With more than 350 pediatric cardiac surgical cases requiring cardiopulmonary bypass performed each year at Children’s Medical Center, we offer a fellowship in pediatric cardiothoracic surgery to trainees who have completed thoracic surgery training in our program or elsewhere.
Fellows participate in the pre-operative assessment, intra-operative management and post-operative care of infants and children who are referred to our center with a wide variety of complex congenital cardiac surgical conditions. Fellows develop a knowledge base in congenital heart surgery, including:
- Advanced cardiac physiology and pharmacology
- Pacing and electrophysiology
- Pathophysiology of noncyanotic congenital heart disease
- Cardiopulmonary bypass, circulatory arrest, and extracorporeal membrane oxygenation
- Surgical management of patent ductus arteriosis, coarctation, and anomalies of the aortic arch
- Surgical management of atrial septal defect, ventricular septal defect, atrioventricular cana defects, artial and total anomalous pulmonary venous return, tetralogy of Fallot, pulmonary atresia with intact ventricular septum, truncus arterosus, transposition of the great vessels, congenital aortic stenosis, congenital malformations of the mitral valve, tricuspid atresia, univentricular heart, Epstein’s abnormality, and hypoplastic left heart syndrome
Fellows develop skills in:
- Preoperative assessment, including interpretation of cardiac catheterization data, echocardiography, and radiographic studies
- Providing preoperative counseling to patients and families
- Performing palliative and corrective surgical procedures, including repair of ventricular septal defects, coarctation of the aorta, tetralogy of the Fallot, atrioventricular canal defects; truncus arteriosus, transposition of the great vessels, and hypoplastic left heart syndrome
- Providing postoperative care, including critical care, and including ventilator management, arrhythmia monitoring and treatment, interpretation of postoperative radiographic studies, transfusion therapy, and management of inotropic support in critically ill infants and children
Fellows are expected to develop skills enabling them to relate well with patients of all backgrounds, patients’ families, other physicians, other health care personnel, and hospital administration.
While many of the educational goals and objectives parallel those of the Thoracic Surgery residents who rotate at this site, fellows focus on more complex cases and take on a greater degree of responsibility in all facets of care.