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Faculty Detail    
Name SILVIO HECTOR LITOVSKY
Professor 		 
Campus Address HSB 175G Zip 6823
Phone  (205) 996-5410
E-mail  slitovsky@uabmc.edu
Other websites
     


Faculty Appointment(s)
Appointment Type Department Division Rank
Primary  Clinical Pathology  Anatomic Pathology Professor
Center  Comprehensive Cardiovascular Ctr  Comprehensive Cardiovascular Ctr Professor
Center  Minority Health & Research Center  Minority Health & Research Center Professor
Center  Nephrology Research & Training Center  Nephrology Research & Training Center Professor

Graduate Biomedical Sciences Affiliations
Molecular and Cellular Pathology Program 

Biographical Sketch 
Following clinical cardiology training in Buenos Aires, Argentina under Drs. Mauricio Rosenbaum and Marcelo Elizari, I arrived to the Masonic Medical Research Laboratory in Utica, New York where Dr. Charles Antzelevitch and I described the electrophysiological heterogeneity in the active properties of the canine myocardium. Specifically, we described a prominent transient outward current in the epicardium that is largely missing in the endocardium. These findings were later confirmed in the human heart. This and other heterogeneities that were described later, likely contribute to the genesis of several important electrophysiologic syndromes, such as Brugada syndrome and long QT syndrome. After completion of a pathology residency in SUNY HSC at Syracuse, cardiovascular pathology fellowships at the Armed Forces Institute of Pathology under Dr. Renu Virmani, The Jesse Edwards Registry of Cardiovascular Disease under Drs. Jack Titus and Alan Rose, and the Cardiac Registry at Boston Children’s Hospital under Dr. Richard Van Praagh, I joined the research group at the University of Texas Houston and Texas Heart Institute led by Drs. James Willerson and Ward Casscells. We worked in the fields of influenza and atherosclerosis describing a possible mechanism for the deleterious effect of influenza on the outcomes of atherosclerosis, the likely contribution of peri-adventitial fat on the plaque inflammation, plaque calcification and on models of stem cell treatment of coronary ischemia and infarction in the dog. I arrived at UAB in 2004 and I was able to combine service work in the autopsy and heart biopsy service, teaching as the co-director of the cardiovascular module and research collaborating with several outstanding UAB investigators. In addition, I have been the treasurer of the Society for Cardiovascular Pathology since 2007 and Alabama State Commissioner for the College of American Pathologists since 2008.

Society Memberships
Organization Name Position Held Org Link
Society of Cardiovascular Pathology, United States and Canadian Academy of Pathology, Cardiac Electrophysiologic Society, College of American Pathologists     
 



Research/Clinical Interest
Title
Description
We study with Dr. Dell’Italia’s group the effect of volume overload pathologies like mitral regurgitation on the myocytes structure even before the global function of the heart deteriorates. We are studying the Purkinje fibers distribution in dogs and pigs to try to gain further insight into the findings of Dr. Ideker and collaborators who described significant differences between the ventricular fibrillation of animals where the Purkinje fiber is restricted to the subendocardium (e.g. dog) and animals with transmural Purkinje distribution (e.g. swine). The periadventitial fat is being studied with Drs. Hardy and Garvey for adiponectin and inflammation in surgical samples obtained by the cardiothoracic group to gain insight into the mechanisms of acute coronary syndromes. The preferential anatomic distribution of arrhythmias arising in the left ventricular ostium is being studied in heart specimens obtained at autopsy with Drs. Kay and Yamada. These two investigators have highlighted the importance of arrhythmias arising in the base of the heart, in close continuity with the aortic and mitral valves. With Dr. Michael Allon we study the potential effect of preoperative histology of the vascular anastomotic tissue on the outcomes of arteriovenous fistulas and grafts used in hemodialysis. With Dr. Greg Walcott we study the effect of electrical shocks and different electrodes on the myocardium.

Selected Publications 
Publication PUBMEDID
Madjid M, Naghavi M, Litovsky SH, Casscells SW. Influenza as a bioweapon. J R Soc Med 2003;96:345-6   
Naghavi M, Falk E, Libby P, Virmani R, Casscells W, Litovsky SH, Madjid M, Moreno P, Zarrabi A, Badimon J, Muller J, Pasterkamp G, Shah P, Schwartz R, Stone P, Raggi P, Waxman S, Mehran R, Fitzgerald P, Siscovick D, Aikawa M, Becker C, Chesebro J, de Korte C, Hansson G, Farb A, Fayad Z, Galis Z, Jackson C, Lodder R, Navab M, Rekher M, Saloner D, Stefanadis C, Yuan C, Bahr R,Grundy S, Serruys P, Zipes D, Airaksinen J, Priori S, Koening W, Ridker P, Willerson JT. From vulnerable plaque to vulnerable patient: a call for new definitions and risk assessment strategies (part I). Circulation 2003;108:1664-72   14530185 
Naghavi M, Falk E, Libby P, Virmani R, Casscells W, Litovsky SH, Madjid M, Moreno P, Zarrabi A, Badimon J, Muller J, Pasterkamp G, Shah P, Schwartz R, Stone P, Raggi P, Waxman S, Mehran R, Fitzgerald P, Siscovick D, Aikawa M, Becker C, Chesebro J, de Korte C, Hansson G, Farb A, Fayad Z, Galis Z, Jackson C, Lodder R, Navab M, Rekher M, Saloner D, Stefanadis C, Yuan C, Bahr R, Grundy S, Serruys P, Zipes D, Airaksinen J, Priori S, Koening W, Ridker P, Willerson JT. From vulnerable plaque to vulnerable patient: a call for new definitions and risk assessment strategies (part II). Circulation 2003;108:1772-8  14557340 
Madjid M, Naghavi M, Litovsky SH, Casscells SW. Influenza and cardiovascular disease: A new opportunity for prevention and the need for further studies. Circulation 2003;108:2730-6  14610013 
Madjid M, Aboshady I, Awan I, Litovsky SH, Casscells SW. Influenza and cardiovascular disease: is there a causal relationship? Tex Heart Inst J 2004:31:4-13  15061620 
Madjid M, Litovsky S, Vela D, Casscells SW. Influenza vaccination: An emerging opportunity to prevent cardiovascular disease. International Congress Series, 2004, 1263:678-81   
Madjid M, Zarrabi A, Litovsky S, Willerson JT, Casscells W. Finding vulnerable atherosclerotic plaques: Is it worth the effort? Arterioscler Thromb Vasc Biol 2004;24:1775-82  15308556 
Cherukuri P, Bachilo SM, Litovsky SH, Weisman RB. Near-infrared fluorescence microscopy of single- walled carbon nanotubes in phagocytic cells. J Am Chem. Soc. 2004;126:15638-9  15571374 
Brazdeikis A, Chu CW, Cherukuri P, Litovsky SH, Naghavi M. Changes in magnetocardiogram patterns of infracted-reperfused myocardium after injection of superparamagnetic contrast media. Neurol Clin Neurophysiol 2004:16   16012681 
Silva GV, Litovsky SH, Assad JA, Sousa AL, Martin BJ, Vela D, Coulter SC, Lin J, Ober J, Vaughn WK, Branco RV, Oliveira EM, He R, Geng YJ, Willerson JT, Perin EC. Mesenchymal stem cell differentiate into an endothelial phenotype, enhance vascular density, and improve heart function in a canine chronic ischemic model. Circulation 2005;111:150-6  15642764 
George JF, Pinderski LJ, Litovsky SH, Kirklin JK. Of mice and men; mouse models for investigation of the molecular mechanism of post-transplant coronary artery disease. J Heart Lung Transplant 2005, 24:2003-14  16364842 
Litovsky SH, Henderson J, Tallaj JA, McGiffin DC, Rayburn BK, Pamboukian SV, Benza RL, Bourge RC, Kirklin JK, Pinderski LJ: Acute takeoff of the right coronary artery with long intra-aortic wall course presenting as chronic occlusion in a patient with end-stage heart failure. J Heart Lung Transplant 2006;25:740-2

 		 16730585 
Knight CS, Litovsky SH, Bennett Pearce F, Faye-Petersen O. Pulmonary atresia with intact ventricular septum associated with congenitally corrected transposition. Presentation of a case and review of the literature. Pediatr Cardiol 2006;27:741-5

 		 17091327 
Madjid M, Vela D, Khalili-Tabrizi H, Casscells SW, Litovsky SH. Systemic infections cause exaggerated inflammation in atherosclerotic human coronary arteries: A clue to the triggering effect of acute infections on acute coronary syndromes. Texas Heart Inst J. 2007;34:11-18

 		 17420787 
Howard JH, Litovsky SH, Tallaj JA, Liu X, Holman WL. Xenograft calcification in Reiter’s syndrome. The Journal of Heart Valve Disease 2007;16:159-61

 		 17484465 
Vela D, Buja LM, Madjid M, Burke A, Naghavi M, Willerson JT, Casscells SW, Litovsky SH. Periadventitial fat in atherosclerosis: an adipose subset with potential diagnostic and therapeutic implications. Arch Pathol Lab Med 2007;131:481-7   17516753 
Perin EC, Silva GB, Assad JA, Vela D, Buja LM, Sousa AL, Litovsky SH, Lin J, Vaughn WK, Coulter S, Fernandes MR, Willerson JT. Comparison of intracoronary and transendocardial delivery of allogeneic mesenchymal cells in a canine model of acute myocardial infarction. J Mol Cell Cardiol 2008;44:486-95  18061611 
Vela D, Buja LM, Litovsky SH. In reply. Arch Pathol Lab Med 2007;131:1766-7

 		  
Sethuraman S, Amirian JH, Litovsky SH, Smalling RW, Emelianov SY. Ex vivo characterization of atherosclerosis using intravascular photoacoustic imaging. Opt Express 2007;15:16657-66

 		 19550952 
Sharma PP, Payvar S, Litovsky SH. Histomorphometric analysis of intramyocardial vessels in primary and senile amyloidosis: epicardium versus endocardium. Cardiovas Pathol 2008;17:65-71
 		 18329550 
Sethuraman S, Amirian JH, Litovsky SH, Smalling RW, Emelianov SY. Spectroscopic intravascular photoacoustic imaging to differentiate atherosclerotic plaques. Opt Express 2008;16:3362-7
 		 18542427 
Ruzsics B, Suranyi P, Kiss P, Brott BC, Singh SS, Litovsky SH, Aban I, Lloyd SG, Simor T, Elgavish GA, Gupta H: Automated multidetector computed tomography evaluation of subacutely infarcted myocardium. J Cardiovasc Comput Tomogr 2008;2:26-32
 		 19083913 
Reilly SD, Litovsky SH, Steinkampf MP, Caulfield JB. Statins improve atherosclerotic plaque morphology. Texas Heart Inst J 2008;35:99-103
 		 18612439 
Ruzsics B, Suranyi P, Kiss P, Brott BC, Litovsky SH, Denney TS, Aban I, Simor T, Elgavish GA,Gupta H. Myocardial strain in sub-acute peri-infarct myocardium. Int J Cardiovasc Imaging 2009;25:151-9
 		 18855121 
Knight CS, Tallaj JA, Rayburn BK, Pamboukian SV, Bourge R, Kirklin JK, McGiffin D, Litovsky SH: Bradycadia and syncope as a presentation of cardiac allograft rjection involving the conduction system. Cardiovas Pathol 2010;19:117-20
 		 19144548 
Yamada T, Litovsky SH, Kay GN: The left ventricular ostium: An anatomic concept relevant to idiopathic ventricular arrhythmias. Circ Arrhythmia Electrophysiol 2008;1:396-404,
 		 19808434 
Haidari M, Wyde PR, Litovsky SH, Vela D, Ali M, Casscells SW, Madjid M. Influenza virus directly infects, inflmes and resides in the arteries of atherosclerotic and normal mice. Atherosclerosis 2010;208:90-6
 		 19665123 
Wang B, Su J, Amirian J, Litovsky SH, Smalling R, Emelianov S: On the possibility to detect lipid in atherosclerotic plaqes using intravascular photacoustic imaging. Conf Proc IEEE Eng Med Biol Soc 2009;1:4767-70
 		 19964847 
Desai RV, Gupta R, Litovsky SH, Nath H, Gupta H, Singh SP, Evanochko WT, Knobloch JE, Lloyd SG. X-ray angiography and magnetic resonance imaging to distinguish interarterial from septal courses of anomalous left coronary artery: an ex vivo heart model. J. Invasive Cardiol. 2009;21:648-52
 		 19966369 
Wang B, Su JL, Amirian J, Litovsky SH, Smalling R, Emelianov S: Detection of lipid in atherosclerotic vessels using ultrasound-guided spectroscopic intravascular photoacoustic imaging. Optic Express 2010;18:4889-97

 		 20389501 
Ahmed MI, Gladden JD, Litovsky SH, Lloyd SG, Gupta H, Inusah S, Denney T, Powell P, McGiffin DC, Dell’Italia LJ: Increased oxidative stress and myofibrillar degeneration in patients with chronic isolated chronic mitral regurgitation and ejection fraction >60%. J Am Coll Cardiol 2010;55:671-9  20170794 
Kirschner R, Toth L, Varga-Szemes A, Simor T, Suranyi, Kiss P, Ruzsics, Toth A, Baker R, Brott BC, Litovsky SH, Elgavish A, Elgavish GA: Differentiation of acute and four-week old myocardial infarct with Gd(ABE-DTTA)-enhanced CMR. J Cardiovasc Magn Reson 2010;7:12-22
 		 21546192 
Yamada T, Doppalapudi H, McElderry HT, Okada T, Murakami Y, Inden Y, Yoshida Y, Yoshida N,Murohara T, Epstein AE, Plumb VJ, Litovsky SH, Kay GN: Electrocardiographic and electrophysiological characteristics in idiopathic ventricular arrhythmias originating from the papillary muscles in the left ventricle: relevance for catheter ablation. Circ Arrhythm Electrophysiol.
2010;3:324-31

 		 20558848 
Allon M, Litovsky SH, Young CJ, Deierhoi MH, Goodman J, Hanaway M, Lockhart ME, Robbin ML: Medial fibrosis, vascular calcification, intimal hyperplasia, and arteriovenous fistula maturation. Am J Kidney Dis. 2011;58:437-43  21719173 
Kirschner R, Vargas-Szemes A, Brott BC, Litovsky S, Elgavish A, Elgavish GA, Simor T:Quantification of myocardial viabitlity distribution with Gd(DTPA) bolus-enhanced, signal intensity-based percent infarct mapping. Magn Reson Imaging. 2011;29:650-8  21546192 
Pearce FB, Litovsky SH, Dabal RJ, Robin N, Dure LJ, George JF, Kirklin JK. Pathologic features of dilated cardiomyopathy with localized noncompaction in a child with deletion 1p36 syndrome. Congenit Heart Dis. 2012;7:59-61  21492410 
Gladden JD, Ahmed MI, Litovsky SH, Schiros CG, Lloyd SG, Gupta H, Denney TS jr., Darley-Usmar V, McGiffin DC, Dell’Italia LJ: Oxidative stress and myocardial remodeling in chronic mitral regurgitation. Am J Med Sci 2011;342:114-9   21795957 
Admaski J, Hanna C, Reddy V, Litovsky SH, Evans C, Marques M: Multiorgan failure and bone marrow necrosis in three adults with Sickle cell-β+-Thalassemia. Am J Hematol 2012;87:621-4  22374850 
Wang B, Karpiouk A, Yeager D, Amirian J, Litovsky S, Smalling R, Emelianov S: Intravascular photoacoustic imaging of lipid in atherosclerotic plaques in the presence of luminal blood. Opt Lett 2012;37:1244-6  23069134 
Wang B, Karpiouk A, Yeager D, Amirian J, Litovsky S, Smalling R, Emelianov S: In vivo intravascular ultrasound-guided photoacoustic imaging of lipid in plaques using an animal model of atherosclerosis. Ultrasound Med Biol 2012;38:2098-103  23069134 
Acharya D, Litovsky S, Papapietro SE, Pamboukian SV, Tallaj JA: Coronary artery fistula after cardiac transplantation. Circulation 2012;126:2144-5   2309087 
Alston EA, Brotta BC, Misra VK, Athanasuleas CL, Anderson PG, Litovsky SH: Histologic analysis of a covered stent implanted for pseudoaneurysm in a coronary artery. Cardiovasc Pathol 2013;22:e19-21   23478012 
Allon M, Litovsky S, Young CJ, Deierhoi MH, Goodman J, Hanaway M, Lockhart ME, Robbin ML: Pre-existing vascular pathology correlation with arteriovenous graft outcomes in hemodialysis patient. Am J Kidney Dis 2013;62:1122-9  23746379 
Killingsworth CR, Melnik SB, Litovsky SH, Ideker RE, Walcott GP: Evaluation of acute cardiac and chest wall damage after shocks with a subcutaneous implantable cardioverter-defibrillator in swine. Pacing Clin Electrophysiol.2013:36:1265-72   23713608 
Allon M, Robbin ML, Young CJ, Deierhoi MH, Goodman J, Hanaway M, Lockhart ME, Litovsky S:Preoperative venous intimal hyperplasia, postoperative arteriovenous sistula stenosis, and clinical fistulas outcomes. Clin J Am Soc Nephrol.2013;8:1750-5
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Keywords
Periadventitial Fat, Volume Overload, Purkinje Fibers, Left Ventricular Ostium, arteriovenous fistula, arteriovenous graft