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What is cardiothoracic surgery?


   Cardiothoracic surgery is surgery of the chest area, most commonly the heart and lungs. Typical diseases treated by cardiothoracic surgery include coronary artery disease; tumors and cancers of the lung, esophagus and chest wall; heart vessel and valve abnormalities; and birth defects involving the chest or heart.

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What is a cardiothoracic surgeon?


   A cardiothoracic surgeon is a medical doctors who has devoted at least five years to training in general surgery after medical school, followed by an additional two to three years of specialty training in cardiothoracic surgery.

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How should I select a cardiothoracic surgeon?


   You should have the freedom to choose your cardiothoracic surgeon. One of the best resources for recommendations is your primary care physician or specialist. Your doctor knows the surgeons in your community and has experience collaborating with them on the care of numerous patients. You may also wish to inquire about a surgeon's professional credentials. One important factor is whether the surgeon is Board certified in cardiothoracic surgery. To receive this certification, a surgeon must pass rigorous written and oral examinations. Once certified, the surgeon must then demonstrate he or she is staying current with training in the most recent surgical techniques on an ongoing basis. Finally, you should talk to your surgeon and ask questions at the initial consult prior to finalizing your decision. Your surgeon will be responsible for what could be the most major medical procedure you will ever undergo. It is important that you feel comfortable and able to communicate with him.

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What can I expect if I consult a cardiothoracic surgeon?


   Usually, a cardiothoracic surgeon will become involved in your care at the request of your primary care physician or specialist (typically a cardiologist or pulmonologist). The surgeon may be asked to assist in the diagnosis of your condition, or to determine whether or not surgery is indicated. The surgeon will review your heart catheterization (for heart patients) or CT scans (for lung patients) and will discuss your case with the referring physician before you are seen in the office. During your office visit, the surgeon will do a physican exam and review your medical history. The remainder of your visit will be spent discussing options, risks of surgery and answering your questions. Sometimes the best option will not be surgery, and you will return to your regular doctor for follow-up and care.

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What happens if surgery is recommended?


   Once you decide to undergo surgery, you and your surgeon will decide on a date for surgery. Once CSAD office staff confirms that date with the hospital, we will contact you with specific details regarding the date and time your surgery is scheduled. Your surgeon will also send you for "pre-admission testing", to be done at the hospital a few days before your surgery. This visit will usually include blood tests, and possibly an x-ray. During that same visit a nurse from the hospital will set down with you to explain where and when to arrive at the hospital, what to bring with you and what you can expect before and after your surgery.

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What happens after my surgery?


   Your surgeon will monitor your progress and make sure your recovery is proceeding as planned for some time after your surgery. Depending upon the procedure you underwent, your surgeon may arrange for a nurse to visit you at home for progress checks in the first days after you are discharged from the hospital. Once you are back on your feet, you will visit your surgeon in his office several times for follow-up care. You should call the office when you are discharged from the hospital to schedule your first appointment (usually one to two weeks after surgery). Your surgeon will continue to follow your case for 30 to 90 days to assess how your are responding to the surgery, make sure you are healing properly and answer your questions. He may also recommend physical therapy, exercise programs or nutritional counseling to help you maximize your health. Ultimately, your surgeon will refer you back to your regular doctor for follow-up and monitoring of your condition.

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Where can I learn more about my condition and treatment options?


   Your best resource for information about your particular condition and treatment options is your doctor -- or your team of doctors, including your primary care physician, cardiologist or pulmonologist and your cardiothoracic surgeon. Only physicians who know the details of your particular medical history can explain your exact condition, or factor your history into their recommendations regarding your treatment options. However, we strongly encourage our patients to learn all they can about their disease and treatment options from a variety of sources. This helps our patients to identify the questions they need answered and participate actively in their treatment planning. A huge amount of patient and consumer information about cardiothoracic surgery is available to the public on the worldwide web. The Heart Center at Eisenhower Medical Centers' Resources and Links page include a selection of sites to help you get started. The sites listed offer extensive information about types of heart and lung disease, treatment options, prevention and recovery. Again, we encourage you to talk to your doctor about the information you learn, and how it applies to your case.

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Cardiothoracic Surgery Associates of the Desert

39000 Bob Hope Drive Kiewit Building, Suite 108    Rancho Mirage, CA 92270
Phone (760) 568-4330     Fax (760) 568-6470

 
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