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Phillip Rowse, MD, FACS @RowseMD

Cardiac Surgeon - Mayo Clinic, Robotic Enthusiast, Rock Climber, Educator, tweets are my own. Rochester, MN Joined July 2013
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    4K
  • Following
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Phillip Rowse, MD, FACS @RowseMD

2 years ago

On average, someone in the U.S. dies of a stroke every 3 minutes and 14 seconds. If there is a history of A.Fib, please address the left atrial appendage at the time of cardiac surgery!

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Phillip Rowse, MD, FACS @RowseMD

2 years ago

@doc_ecmo @LKoliastasis @andreaskardio @KToutouzas Consider etoh septal ablation on table.

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Phillip Rowse, MD, FACS @RowseMD

2 years ago

@marcelohaertel @JoaoLCavalcante @echo_stepbystep @alexsfelixecho @almasthela @AugustinCoisne @AntonioBarros_ @dr_benoy_n_shah @eromerodorta @NMerke @EchofirstB @kjetilbuer @GE_IanMc @ElenaGalli10 I would worry about cusp thrombosis in the recess of the cusp.

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Phillip Rowse, MD, FACS @RowseMD

2 years ago

Pericardial thickness… 2 mm = Normal 4 mm = Possible Constriction 6 mm = ⬆️ Specificity Constriction

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Phillip Rowse, MD, FACS @RowseMD

2 years ago

The Brockenbrough-Braunwald-Morrow sign. This sign is characterized by a ⬇️ in arterial pulse pressure after a premature ventricular contraction, accompanied by a significant ⬆️ in peak left ventricular systolic pressure.

Phillip Rowse, MD, FACS retweeted
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Mayo Clinic Cardiac Surgery @MayoClinicCVS

2 years ago

Cardiac Surgery @MayoClinic is honored to be ranked No.1 in Newsweek's 'World's Best Specialized Hospitals 2024'! bit.ly/3IgpdBZ

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Phillip Rowse, MD, FACS @RowseMD

2 years ago

@KSABarns @erictammd @KrithikaRamapr1 Agree

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Phillip Rowse, MD, FACS @RowseMD

4 years ago

Severe constrictive pericarditis. Starting CVP was 25mmHg, CI was 1.77 L/min/m2 and PAP was 51/20. Following near total pericardiectomy CVP dropped to 10 mmHg, CI improved 3.2 L/min/m2, PAP 34/20. @KrithikaRamapr1

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Phillip Rowse, MD, FACS @RowseMD

2 years ago

@LuisCastroMD @tomcnguyen @JoChikweMD @M_Pompeu_Sa_MD @ovidiogarciav Nice result. In our experience, adequate septal myectomy is usually sufficient to relieve both the dynamic outflow tract obstruction and abolish SAM without the need of mitral valve repair…unless there is an intrinsic mitral valve problem.

Phillip Rowse, MD, FACS retweeted
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Marci Newcome @MarciNewcome

2 years ago

Proud to be a part of this great @MayoClinicCVS team!

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Mayo Clinic Cardiac Surgery @MayoClinicCVS

2 years ago

We've seen your case before. Collaborate in your patient's care w/@MayoClinic. Check out our 2023 Cardiovascular Surgery Annual Report. Our dedication doesn't end in the operating room. mayocl.in/3wc1sYP

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Phillip Rowse, MD, FACS @RowseMD

3 years ago

@DinaSRamini @UAZHeart @UofAZSurgeryRes Very cool….just don’t tell the thoracic surgeons😉

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Phillip Rowse, MD, FACS @RowseMD

3 years ago

@JohnTreffalls @Mitrovalvology @MayoClinic @MayoSurgery @MayoClinicCVS @beccatreffalls Superb job! Hope you find your way back to Mayo. All best wishes.

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Phillip Rowse, MD, FACS @RowseMD

3 years ago

One of the most important slides for all CT Fellows to study!!!

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Phillip Rowse, MD, FACS @RowseMD

3 years ago

It is not uncommon to see a partial or complete LBBB after myectomy. Watch out for a pre-existing RBBB as this carries increased risk of requiring PPM after myectomy. The asterisks indicates the initial site of myectomy (nadir of the RCC…it is then carried CCW to the AMVL).

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Phillip Rowse, MD, FACS @RowseMD

3 years ago

Principles of repair: 1. Preserve leaflet mobility 2. Reduce height of PMVL 3. Reduce annular dilatation 4. Restore leaflet coaptation 5. Prevent SAM

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Phillip Rowse, MD, FACS @RowseMD

3 years ago

When should you advise surgical myectomy for HCM? 1. Effort induced symptoms are unresponsive to medical Rx (beta blockers, calcium channel blockers, disopyramide). 2. Patient is intolerant to medicine (meds make them feel worse).

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Phillip Rowse, MD, FACS @RowseMD

3 years ago

Severe mitral annular calcification. How do you manage this when performing MVR? Debridement with or without patch? Suture around the calcium bar? Suture into the leaflet? Suture to left atrium? Whatever you can to get a good valve in with no perileak.

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Phillip Rowse, MD, FACS @RowseMD

3 years ago

Aortic valve regurgitation repair in a Bicuspid valve. Plicate (or limited resection) to eliminate conjoined cusp redundancy, close the sub-commissural triangles (5 0 Ethibond with Teflon pledgets) and resuspend the commissures.

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Phillip Rowse, MD, FACS @RowseMD

3 years ago

Ingenuity starts with a simple idea.

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Phillip Rowse, MD, FACS @RowseMD

3 years ago

Looking at a CTA to assess candidacy for robotic mitral repair. What’s the abnormality?

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Phillip Rowse, MD, FACS @RowseMD

3 years ago

Myectomy specimen(s). I use a #10 knife blade with the aortotomy carried very low into the non-coronary sinus…what do you use?

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