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Dr.Macherla is a Thoracic and Vascular Surgeon specializing in Minimally-Invasive Thoracic surgery, Robot Assisted Thoracic Surgeries ,Repair of Thoracic aneurysms,Debranching procedures and Aortic dissections with Endoluminal grafting. Dr. Murali Macherla is an affiliated member of Arizona Cardiovascular & Thoracic Surgeons PLLC. Dr. Murali Macherla is Board certified in both General and Cardiothoracic surgery.He practices in Banner Boswell,Del webb, Honor Health and Abrazo Facilities.He was a part of the Cardiovascular team at South East Missouri Hospital.The Vascular surgery program was ranked No. 1 in 2011,and received a five-star ranking in carotid surgery from Healthgrades for three consecutive years as well. Beyond his Surgical work, Dr. Murali Macherla has delivered multiple presentations on topics such as Thoracic Endografting and Blunt Aortic Trauma,at Society of Thoracic Surgeons and Western Regional Trauma Conference.Upon finishing his General surgery residency, Dr. Macherla completed his Thoracic surgery Residency at the University of New Mexico. He also completed an Endovascular fellowship at the Arizona Heart Institute.

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Valley Fever - A Rare Fungal Infection of US Desert Regions.

Serving patients in the Phoenix community, Murali Macherla, MD, works at Arizona Chest and Vascular Surgeons, PLLC. Knowledgeable about various Thoracic ailments, Murali Macherla, MD, has treated valley fever with lung lesions also known as coccidioidomycosis, this fungal infection is most common in Southwest desert regions.

Caused by inhalation of fungal particles into the lungs, the disease is associated with soil disruptions due to wind, agriculture, and construction work. Once the cocci spores are in the lungs, they expand into spherules, or multi-cellular structures. These grow and burst, which in turn releases endospores that begin the reproductive cycle again.

Rare and not contagious, valley fever typically manifests as manageable fatigue and flu-like symptoms within three weeks of contraction. However, a small percentage of patients may develop debilitating infections that spread to the skin, bones, and brain. Should it reach the brain, the condition is known as meningeal infection and may necessitate antifungal treatment to avoid risk of fatal outcome. Lung Complications of this dreaded infection will require Surgical intervention.

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Aortic Dissection - A tear in the Inner large of a large blood vessel.

Murali Macherla, MD, is a Surgeon who delivers a range of open surgical and Endo vascular interventions to patients with vascular and Thoracic diseases. One of Murali Macherla, MD’s areas of expertise is Aortic Dissection, a serious condition that involves a tear in the aorta’s inner layer.

As blood flows through the tear, the middle and inner layers of the aorta begin to dissect, or split apart. This leads to blood leaking to the outside of aortic wall, and is frequently fatal. The cause of aortic dissection is often high Blood pressure, and there are two basic types, A and B. The latter develops in the descending aorta’s lower region and can extend into the abdomen. Type A dissection is considered riskier and develops at the spot where the aorta leaves the heart. A tear here has the potential of reaching the aorta’s descending section and requires emergent surgery.

Symptoms of aortic dissection may be similar to those of Myocardial infarction, including chest pain, and shortness of breath. There may also be a sudden upper back or chest pain that either spreads down the back or stops at the neck. The sensation is often described as something ripping or tearing. Type A dissection needs emergent surgery as mortality is high without timely intervention. Type B may require an endovascular or open repair.

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Increased Robotics Use in Surgery

Murali Macherla, MD, is a Thoracic and Vascular surgeon with Arizona Chest and Vascular Surgeons in Sun city and Scottsdale , Arizona. The conditions he deals with include lung cancer, esophageal cancer, thoracic ,Abdominal and visceral artery aneurysms, . Murali Macherla, MD, is experienced in minimally invasive surgery and Robotic surgery. Robotic surgeries or robot-assisted surgeries have risen in use in recent years for the treatment of many conditions. This equipment can be seen used most in minimally invasive surgery, but is growing in adoption for traditional surgeries. Increasing adoption of robots in surgical procedures to minimize the postoperative pain and the duration of post procedure hospitalization. There are reasons for this trend. One of them is the precision robots are capable of during surgical procedures. This 3 D visualization and precision of the robotic arms helps to access and visualize deeper areas in human body. The 3D cameras on most robotic surgical systems improve the visibility of the surgical area.. Robotic surgery has gained more acceptance among Thoracic surgeons and its usage in many complex Thoracic surgeries.

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An Overview of Lung Cancer VATS

Thoracic and Vascular surgeon Murali Macherla, MD, at the Arizona Chest and Vascular Surgeons PLLC, specializes in Lung ,Esophageal cancer and Gastroesophageal reflux disease, Robot-assisted Thoracic surgery, and Video-assisted Thoracic surgery (VATS)..Murali Macherla, MD’s other areas of focus include Endovascular repairs Thoracic Aneurysms, Abdominal Aneurysms, Dissections.

Video-assisted thoracic surgery (VATS), is a minimally invasive procedure frequently adopted by Surgeons in treating early-stage lung cancers. The incisions are small, and patients who undergo VATS have shorter stays at the hospital while experiencing fewer complications, compared to a thoracotomy. When treating lung cancers, doctors use a Thoracoscope (a special video camera ,used in surgery to see structures in the Thoracic cavity during surgery). Most surgeons recommend this treatment only for early-stage lung tumors. This procedure requires extensive skill and experience.. Before undergoing VATS, the patient will need to stop taking certain medicines, such as blood thinners. Furthermore, patients should stop smoking at least 2 weeks before surgery. Patient's who stop smoking weeks before the surgery have decreased pulmonary post-operative complications.

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The Causes and Symptoms of Type B Aortic Dissection

Serving patients in Phoenix, Arizona, Murali Macherla, MD, utilizes Surgical and Endovascular pathways in treating conditions that range from Thoracic Aneurysms and Dissections. One condition that Murali Macherla, MD, has extensive experience with is Type B aortic dissection Endovascular repairs. Potentially fatal if left untreated, Aortic dissection involves a tear in the wall of the body’s main artery which branches after leaving off the heart and drops down through the Thorax to the Abdomen. With the Aorta wall containing three layers, a tear results in blood intruding between the Aorta’s middle and outer most layers, which can cause them to separate (dissect). The type A dissection centers on the Aorta’s ascending portion, at the point where it branches from the heart, while the type B dissection involves a tear developing in the descending part of the Aorta that can extend as far as the Abdomen or lower. With males above the age of 60 at particularly high risk, a common cause is increased blood pressure, with other risk factors including pre-existing aneurysm, smoking, and atherosclerosis. Genetic traits such as Marfan’s syndrome can also be responsible, as can traumatic chest injury. Symptoms of Type B dissection are similar to a heart attack and include a severe, tearing sense of chest or back pain, as well as shortness of breath and possible loss of consciousness. Early diagnosis is critical in initiating a medical response that includes blood pressure lowering medications to minimize complications. Endovascular repair of suitable Type B dissections can be done with decreased Morbidity , Mortality.