Cardiothoracic Surgery

 

Cardiothoracic Surgery patient care

 

The healthcare professionals of the Section of Cardiothoracic Surgery
offer comprehensive diagnostic and surgical care for

cardiovascular diseases and congenital heart defects of adults and children,

and comprehensive diagnostic and therapeutic care
for cancerous and non-cancerous diseases of the airway, 
blood vessels, chest wall, esophagus, heart, lungs, and mediastinum.

 

       

phone

 

ADULT Cardiothoracic and Thoracic Clinic appointments

402/559-4424

 

PEDIATRIC Cardiothoracic Clinic appointments

402/955-4360

 

 

 

Cardiac Surgery:

 

 Adult Cardiac Surgery procedures include:

 

   Coronary artery bypass procedures 

 
  • Off-pump coronary artery bypass grafting
  • Minimal-invasive coronary artery bypass grafting
  • Traditional (on-pump) coronary artery bypass grafting
  • Complex hybrid coronary revascularization

   Valve procedure 

 
  • Mitral/tricuspid valve repair
  • Aortic valve repair
  • Minimal-invasive valve operations
  • Mechanical and biologic valve replacements
  • Valve preserving operations (David procedure)
  • Aortic root operations
  • Ross operation       
     Aortic procedures
 
  • Repair of aortic dissection
  • Repair of aortic aneurysm
  • Replacement of aortic arch
     Vascular procedures
 
  • Repair of thoracoabdominal aortic aneurysm & dissection
  • Endovascular repair of aortic aneurysm (a minimal-invasive remedy for aortic pathologies using a stent that is introduced from groin vessels and does not require a thoracotomy)
  • Endovascular repair of aortic dissection, aortic ulcer and aortic transection
     Heart Failure procedures
 
  • Heart transplantation
  • Ventricular assist device (VAD): Implantation of a mechanical device to assist the weak heart in beating
  • Ventricular remodeling for congestive heart failure (DOR operation)
      Other procedures
  • MAZE procedure: A remedy for atrial fibrillation, that creates a "maze" of new electrical pathways to allow electrical impulses to easily transverse the heart
  • Minimal invasive Maze procedure using radiofrequency ablation
  • Transmyocardial revascularization (TMR): A remedy for angina (chest pain), whereby small holes are lasered directly into the heart muscle to stimulate the growth of new blood vessels

Pediatric Cardiac Surgery procedures include:

 
  • Surgical repair or palliation of patients with congenital heart disease
  • Surgical repair of children with acquired heart disease and chest wall deformities/masses
  • Consultation on risks and benefits of surgery
  • Intensive and critical care
  • Transitioning the child with congenital heart disease to a normal lifestyle
  • Information on growth and development of the child with heart disease
  • Age range of pts. seen: Newborn to adult
  • Prenatal consultation for mothers delivering an infant with Congenital Heart Disease
  • Transitioning the child with congenital heart disease to a normal lifestyle

Thoracic Surgery procedures include:

 

   Airway procedures 

 
  • Bronchoscopic examination/bronchoscopy
  • Tracheal stent placement
  • Tracheal tumor laser ablation and resection
     Chest wall procedures 
 
  • Biopsies - needle and open
  • Resection and reconstruction
            - rotation of muscle flaps
            - prosthetics placement
     Esophageal procedures 
         
  - for diseases including cancer
 
  • Endoscopic management of obstructions 
            - laser removal
            - stent placement
  • Functional reconstruction and restoration (swallowing)
  • Resection
     Lung procedures 
         
  - for diseases including 
            cancer, emphysema and pulmonary hypertension
 
  • Bronchoscopy
  • Lung-sparing surgery
  • Mediastinoscopy
  • Minimally-invasive thoracic surgery
     Multidisciplinary thoracic oncology program

         In the multidisciplinary thoracic oncology program,

         thoracic surgeons conference with medical and radiation oncologists

         to determine an individualized course of treatment

         best suited for each cancer patient.

 

     Robotic (video-assisted) surgery
         - Less blood loss
         - Less recuperation time
         - Minimally invasive

 

     Sympathetic nerve procedures 
         
  - for hyperhydrosis/excessive sweating
 

▪ Sympathectomy/thorascopic division of the nerves