Cardiothoracic Anesthesia Division

Patient Care Information

The Division of Cardiothoracic Anesthesiology is comprised of faculty members whose clinical practice focuses on patients undergoing cardiac and thoracic procedures in the operating room and catheterization laboratory. Our continued mission is to offer safe, uncompromising, elite-level care for patients undergoing these procedures, while providing the highest quality educational environment to our residents and medical students.

Division Members


Jeremy Poppers, MD, PhD, FASE
Chief of Cardiothoracic Anesthesia
           

  • Derek Atkinson, MD joined our team in 2018 after completing a Fellowship in Cardiothoracic Anesthesiology at Columbia University.
  • Igor Izrailtyan, MD is the director of intraoperative TEE and is leading a quality improvement initiative for our TEE program.
  • Renata Kowal, MD is a graduate of Stony Brook University Medical School, did her Residency training in our department and did a Fellowship in Cardiothoracic Anesthesiology and Perioperative TEE at the Cleveland Clinic Foundation.
  • Jeremy Poppers, MD, PhD, FASE is Chief of the division. He has been recognized for his teaching in cardiac anesthesiology and TEE.
  • Bharathi Scott, MD has research interests in the transfusion of blood during cardiac surgery, morbidity and mortality in octogenarians undergoing bypass surgery and gender differences in resource utilization in cardiac surgery.
  • Eric Zabirowicz, MD has a particular interest in mechanical circulatory support for both acute and chronic heart failure.
Residency Training

During their cardiothoracic rotation, residents are exposed to a wide variety of cardiac and major aortic cases, including on- and off-pump coronary revascularization surgery, valve repair and replacement, aortic aneurysm and dissection repair. In addition, residents will gain experience in caring for patients with advanced heart failure who require placement of mechanical assist devices such as intra-aortic balloon pumps, ventricular assist devices (VADs) and extra corporeal membrane oxygenation (ECMO). Residents will also gain familiarity with patients undergoing trans-catheter aortic valve replacements (TAVRs) and a multitude of thoracic surgical cases, including pulmonary and esophageal resections.

Residents rotate through the cardiothoracic division for a month-long block starting in the middle of their CA1 year. Additional weeks on the service assigned during their CA-2 and CA-3 years.  During their rotation, residents will become proficient in the placement of arterial, central venous and pulmonary artery catheters, double lumen endotracheal tubes and bronchial blockers. Transesophageal echocardiography (TEE) experience will be acquired intraoperatively as well.

In addition to a diverse clinical experience, the cardiothoracic rotation offers a structured didactic program, comprised of a series of faculty lectures. Our faculty are genuinely excited to teach our residents, as well as serve as mentors for residents who wish to pursue academic projects, ranging from clinical research to challenging case reports, during the course of their rotation and residency; our residents have traditionally presented abstracts and complex cases at regional and national meetings.


Recent Division Activity


Resident Dr. Chojnowski presenting his Medically Challenging Case at PGA 2019

Resident Dr. Ericksen presenting his Medically Challenging Case at ASA 2019

Recent Publications
Resident authors denoted by bold type

from Raghunathan et al 2018
Recent Presentations
  • Hua B, Poppers J.
    Utility of Intraoperative 3D TEE for Diagnosing Mitral Valve (MV) Prosthetic Failure Immediately Post-Replacement.
    Society of Cardiovascular Anesthesiologists 39th Annual Meeting & Workshops. Orlando, FL. 2017
  • Thalappillil R, Scott BH, Seifert FC.
    Resource utilization, Postoperative mortality and morbidity in octogenarians, our experience 10 years later.
    ASA 2017
  • Thalappillil R, Izrailtyan I, McLarty HJ.
    Role of intraoperative TEE in identifying previously unrecognized RA thrombus prior to LVAD placement in patient with decompensated idiopathic dilated cardiomyopathy.
    ASA 2017
  • Escobar D, Scott B.
    Unilateral Tympanic Membrane Rupture During Robotic-Assisted Laparoscopic Prostatectomy.
    ASA 2017
  • Izrailtyan I, Bates A, Escobar D.
    Non-opioid Perioperative Management of the Patient.
    PGA 2017
  • NaJaveed S, McLarty A, Izrailtyan I.
    Use of Prothrombin Complex Concentrate for Hemostasis during Emergent Aortic Surgery in Patient with Refractory Bleeding on Rivaroxaban.
    PGA 2017
  • Smestad A, Tannous H, Izrailtyan I, Parikh P.
    Anesthetic Sedation for Valve-in-Valve TAVR in a Patient with Pulmonary Carcinoid Tumor.
    PGA 2017
  • Izrailtyan I, Poppers JS, Kowal RA, Zabirowicz E, Nie L, Romeiser JL, Gan TJ, Bennett-Guerrero E.
    Perioperative TEE Continuous Quality Improvement Program.
    ASA 2018
  • Mouch CM, Oleszak SP.
    Post Traumatic Stress Disorder After Anesthesia And The Approach To A Patient With A Difficult Airway Refusing Awake Intubation.
    ASA 2018
  • Izrailtyan I, Poppers J, Kowal R, Zabirowicz E, Nie L, Gan TJ, Bennett-Guerrero E.
    Development and Preliminary Experience with a Novel Quality Improvement Program for Intraoperative Tee.
    ASA 2019
  • Mitchell D, Dhautal B, Holecek W, Romeiser J, Poppers JS, Bilfinger T, Parikh PB, Bennett-Guerrero E
    Low Diastolic Blood Pressure and Aortic Insufficiency after Transcatheter Aortic Valve Replacement.
    ASA 2019
  • Chojnowski R, Poppers JS, Atkinson DJ.
    Neuraxial Anesthesia And Epoprostenol Via Bipap For Revision Right Hip Arthroplasty Complicated By Pulmonary Hypertension.
    ASA 2019
  • Tenure R, Kim ES, McLarty A, Poppers JS.
    Apparent Iatrogenic Pulmonary Hypertension In A Patient With An Impella And Va Ecmo.
    ASA 2019
  • Chojnowski R, Poppers J, Atkinson D.
    Anesthesia Strategy For Hip Arthroplasty Complicated By Pulmonary Hypertension.
    PGA 2019
  • Dhautal B, Mitchell D, Holecek W, Romeiser J, Parikh P, Bilfinger T, Poppers J, Bennett-Guerrero E.
    Low Diastolic Blood Pressure And Aortic Insufficiency After TAVR.
    PGA 2019
  • Ericksen W, Bannazadeh M, Izrailtyan I.
    CO2 Angiography For Thrombectomy In Patient With Anaphylactic Contrast Allergy.
    PGA 2019
  • Shuaib K, Kang R, Atkinson D.
    Anesthetic Management of A Pregnant Patient with Renal Failure.
    PGA 2019