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Philicia Moonsamy
Harvard University
SurgeryCardiologyAortic valve replacementMitral valve repairMedicine
15Publications
3H-index
897Citations
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Publications 19
Newest
Abstract Objective Patients undergoing surgical aortic valve replacement (SAVR) are at risk of developing prolonged atrial fibrillation (AF) after surgery. Prophylactic interventions such as left atrial appendage amputation (LAAA) and pulmonary vein isolation (PVI) impose cost and operative risk, discouraging routine use. To guide such interventions, we investigated preoperative predictors of AF. Methods A retrospective analysis was performed on patients undergoing SAVR between 2011 and 2017. Pa...
2 CitationsSource
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#1Andrea L. Axtell (Harvard University)H-Index: 4
#2Philicia Moonsamy (Harvard University)H-Index: 3
Last. Mauricio A. Villavicencio (Harvard University)H-Index: 5
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#1Andrea L. Axtell (Harvard University)H-Index: 4
#2Masaki Funamoto (Harvard University)H-Index: 4
Last. Gaston A. Cudemus (Harvard University)H-Index: 1
view all 9 authors...
Objective The use of Extracorporeal Membrane Oxygenation as a rescue strategy during cardiopulmonary resuscitation (ECPR) is increasingly being used for non-responders to conventional CPR. To identify patients most likely to benefit from ECPR, we investigated predictors of hospital discharge with good neurologic function. Design Retrospective cohort analysis Setting Single institution academic medical center Participants Patients Interventions Venoarterial-ECMO initiation for refractory witnesse...
1 CitationsSource
#1Andrea L. Axtell (Harvard University)H-Index: 4
#2Philicia Moonsamy (Harvard University)H-Index: 3
Last. Serguei Melnitchouk (Harvard University)H-Index: 11
view all 6 authors...
Abstract Background To review the efficacy of a minimally invasive surgical technique for mitral valve (MV) repair, we analyze a non-resectional technique for degenerative mitral regurgitation (DMR). Methods A retrospective analysis was performed on 101 consecutive patients who underwent a minimally invasive MV repair for severe DMR between 2014–2017. All patients underwent a right lateral mini-thoracotomy and femoral cannulation and were repaired via a non-resectional technique using neochord l...
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#1Philicia Moonsamy (Harvard University)H-Index: 3
#2Navyatha Mohan (Harvard University)
Last. Serguei Melnitchouk (Harvard University)H-Index: 11
view all 3 authors...
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#1Jordan P. Bloom (Harvard University)H-Index: 4
#2Philicia Moonsamy (Harvard University)H-Index: 3
Last. David A. D'Alessandro (Harvard University)H-Index: 19
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Abstract Objective The impact of staff turnover during cardiac procedures is unknown. Accurate inventory of sharps (needles/blades) requires attention by surgical teams and sharp count errors (SCEs) result in delays, can lead to retained foreign objects and may signify communication breakdown. We hypothesized that increased team turnover raises the likelihood of SCEs and may negatively affect patient outcomes. Methods All cardiac operations performed at our institution from May 2011 to March 201...
3 CitationsSource
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#1Andrea L. Axtell (Harvard University)H-Index: 4
#2Philicia Moonsamy (Harvard University)H-Index: 3
Last. Thoralf M. Sundt (Harvard University)H-Index: 95
view all 9 authors...
Abstract Objective There is growing concern over the impact of fatigue and long work hours on patient safety. Our objective was to determine the perioperative outcomes and hospital costs associated with starting non-emergent cardiac surgical cases after 3pm. Methods A retrospective analysis was performed on adult patients who underwent elective coronary artery bypass or valve surgery at our institution between July 2011-March 2018. Cases were defined as “late start” if the incision time was afte...
2 CitationsSource
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