The Division of Cardiothoracic Anesthesiology provides anesthetic care for adult cardiac surgery, thoracic surgery, interventional pulmonology, electrophysiology and interventional cardiology at Vanderbilt University Medical Center. A subset of the division’s faculty members provides critical care services in the adult cardiovascular intensive care unit. Also, some members participate in ambulatory anesthesia and the perioperative consult service.
The division provides perioperative care for approximately 1,400 adult cardiac procedures per year. These include coronary artery bypass graft (on- and off-pump) surgery, valvular surgery, heart and lung transplantation, adult congenital procedures, hybrid procedures, aortic surgery and ventricular assist device (VAD) insertions. The VAD program at Vanderbilt currently places about 50 devices per year. The heart transplant program recently achieved a major milestone, performing 1,000 heart transplantations, making it the second busiest program in the country. Our structural heart disease program employs the newest techniques involving transcatheter aortic valve replacement (TAVR), catheter-based repair of mitral regurgitation (Mitraclip) and left atrial appendage occlusion devices. Intraoperative transesophageal echocardiography (TEE) is an integral part of our clinical practice and is performed on all adult cardiac surgery patients, in electrophysiology to guide placement of left atrial appendage occlusion devices and to guide transcatheter valve procedures.
Division faculty members conduct research in vascular biology, precision perioperative medicine, acute kidney injury and the perioperative inflammatory response. Extramural grant support comes from the Department of Defense, the National Institutes of Health and industry. Dr. Susan Eagle holds several patents and has licensed intellectual property created at Vanderbilt to a multi-national medical corporation.