UPMC Physician Resources

Take the CME Evaluation

Cardiothoracic Surgery Update Winter 2017

In this issue, we celebrate the accomplishments of our growing department, welcome new team members, and provide updates on upcoming events, clinical trials, and research initiatives. We are proud of the accomplishments of our department and are excited to share a few of our recent achievements, including the growth of the Aortic Diseases Center of Excellence, alternative treatment options for high risk patients with lung cancer, and the newest developments in extracorporeal mechanical oxygenation (ECMO). We also congratulate The UPMC Artificial Heart Program on 30 years of success with a continued focus on helping patients who feel that they are out of options for treating their heart failure. We provide an overview of the Pediatric Mechanical Circulatory Support Program and the challenges that accompany treating the pediatric heart failure patients. Finally, we highlight our success as the leading provider of robotic procedures and robotic training and our ability to provide hope and better options for our patients through minimally invasive procedures.

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Describe currently available options for ablative therapies in high risk patients with lung tumors.
  • Increase competencies of healthcare professionals in pro-actively intervening on patients with ECMO support to avoid further complications and other harm.
  • Discuss the variety of options for heart failure patients, in order to provide better personalized patient care.

Reading Resources:

  1. Pennathur A, Abbas G, Gooding WE, et al. Image-Guided Radiofrequency Ablation of Lung Neoplasm in 100 Consecutive Patients by a Thoracic Surgical Service. The Annals of thoracic surgery. 2009;88(5):1601-1608. doi:10.1016/j.athoracsur.2009.05.012.
  2. Landreneau RJ, Normolle DP, Christie NA, et al. Recurrence and Survival Outcomes After Anatomic Segmentectomy Versus Lobectomy for Clinical Stage I Non–Small-Cell Lung Cancer: A Propensity-Matched Analysis. Journal of Clinical Oncology. 2014;32(23):2449-2455. doi:10.1200/JCO.2013.50.8762.
  3. Hayanga JW, Aboagye JK, Hayanga HK, Luketich JD, D'Cunha J. Extracorporeal membrane oxygenation as a bridge to lung re-transplantation: Is there a role? J Heart Lung Transplant. 2016 Jul;35(7):901-5. doi: 10.1016/j.healun.2016.02.006. PMID: 27435530
  4. Chan EG, D'Cunha J. Redefining our cardiothoracic surgical intensive care units: Change is good. J Thorac Cardiovasc Surg. 2016 Aug;152(2):643-4. doi: 10.1016/j.jtcvs.2016.05.011. No abstract available. PMID: 27423852
  5. Hayanga JW, Lira A, Aboagye JK, Hayanga HK, D'Cunha J. Extracorporeal membrane oxygenation as a bridge to lung transplantation: what lessons might we learn from volume and expertise? Interact Cardiovasc Thorac Surg. 2016 Apr;22(4):406-10. doi: 10.1093/icvts/ivv379. PMID: 26769730
  6. Pagani FD, Aaronson KD, Kormos R, Mann DL, Spino C, Jeffries N, Taddei-Peters WC, Mancini DM, McNamara DM, Grady KL, Gorcsan J 3rd, Petrucci R, Anderson AS, Glick HA, Acker MA, Eduardo Rame J, Goldstein DJ, Pamboukian SV, Miller MA, Timothy Baldwin J. The NHLBI REVIVE-IT study: Understanding its discontinuation in the context of current left ventricular assist device therapy. J Heart Lung Transplant. 2016 Nov;35(11):1277-1283. doi: 10.1016/j.healun.2016.09.002. PMID: 27836022
  7. Loghmanpour NA, Kormos RL, Kanwar MK, Teuteberg JJ, Murali S, Antaki JF. A Bayesian Model to Predict Right Ventricular Failure Following Left Ventricular Assist Device Therapy. JACC Heart Fail. 2016 Sep;4(9):711-21. doi: 10.1016/j.jchf.2016.04.004. PMID: 27289403
  8. Trivedi D, Navid F, Balzer JR, Joshi R, Lacomis JM, Jovin TG, Althouse AD, Gleason TG. Aggressive Aortic Arch and Carotid Replacement Strategy for Type A Aortic Dissection Improves Neurologic Outcomes. Ann Thorac Surg. 2016 Mar;101(3):896-903; Discussion 903-5. doi: 10.1016/j.athoracsur.2015.08.073.PMID: 26542439.
  9. Chrysostomou C, Morell VO, Kuch BA, O'Malley E, Munoz R, Wearden PD. Short- and intermediate-term survival after extracorporeal membrane oxygenation in children with cardiac disease. J Thorac Cardiovasc Surg. 2013 Aug;146(2):317-25. doi: 10.1016/j.jtcvs.2012.11.014. PMID: 23228400.
  10. Sarkaria IS. Deconstructing robotic lobectomy. J Thorac Cardiovasc Surg. 2016 Oct;152(4):998. doi: 10.1016/j.jtcvs.2016.07.020. No abstract available. PMID: 27641294.

Disclosures:

Drs. Dhupar, Schuchert, Kormos, Gleason, Sultan, D’Cunha, Morell, Sharma, and Sarkaria report no relationships with proprietary entities producing health care goods and services.

All presenters disclosure of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients is listed above.  No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of .5 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.05) continuing education units (CEU) which are equivalent to .5 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at http://ccehs.upmc.edu and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 2/7/2017 | Last Modified On: 2/7/2017 | Expires: 2/7/2018

Additional Resources

Presenters

Rajeev Dhupar, MD

Rajeev Dhupar, MD Assistant Professor of Cardiothoracic Surgery
Department of Cardiothoracic Surgery
View Full Profile

Matthew J. Schuchert, MD

Matthew J. Schuchert, MD University of Pittsburgh Physicians
Department of Cardiothoracic Surgery, Division of Thoracic Surgery
Office Address(es):
Hillman Cancer Center
5115 Centre Avenue
Pittsburgh, PA 15232
Phone: (412) 623-2025
View Full Profile

Robert L. Kormos, MD

Robert L. Kormos, MD Director of the UPMC Artificial Heart Program Co-Director of the UPMC Heart Transplantation Program
A University of Pittsburgh faculty member since 1987, Dr. Kormos is internationally regarded for his clinical and research work in the use of cardiac assist devices as temporary or permanent ...
View Full Profile

Thomas G. Gleason, MD

Thomas G. Gleason, MD Thomas G. Gleason, MD, is associate professor in the Department of Cardiothoracic Surgery at the University of Pittsburgh School of Medicine.
View Full Profile

Ibrahim Sultan, MD

Ibrahim Sultan, MD Assistant Professor Of Cardiothoracic Surgery
Center for Thoracic Aortic Disease
Department Of Cardiothoracic Surgery
View Full Profile

Jonathan D’Cunha, MD, PhD

Jonathan D’Cunha, MD, PhD Department of Cardiothoracic Surgery, Division of Thoracic Surgery
Falk Medical Building (UPMC Comprehensive Lung Center)
3601 Fifth Ave.
4th Floor
Pittsburgh, PA 15213
Office Phone: (412) 647-7556
View Full Profile

Victor O. Morell, MD

Victor O. Morell, MD Chief, Division of Pediatric Cardiothoracic Surgery
Co-Director, Heart Institute
Co-Director, UPMC Heart and Vascular Institute
Vice Chair & Director of Cardiovascular Services, UPMC Department of Cardiothoracic Surgery
View Full Profile

Mahesh S. Sharma, MD

Mahesh S. Sharma, MD Dr. Mahesh Sharma is an Assistant Professor of Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh. He also is an Attending Surgeon and the Medical Director of Pediatric Mechanical Circulatory Support at Children’s Hospital of Pittsburgh of UPMC.
View Full Profile

Inderpal S. Sarkaria, MD, FACS

Inderpal S. Sarkaria, MD, FACS Vice Chairman for Clinical Affairs, Department of Cardiothoracic Surgery
Director of Thoracic Robotic Surgery
Co-Director of the Esophageal and Lung Surgery Institute
View Full Profile