Cardiothoracic Surgery

Questions?

To speak to a surgical nurse, please call 573-331-6748.
Our cardiothoracic surgeons are performing some of the most advanced heart procedures in the nation. This level of sophistication means patients don’t need to travel to major metropolitan areas to receive high quality advanced heart care customized to meet their needs.

SoutheastHEALTH’s Cardiothoracic surgeons specialize in performing surgical procedures to treat and repair disease and injuries within the chest.

Common Surgical Treatments

Our services include repairing congenital and acquired heart conditions,

heart lesions; procedures on the heart's pericardium, coronary arteries, valves and myocardium.

Working together with other cardiologists and specialists, our surgeons provide the latest in surgical care for Southeast patients.

SoutheastHEALTH’s Cardiothoracic surgeons have a reputation for being among the first to use new and innovate techniques that improve patient outcomes - even for the most complex procedures on the highest risk patients. We evaluate and treat every patient according to an individualized plan that meets their needs.

Coronary Artery Bypass Surgery (CABG)

What is it?

When blood is unable to flow easily through the arteries of your heart, you may need to undergo coronary artery bypass surgery.

Why is it necessary?

The heart delivers oxygen throughout your body by pumping blood through your arteries. When the coronary arteries of your heart contain blockages, portions of your heart may be deprived of oxygen and, if severe enough, may actually die. Coronary bypass surgery involves placing artery and/or vein grafts around these blockages to improve the blood supply to your heart muscle.

How is it done?

During coronary bypass surgery, your breastbone is divided in half to expose your heart. Your heart is then connected to a heart-lung machine which completely takes over the function of your heart and lungs, permitting the surgeon to temporarily stop your heart. With the heart still, the surgeon then bypasses the blocked coronary arteries with vein taken from your leg or arteries taken from your chest or arm. Your heart is then allowed to resume beating, it is disconnected from the heart-lung machine, and your breastbone is closed with wires. The operation usually takes from three to five hours.

In some cases, the surgeon can perform this operation while your heart is still beating. This is called "off-pump" coronary bypass surgery.

Cardiac Valve Surgery

What is it?

Your heart contains valves which regulate the way blood flows through it. There are several conditions which can result in dysfunction of one or more of these valves. If the valve function is bad enough, it may need to be repaired or replaced.

Why is it necessary?

Your heart contains four major valves. One or more of these valves may become damaged whereby it either leaks, causing blood to flow in the wrong direction, or becomes very narrow, making it difficult for blood to flow through it. In some cases, the valve may be repaired. In other cases, it must be replaced with a valve made of animal material (i.e., pig or cow) or metal.

How is it done?

During cardiac valve repair or replacement surgery, your breastbone is divided in half to expose your heart. Your heart is then connected to a heart-lung machine which completely takes over the function of your heart and lungs, permitting the surgeon to temporarily stop your heart. A portion of your heart is then open, exposing the malfunctioning valve and the surgeon repairs or replaces it. Once the valve is fixed, the heart is closed. Your heart is then allowed to resume beating, it is disconnected from the heart-lung machine, and your breastbone is closed with wires. The operation usually

Minimally Invasive Cardiac Surgery

The SoutheastHEALTH Minimally Invasive Cardiac Surgical Program offers several operations using minimally-invasive approaches:

  • Mitral Valve Repair
  • Aortic Valve Replacement (including Perceval)
  • Tricuspid Valve Repair or Replacement
  • Atrial Septal Defect/Patent Foramen Ovale Closure
  • Biventricular Epicardial Pacing Lead Placement
  • Surgical Radiofrequency Ablation for Atrial Fibrillation
  • TEVAR - Thoracic Endovascular Aneurysm Repair

Aortic Valve Replacement (Perceval)

PercevalPerceval is the 100% sutureless valve for aortic valve replacement. It is designed to be highly versatile and suitable for a wide range of surgical approaches, including traditional and minimally invasive. Dr. Paul Robison is one of the first five surgeons in the state of Missouri and first in the region to be approved to implant the Perceval valve.This procedure uses the newest technology to make a valve with better reliability than TAVR and can be inserted with a smaller incision than a traditional valve.

Stent Elasticity

  • Designed for any patient requiring an aortic valve procedure, including high-risk and complex patients.
  • Traditional valves require from 15-18 permanent sutures. Perceval is a stented valve held in place by a superelastic alloy cage.

Benefits to Patients

  • Reduced coronary bypass times
  • Less ventilation time and less blood transfusion
  • Leads to shorter Intensive Care stays
  • Reduced post-operative complications