Francisco J. Puga
Mayo Clinic
Internal medicineSurgeryCardiologyMitral valve replacementTricuspid atresiaSurvival rateFontan procedureMitral valveHeart failurePulmonary atresiaTetralogy of FallotVentriclePulmonary valveTricuspid valveStenosisValve replacementHeart diseaseAortic valvePulmonary arteryIn patientAnesthesiaMedicine
198Publications
73H-index
11.3kCitations
Publications 192
Newest
#1Arman Arghami (Mayo Clinic)H-Index: 5
#2Joseph A. Dearani (Mayo Clinic)H-Index: 95
Last. Richard C. Daly (Mayo Clinic)H-Index: 77
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Sixty years ago, at the Mayo Clinic in Rochester, Minnesota, an ambitious group of pioneers, led by Dr John W. Kirklin and supported by a multidisciplinary team of physicians and technicians embarked on a planned series of surgical cases using a heart-lung machine to allow direct visualization of the inside of the opened human heart to repair otherwise fatal congenital intracardiac defects. Their success sparked the beginning of a new era of open-heart surgery. In this historical article, we dis...
4 CitationsSource
#1Luis G. Quinonez (U of A: University of Alberta)H-Index: 10
#2Morgan L. Brown (Mayo Clinic)H-Index: 24
Last. Francisco J. Puga (Mayo Clinic)H-Index: 73
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Objective Patients with complex cyanotic congenital heart disease and a bidirectional cavopulmonary connection who are not candidates for or had failed Fontan operation may experience progressive cyanosis. An axillary arteriovenous anastomosis may be constructed to augment pulmonary blood flow. This report reviews our results with this approach in this complex group of patients. Methods The records of patients with previous cavopulmonary connections who underwent a surgical anastomosis between t...
8 CitationsSource
#1Lucian A. Durham (Mayo Clinic)H-Index: 14
#2Harold M. Burkhart (Mayo Clinic)H-Index: 53
Last. Hartzell V. SchaffH-Index: 131
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Irreparable mitral pathology may lead to early mitral valve replacement (MVR) in children. Often, a small mechanical prosthesis (<23 mm) is required, raising concerns about annular growth in patients who may eventually require subsequent mitral valve re-replacement (MVRR). The aim of this study was to evaluate interval mitral annular growth in this cohort. Between January 1972 and December 2006, 164 children underwent MVR with a mechanical prosthesis; 110 of these children (median age, 4 years; ...
3 CitationsSource
#1John M. Stulak (Mayo Clinic)H-Index: 44
#2Harold M. Burkhart (Mayo Clinic)H-Index: 53
Last. Francisco J. Puga (Mayo Clinic)H-Index: 73
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Background Excellent surgical results have been reported after repair of complete atrioventricular septal defects (CAVSD); however, 5% to 10% require reoperation. We examine causes leading to reoperation and evaluate long-term outcome. Methods Between 1972 and 2007, 50 patients (26 male) underwent reoperation at our institution after initial repair of CAVSD (median interval, 15 months; range, 3 days to 29 years). Median age at first reoperation was 4.5 years (range, 53 days to 38 years). Indicat...
19 CitationsSource
#1Andrew W. ElBardissi (Brigham and Women's Hospital)H-Index: 20
#2Joseph A. DearaniH-Index: 6
Last. Hartzell V. SchaffH-Index: 131
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Background and Purpose— Embolic events have long been thought to occur in patients with cardiac tumors secondary to embolization of tumor fragments; however, there are no large studies examining the epidemiology and occurrence of embolism in this group of patients. Methods— From 1957 to 2006, 323 consecutive patients with primary cardiac tumors were treated surgically at our institution. Of these, patients who experienced an embolic event included 80 (cerebrovascular accident 31 [9.7%], transien...
100 CitationsSource
#1Andrew W. ElBardissi (Brigham and Women's Hospital)H-Index: 20
#2Joseph A. DearaniH-Index: 6
Last. Hartzell V. SchaffH-Index: 131
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Background— Primary cardiac tumors are rare but have the potential to cause significant morbidity if not treated in an appropriate and timely manner. To date, however, there have been no studies examining survival characteristics of patients who undergo surgical resection. Methods and Results— From 1957 to 2006, 323 consecutive patients underwent surgical resection of primary cardiac tumors; 163 (50%) with myxomas, 83 (26%) with papillary fibroelastomas, 18 (6%) with fibromas, 12 (4%) with lipom...
257 CitationsSource
#1Chaim Locker (Mayo Clinic)H-Index: 8
#2Joseph A. Dearani (Mayo Clinic)H-Index: 95
Last. Francisco J. Puga (Mayo Clinic)H-Index: 73
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Background Occasionally pulmonary artery banding is necessary to reduce pulmonary arterial blood flow and pressure in patients who cannot be repaired in a single stage. Traditional extraluminal PAB can be associated with significant morbidity. We describe our technique, applications, and results of endoluminal pulmonary artery banding (EPAB) with and without creation of an aortopulmonary window (APW) for complex cardiac anomalies. Methods Thirty-two patients underwent EPAB; 20 patients had simul...
9 CitationsSource
#1Andrew W. ElBardissi (Harvard University)H-Index: 20
#2Joseph A. Dearani (Mayo Clinic)H-Index: 95
Last. Hartzell V. Schaff (Mayo Clinic)H-Index: 131
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Objective We sought to compare clinical and pathologic characteristics of ventricular tumors and to detect whether differences exist in short- and long-term survival after resection. Methods From 1964 to 2005, 323 patients had cardiac surgery for resection of primary cardiac tumors; 53 (16%) patients had primary ventricular tumors. We randomly sampled 53 characteristics of ventricular tumors. Results Patients with ventricular tumors were younger than those with atrial tumors (34.8 vs 54.6 years;...
16 CitationsSource
#1Dumbor L. Ngaage (Mayo Clinic)H-Index: 8
#2Richard C. DalyH-Index: 77
Last. Hartzell V. SchaffH-Index: 131
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BACKGROUND AND AIM OF THE STUDY: The long-term benefits of mitral regurgitation (MR) surgery in ischemic cardiomyopathy (ICM) are controversial. Herein are reported the results and trends of this surgical approach over the past 24-year period. METHODS: Patients were identified in refractory heart failure due to ICM with NYHA functional class III/IV symptoms, left ventricular ejection fraction < or =35% and MR who underwent mitral surgery between 1979 and 2002. The early and late outcomes were an...
15 Citations
#1Andrew W. ElBardissi (Mayo Clinic)H-Index: 20
#2Joseph A. Dearani (Mayo Clinic)H-Index: 95
Last. Hartzell V. Schaff (Mayo Clinic)H-Index: 131
view all 7 authors...
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