Cardiac Services
Cardiothoracic Surgery
Thoracic Aortic Disease and Valvular Surgery
 Aortic aneurysms (abnormal ballooning of the aorta) and dissection (separation of the walls of the aorta) often lead to aortic rupture. Over the past two decades, surgical and non-surgical techniques have continued to evolve and The Miriam Hospital has remained on the cutting edge of treatment. Our extensive experience, gained over many years of managing aortic disease, including aneurysms, dissections and obstructions, enables us to provide results of the highest quality.
Particular expertise in treatment of aneurysms and dissections at all levels of the aorta by the cardiothoracic surgeons, peripheral vascular surgeons, interventional cardiologists and radiologists has enabled us to provide a vast array of innovative procedures (including stents and/or surgery) for these very complex and critical disorders, and is a major reason for these outstanding results.
Techniques such as total body cooling, excellent brain activity monitoring and minimal blood utilization are commonplace at The Miriam– our team is particularly adept at providing the care necessary to provide these outstanding results.
Valve Surgery
 Although valve replacement (mechanical or tissue) has been the traditional approach to correction of valvular cardiac disorders, valve repair (particularly the mitral valve) has emerged over the past decade as the procedure of choice. A wide range of valve repair techniques is offered to each patient according to individual needs. All attempts are made to save the patient’s own valve, but artificial mechanical and tissue replacements may be required. Currently, 70 percent of all mitral valves and 95 percent of tricuspid valves are repaired, leaving the patient’s own valve in place. Valve replacement of the aortic valve is still the primary technique, but newer tissue valves are resulting in fewer patients needing lifelong blood thinners (anticoagulants).
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