Scholars@Duke
Ziv Beckerman

Ziv Beckerman

Associate Professor of Surgery
Surgery, Cardiovascular and Thoracic Surgery

Selected Publications

Aberrant right subclavian artery intervention can provide relief of dysphagia.

Journal Article Cardiol Young · October 9, 2024 BACKGROUND: An aberrant right subclavian artery represents the most common aortic arch vascular anomaly. Conventional wisdom states that these anomalies do not result in dysphagia, but rather serve as "red herrings". Clearly, in the vast majority of cases, ... Full text Link to item Cite

Novel linkage of the Society of Thoracic Surgeons database and hospital electronic health records.

Journal Article Cardiol Young · October 8, 2024 BACKGROUND: Society of Thoracic Surgeons Congenital Heart Surgery Database is the largest congenital heart surgery database worldwide but does not provide information beyond primary episode of care. Linkage to hospital electronic health records would captu ... Full text Link to item Cite

Pulmonary embolism from right ventricular myxoma in a child with undiagnosed Carney complex.

Conference Cardiol Young · June 2024 Pediatric pulmonary embolism occurs in 8.6-57 per 100,000 hospitalised children. We report a novel case of bilateral pulmonary emboli in a child presenting with dyspnoea who was found to have large right ventricular myxoma and subsequent diagnosis of Carne ... Full text Link to item Cite

Trisomy 18: disparities of care and outcomes in the State of Texas between 2009 and 2019.

Journal Article Cardiol Young · November 2023 OBJECTIVE: To perform a statewide characteristics and outcomes analysis of the Trisomy 18 (T18) population and explore the potential impact of associated congenital heart disease (CHD) and congenital heart surgery. STUDY DESIGN: Retrospective review of the ... Full text Open Access Link to item Cite

Use of microaxial flow pumps in adolescents.

Journal Article JTCVS Tech · October 2023 OBJECTIVES: The Impella 5.5 has been successfully used in the adult population; however, safety and efficacy data in patients aged less than 18 years are limited. METHODS: Six pediatric patients, aged 13 to 16 years and weighing 45 to 113 kg, underwent axi ... Full text Link to item Cite

Hospitalisations of children and adults with Hypoplastic Left Heart Syndrome in Texas from 2009 to 2019.

Journal Article Cardiol Young · October 2023 INTRODUCTION: Hypoplastic Left Heart Syndrome accounts for a significant proportion of CHD morbidity and mortality, despite improvements in care and improved survival. This study evaluates number of, reasons for, and trends in discharges of patients with h ... Full text Link to item Cite

Outcomes of thoracic aortic interventions in Marfan syndrome in the state of Texas over 11 years.

Journal Article Interdiscip Cardiovasc Thorac Surg · August 3, 2023 OBJECTIVES: Marfan syndrome is a heritable connective tissue disorder with significant aortopathy and conveys substantial cardiovascular morbidity. This study characterizes the mortality and morbidities of thoracic aortic interventions (TAI) in the Marfan ... Full text Link to item Cite

Duty Hours on Surgery Clerkship: From Compliance Nightmare to Leadership and Professional Development Opportunity.

Journal Article J Surg Educ · June 2023 OBJECTIVE: To evaluate the impact of an innovative leadership development initiative in the core surgery clerkship that addressed duty hours compliance and time-off requests. DESIGN: A combination of deductive and inductive analysis of medical student refl ... Full text Open Access Link to item Cite

Open and endoscopic fetal myelomeningocele surgeries display similar in-hospital safety profiles in a large, multi-institutional database.

Journal Article Am J Obstet Gynecol MFM · March 2023 BACKGROUND: Open intrauterine fetal myelomeningocele repair has demonstrated decreased ventriculoperitoneal shunting and improved motor outcomes despite maternal and fetal risks. Few data directly compare the safety of open vs endoscopic approaches. OBJECT ... Full text Open Access Link to item Cite

Bicuspid aortic valve interventions in Texas—2009–2019

Journal Article AME Surgical Journal · December 2022 Full text Cite

Early diagnosis with sequencing and successful treatment of Bipolaris prosthetic valve endocarditis.

Journal Article Med Mycol Case Rep · June 2022 We present a case of a 48-year-old man with congenital bicuspid aortic valve, history of Ross procedure, prosthetic pulmonary valve and homograft with rapid molecular diagnosis and prompt surgical and medical treatment for Bipolaris fungal endocarditis wit ... Full text Open Access Link to item Cite

Arrhythmias Requiring ECMO in Infants Without Structural Congenital Heart Disease.

Journal Article Pediatr Cardiol · April 2022 Arrhythmias account for 55 per 100,000 patient evaluations in pediatric emergency departments. Most arrhythmias in children are amenable to medical management or cardioversion. Rarely, arrhythmias lead to significant hemodynamic instability requiring extra ... Full text Open Access Link to item Cite

Mental health diagnoses in hospitalized adults with congenital heart disease in the state of Texas: A 10-year review

Journal Article International Journal of Cardiology Congenital Heart Disease · March 1, 2022 Background: Adults with congenital heart disease (ACHD) face psychological challenges. Furthermore, ACHD patients experience an under-recognition of mental health disorders (MHD). Understanding the impact of MHDs on ACHD hospitalizations may better inform ... Full text Cite

Aortic dissection and ruptures in adult congenital heart disease in Texas from 2009 to 2019.

Journal Article Eur J Cardiothorac Surg · January 24, 2022 OBJECTIVES: Acute thoracic aortic dissection and rupture (TADR) has an incidence of 5-7 per 100 000-person years. Today, most children with congenital heart disease (CHD) survive to become adults with congenital heart disease (ACHD). This study evaluates T ... Full text Open Access Link to item Cite

Re-Operative Aortic Arch Surgery in a Contemporary Series.

Conference Semin Thorac Cardiovasc Surg · 2022 Re-operative aortic arch operations (REDO) following previous cardiac surgery are challenging procedures associated with significant morbidity and mortality. We investigated post-operative outcomes for patients undergoing REDO and identified risk-factors f ... Full text Link to item Cite

Acquired Sinus of Valsalva Fistula and Turner Syndrome.

Journal Article Ann Thorac Surg · October 2021 A 21-year old woman with a history of Turner syndrome presented with a diastolic heart murmur, dizziness, dyspnea, and intermittent chest pain. Preoperative imaging revealed a fistula from the right sinus of Valsalva into the right atrium. Turner syndrome ... Full text Open Access Link to item Cite

Benchmarking Outcomes: Reoperation for Aortic Valve Patient-Prosthesis Mismatch.

Conference Ann Thorac Surg · May 2021 BACKGROUND: Surgical reoperations for symptomatic aortic valve patient-prosthesis mismatch (PPM) are complex. The purpose of this research was to investigate the clinical and echocardiographic outcomes of patients who underwent reoperation for correction o ... Full text Link to item Cite

Trends in adult congenital heart disease hospitalization in Texas over the past decade

Journal Article International Journal of Cardiology Congenital Heart Disease · May 1, 2021 Background: There are more than 1.4 million adult congenital heart disease (ACHD) patients estimated in the United States. As this population continues to grow, as will their utilization of the healthcare system. Objectives: This study aims to analyze tren ... Full text Cite

Commentary: How to avoid early Fontan failure?

Journal Article J Thorac Cardiovasc Surg · April 2021 Full text Open Access Link to item Cite

Anomalous Aortic Origin of a Coronary Artery: Surgical Emergency?

Journal Article Ann Thorac Surg · October 2020 Anomalous aortic origin of a coronary artery is a congenital condition associated with sudden cardiac death. There are no current recommendations for the acute management and urgency for this patient population. This manuscript describes and discusses two ... Full text Link to item Cite

Sickle Cell-Related Complications in Patients Undergoing Cardiopulmonary Bypass.

Journal Article World J Pediatr Congenit Heart Surg · September 2020 BACKGROUND: We aimed to describe our experience with patients with sickle cell trait (SCT) and undergoing surgery on cardiopulmonary bypass (CPB). METHODS: Data on all patients with SCT or sickle-α thalassemia who underwent surgery on CPB were collected (1 ... Full text Link to item Cite

Rare Presentation of Endocarditis and Mycotic Brain Aneurysm.

Journal Article Ann Thorac Surg · March 2020 Bartonella endocarditis can be an elusive diagnosis. The clinical manifestations can vary and, at times, include multiorgan involvement. This case report describes 2 patients who presented with multiorgan failure, cerebral mycotic aneurysms, and valvular e ... Full text Link to item Cite

Commentary: Double-outlet right ventricle—Toward an individualized road map

Journal Article Journal of Thoracic and Cardiovascular Surgery · January 1, 2020 Full text Cite

Interrupted Aortic Arch in a Patient with Patient-Prosthesis Mismatch after Aortic Valve Replacement

Journal Article AORTA · October 1, 2019 This case presents a patient who underwent aortic valve replacement and presented 13 years later with high gradients across the prosthesis, mitral insufficiency, and severe systemic hypertension. Her preoperative workup led to the diagnosis of an interrupt ... Full text Cite

Doctor, what would you have done if you were in my place?

Journal Article Shanghai Chest · March 1, 2019 Full text Cite

Tracheobronchomalacia: Does One Size Fit All?

Journal Article Semin Thorac Cardiovasc Surg · 2019 Full text Link to item Cite

Size matters: How low should we go?

Journal Article J Thorac Cardiovasc Surg · January 2019 Full text Link to item Cite

High incidence of late infective endocarditis in bovine jugular vein valved conduits.

Journal Article J Thorac Cardiovasc Surg · August 2018 BACKGROUND: Bovine jugular vein (BJV) grafts (Medtronic, Inc, Minneapolis, Minn) are used to restore right ventricle-to-pulmonary artery continuity. Recent studies have associated these grafts with the development of infective endocarditis. The purpose of ... Full text Link to item Cite

Cannulation strategy for centrifugal-flow ventricular assist device implantation late after arterial switch operation.

Journal Article Interact Cardiovasc Thorac Surg · March 1, 2018 The field of paediatric ventricular assist device (VAD) support is growing rapidly. Among paediatric patients, those with complex congenital heart disease represent a challenging population for VAD support. This report describes a patient with a remote his ... Full text Link to item Cite

Teaching congenital heart disease: A new era?

Journal Article J Thorac Cardiovasc Surg · June 2017 Full text Link to item Cite

Surgical Treatment of Acute Massive Pulmonary Embolism.

Journal Article Adv Exp Med Biol · 2017 Massive pulmonary embolism (MPE) is a life-threatening condition. The management of MPE has changed over the course of the last few years. Since the emergence of thrombolytic therapy, only a few patients remain amenable for surgical treatment. Currently, s ... Full text Link to item Cite

A novel amiodarone-eluting biological glue for reducing postoperative atrial fibrillation: first animal trial.

Journal Article J Cardiovasc Pharmacol Ther · September 2014 OBJECTIVE: Postoperative atrial fibrillation (POAF) is the most common complication after cardiac surgery, leading to increased morbidity and mortality. The aim of this preliminary study was to evaluate a novel drug delivery system for local release of ami ... Full text Link to item Cite

A novel emboli protection cannula during cardiac surgery: in vitro results.

Journal Article J Thorac Cardiovasc Surg · August 2014 OBJECTIVE: Intraoperative cerebral events are mainly caused by emboli generated by operative manipulation of the aorta. This study aimed to delineate the distribution profiles of emboli with 2 widely used cannulae and a third novel research cannula that si ... Full text Link to item Cite

Novel emboli protection cannula during cardiac surgery: first animal study.

Journal Article Asian Cardiovasc Thorac Ann · January 2014 BACKGROUND: Stroke after open heart surgery is a major cause of morbidity and mortality. Up to 60% of intraoperative cerebral events are caused by emboli generated by manipulations of the aorta during surgery. This is the first animal study evaluating the ... Full text Link to item Cite

Valve-in-valve in the tricuspid position for a stenosed bioprosthesis.

Journal Article Heart Surg Forum · April 2013 The strategy of transcatheter valve-in-valve implantation into failing mitral and aortic bioprosthetic valves is a documented approach. It allows one to avoid performing a high-risk repeat cardiac surgery in elderly patients with multiple comorbidities. Tr ... Full text Link to item Cite

Coronary artery bypass grafting after aprotinin: are we doing better?

Journal Article J Thorac Cardiovasc Surg · January 2013 OBJECTIVE: Cardiac surgery patients are treated with antifibrinolytic agents to reduce intra- and postoperative bleeding. Until 2007, lysine analogues (aminocaproic acid and tranexamic acid) and serine protease inhibitors (aprotinin) were recommended. In 2 ... Full text Link to item Cite