Joseph Nellis

Journal Article J Surg Res · December 2023 INTRODUCTION: Few known risk factors for certain surgical complications are prospectively analyzed to ascertain their influence on outcomes. Health systems can use integrated machine-learning-derived algorithms to provide information regarding patients' ri ... Full text Link to item Cite

Understanding and Managing Direct Operating Room Supply Costs in Cardiac Surgery.

Journal Article Ann Thorac Surg · June 2023 BACKGROUND: Value-based bundles require surgeons to understand their costs. Current approaches to cost reporting are confusing and difficult to reproduce. Using the Epic surgical receipt function, we describe an intuitive and systematic approach for evalua ... Full text Link to item Cite

Complex Repair of a Completely Fused Nullicuspid Aortic Valve Late in Adolescence.

Journal Article World J Pediatr Congenit Heart Surg · November 2021 We report a case of an 18-year-old female who presented with severe aortic stenosis and insufficiency, eight years following resection of a subaortic membrane. On echocardiography, she was found to have a completely fused or nullicuspid valve, with three e ... Full text Link to item Cite

Commentary: Two Roads Diverged in a Wood: Norwood Conduit Type and Recurrent Pulmonary Artery Interventions.

Journal Article Semin Thorac Cardiovasc Surg · 2021 Full text Link to item Cite

Anomalous Aortic Origin of a Coronary Artery Repair Through an Anterior Minithoracotomy.

Journal Article Innovations (Phila) · 2021 OBJECTIVE: The benefits of minimally invasive adult cardiac surgery are well established. Nevertheless, minimally invasive congenital cardiac procedures, even for adult patients, are uncommon. In 2018, we started repairing anomalous aortic origin of a coro ... Full text Link to item Cite

Left Anterior Mini-Incision for Pulmonary Valve Replacement Following Tetralogy of Fallot Repair.

Journal Article Innovations (Phila) · 2020 Pulmonary insufficiency is a known complication following Tetralogy of Fallot repair. With over 90% of patients now surviving to adulthood, surgeons are once again faced with the question of when, and more importantly, how to reintervene. We developed a no ... Full text Open Access Link to item Cite

Left Anterior Mini-Incision for Pulmonary Valve Replacement in a 12-Year-Old.

Journal Article Innovations (Phila) · 2020 A 12-year-old, 32 kg male with history of Tetralogy of Fallot status post repair at 8 days of life presented with progressive pulmonary insufficiency and left pulmonary artery stenosis. Surgical options were discussed, and the patient and his family electe ... Full text Open Access Link to item Cite

Borrowing from Adult Cardiac Surgeons-Bringing Congenital Heart Surgery Up to Speed in the Minimally Invasive Era.

Journal Article Innovations (Phila) · 2020 The majority of congenital and adult cardiac surgery is performed through a median sternotomy. For surgeons, this incision provides excellent exposure; however, for patients, a median sternotomy confers a poorer cosmetic outcome and the possibility of post ... Full text Open Access Link to item Cite

Minimally Invasive Pulmonary Fibroelastoma Resection.

Journal Article Innovations (Phila) · 2019 Pulmonary fibroelastomas are a rare primary cardiac tumor with less than 50 cases reported in the literature to date. We performed a minimally invasive valve-sparing tumor resection through a left anterior mini-incision (LAMI). The procedure was performed ... Full text Open Access Link to item Cite

A Minimally Invasive Approach for Placing Sew-On Epicardial Leads in the Child.

Journal Article Innovations (Phila) · 2018 Traditionally, pacing leads are placed transvenously, although smaller pediatric patients who require permanent pacemakers may benefit from delaying tranvenous lead placement until they are larger. Alternative, minimally invasive atrioventricular pacing op ... Full text Link to item Cite

Mitral valve disease

Chapter · January 1, 2018 Congenital mitral valve disease is rarely seen in isolation. It is more commonly associated with complex congenital defects, including Shone’s complex, hypoplastic left heart syndrome, transposition of the great arteries, and connective tissue diseases. Sy ... Full text Cite

Shifting Risks and Conflicting Outcomes-ECMO for Neonates with Congenital Diaphragmatic Hernia in the Modern Era.

Journal Article J Pediatr · November 2017 OBJECTIVES: To update previously described trends for neonates with congenital diaphragmatic hernia (CDH) receiving ECMO with changes in recommendations for care, and to determine how recent advancements in respiratory care have affected this patient popul ... Full text Link to item Cite

Med school students getting the business

Journal Article Physician Leadership Journal · April 3, 2017 Open Access Link to item Cite

Modeling Outcomes: Modified Aortic Arch Advancement for Neonatal Hypoplastic Arch.

Journal Article Innovations (Phila) · 2017 OBJECTIVE: Numerous surgical approaches regarding aortic arch advancement for neonatal arch hypoplasia have been described. These repairs can be classified into two categories: those that incorporate a patch and those that do not. The decision between repa ... Full text Link to item Cite

Intervention for Supravalvar Pulmonary Stenosis After the Arterial Switch Operation.

Journal Article Ann Thorac Surg · July 2016 BACKGROUND: The arterial switch operation is standard of care for infants born with dextrotransposition of the great arteries. Supravalvar pulmonary stenosis is a common complication that may require reintervention-balloon angioplasty, stenting, or surgica ... Full text Link to item Cite

Defective innate immunity and hyperinflammation in newborn cystic fibrosis transmembrane conductance regulator-knockout ferret lungs.

Journal Article American journal of respiratory cell and molecular biology · June 2015 Mucociliary clearance (MCC) and submucosal glands are major components of airway innate immunity that have impaired function in cystic fibrosis (CF). Although both of these defense systems develop postnatally in the ferret, the lungs of newborn ferrets rem ... Full text Cite