Our surgeons

Dr. Armand Eker

Thoracic and cardiovascular surgeon
Medical Manager. Registered as a member of the Order of Doctors of the Principality of Monaco.

Training

1980-1986 : Studied medicine at the Faculty of Medicine of Marseille-Timone.

1991 : Doctor of Medicine, Faculty Lyon-Nord, Claude Bernard University, Lyon.

1992 : Diploma of Specialised Studies in Thoracic and Cardiovascular Surgery, Faculty Lyon-Nord, Claude Bernard University, Lyon.

1992 : Qualification in Thoracic and Cardiovascular Surgery.

1993 : Diploma of Specialised Studies in General Surgery, Faculty Lyon-Nord, Claude Bernard University, Lyon.

1993 : Master in Biological and Medical Sciences: University Paris V.

1995 : Diploma of Advanced Studies in Surgical Sciences, René Descartes University, Paris V.

Career path

Hospital qualifications :
1987-1992 : Junior Doctor – Hôpitaux de Lyon
1992-1996 : Assistant Hôpitaux de Lyon, Department of Cardiovascular, Thoracic and Transplant Surgery.
1997 : Practitioner – Hôpitaux de Nice , Department of Heart Surgery.
1998 : University Hospital Practitioner – Hôpitaux de Nice.

University degrees :
1992 : Chief Physician of the Universités de Lyon, Faculty Lyon-Nord, Claude Bernard University, Lyon.
1997 : University Hospital Practitioner – Hôpitaux de Nice , Department of Heart Surgery.

Prizes :
1994 : Regional Association of Cardiology for Research in Cardiology Prize
1996 : Winner of the Antonin Poncet Prize for Experimental Surgical Research.

Academic Societies :
1993 : Member of the French-language Society of Thoracic and Cardiovascular Surgery.
1999 :Member of the French College of Thoracic and Cardiovascular Surgery.

Publications

Late survival up to 20 years after isolared coronary bypass surgery using internal mammary artery in patients with severe left ventricular dysfunction.
J Cardiovasc Surg 1994 ; 35:129-134.

Thromboembolic risk and late survival after mitral valve remplacement with the St Jude medical valve.
Ann Thorac Surg 1994 ; 58:1721-8.

Is continuous warm retrograde blood cardioplegia completely safe for coronary artery surgery ?
Eur J Cardiovasc Surg 1994 ; 8:569-575.

Antegrade/retrograde cardioplegia in arterial bypass grafting. A metabolic randomized clinical trial.
Ann Thorac Surg 1995 ; 59:456-61.

Risk and results of bypass grafting using bilateral internal mammary and right gastroepiploic arteries.
Ann Thorac Surg 1995 ; 59:955-60.

Valvular replacement for aortic stenosis on patients in NYHA class III and IV. Early and long term results.
J cardiovasc Surg 1995 ; 36:251-6.

Technical aspects and late functional results of gastroepiploic bypass grafting (400 cases).
Eur J Cardiovasc Surg 1995 ; 9:575-581.

Long-term evolution of aortic stenosis operated at an advanced stage.
Ann. Chir, 1996, 50, n°5, 374-380.

Intracardiac Air Clearing in Valvular Surgery Guided by Transesophageal Echocardiography.
The Journal Of Heart and Valve Disease 1996 ; 5:553-557.

-2- year assessment by exercise thallium scintigraphy of myocardial revascularization using bilateral mammary and gastroepiploic arteries.
European Heart Journal 1997 ; 18:305.

Long-term evaluation of restorative surgery in dystrophic mitral insufficiency.
Arch Mal Coeur 1998 ; 91:1133-8.

Does the extended used of arterial grafts compromise the myocardial recovery after coronary artery bypass grafting in left ventricular dysfunction ?
Eur J Cardiovasc Surg 1998 ; 14:353-359.

Mesenteric ischemia after coronary artery bypass grafting: Should local continuous intra arterial perfusion with Papaverine be regarded as a treeatment ?
Eur J Cardiovasc Surg 1999 ; 15:218-220.

Tumor in the Right Ventricular Outflow Tract.
Echocardiography 2009.

Aortic annulus rupture during transcatheter aortic valve implantation: safe aortic root replacement.
Eur J Cardiothorac Surg. 2012 Jan 16.

Prosthesis Migration after Percutaneous Aortic Valve Implantation.
Echography 2013 ; E1-E3

Impressive progression of coronary artery disease assessed by serial multimodality imaging in a 40 year-old patient with Behçet’s disease.
Sofiene Rekik, François Bernasconi, Armand Eker, Anne Bellemain Appaix.
International Journal of Cardiology 187 (2015) 252-255.

Endomyocardial fibrosis complicating primary hypereosinophilic syndrome.
Denis Doyen, Matthieu Buscot, Armand Eker, Jean Dellamonica.
Intensive Care Med. 2018 Dec;44(12):2294-2295. doi: 10.1007/s00134-018-5300-z. Epub 2018 Jul 13.

Reduction in cardiovascular emergency admissions in Monaco during the COVID-19 pandemic.
Enache B, Claessens YE, Boulay F, Dor V, Eker A, Civaia F, Pathak A.
Clin Res Cardiol. 2020 Dec;109(12):1577-1578. doi: 10.1007/s00392-020-01687-w. Epub 2020 Jun 12. PMID: 32533248; PMCID: PMC7291940

Percutaneous closure of paravalvular prosthetic mitral leak requiring acute hemodialysis.
Fabiola Sozzi, Franck Levy, Francois Bourlon, Nicolas Hugues, Laura Iacuzio, Philippe Rossi, Armand Eker, Marco Schiavone, Filippo Civaia.
2020 – DOI: 10.22541/au.160580215.55684874/v1

How decisive is the number of distal arterial anastomoses in coronary bypass surgery?
Journal of Cardiothoracic Surgery (2021) 16:6

Does the Addition of a Gastroepiploic Artery to Bilateral Internal Thoracic Artery Improve Survival?
Olivier J.L.Jegaden MD, PhD Fadi Farhat MD, PhD Margaux P.O.Jegaden MD Amar O.Hassan PhD Armand Eker MD Joel Lapeze MD.
2021 – https://doi.org/10.1053/j.semtcvs.2021.01.009

Is Sequential Grafting an Added Value in Coronary Bypass Surgery Using Bilateral Internal Thoracic Artery?
Olivier JL Jegaden, Amar O Hassan, Margaux PO Jegaden, Fadi Farhat, Armand Eker and Joel Lapeze.
Annals of Cardiovascular Surgery – 2021 | Volume 4 | Issue 1 | Article 1029

Influence of Prolapse Volume in Mitral Valve Prolapse
Franck Levy, MD Laura Iacuzio, MD Sylvestre Marechaux, MD, PhD Filippo Civaia, MD Carine Dommerc, MD Fabrice Wautot, MD Christophe Tribouilloy, MD, PhD Armand Eker, MD.
The American Journal of Cardiology – August 10, 2021 DOI:https://doi.org/10.1016/j.amjcard.2021.07.019

Is robotic assistance an added value in minimally invasive mitral valve surgery? A meta-analysis from propensity score-matched series.
Olivier Jegaden, Adel Al Shamry,Salah Ashafy, Alhaitham Mahdi, Armand Eker.
Asian Cardiovasc Thorac Ann – 2023 Mar 29;2184923231166352.
doi: 10.1177/02184923231166352.

Minithoracotomy versus sternotomy in mitral valve surgery: meta-analysis from recent matched and randomized studies.
Adel Al Shamry, Margaux Jegaden, Salah Ashafy, Armand Eker & Olivier Jegaden
Journal of Cardiothoracic Surgery.

Congresses and colloquia

Emergency aortic arch surgery for acute dissection. Series of 16 patients.
French-language society for thoracic and cardiovascular surgery. Paris, 21st of June 1991.

Is continuous warm retrograde blood cardioplegia completely safe for coronary artery surgery ?
XIXth European Alpine Cardiology and Cardiac Surgery Meeting.
Val d’Isère, 22-24 mars 1993.

The operative risk of mitral and aortic stenosis in severe pulmonary hypertension.
French-language society for thoracic and cardiovascular surgery. Dijon, 4th of June 1993.

Bilateral internal mammary and gastroepiploic arteries bypass grafting: an usual technique.
7th EACTS Meeting. Barcelona, 1993.

Is continuous warm retrograde blood cardioplegia completely safe for coronary artery surgery ?
7th EACTS Meeting. Barcelona, 1993.

Technical aspects and late functional results of right gastroepiploic artery (GEA) bypass to right coronary artery branches (experience with 366 cases).
XXth European Alpine Cardiology and Cardiac Surgery Meeting.
Cervinia, 7-9 mars 1994.

Myocardial revascularization with exclusive use of 2 or 3 arterial pedicles (mammary or gastroepiploic) 632 patients over 4 years.
French-language society for thoracic and cardiovascular surgery. Monte-Carlo, 2nd and 3rd of June 1994.

Technical aspects and late functional results of gastroepiploic artery bypass to right coronary artery (400 cases).
8th EACTS Meeting. The Hague, 1994.

Low potassium University of Wisconsin solution (UW) versus cold blood solution (CB) versus Eurocollins solution (EC) for lung preservation.
1st International congress on lung transplantation.
Paris, 8-9 septembre 1994.

Does the extended use of arterial grafts compromise the myocardial recovery after CABG in LV dysfunction ?
11th EACTS Meeting. Copenhagen, 1997.

-2- year assessment by exercise thallium scintigraphy of myocardial revascularization using bilateral mammary and gastroepiploic arteries.
XIXth Congress of the European Society of Cardiology.
Stockholm, 24-28 August 1997.

Video-assisted coronary bypass assisted by thoracotomy: using the Thoralift Mini-CABG system.
French-language society for thoracic and cardiovascular surgery.
St-Malo, 4th and 5th of June 1998.

Removal of a giant myxoma of the left atrium and mitral valve replacement under videoscopic control.
French-language society for thoracic and cardiovascular surgery.
St-Malo, 4th and 5th of June 1998.

Aortic valve replacement with O’Brien stentless bioprothesis in 221 cases. Is double suture technique improve on results ?
Poster. Paris, 2003.

Aortic valve replacement in small rings: interest in the use of non-stent xenografts, series of 200 patients.
French-language society for thoracic and cardiovascular surgery.
Paris, 3rd and 4th of December 2004.

Interests of the routine use of N.M.R. in cardiovascular surgery.
French-language society for thoracic and cardiovascular surgery.
Paris, 9th and 10th of December 2005.

Surgical treatment of atrial fibrillation: lessons learned from cryotherapy.
EuroPCR. Barcelona, 23 may 2007.

Aortic stenosis surgery in the nonagenarian, series of 15 patients approximately – is it madness?
French-language society for thoracic and cardiovascular surgery. Tours, 2nd-5th of June 2010.

Aortic valve replacement surgery after TAVI exists even in inoperable patients.
Marseille, 2012.

Surgical treatment of anterior and apical septal ruptures post infarction: interest and results of endo-ventricular patch exclusion
French-language society for thoracic and cardiovascular surgery. Marseille, June 13th, 2013.

Theses and monographs

1991 : Results and prognostic factors of aortic valve narrowing operated at stage III or IV of the N.Y.H.A. classification. Series of 112 patients operated from 1972 to 1990.

1992 : Modified Cabrol procedure for surgery of acute aortic dissection.

1992 : Ascending aorta replacement associated with aortic valve replacement and coronary reimplantation.

1996 : Myocardial consequences of brain death: experimental study in pigs.

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