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Fortunately, the procedure performed a few days later by thoracic and cardiovascular surgeon Shinya Unai, MD, effectively ended Jan’s decade-long battle with heart disease.
- 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...
Younan Nowzaradan (Persian: یونان نوزرادان; born October 11, 1944), [1] also known as Dr. Now, is an Iranian-born American doctor of Assyrian heritage, TV personality, and author. He specializes in vascular surgery and bariatric surgery.
Oct 28, 2023 · Dr. Now may be a national television sensation in America, but he's far from local. His exact ethnicity is Assyrian Iranian-American, as nearly eight decades ago, he was born and bred in Tehran...
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.
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.
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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.
