1425-1426, Seminars in Thoracic and Cardiovascular Surgery, Volume 28, Issue 1, 2016, pp. Richard L. Prager, M.D. ScienceDirect is a registered trademark of Elsevier B.V. ScienceDirect is a registered trademark of Elsevier B.V. Richard and Norma Sarns Research Professor of Cardiac Surgery. Nuanced Approach to Surgical Tricuspid Valve Endocarditis. 682-686, Seminars in Thoracic and Cardiovascular Surgery, Volume 28, Issue 1, 2016, pp. Dr. Prager began his cardiac and thoracic surgical career at Vanderbilt University in Nashville, Tennessee as an Assistant Professor in the Department of Cardiac and Thoracic Surgery returning to Ann Arbor in 1983 to join the Cardiac and Thoracic Surgical Group at St. Joseph Mercy Hospital. Our name is changing. Orringer served as President of the STS (2001) and subsequently received its Distinguished Service Award. robert van haren cincinnati ctsnet md university Dr Alexander transferred to the Medical Corp of the US Army when the United States entered the war and then remained in France to study the surgical treatment of pulmonary, Cameron Haight graduated from the Harvard Medical School in 1926 (Fig. Seminars in Thoracic and Cardiovascular Surgery, https://doi.org/10.1053/j.semtcvs.2016.08.017. Learn more. Open Arch Repair After Coronary Artery Bypass Surgery. He came to the University of Michigan seeking further training in thoracic surgery in John Alexanders developing Section of Thoracic Surgery and was a resident from 1931-1934.

Dr. Prager leads the Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative initiative and is a Director of the University of Michigans Frankel Cardiovascular Center. With a secure MyChart online account, you can see your test results, refill prescriptions, email your provider, schedule appointments and more all from your smartphone, tablet or computer. University of Michigan Health-West is committed to diversity, equity, and inclusion. Health Services Research: Dr. Pragers ongoing interests are focused clinically in adult cardiac surgery and utilizing outcomes in all areas of adult cardiac surgery to create the platform for opportunities for improvement. Perfusion strategies and myocardial protection contribute to successful outcomes. Gastroenterology (Digestive & Liver Care), Urogynocology Bladder & Pelvic Health Services, University of Michigan Health-West Standard Charges, University of Michigan Health-West Foundation, UM Health-West Foundation Board of Directors. We offer a variety of payment options for every financial situation. 322-323, The University of Michigan Cardiac and Thoracic Surgery Program, In 1928, the University of Michigan opened its, residency under the leadership of Dr John Alexander. At reoperation, 33 (73%) patients had hemiarch replacement and 12 (27%) had a total arch replacement. Learn more about the total costs incurred for medical procedures and services. His general surgery and thoracic surgery residencies were at the University of Michigan from 1971-1978, including a research year in the thoracic surgical laboratories. During his surgical residency, Orringer spent a 6-month fellowship in Bristol, England, under the mentorship of Mr. Ronald Belsey, an internationally regarded thoracic surgeon and authority on esophageal surgery. He was influenced by Max Chamberlain (1938-1940), a former trainee of Dr Alexander in a serendipitous meeting with him in Korea. 2022, Computational and Mathematical Methods in Medicine, Surgery, Volume 160, Issue 6, 2016, pp. In 1998, as the adult and pediatric cardiovascular programs continued to evolve and develop, the University of Michigan Section of Thoracic Surgery was divided into a Section of Thoracic Surgery headed by Dr Orringer and the newly created Section of Cardiac Surgery headed by Dr Edward Bove (Fig. In methods, from 2000-2014, 650 patients underwent aortic arch surgery with circulatory arrest. 7). University of Michigan Medical School (Ann Arbor), Milton S Hershey Medical Center of Pennsylvania State University, Surgery, General, University of Michigan Medical Center (Ann Arbor), Research, University of Michigan Medical Center (Ann Arbor), Surgical Critical Care, University of Michigan Medical Center (Ann Arbor), Surgery, Thoracic, AM Board of Surgery - Surgical Critical Care, AM Board of Thoracic Surgery - Thoracic and Cardiac Surgery. Dr Herbert Sloan graduated from the Johns Hopkins University School of Medicine (1940) and was a resident in surgery at the Johns Hopkins Hospital from 1940-1944 (Fig. Copyright 2022 Elsevier B.V. or its licensors or contributors. Survival was 74%, 65%, and 52% at 1, 3, and 5-year follow-up, respectively. Only predictors of early mortality were age (odds ratio = 1.20, CI: 1.01-1.44; P = 0.04) and nonuse of retrograde cardioplegia for myocardial protection (odds ratio = 6.80, CI: 1.06-43.48; P = 0.04). This monograph outlines the rich history of cardiothoracic surgery at New York University (NYU), beginning with its origins at The Bellevue Hospital in the mid-1800s. 2), a Philadelphia born and University of Pennsylvaniaeducated surgeon, who enlisted in the French Armys American Unit in World War I following medical school. 8). Open Aortic Arch Reconstruction After Coronary Artery Bypass Surgery: Worth the Effort? Selective antegrade cerebral perfusion was used in 13 patients (28.9%) and retrograde perfusion in 6 (13.3%). This has led to utilizing the Society of Thoracic Surgeons National Adult Cardiac Surgery Database and other data sources as resources for furthering understandings and with this approach, the Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative was initiated in 2001. 36-37, European Journal of Vascular and Endovascular Surgery, Volume 57, Issue 6, 2019, pp. He is the Past President of the Society of Thoracic Surgeons and Past President of the Southern Thoracic Surgical Association. We use cookies to help provide and enhance our service and tailor content and ads. Our focus is the future: breakthroughs, innovations and high-quality care. is the Richard and Norma Sarns Professor of Cardiac Surgery at the University of Michigan and Founding Director of the Frankel Cardiovascular Center. Dr. Prager was the Medical Director of the HCFA Demonstration Project at St. Joseph Mercy Hospital and the Head of the Section of Cardiac and Thoracic Surgery. This culture continues under the direction of our current chair, Dr Aubrey Galloway, whose vision has orchestrated and refined a new period of innovation and excellence.

757-758, The Annals of Thoracic Surgery, Volume 107, Issue 1, 2019, pp. We reviewed our surgical approach and outcomes to establish the risk profile for this patient population.

There are more references available in the full text version of this article. Educational focus: Dr. Prager is committed to the education of residents and fellows in Cardiac and Thoracic Surgery and is the former program director of the Thoracic Surgery Residency and Integrated Thoracic Residency at the University of Michigan, and held this position between 2009-20015. University of Michigan Health-West was founded on the idea of putting patients first, and it has never looked back. Initially tasked with providing surgical care for patients with, Propensity scores for comparative effectiveness research: Finding the right match. He remains active in resident education. Under Dr Spencers leadership, the department progressed with development of a culture of innovation, leadership and education that carries through today. During this transition period you may see either University of Michigan Health-West OR Metro Health University of Michigan Health on patient communications and billing statements. By continuing you agree to the use of cookies. In results, the mean interval from previous CABG to aortic arch surgery was 6.8 7.1 years. His surgical training was interrupted by the war, and from 1944-1947, he served in the Medical Corps in Okinawa and Korea. Of these, 45 (7%) had previous CABG. 1), who was the chairperson of surgery and dean at the University of Michigan Medical School, recruited John Alexander, MD (Fig. Largely on the strength of Dr Chamberlains recommendation quoted here: Dr Mark Orringer graduated from the University of Pittsburgh School of Medicine (1967) and completed his general and thoracic surgery residency training at the Johns Hopkins Hospital in 1973 (Fig. In 1999, he moved to the University of Michigan as Professor of Surgery and Head of the Section of Adult Cardiac Surgery. The program encompasses three major hospitals and will soon graduate its 50th class of trainees, many of whom have had outstanding careers and a major impact on the field of cardiothoracic surgery. 2016 Elsevier Inc. All rights reserved. Dr. Prager received his undergraduate degree at the University of Pennsylvania in Philadelphia in 1967 and his medical degree in 1971 from State University of New York Downstate. Metro Health is closely monitoring developments regarding COVID-19. 5). Use our update center to find resources and answers to questions. In conclusion, aortic arch surgery after previous CABG can be performed with acceptable early and midterm results and low risk of stroke. History of Cardiothoracic Surgery at New York University, Risky Business or Acceptable Risk? Both the residency and the medical center have evolved to mirror the changing practice of thoracic surgery. Following his residency, Dr Sloan recruited Orringer to the University of Michigan.

University of Michigan Health-West is committed to diversity, equity, and inclusion.

In 1928, the University of Michigan opened its thoracic surgery residency under the leadership of Dr John Alexander. 4), served as a surgical intern on the service of Dr Harvey Cushing from 1926-1928, and became a surgical resident at the New Haven Hospital and assistant in surgery at the Yale University School of Medicine from 1928-1931. The Collaborative has utilized a wide variety of clinical data sources and data analyses to improve outcomes in the state of Michigan and share improvement approaches throughout Michigan, as well as throughout the country. Numerous early clinical accomplishments were significant, leading up to the arrival of Dr Frank Spencer in 1966. Open aortic arch surgery after coronary artery bypass grafting (CABG) is considered a high-risk operation. There were 6 perioperative deaths (13%) and 1 stroke (2.2%). The clinical areas of pediatric cardiovascular surgery and adult cardiac surgery continued to. Initially tasked with providing surgical care for patients with thoracic diseases such as tuberculosis, thoracic surgery subspecialties now provide surgical treatment for a spectrum of diseases, ranging from congenital cardiopulmonary abnormalities to thoracic malignancy to acquired heart and great vessel diseases. 26-35, Seminars in Thoracic and Cardiovascular Surgery, Volume 28, Issue 3, 2016, pp. In 1922, Hugh Cabot (Fig. He then became the second. The following were the indications for surgery: fusiform aneurysm in 20 (44%), pseudoaneurysm in 6 (13%), endocarditis in 4 (9%), valvular disease in 5 (11%), and acute aortic dissection in 10 (22%). Intermediate survival of these patients was significantly lower than those of a sex-matched and age-matched population (P < 0.001). Complete medical record was available for review including all preoperative coronary angiograms and detailed management of myocardial protection. Remote Ischaemic Preconditioning in Vascular Surgery: Is it Worth the Effort? Access your health information anytime and anywhere! US News Ranking for Cardiology and Heart Surgery, Copyright 1995-2022 Regents of the University of Michigan.