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Ashish Pershad Profile picture
@AshishPershad
Aug 4, 2018 • 5 tweets • 2 min read • Read on X
Cool coronary artery fistula #phoenixcardiacsurgery #bumcphoenix
Anatomy lesson by #amazing surgeon #orazioamabile#phoenixcardiacsurgery
Physical sign of a thrill on auscultation institu on the pulm artery -#thrilling thrill
Anomalous cx connected as well marked with forceps to ensure complete closure of feeder on either side
Final results

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More from @AshishPershad

Ashish Pershad Profile picture
Sep 24, 2020
Post infarct apical VSD closure -2 weeks post anterior mi and 1 week on IABP with no end organ damage- self selection
Read 11 tweets
Ashish Pershad Profile picture
Jun 10, 2020
#cardiotwitter -need help how would you manage this case. Attempting in 2 hours. EF normal and advanced Parkinson’s 68 yr old male @rwyeh @DKarmpaliotis @ajaykirtane @JAG24851 @mmamas1973
1- support no support 2-bifurcation strategy
Read 8 tweets
Ashish Pershad Profile picture
Jun 2, 2020
Tweetorial on Reverse Basilica (tip to base)
56 yr old with prior MVR Theon 29mm in 2015. Severe mitral stenosis and Sec pulm hypertension (70-80mm Hg). NeoLVOT 1.1 cm squared with 29 S-3 with 20% atrial offset
Read 14 tweets
Ashish Pershad Profile picture
Apr 27, 2020
Sequela of #COVID19 is late presentation of MIs causing VSD. Follow the thread for a VSD closure that we did today @BannerHealth 1/n
Echo showing basal VSD Qp/Qs of 2.3 -- cardiogenic shock. IRA is RCA 2/n
Big hole on the LV side -- serpiginous tract with smaller hole on the RV side 3/n
Read 12 tweets
Ashish Pershad Profile picture
Sep 11, 2019
Basilica tweetorial- step 1 Sentinel TRA
Step 2-6fr MP guide via Contra femoral across mitraflow 19 mm valve into left ventricle with 0.018 platinum plus wire in LV
Step3-20 mm Ensnare in left ventricle through MP guide with AL3 cath in root thro 14 Fr dry seal sheath via RFA
Read 12 tweets
Ashish Pershad Profile picture
Apr 9, 2019
Post infarct apical VSD closure -step1 3D print Image
Step2-define location on angio in LAO cranial angulation
Step3 -identify VSD on echo
Read 10 tweets

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