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
           

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 the PGA meeting

Resident Dr. Ericksen presenting his Medically Challenging Case at the ASA meeting

Recent Publications
Resident authors denoted by bold type
  • Izrailtyan I, Qiu J, Overdyk FJ, Erslon M, Gan TJ. Risk factors for cardiopulmonary and respiratory arrest in medical and surgical hospital patients on opioid analgesics and sedatives. PLoS One. 2018 Mar 22;13(3).
  • Chikwe J, Zabirowicz E. What every surgeon should know about intra-operative evaluation of paravalvular leaks. Semin Thorac Cardiovasc Surg. 2019 May 8. pii: S1043-0679(19)30089-9.
  • Parikh PB, Pyo R, Stergiopoulos K, Katz J, Fan R, Izrailtyan I, Bilfinger T. Transcatheter Tricuspid Valve-in-Valve Replacement Via Right Internal Jugular Vein Access in a 39-Year-Old Woman. J Invasive Cardiol. 2019 Oct;31(10):E304-E305.
  • Parikh PB, Bloom MW, Pyo R, Patel N, Scott B, Stergiopoulos K, Tannous H. TAVR in a 65-Year-Old Man With a Bicuspid Aortic Valve With Extremely Large Annulus and Severe Left Ventricular Dysfunction. J Invasive Cardiol. 2020 Jul;32(7):E199.
  • Izrailtyan I, Poppers J, Kowal R, Zabirowicz E, Nie L, Gan TJ, Bennett-Guerrero E. Comprehensive Quality Improvement Program for Intraoperative Transesophageal Echocardiography: Development, Implementation, and Initial Experience. J Cardiothorac Vasc Anesth. 2020 Aug 7.
Recent Presentations
  • 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
  • Shah R, Katz S, Atkinson D. Severe Post-induction Bronchospasm in a Patient with Atypical Carcinoid Tumor. ASA 2020
  • Parsey D, Shuaib K, Watson E, Schwartz J, Kowal RA, Poppers JS. Diagnosis and Management of Unique Gerbode Defect Variation Consisting of a Bi-atrial Regurgitant Jet At the Base of the Inter-atrial Septum Originating From the Left Ventricular Outflow Tract. ASA 2020
  • Alam S, Tenure RS, Poppers JS. LA Thrombus Formation on An Amplatzer Occluder Device in a Patient with Factor V Leiden on Dabigatran. ASA 2020
  • Shuaib K, Angelo T, Poppers J, Factor M. Anesthetic Considerations in a Parturient with Complex Cardiac History and Pulmonary Hypertension. PGA 2020