Our surgical services for disease-specific conditions include the following:
Coronary Artery Disease
- Routine off-pump coronary artery bypass (OPCAB) using arterial conduits (bilateral internal mammary arteries, radial arteries)
- Routine endoscopic vessel harvest (radial and saphenous vein)
- Routine avoidance of aortic manipulation and clamping (HeartString and pedicled conduits)
- Transmyocardial revascularization (TMR) - concomitant to CABG and stand alone for refractory angina
- Hybrid revascularization strategies (PCI + minimally invasive CABG) in selected patients
Mitral Valve Disease
- Mitral valve repair for the vast majority of pure mitral regrurgitation (MR) patients including bileaflet prolapse, rheumatic disease and acute endocarditis
- Concomitant valve repair in CABG patients with 2-3+ MR using ischemic MR-specific ring
- Minimally-invasive mitral surgery in selected patients
Aortic Valve Disease
- Routine minimally-invasive aortic valve replacement (AVR)
- Root enlargement when necessary to avoid patient-prosthesis mismatch
- Stentless prostheses and Ross procedure (autograft) in selected patients
- Aortic valve repair for pure aortic regurgitation
- Hybrid therapy (minimally-invasive AVR + PCI) for selected patients with concomitant CAD.
Atrial Fibrillation (AFib)
- Concomitant right- and left-sided radiofrequency or cryo-Maze at the time of valve or coronary surgery
- Minimally-invasive (thoracoscopic) ablation for patients with lone AF
- Open “Cut-and-sew” Maze for refractory patients with lone AF
Heart Failure
- Left ventricular aneurysm repair
- Left ventricular remodeling for anterior wall akinesis (Dor procedure)
- High-risk mitral and tricuspid valve repair in low EF patients
- High-risk CABG in low ejection fraction patients with documented viability
Aortic Disease
- Ascending and arch reconstruction for aneurysm or dissection
- Valve-sparing aortic root replacement
- Endoluminal stent grafting
Pre-operative Care
- Careful pre-operative screening for concomitant disease
- Additional imaging for pre-operative planning (e.g., cardiac MRI)
- Inpatient pre-operative optimization (e.g., heart failure, COPD, end stage renal disease) if needed
- “Bloodless” cardiac surgery for Jehovah's Witness patients
- Strict adherence to published evidence-based protocols (CPB, antibiotics, insulin, etc.)
- Two surgeons on every case
