Search results
4.7 out of 5. 234 Patient Satisfaction Ratings. 11 Patient Comments. Call 216.445.5902. Request an Appointment. Department Thoracic and Cardiovascular Surgery. Primary Location Cleveland Clinic Main Campus. Type of Doctor Adults Only. Languages English, Japanese. Surgeon Yes.
- (228)
- 2.2B
- 9500 Euclid Avenue, Cleveland, 44195, OH
Shinya Unai, MD is a Cardiothoracic Surgeon. Read more to learn about Shinya Unai, MD's background, education, and other specialties.
- History and Presentation
- Evaluation and Initial Management
- Brain Imaging Prompts Neurovascular Intervention
- Surgical Management and Outcome
- Care That Transcends Specialties
- Tailoring Tools to An Unusual Problem
- Interrupting The Thromboembolic Cycle
A man in his 50s contacted Cleveland Clinic from out of state through its virtual second opinion program after suffering recurrent thromboembolic phenomena following his second surgical aortic valve replacement. He was connected with cardiothoracic surgeon Shinya Unai, MD. After Dr. Unai reviewed the patient’s records and spoke with him on the phon...
Upon transfer to Cleveland Clinic, the patient was admitted under the care of cardiac imaging specialists Rhonda Miyasaka, MD, and Christine Jellis, MD, PhD, in the Department of Cardiovascular Medicine, in collaboration with Dr. Unai. Consults to neurology, hematology and infectious diseases were also expedited. Advanced cardiac imaging was integr...
Subsequent urgent MRI and MR angiography of the brain and carotid arteries raised suspicion of a subocclusive calcified thrombus at the origin of the superior M2 middle cerebral artery branch with reduced blood flow to the corresponding vascular distribution and multiple small acute lacunar and cortical infarcts. Although the patient was outside th...
Angiography immediately after thrombectomy revealed patent vessel with no residual blockage or other filling defects downstream. After uneventful postprocedural monitoring, the patient was transferred to a regular nursing floor. Two days later, having had no further neurological episodes, he was cleared for the initially planned redo cardiac surger...
Although this patient initially self-referred for valve replacement, identifying and treating the underlying cause of his neurological symptoms became a priority. “If we had taken him to cardiac surgery initially with a subocclusive vascular blockage in the brain, even mild blood pressure fluctuations could have resulted in a major ischemic stroke,...
Once it was determined that cerebral flow was likely being restricted by embolized calcified valvular debris, a new set of challenges arose. “Our tools are mostly designed to remove clots,” Dr. Toth points out. “In contrast, we have no specific tools for retrieving debris.” His response was to tailor existing tools safely and efficiently to resolve...
Dr. Unai chose to replace the patient’s aortic valve with a homograft from a cadaver. “It is extremely rare for homografts to develop thrombi,” he notes. Endocarditis with root or annular abscess is the primary indication for an aortic valve homograft. In addition, homografts provide superior hemodynamics appropriate for a young and active patient ...
May 16, 2022 · Shinya Unai, MD, is a staff surgeon, and Surgical Director of the Endocarditis Center in the Cleveland Clinic Department of Thoracic and Cardiovascular Surgery. He is certified by the Japanese Boards of Cardiovascular Surgery. Dr. Unai received his medical degree from Tokyo University, Japan.
Shinya Unai, MD, is a staff surgeon, and Surgical Director of the Endocarditis Center in the Cleveland Clinic Department of Thoracic and Cardiovascular Surgery. He is certified by the Japanese Boards of Cardiovascular Surgery.
Dr. Shinya Unai, MD works in Cleveland, OH as a Cardiothoracic Surgery Specialist and has 19 years experience. They graduated from SHIATSU ACADEMY OF TOKYO in 2005.
Dr. Shinya Unai, MD, is a Thoracic Surgery specialist practicing in Cleveland, OH with 19 years of experience. This provider currently accepts 41 insurance plans. New patients are welcome....
