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Permanent Cardiothoracic Surgery Job in Springfield Oregon with Community Health Systems
Springfield, Oregon a Growing Outdoor Wonderland! Sharing a boundary with Eugene OR, means Springfield has the best of both worlds breathtaking scenery of the Cascade Mountains and the Oregon Coastal
Locum Tenens Cardiothoracic Surgery Job in Looking for a Cardiothoracic Surgeon for an Indiana Opportunity Indiana with LocumTenens.com
Our client in Indiana is looking for a Cardiothoracic Surgeon to cover the dates of December 18th -28th for call coverage only. This is in a great location near the Wabash River and is great compensation.
Permanent Cardiothoracic Surgery Job in Branson Missouri with Skaggs Regional Medical Center
Skaggs Community Health Center is a progressive healthcare center located in the beautiful Ozark country of Branson, Missouri. This 165-bed general acute care and JCAHO accredited hospital is currently

UPHS - Penn Cardiac Care Newsletter

Penn Cardiac Care Ranked 12th in Nation
Penn Cardiac Care at the Hospital of the University of Pennsylvania has been ranked 12th in the nation, and best in the Philadelphia region, for heart care and heart surgery by U.S.News and World Report's 2008 Best Hospitals ranking. Since 1990, U.S.News has published this annual special issue, which provides a ranking of hospital quality of care on a nationwide basis and is meant to help consumers make informed decisions when looking for hospital care.
Join the 2008 Start Heart Walk
The 10th Annual Heart Walk will take place on Saturday, November 15, 2008 at Citizen’s Bank Park - Home to our own Philadelphia Phillies! We encourage you to join Penn’s Heart Walk team today! Your participation will help support Penn Cardiac Care and the American Heart Association’s efforts to develop programs and research dedicated to finding better treatments and cures for heart disease and stroke. These issues truly affect our business and touch our families, friends, associates, and the communities we serve.
Penn Cardiovascular Institute
Over the past decade, cardiovascular research and clinical care at the University of Pennsylvania has grown tremendously with many nationally and internationally recognized research and clinical programs. The Penn Cardiovascular Institute (CVI) was established in 2005 to build bridges between scientists and clinicians. This collaborative spirit has facilitated the development of novel treatments and therapies, which patients at Penn have been among the first in the world to benefit from. Our researchers and clinicians continue to discover new breakthroughs that lead to life-saving procedures, devices and medications that will positively impact the care of individuals with cardiovascular disease.

The Journal of Thoracic and Cardiovascular Surgery current issue

[Editorials] Update on the cardiovascular and thoracic service-line concept
Cohn, L. H. Wed, 31 Dec 2008 00:00:00 -0000

[Editorials] Recognition of greatness: "The Jatene operation"
Salerno, T. A., Ricci, M. Wed, 31 Dec 2008 00:00:00 -0000

[Expert Commentary] The post-myocardial infarction scarred ventricle and congestive heart failure: The preeminence of magnetic resonance imaging for preoperative, intraoperative, and postoperative assessment
Dor, V., Civaia, F., Alexandrescu, C., Montiglio, F. Wed, 31 Dec 2008 00:00:00 -0000

[Congenital Heart Disease] Five-year neurocognitive and health outcomes after the neonatal arterial switch operation
Neufeld, R. E., Clark, B. G., Robertson, C. M.T., Moddemann, D. M., Dinu, I. A., Joffe, A. R., Sauve, R. S., Creighton, D. E., Zwaigenbaum, L., Ross, D. B., Rebeyka, I. M., Western Canadian Complex Pediatric Therapies Follow-up Group Wed, 31 Dec 2008 00:00:00 -0000
Objectives We sought to assess the 5-year neurocognition and health of an interprovincial inception cohort undergoing the arterial switch operation for transposition of the great arteries. Methods Sixty-nine consecutive neonates had operations from 1996–2003 with full-flow cardiopulmonary bypass and selective deep hypothermic circulatory arrest. Outcomes were recorded at 58 ± 9 months of age. Univariate and multivariate analyses were used to identify outcome predictors, including surgical subtype and preoperative, operative, and postoperative variables. Results There was 1 (1.5%) operative death. Two children were lost to follow-up, and 1 was excluded because of postdischarge meningitis. Outcomes are reported for 65 survivors. Two (3%) children have cerebral palsy, and 7 (11%) have language disorders, 4 of whom also meet the criteria for autism spectrum disorder. Two of the 4 children with autism have an affected older sibling. Of the 61 children without autism, scores approach those of peers, with a full-scale intelligence quotient of 97 ± 16, a verbal intelligence quotient of 97 ± 18, a performance intelligence quotient of 96 ± 15, and a visual–motor integration score of 95 ± 16. Mother's education, birth gestation or weight, and postoperative plasma lactate values account for 21% to 32% of the variance of these scores. Septostomy adds 7% to the variance of visual–motor integration scores. Conclusions Most preschool children do well after surgical correction for transposition of the great arteries, including complex forms. Potentially modifiable variables include high preoperative plasma lactate levels and septostomy. A minority of children were given diagnoses of language disorders, including autism, in which familial factors likely contribute to outcome.
[Congenital Heart Disease] A prospective observational study of human factors, adverse events, and patient outcomes in surgery for pediatric cardiac disease
Barach, P., Johnson, J. K., Ahmad, A., Galvan, C., Bognar, A., Duncan, R., Starr, J. P., Bacha, E. A. Wed, 31 Dec 2008 00:00:00 -0000
Objective To explore the impact of human factors on intraoperative adverse events and compensation mechanisms in pediatric cardiac surgery. Methods Prospective observations of pediatric cardiac surgical procedures were conducted. Patient complexity scores were calculated and outcomes recorded. The process of care was divided into epochs. Events were extracted and coded into compensated or uncompensated major and minor adverse events. Linear regression and analysis of variance were used to analyze the relationships between epochs, complexity, adverse events, and outcome. Patient-specific and procedure-specific variables were tested in a forward stepwise logistic regression as predictors of cases with 1 or more major adverse events. Results One hundred two patients undergoing pediatric cardiac surgery were observed. An average of 1.2 (range 0–6) major adverse events occurred per case. The most common type of major adverse event was cardiovascular, and most occurred during the surgery/postbypass epoch. Cognitive compensation was the most common compensation mechanism for major adverse events. An average of 15.3 minor adverse events occurred per case. Minor adverse events occurred frequently during the surgery/bypass epoch and related to communication and coordination failures. Higher case complexity, longer surgery duration, and higher number of major adverse events per patient correlated with death compared with other outcome groups (P < .01). Case complexity (P < .01) and surgery duration (P < .05) were both significant predictors of major adverse events. Conclusions Pediatric cardiac surgery is an ideal model to study the coordinated efforts of team members in a complex organizational structure. Adverse events occurred routinely during pediatric cardiac surgery and were mostly compensated. Case complexity was a significant predictor of major adverse events. The number of major adverse events per patient correlated with clinical outcomes.
[Congenital Heart Disease] Borderline hypoplasia of the left ventricle in neonates: Insights for decision-making from functional assessment with magnetic resonance imaging
Grosse-Wortmann, L., Yun, T.-J., Al-Radi, O., Kim, S., Nii, M., Lee, K.-J., Redington, A., Yoo, S.-J., van Arsdell, G. Wed, 31 Dec 2008 00:00:00 -0000
Objectives We sought to compare the usefulness of echocardiography and magnetic resonance imaging in neonates with a borderline small left ventricle. Methods The preoperative magnetic resonance and echocardiography studies of 20 consecutive patients (mean age 10 ± 9 days) undergoing magnetic resonance imaging were analyzed. The diagnoses were aortic stenosis (n = 3), hypoplastic left heart complex (n = 12), and unbalanced atrioventricular septal defect (n = 5). The magnetic resonance imaging protocol included ventricular volumetry, flow measurements, and angiography. Potential left ventricular volumes, assuming an ideal geometric shape, were calculated by mathematically "unfolding" the compressed left ventricle. Results Left ventricular end-diastolic volume was 16.0 ± 7.0 mL/m2 of body surface area by echocardiography and 33.5 ± 15.5 mL/m2 by magnetic resonance imaging. Echocardiography consistently underestimated left ventricular volume and did not correlate with magnetic resonance. Of all echocardiographic parameters, mitral valve z-score was the best predictor of left ventricular end-diastolic volume by magnetic resonance (r = 0.77; P = .02). The average potential volume increase was 8.8% for aortic stenosis, 35.0% for atrioventricular septal defect and 23.0% for hypoplastic left heart complex patients. Aortic valve diameter did not correlate with flow volume in the ascending aorta. Sixteen (80%) of 20 patients underwent biventricular repair, without early mortality. Of these, only 5 (31.3%) had a preoperative left ventricular end-diastolic volume of more than 20 mL/m2 by echocardiography. Conclusions Magnetic resonance imaging is feasible in neonates with borderline left ventricular hypoplasia. Echocardiography does not accurately measure left ventricular hypoplasia in these patients and may unfairly preclude some patients from a biventricular repair in whom magnetic resonance is reassuring.

 
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Chest Surgical Assoicates: Providing comprehensive Cardiac, Thoracic and Vascular Surgical Care in Southwest Idaho and Eastern Oregon for over 30 years

Vascular Surgery, Inc.: Cardiovascular and thoracic surgeons serving southeast Louisiana, providing open and off-pump heart and valve surgery, aneurysm repair, carotid endarterectomy, lung cancer removal, and peripheral vascular surgery. Located in Metairie, Louisiana.

Cardiac Surgery Group: Step-by-step guide to cardiac surgery for patients, frequently asked questions, classes, recommended accommodations in Tacoma for patients' families, and other cardiac-related sites.

CardiacSpecialists.com: Cardiac procedure specialists offering in-office and in-patient diagnostic services. Located in southwestern Connecticut.

Cardio-Thoracic Surgical Associates, Inc.: CTSA surgeons provide patients and physicians with information on Heart, Lung, Esophagus and Vascular surgery, including minimally invasive surgery.>
Cardiothoracic and Vascular Surgeons: CTVS offers the most specialized and innovative cardiac, thoracic, vascular, transplantation, and pediatric surgical services.

Cardiothoracic Surgeons for Northwest Ohio: Cardiothoracic Surgeons for Northwest Ohio is able to provide a comprehensive scope of leading edge patient care and state of the art surgical procedures.

CardioThoracic Surgery, P.C.: CardioThoracic Surgery, P.C. founded the region's first cardiothoracic surgical practice with a focus on excellence in patient care and excpetional surgical results. Our surgeons perform cardiac, thoracic and thoracic procedures.

Cardiothoracic Surgical Associates of New York: In Brooklyn, Cardiothoracic Surgical Associates of New York, P.C. was founded in 1976 with the reputation for delivering state-of-the-art medical and surgical care in cardiac, thoracic and vascular surgery.

Cardiovascular and Thoracic Surgeons of Greensboro: Cardiovascular and Thoracic Surgeons (CVTS) of Greensboro is the only group of board-certified physicians in Greensboro, North Carolina dedicated to the surgical management of cardiac, thoracic, and peripheral vascular diseases. For more than 30 years our physicians have served patients in Green...

Cardiovascular and Thoracic Surgeons, Inc: The largest and most comprehensive cardiac, vascular and thoracic surgery practice in the Greater Cincinnati, Ohio area. Key treatments include Coronary Artery Bypass Grafts CABG Mitral Valve Repair and Abdominal Aortic Aneurysm.

Dwight E. Hand, M.D., Ph.D.: Pomona Valley Cardiac Surgery Group. (California)

Fort Wayne Cardiovascular Surgeons: Information on a group of four surgeons who perform heart, lung, and vascular surgery in Fort Wayne, Indiana

John Eugene, M.D.: Dr. John Eugene serves as Associate Clinical Professor of Surgery at University of California, Irvine. He is Board Certified by the American Board of Surgery and the American Board of Thoracic Surgery. He serves as Chairman of the Department of Surgery at Western Medical Center Anaheim and consu...

Mid Atlantic Surgical Associates: Mid-Atlantic Surgical Associates is the largest volume cardiac surgery group in the New York - New Jersey tri-state area. The heart surgeons at MASA perform over 2300 open heart operations annually. This includes coronary artery bypass grafting, valve replacement and repair, aortic surgery, repai...

Peachtree Cardiovascular: FW MX GoLive HTML

Raney and Zusman Medical Group: Information about common heart surgeries performed by Raney Zusman Medical Group including mitral valve repair and replacement.

San Francisco Cardiac Surgery: Specializing in adult cardiac surgery, with a special interest in the maze procedure, heart surgery that cures atrial fibrillation. (California)

South Florida Cardiovascular Associates: Cardiothoracic and vascular heart surgery: South Florida Cardiovascular Associates specializes in cardiothoracic and vascular heart surgery with an emphasis on mitral valve repair, pacemaker lead replacement and endovascular abdominal aortic aneurysm repair. In addition we peform the Cox Maze procedure for atrial fibrillation and transmyo...

Surgical Associates of Texas, P.A.: Cardiovascular and Thoracic Surgery: Coronary Artery Bypass, Heart Valve Repair and Replacement, Aortic Aneurysms, Carotid Endarterectomy, Heart Transplantation, Transmyocardial Revascularization, Left Ventricular Reduction, Heart Assist Devices

Sydney CardioThoracic Surgeons: Sydney Cardiothoracic Surgeons perform an extensive range of adult cardiac and thoracic surgical procedures at various public teaching hospitals and many prestigious private hospitals throughout the greater Sydney region.

Texas Surgical Associates: Cardiovascular surgery group providing innovative heart, vascular and transplant surgery services in the greater Houston Texas service area.

The Cardiovascular Medical Group of Southern California: The group consists of prominent cardiovascular, pulmonary, kidney and neurologic institutes. (Beverly Hills, CA)

The Heart Surgeons of San Antonio: Answer questions about heart surgery and procedures performed in the United States. Information about their practice in Texas.

Thoracic and Cardiovascular Institute: Provides information on their physicians, resources and locations. Offering a regional referral center for patients with heart disease serving the mid-Michigan area.

Thoracic and Cardiovascular Surgery: Thoracic & Cardiovascular Surgery of Cape Girardeau, Missouri, is a medical practice devoted to quality care of the thoracic, vascular, and cardiac surgical patient.

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