{"schema_version":"bookimed.page-context.v1","id":"doctor-g-chad-hughes","url":"https://hub.bookimed.com/heart-surgery/doctor-g-chad-hughes/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-g-chad-hughes.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":"doctor-profile","title":"G. Chad Hughes: aortic surgery and valve-sparing repair","summary":"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.","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":"The whole aorta","text":"Duke combines cardiac and vascular surgery with imaging, genetics and continuing aortic surveillance.","sources":["pd-adult-duke-programme"]},{"label":"Open and endovascular scope","text":"Hughes lists root, arch, thoraco-abdominal repair and thoracic endovascular aortic repair among his clinical areas.","sources":["pd-adult-hughes-official"]},{"label":"A documented repair limitation","text":"In 71 HAART-ring repairs, 11 patients had at least moderate leakage at mean 3.9 years; all had trileaflet valves, and four patients required reoperation.","sources":["pd-adult-hughes71"]}],"benefits":[{"text":"The Duke service can address several aortic segments and connects treatment with continuing imaging and genetic assessment.","sources":["pd-adult-duke-programme"]}],"limitations":[{"text":"The authors urged caution with this subannular ring in trileaflet valves. That device-specific result does not describe every Duke valve-sparing technique or the risk for an individual patient.","sources":["pd-adult-duke-programme","pd-adult-hughes-official","pd-adult-hughes71"]}],"sections":[{"id":"benefit-balance","title":"Benefits and limitations","text":"Benefits and limitations Potential advantages The Duke service can address several aortic segments and connects treatment with continuing imaging and genetic assessment. Sources: Duke Center for Aortic Disease combines cardiothoracic and vascular surgery Trade-offs and limits The authors urged caution with this subannular ring in trileaflet valves. That device-specific result does not describe every Duke valve-sparing technique or the risk for an individual patient. 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.","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":"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/"}]},{"id":"research","title":"Procedure-specific research","text":"Procedure-specific research 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.","links":[{"label":"Mid-term outcomes of aortic valve repair using an anatomically shaped internal annuloplasty ring.","url":"https://pubmed.ncbi.nlm.nih.gov/38006340/"}]},{"id":"team","title":"Clinical programme","text":"Clinical programme Duke University Hospital → Durham, North Carolina, United States 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. 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. Explore the programme and other specialists →","links":[{"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":"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":"Explore the programme and other specialists →","url":"https://hub.bookimed.com/heart-surgery/clinic-duke/"}]}],"introduction":"Heart surgery guide / G. Chad Hughes G. Chad Hughes · Decision guide G. Chad Hughes: aortic surgery and valve-sparing repair Aortic reconstruction with technique-specific durability follow-up · Durham, North Carolina, United States Research by Yevhenii Kozlov · Co-Founder of Bookimed Updated 8 October 2026 Sources linked throughout At a glance 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. The whole aorta Duke combines cardiac and vascular surgery with imaging, genetics and continuing aortic surveillance. Sources: Duke Center for Aortic Disease combines cardiothoracic and vascular surgery Open and endovascular scope Hughes lists root, arch, thoraco-abdominal repair and thoracic endovascular aortic repair among his clinical areas. Sources: G. Chad Hughes, MD A documented repair limitation In 71 HAART-ring repairs, 11 patients had at least moderate leakage at mean 3.9 years; all had trileaflet valves, and four patients required reoperation. Sources: Mid-term outcomes of aortic valve repair using an anatomically shaped internal annuloplasty ring. Portrait source ↗ cardiac surgeon G. Chad Hughes Duke University Hospital → Heart surgeon; Section Chief of Aortic Surgery and Co-director, Duke Center for Aortic Disease Heart surgeon; Section Chief of Aortic Surgery and Co-director, Duke Center for Aortic Disease · Durham, North Carolina, United States. Read the clinical or research 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":"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":"surgeon-rankings","title":"Heart surgeon rankings by reported experience, method and results","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/surgeon-rankings/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/surgeon-rankings.json"},{"id":"clinic-duke","title":"Duke University Hospital: heart surgery expertise","kind":"clinic-profile","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"}],"entity":{"id":"g-chad-hughes","name":"G. Chad Hughes","programme_id":"duke","role":"Heart surgeon; Section Chief of Aortic Surgery and Co-director, Duke Center for Aortic Disease","procedure_relevance":["Aortic valve repair, valve-sparing root replacement, aortic arch and thoracoabdominal repair; open and endovascular options."],"source_ids":["pd-adult-duke-programme","pd-adult-hughes-official","pd-adult-hughes71"],"official_url":"https://www.dukehealth.org/find-doctors-physicians/g-chad-hughes-md","discipline":"cardiac surgeon","topic_slugs":["aortic-surgery","aortic-valve-disease","repeat-heart-surgery"],"profile":{"intro":"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.","clinical_focus":[{"label":"The whole aorta","text":"Duke combines cardiac and vascular surgery with imaging, genetics and continuing aortic surveillance.","source_ids":["pd-adult-duke-programme"]},{"label":"Open and endovascular scope","text":"Hughes lists root, arch, thoraco-abdominal repair and thoracic endovascular aortic repair among his clinical areas.","source_ids":["pd-adult-hughes-official"]},{"label":"A documented repair limitation","text":"In 71 HAART-ring repairs, 11 patients had at least moderate leakage at mean 3.9 years; all had trileaflet valves, and four patients required reoperation.","source_ids":["pd-adult-hughes71"]}],"evidence":[{"title":"A study that reported a durability concern","summary":"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.","limitations":"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.","source_ids":["pd-adult-hughes71"]}],"consultation_questions":[],"current_role_note":"Heart surgeon; Section Chief of Aortic Surgery and Co-director, Duke Center for Aortic Disease · Durham, North Carolina, United States.","key_takeaways":[{"label":"The whole aorta","text":"Duke combines cardiac and vascular surgery with imaging, genetics and continuing aortic surveillance.","sources":["pd-adult-duke-programme"]},{"label":"Open and endovascular scope","text":"Hughes lists root, arch, thoraco-abdominal repair and thoracic endovascular aortic repair among his clinical areas.","sources":["pd-adult-hughes-official"]},{"label":"A documented repair limitation","text":"In 71 HAART-ring repairs, 11 patients had at least moderate leakage at mean 3.9 years; all had trileaflet valves, and four patients required reoperation.","sources":["pd-adult-hughes71"]}],"benefits":[{"text":"The Duke service can address several aortic segments and connects treatment with continuing imaging and genetic assessment.","sources":["pd-adult-duke-programme"]}],"limitations":[{"text":"The authors urged caution with this subannular ring in trileaflet valves. That device-specific result does not describe every Duke valve-sparing technique or the risk for an individual patient.","sources":["pd-adult-duke-programme","pd-adult-hughes-official","pd-adult-hughes71"]}],"patient_sections":[{"id":"benefit-balance","title":"Benefits and limitations","paragraphs":[],"items":[],"sources":[],"kind":"benefit-balance","links":[],"table":null},{"id":"research","title":"Procedure-specific research","paragraphs":[],"items":[],"sources":[],"kind":"doctor-evidence","links":[],"table":null},{"id":"team","title":"Clinical programme","paragraphs":[],"items":[],"sources":[],"kind":"doctor-clinic","links":[],"table":null}]},"photo_candidate":{"url":"https://www.dukehealth.org/sites/default/files/styles/doctor_profile/public/physician/g-chad-hughes-md.jpg?itok=damcTmQa","source_page":"https://www.dukehealth.org/find-doctors-physicians/g-chad-hughes-md","alt":"Portrait of G. Chad Hughes","source_alt":"G. Chad Hughes, MD","provenance":"URL observed on official page; image bytes not downloaded; coordinator to inspect before use."},"topics":["aorta","valve","redo"],"headline":"aortic surgery and valve-sparing repair","profile_slug":"doctor-g-chad-hughes","portrait":{"url":"https://hub.bookimed.com/wp-content/uploads/2026/10/g-chad-hughes-200x300.jpg","source_page":"https://www.dukehealth.org/find-doctors-physicians/g-chad-hughes-md","width":219,"height":329,"alt":"Portrait of G. Chad Hughes"}},"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."}}}