Division of Cardiothoracic Surgery
Division of Cardiothoracic Surgery Adult Cardiac Section
The Section of Adult Cardiac Surgery provides state-of-the-art surgical care for patients with all types of adult cardiac disease. This section performs approximately 600-650 adult cardiac procedures annually. In addition to the routine, the section serves as the tertiary referral center in South Carolina for more complex procedures such as thoracic aortic procedures, reoperations, and complex valve and pacemaker problems. A major interest of the Division has always been valvular heart disease. For some problems (example, heart transplantation), MUSC is the only hospital and the adult cardiac surgery faculty are the only surgeons who can provide these services in South Carolina.
This section consists of four faculty including Fred Crawford, MD, John Kratz, MD, John Ikonomidis, MD, and J. Matthew Toole, MD. Each faculty member can and does perform all types of adult cardiac procedures, but each also has one or two areas of special interest and expertise. Fred Crawford focuses on valvular heart disease with particular interest in mitral valve surgery. John Kratz has particular interest in coronary artery disease and the management of complex pacemaker problems. John Ikonomidis is an expert in thoracic aortic surgery including endovascular repair of thoracic aneurysms as well as in aortic valve reconstruction. Matt Toole is interested in problems related to heart failure including ventricular restoration procedures, surgery for hypertrophic cardiomyopathy, and implantation of ventricular assist devices. Drs. Ikonomidis and Toole are responsible for the adult cardiac transplant program. Dr. Yarbrough focuses on valvular heart disease, minimally invasive cardiac surgery, and surgical treatment of arrhythnmias.
Attending surgeons are supported by two nurse practitioners, three physicians assistants, a database manager/statistician and four administrative assistants.
This section is housed in the new Ashley River Tower, a state-of-the-art facility which opened in February, 2008. Adult cardiac procedures are also performed at the immediately-adjacent Ralph H. Johnson Veterans Administration Hospital. The Ashley River Tower has extensive resources for management of all types of adult cardiovascular disease. The facility includes a nationally accredited chest pain center, out-patient clinics, a 10-bed cardiac care unit, an 11-bed cardiothoracic surgery unit, dedicated wards (all private rooms) for both adult cardiology and adult cardiothoracic surgery, interventional radiology facilities, 7 cath and EP rooms, one non-invasive room, and 3 dedicated cardiac operating rooms, as well as a full service hybrid interventional operationg room suite. The section is supported by a staff of fellowship-trained and dedicated cardiac anesthesiologists. The section offices are on the top floor of the Ashley River Tower and are shared with Adult Cardiology which provides for constant interaction between the two groups. In addition, the CTICU and CCU are immediately adjacent, again providing for constant interaction between the surgeons, cardiologists and staff.
The Section of Adult Cardiac Surgery is an integral component of the Heart and Vascular Service Line which is made up of Adult Cardiology, Adult Cardiac Surgery, Vascular Surgery, Interventional Radiology, and Cardiac Anesthesia. This service line is dedicated to providing state-of-the-art care for patients with all types of cardiovascular disease, to the search for new and innovative treatments, and to improving the overall efficiency of patient care in this particular group of patients.
|John S. Ikonomidis, MD, PhD|
Horace G. Smithy Professor
Chief, Division of Cardiothoracic Surgery
Head, Section of Cardiac Surgery
|Mario Castillo-Sang, MD|
|Fred A. Crawford, Jr, MD|
Distinguished University Professor
|John M. Kratz, MD|
Associate Professor of Surgery
J. Matthew Toole, MD