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  1. 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.

  2. endocarditis and aortic valve disease. Dr. Unai has authored or co-authored nearly 100 papers published in leading medical journals, primarily focused on his surgical specialties such as endocarditis, Ozaki and Ross procedure, heart / lung transplant, and complex heart valve/root surgery.

    • (228)
    • 2.2B
    • 9500 Euclid Avenue, Cleveland, 44195, OH
  3. Soon after that Veterans Day drive to Cleveland in 2019, Dr. Unai performed a complex open-heart surgery on Jan, during which he replaced two heart valves, repaired a third valve, bypassed two blocked blood vessels and performed a Maze procedure to treat an irregular heart rhythm.

  4. 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.

    • How Important Is An Incidental Finding?
    • Thorough Evaluation Enables Informed Choices
    • CABG Is Seldom Indicated
    • Surgical Options Offered at Cleveland Clinic
    • Research Advancing on Multiple Fronts

    AAOCA and myocardial bridges can cause ischemia due to compression or kinking of the coronary artery. As a result, patients may present with fatigue, dizziness or fainting, shortness of breath, atypical chest pain or anginal symptoms. Since such symptoms can also arise from coronary atherosclerosis or aortic valve disease, teasing out the cause can...

    To assess whether an intervention is indicated, Cleveland Clinic surgeons and cardiologists conduct a variety of tests, including: 1. Coronary CT angiography to determine the course and caliber of an anomalous artery and the course and depth of a bridge within the myocardium 2. Noninvasive stress PET with dobutamine or exercise to elicit dynamic ob...

    Although Cleveland Clinic surgeons frequently see patients with AAOCA or myocardial bridges who were treated elsewhere with CABG and stents, they do not recommend this strategy unless the patient has concomitant coronary artery disease in the involved vessel. “Bypass grafts are more at risk for competitive flow in AAOCA cases, and coronary stents m...

    Electrocautery for unroofing. Over the years, the unroofing approach at Cleveland Clinic has changed from traditional sharp excision to electrical fulguration of the shared intramural wall segment (Figure 1). This method, which was developed by Cleveland Clinic surgeons, has been shown to be equally safe and effective with shorter cardiopulmonary b...

    Cleveland Clinic is a member of the Congenital Heart Surgeons’ Society AAOCA registry, a network of institutions that pools data on patients diagnosed with AAOCA up to age 30 years. To address the shortage of data on older adults, Cleveland Clinic has developed a unique long-term database and registry to follow adults with AAOCA over time. These da...

  5. Shinya Unai is a Thoracic Surgeon in Cleveland, Ohio. Dr. Unai is highly rated in 23 conditions, according to our data. His top areas of expertise are Infective Endocarditis, Endocarditis, Aortic Valve Stenosis, Aortic Valve Replacement, and Transcatheter Aortic Valve Replacement (TAVR).

  6. Nov 2, 2023 · I'm Dr. Shinya Unai. I'm the Surgical Director of Aortic Valve Center. Marc Gillinov, MD: Today we're going to talk about re-operations, operations and people who've had previous heart surgery, and at Cleveland Clinic we have the nation's largest experience with this sort of operation.

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