm.nih.gov/37285526/"},{"label":"View expertise and research →","url":"https://hub.bookimed.com/heart-surgery/doctor-jacob-schroder/"}]},{"id":"evidence","title":"Procedure-specific research","text":"Procedure-specific research Read alongside G. Chad Hughes’s profile → A study that reported a durability concern 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 → DCD trial: what was established 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.","links":[{"label":"G. Chad Hughes’s profile →","url":"https://hub.bookimed.com/heart-surgery/doctor-g-chad-hughes/"},{"label":"Mid-term outcomes of aortic valve repair using an anatomically shaped internal annuloplasty ring.","url":"https://pubmed.ncbi.nlm.nih.gov/38006340/"},{"label":"Jacob N. Schroder’s profile →","url":"https://hub.bookimed.com/heart-surgery/doctor-jacob-schroder/"},{"label":"Transplantation Outcomes with Donor Hearts after Circulatory Death.","url":"https://pubmed.ncbi.nlm.nih.gov/37285526/"}]}],"introduction":"Heart surgery guide / Duke University Hospital Duke University Hospital · Decision guide Duke University Hospital: heart surgery expertise Durham, North Carolina, United States · Aortic reconstruction, transplantation and mechanical support Research by Yevhenii Kozlov · Co-Founder of Bookimed Updated 8 October 2026 Sources linked throughout At a glance 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. Aortic continuity of care 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 Repair durability is technique-specific 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. Support and transplant pathways 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 Duke University Hospital entrance, from Duke Health’s official hospital-location image. · Image source ↗","related_documents":[{"id":"heart-surgery","title":"Heart surgery abroad: treatments, clinics and costs","kind":"home","url":"https://hub.bookimed.com/heart-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/heart-surgery.json"},{"id":"heart-valve-surgery","title":"Heart valve surgery: repair, replacement and catheter options","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/heart-valve-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/heart-valve-surgery.json"},{"id":"aortic-surgery","title":"Aortic aneurysm surgery: options and specialist teams","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/aortic-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/aortic-surgery.json"},{"id":"clinics","title":"Heart surgery clinics: compare techniques and specialist teams","kind":"directory","url":"https://hub.bookimed.com/heart-surgery/clinics/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinics.json"},{"id":"surgeons","title":"Find cardiac surgeons and heart specialists by procedure","kind":"surgeons","url":"https://hub.bookimed.com/heart-surgery/surgeons/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/surgeons.json"},{"id":"repeat-heart-surgery","title":"Repeat heart surgery: reoperation and alternative approaches","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/repeat-heart-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/repeat-heart-surgery.json"},{"id":"doctor-g-chad-hughes","title":"G. 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Schroder: heart transplantation and LVAD care","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-jacob-schroder/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-jacob-schroder.json"}],"entity":{"id":"duke","name":"Duke University Hospital — Aortic and Advanced Heart Failure Care","country":"United States","city":"Durham, North Carolina","surgeon_ids":["g-chad-hughes","jacob-schroder"],"source_attested_services":["aortic valve repair","valve-sparing root replacement","aortic arch and thoracoabdominal repair","thoracic endovascular aortic repair","heart transplantation","LVAD","ECMO","total artificial heart","selected surgery with severely reduced LV function"],"patient_task_fit":"Aortic reconstruction, transplantation and mechanical support","source_ids":["pd-adult-duke-programme","pd-adult-hughes-official","pd-adult-hughes71","SP06","SP05","SP17"],"bookimed_route":null,"clinic_route":null,"official_url":"https://physicians.dukehealth.org/articles/duke-center-aortic-disease-combines-expertise-cardiothoracic-and-vascular-surgery","value_headline":"Aortic reconstruction, transplantation and mechanical support","value_summary":"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.","comparison_question":"","highlights":[{"label":"Aortic continuity of care","text":"The centre describes imaging, genetics and lifelong surveillance alongside open and endovascular treatment.","source_ids":["pd-adult-duke-programme","pd-adult-hughes-official"]},{"label":"Repair durability is technique-specific","text":"In 71 HAART-ring repairs, 11 patients developed at least moderate leakage at mean 3.9-year follow-up; all had trileaflet valves.","source_ids":["pd-adult-hughes71"]},{"label":"Support and transplant pathways","text":"Duke’s advanced heart-failure surgery service includes durable LVAD, temporary ECMO, total artificial heart and transplantation.","source_ids":["SP06"]}],"guide_links":[{"slug":"aortic-surgery","label":"Compare aortic procedures"},{"slug":"aortic-valve-disease","label":"Explore valve options"},{"slug":"heart-failure-surgery","label":"Advanced heart failure options"}],"topic_mapping":[{"slug":"aortic-surgery","services":["aortic valve repair","valve-sparing root replacement","aortic arch and thoracoabdominal repair","thoracic endovascular aortic repair"]},{"slug":"aortic-valve-disease","services":["aortic valve repair","valve-sparing root replacement","aortic arch and thoracoabdominal repair","thoracic endovascular aortic repair"]}],"photo_candidate":{"url":"https://www.dukehealth.org/sites/default/files/styles/location_landing_page/public/hospital_location/Duke%20University%20Hospital%20Header_thumbnail.png?itok=z4Pk4P1Z","source_page":"https://www.dukehealth.org/find-doctors-physicians/g-chad-hughes-md","alt":"Duke University Hospital","source_alt":"Duke University Hospital","provenance":"URL observed on official page; image bytes not downloaded; coordinator to inspect before use."},"topics":["aorta","valve","redo","hf"],"profile_slug":"clinic-duke","photo":{"source_page":"https://www.dukehealth.org/find-doctors-physicians/g-chad-hughes-md","width":480,"height":300,"alt":"Entrance of Duke University Hospital","caption":"Duke University Hospital entrance, from Duke Health’s official hospital-location image.","url":"https://hub.bookimed.com/wp-content/uploads/2026/10/duke.png"},"comparison_answer":"Aortic disease can be managed across cardiac and vascular disciplines, while a separate service offers transplant and temporary or durable circulatory support.","key_takeaways":[{"label":"Aortic continuity of care","text":"The centre describes imaging, genetics and lifelong surveillance alongside open and endovascular treatment.","sources":["pd-adult-duke-programme","pd-adult-hughes-official"]},{"label":"Repair durability is technique-specific","text":"In 71 HAART-ring repairs, 11 patients developed at least moderate leakage at mean 3.9-year follow-up; all had trileaflet valves.","sources":["pd-adult-hughes71"]},{"label":"Support and transplant pathways","text":"Duke’s advanced heart-failure surgery service includes durable LVAD, temporary ECMO, total artificial heart and transplantation.","sources":["SP06"]}],"benefits":[{"text":"Aortic disease can be managed across cardiac and vascular disciplines, while a separate service offers transplant and temporary or durable circulatory support.","sources":["pd-adult-duke-programme","pd-adult-hughes-official","pd-adult-hughes71","SP06","SP05","SP17"]}],"limitations":[{"text":"The HAART findings concern one internal-ring technique, not every Duke repair. Schroder’s donor-heart trial is multicentre evidence with six-month follow-up, not the hospital’s overall transplant survival rate.","sources":["pd-adult-duke-programme","pd-adult-hughes-official","pd-adult-hughes71","SP06","SP05","SP17"]}],"patient_sections":[{"id":"benefit-balance","title":"Clinical benefits and limitations","paragraphs":[],"items":[],"sources":[],"kind":"benefit-balance","links":[],"table":null},{"id":"specialists","title":"Specialists and their clinical work","paragraphs":[],"items":[],"sources":[],"kind":"clinic-doctors","links":[],"table":null},{"id":"evidence","title":"Procedure-specific research","paragraphs":[],"items":[],"sources":[],"kind":"clinic-evidence","links":[],"table":null}]},"sources":{"pd-adult-hughes-official":{"title":"G. Chad Hughes, MD","publisher":"Duke Health","url":"https://www.dukehealth.org/find-doctors-physicians/g-chad-hughes-md","read_at":"2026-10-08","kind":"official provider or programme page","support":"Active adult heart surgeon; valve repair, valve-sparing root, arch, thoracoabdominal, TEVAR and TAVR expertise.","limitations":"An institutional listing supports current role and stated clinical scope; it does not establish the next appointment, operating allocation or individual risk-adjusted results.","body_file":"outputs/heart-surgery-hub-20261007/review/provider-depth/adult/sources/hughes-official.txt"},"pd-adult-duke-programme":{"title":"Duke Center for Aortic Disease combines cardiothoracic and vascular surgery","publisher":"Duke Health","url":"https://physicians.dukehealth.org/articles/duke-center-aortic-disease-combines-expertise-cardiothoracic-and-vascular-surgery","read_at":"2026-10-08","kind":"official provider or programme page","support":"Hughes is co-director and aortic surgery section chief; coordinated imaging/genetics/lifelong follow-up.","limitations":"An institutional listing supports current role and stated clinical scope; it does not establish the next appointment, operating allocation or individual risk-adjusted results.","body_file":"outputs/heart-surgery-hub-20261007/review/provider-depth/adult/sources/web-body-observations.md","published_at":"2025-08-05"},"pd-adult-hughes71":{"title":"Mid-term outcomes of aortic valve repair using an anatomically shaped internal annuloplasty ring.","publisher":"European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery","url":"https://pubmed.ncbi.nlm.nih.gov/38006340/","read_at":"2026-10-08","kind":"original study abstract and author/affiliation record","support":"Abstract body and authorship inspected; numerical claims below are restricted to the reported endpoint and population.","limitations":"Full manuscript and supplementary operator allocations were not read in this pass. Authorship is not an individual surgical outcome series.","body_file":"outputs/heart-surgery-hub-20261007/review/provider-depth/adult/sources/hughes71.json","published_at":"2023-12-01","doi":"10.1093/ejcts/ezad395","authors":"Jarral OA, Jensen CW, Doberne JW, Downey PS, Serfas JD, Vekstein AM, Hughes GC."},"SP05":{"title":"Jacob Niall Schroder — faculty profile","publisher":"Duke University School of Medicine","url":"https://medschool.duke.edu/profile/jacob-niall-schroder","read_at":"2026-10-08","source_kind":"official-institution","local_body":"/Users/eugen/Projects/frankenstein-agentic-framework/outputs/heart-surgery-hub-20261007/review/provider-depth/specialties/sources/schroder-current.txt","supports":"Current Surgical Director for Advanced Heart Failure and faculty role.","limitations":""},"SP06":{"title":"Jacob N. Schroder named Surgical Director for Advanced Heart Failure","publisher":"Duke Department of Surgery","url":"https://surgery.duke.edu/news/jacob-n-schroder-md-named-surgical-director-advanced-heart-failure","read_at":"2026-10-08","source_kind":"official-institution","local_body":"/Users/eugen/Projects/frankenstein-agentic-framework/outputs/heart-surgery-hub-20261007/review/provider-depth/specialties/sources/schroder-role.txt","supports":"Remit includes heart transplantation, LVAD, ECMO, total artificial heart and conventional cardiac surgery with severely reduced LV function; direct DCD transplant operator history.","limitations":"Appointment story dated 2024; title cross-checked against live SP05. Historical volumes are not current annual performance.","published_at":"2024-01-22"},"SP17":{"title":"Transplantation Outcomes with Donor Hearts after Circulatory Death.","publisher":"The New England journal of medicine","url":"https://pubmed.ncbi.nlm.nih.gov/37285526/","read_at":"2026-10-08","published_at":"2023-06-01","doi":"10.1056/nejmoa2212438","pmid":"37285526","source_kind":"primary-research-abstract","local_body":"/Users/eugen/Projects/frankenstein-agentic-framework/outputs/heart-surgery-hub-20261007/review/provider-depth/specialties/sources/pmid-37285526.json","supports":"Multicentre randomized noninferiority DCD donor-heart trial led by Schroder; risk-adjusted six-month survival met noninferiority endpoint.","limitations":"As-treated primary analysis, selected donors/recipients and specific ex-situ perfusion pathway; not all DCD pathways, all candidates or long-term equivalence. Funded by TransMedics."}}}