Nationwide Children's Hospital Cardiothoracic Surgery : Page 1

THe HeArT CeNTer AT NATIONWIDe CHIlDreN’S HOSPITAl : : NationwideChi ldrens.org cardiothoracic surgery :: contact Mark.Galantowicz@NationwideChildrens.org and Alistair.Phillips@NationwideChildrens.org The Cardiothoracic Surgical program is dedicated to the treatment of all patients, regardless of age, who are suffering from congenital disorders of the thorax including heart, lung, mediastium and chest wall The key to our success is the development of a nationally ranked, multidisciplinary team, which tailors care to the individual patient We continue to be pioneers in the development of novel treatment strategies, including (1) the development and leader of Hybrid procedures and (2) being one of the only pediatric hospitals to use 3-D Video Assisted Thorascopy, allowing us to expand the use of minimally invasive techniques The overall driving goal is to improve the long-term quality of life for our patients through the development of minimally invasive approaches to surgery and shorter recovery time This less invasive approach is also the cornerstone of the Blood Conservation Program The Department of Cardiothoracic Surgery is renowned for innovative surgical approaches to congenital heart disease and thoracic diseases which includes the hybrid procedure for the treatment of hypoplastic left heart syndrome; lateral thoracic expansion for Jeune’s Syndrome; and blood conservation techniques which allow open heart surgery to be performed without a blood transfusion, reducing the impact of surgery Our program is actively involved in quality assurance and improvement on a national, state and local level Nationally, we participate in several databases (STS Congenital Heart Surgery Database, NACHRI, UNOS) from which we receive annual reports that are reviewed for areas of improvement Additionally, we participate in the OptumHealth’s Centers of Excellence advisory panel for congenital heart surgery where issues of value (outcomes/cost) are reviewed and incorporated into our quality improvement programs The Cardiothoracic Surgical program is also part of a statewide database and participates on the Cardiac Standards Subcommittee of the Bureau for Children with Medical Handicaps The Cardiothoracic Surgical fellowship is one of only a few ACGME-accredited pediatric cardiac surgery fellowships in the country, teaching surgeons the techniques of congenital cardiac and pediatric thoracic disease

Cardiothoracic Surgery

The Cardiothoracic Surgical program is dedicated to the treatment of all patients, regardless of age, who are suffering from congenital disorders of the thorax including heart, lung, mediastium and chest wall. The key to our success is the development of a nationally ranked, multidisciplinary team, which tailors care to the individual patient. We continue to be pioneers in the development of novel treatment strategies, including (1) the development and leader of Hybrid procedures and (2) being one of the only pediatric hospitals to use 3-D Video Assisted Thorascopy, allowing us to expand the use of minimally invasive techniques. The overall driving goal is to improve the long-term quality of life for our patients through the development of minimally invasive approaches to surgery and shorter recovery time. This less invasive approach is also the cornerstone of the Blood Conservation Program.<br /> <br /> The Department of Cardiothoracic Surgery is renowned for innovative surgical approaches to congenital heart disease and thoracic diseases which includes the hybrid procedure for the treatment of hypoplastic left heart syndrome; lateral thoracic expansion for Jeune’s Syndrome; and blood conservation techniques which allow open heart surgery to be performed without a blood transfusion, reducing the impact of surgery.<br /> <br /> Our program is actively involved in quality assurance and improvement on a national, state and local level. Nationally, we participate in several databases (STS Congenital Heart Surgery Database, NACHRI, UNOS) from which we receive annual reports that are reviewed for areas of improvement. Additionally, we participate in the OptumHealth’s Centers of Excellence advisory panel for congenital heart surgery where issues of value (outcomes/cost) are reviewed and incorporated into our quality improvement programs. The Cardiothoracic Surgical program is also part of a statewide database and participates on the Cardiac Standards Subcommittee of the Bureau for Children with Medical Handicaps.<br /> <br /> The Cardiothoracic Surgical fellowship is one of only a few ACGME-accredited pediatric cardiac surgery fellowships in the country, teaching surgeons the techniques of congenital cardiac and pediatric thoracic disease.<br /> <br /> <b>expertise</b><br /> <br /> :: Surgical treatment for congenital heart disease <br /> :: Surgical treatment for pediatric thoracic disease processes <br /> :: Hybrid approaches for complex congenital heart defect repairs <br /> :: Heart, heart-lung and lung transplant <br /> :: Blood conservation<br /> <br /> <b>specialties</b><br /> <br /> :: Neonatal surgery <br /> – Hypoplastic left heart syndrome – Hybrid Stage 1 <br /> – Arterial Switch <br /> :: Hybrid surgical procedures – Combining the expertise of surgeons with the expertise of interventional cardiologists<br /> – Hybrid Operating Room – First dedicated Hybrid Operating Room in the world and only one in a Pediatric Hospital<br /> <br /> – Hybrid Interventional Suite<br /> <br /> :: Pediatric thoracic diseases (Chest Wall, Malignant, Lateral thoracic expansion for Jeune’s Syndrome, Benign Thoracic Diseases)<br /> <br /> – 3D imaging system – allows for expanded use of minimally invasive techniques for younger children<br /> <br /> :: Adult-Congenital heart disease <br /> :: Ventricular assist devices <br /> :: Heart, heart-lung and lung transplant <br /> :: Aortic surgery<br /> <br /> – Aortic aneurysm .<br /> – Aortic root replacement with valve-sparing root replacement<br /> <br /> :: Valve repair<br /> <br /> <b>success</b><br /> <br /> According to the Society of Thoracic Surgery (STS) database, among all high volume ranked centers, The Heart Center maintains low mortality rates of 1.2% (children < 18 yrs.)And 0.8% (adults >18 yrs.) For cases with the highest case complexity.<br /> <br /> <b>success</b><br /> <br /> Baby boy born at 29 weeks gestation and 1.5 kilos with type B interrupted aortic arch, inlet ventricular septal defect with interventricular hemorrhages and subarachnoid bleeds, and DiGeorge syndrome. Given the concern for making the neurological insults worse by going on bypass, the patient underwent a Hybrid Stage 1 procedure, which allowed him to grow, and allowed his brain to recover and develop. He did very well and at age 6 months, weighing 5.2 kg, he underwent full repair of his aortic arch, removal of the PDA stent, removal of the PA bands and closure of his VSD. He is now 18 months old and developing normally with no neurological or cardiac issues.<br />

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