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Permanent Cardiothoracic Surgery Jobs

Cardiothoracic Surgery jobs
Thu, 24 May 2012 03:22:39 -0500
All Cardiothoracic Surgery jobs for Thu May 24 2012
Cardiothoracic Surgery jobs in "Chief of Thoracic Oncology, Unparalleled Metro Location, #6353" - OK
Sun, 15 May 2011 12:15:44 -0600
Clinical prestige, ahead-of-the-curve technology and an unrivaled team environment await you at The University of Oklahoma Medical Center. This summer, we will open the doors on an impressive, new 210k-square-foot,
Cardiothoracic Surgery jobs in "Easy Access to both Cleveland and Pittsburgh" - PA
Wed, 23 May 2012 12:15:44 -0600
  This University community in Western PA is home to a well regarded four year liberal arts college which creates a very professional atmosphere in this community. The location is north of Pittsburgh

The Journal of Thoracic and Cardiovascular Surgery current issue

The critical role of imaging navigation and guidance in transcatheter aortic valve implantation [Expert Review]
Lang, P., Peters, T. M., Kiaii, B., Chu, M. W. A. Wed, 23 May 2012 10:14:24 -0700

Historical perspectives of The American Association for Thoracic Surgery: Lyman A. Brewer III (1907-1988) [Presidential Perspectives]
Fann, J. I. Wed, 23 May 2012 10:14:24 -0700

Training residents in off-pump coronary artery bypass surgery: A 14-year experience [Cardiothoracic Surgical Education and Training]
Murzi, M., Caputo, M., Aresu, G., Duggan, S., Angelini, G. D. Wed, 23 May 2012 10:14:24 -0700
Objective Off-pump coronary artery bypass grafting (OPCAB) is an established procedure in many cardiothoracic centers. For it to be widely applicable, however, teaching methods must be developed for surgical trainees. Early clinical outcomes and long-term survival of patients who underwent OPCAB at our institution by trainees supervised and unsupervised were compared with those of patients whose procedures were performed by senior surgeons. To evaluate evolution of training, outcomes were analyzed according to 3 different periods (1996–1999, 2000–2004, 2005–2009) and trainee seniority level. Methods This was a retrospective, observational cohort study of prospectively collected data from 5566 consecutive patients who underwent isolated OPCAB performed by trainees (1589, 28.6%; 1111 supervised, 478 unsupervised) and by senior surgeons (3977, 71.4%). Results Patients of senior surgeons were more likely to have left ventricular dysfunction (P = .001), peripheral vascular disease (P = .05), more extensive coronary artery disease (P = .001), and higher EuroSCOREs than patients of trainees. In addition, trainees were less likely to have performed urgent operations (P = .02) or reoperations (P = .03) but more likely to have operated on patients with previous percutaneous coronary intervention (P = .006). Early clinical outcomes and long-term survival were similar between groups and not related to trainee seniority, level of supervision by senior surgeon, or period during which training took place. Conclusions OPCAB is a safe and reproducible surgical technique that can be taught successfully to cardiothoracic trainees. Clinical outcomes are unrelated to level of supervision or seniority of trainees.
Multisociety (AATS, ACCF, SCAI, and STS) expert consensus statement: Operator and institutional requirements for transcatheter valve repair and replacement, part 1: Transcatheter aortic valve replacement [Clinical Guidelines]
Tommaso, C. L., Bolman, R. M., Feldman, T., Bavaria, J., Acker, M. A., Aldea, G., Cameron, D. E., Dean, L. S., Fullerton, D., Hijazi, Z. M., Horlick, E., Miller, D. C., Moon, M. R., Ringel, R., Ruiz, C. E., Trento, A., Weiner, B. H., Zahn, E. M. Wed, 23 May 2012 10:14:24 -0700

Regional alterations in cerebral growth exist preoperatively in infants with congenital heart disease [Congenital Heart Disease]
Ortinau, C., Beca, J., Lambeth, J., Ferdman, B., Alexopoulos, D., Shimony, J. S., Wallendorf, M., Neil, J., Inder, T. Wed, 23 May 2012 10:14:24 -0700
Objectives Magnetic resonance imaging has been used to define the neurologic abnormalities in infants with congenital heart disease (CHD), including preoperative injury and delayed brain maturation. The present study used qualitative scoring, cerebral biometry, and diffusion imaging to characterize the preoperative brain abnormalities in infants with CHD, including the identification of regions of greater vulnerability. Methods A total of 67 infants with CHD had preoperative magnetic resonance imaging scans available for analysis of brain injury using qualitative scoring and brain development using qualitative scoring, metrics, and diffusion imaging. Results Qualitative abnormalities were common, with 42% of infants having preoperative focal white matter lesions. Infants with CHD had smaller brain measures in the frontal lobe, parietal lobe, cerebellum, and brainstem (P < .001), with the frontal lobe and brainstem displaying the greatest alterations (P < .001). A smaller brain size in the frontal and parietal lobes correlated with delayed white matter microstructure reflected by diffusion imaging. Conclusions Infants with CHD commonly display brain injury and delayed brain development. Regional alterations in brain size are present, with the frontal lobe and brainstem demonstrating the greatest alterations. This might reflect a combination of developmental vulnerability and regional differences in cerebral circulation.
Coronary artery perfusion and myocardial performance after patent ductus arteriosus ligation [Congenital Heart Disease]
Sehgal, A., McNamara, P. J. Wed, 23 May 2012 10:14:24 -0700
Objectives To study coronary artery (CA) perfusion and myocardial performance after patent ductus arteriosus (PDA) ligation. The postoperative course in premature infants undergoing surgical ligation of PDA is often complicated by cardiorespiratory instability secondary to impaired left ventricular performance. Methods Serial echocardiography was performed before and after (1, 8, and 24 hours) PDA ligation to assess systolic (left ventricular output [LVO]) and diastolic (isovolumic relaxation time, E and A wave peak velocity) myocardial performance, and CA diastolic flow (CA velocity time integral and flow). The ratio of CA flow to LVO was calculated as a surrogate of coronary flow. Results A total of 20 infants (gestational age at birth, 26.3 ± 0.7 weeks) requiring PDA ligation at a median of 28.5 days (range, 9–40) after birth and weight of 780 g (range, 570–2840) were studied. A postoperative increase in the CA flow/LVO ratio was demonstrated. An early decrease in E and A wave peak velocity (P < .05) and increase in isovolumic relaxation time (P < .05) were demonstrated at 1 hour, before any clinical deterioration. A low baseline CA velocity time integral was associated with a low E/A ratio (r = 0.63, P = .01) at 1 hour and lower systolic blood pressure at 8 hours (r = 0.5, P = .05). The postoperative need for inotropes (n = 8) was associated with a low baseline CA velocity time integral at 1 hour (r = 0.52, P < .05), low LVO at 1 and 8 hours (P < .05), and increased oxygen requirement at 24 hours (P < .05). Conclusions PDA ligation is followed by altered CA perfusion. Perioperative evaluation of the CA perfusion can help identify neonates at risk of impaired myocardial performance, systolic hypotension, and the need for inotropes.

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