The Cardiovascular Anesthesia Service trains senior residents and Fellows in
the intricacies of cardiac preoperative evaluation, invasive monitoring,
hemodynamic optimization, transesophageal echocardiography, cardiovascular
physiology and pharmacology, management of cardiopulmonary bypass, total
circulatory arrest, and postoperative care of the patient having cardiac and
vascular surgery. We have a patient population that tends to be more high
risk and complicated, compared to the local community hospitals. We do both
heart and heart-lung transplants.
We are also a major referral center for complex aortic surgery, including
acute dissections and aneurysms. Our interventional radiologists are now
studying the use of stents in acute aortic dissections, including both Type
A and B tears.
Our CV Fellowship prepares the trainee to teach and do research in an
academic setting. We do this by gradually transferring responsibility to the
Fellow for the management of cases. Fellows also are expected to pass their
TEE Boards. The Fellowship is flexible enough to meet the needs and goals of
the Fellow.
We welcome applicants to our anesthesia residency and cardiovascular
fellowship programs.
The pediatric cardiac anesthesia group provides care for over 450 open heart cases and 24 heart transplants per year, ages ranging from the 800 gram micropremature infant to adults with congenital cardiac lesions. This number is increasing every year as the Lucile Packard Childrens Hospital builds more OR space and ICU beds. In addition the group provides anesthesia support for an additional 450 patients with congenital cardiac problems undergoing cardiac catheterizations (both diagnostic and therapeutic including ASD device closures, coil embolizations and balloon dilations), electrophysiologic studies, and cardiac CT and MRIs. Our two primary pediatric cardiothoracic surgeons, Drs. Frank Hanley and Mohan Reddy are nationally and internationally known and get referrals from all over the world. Dr. Hanley is world reknowned for his success with patients with Tetralogy of Fallot with pulmonary atresia and major aorto-pulmonary collateral arteries (TOF/PA/MAPCA's) requiring unifocalization. Dr. Reddy recently performed an arterial switch procedure on an 800 gram premature infant. Many of these patients have been considered inoperable elsewhere.
