The University of Iowa cardiothoracic surgery program is the third oldest program of its kind in the United States. Since its establishment in 1948 as the Division of Cardiothoracic Surgery, the program has advanced from providing operative interventions for patients with diseases of the chest to performing a broad range of the most current and innovative surgical procedures.

The Department of Cardiothoracic Surgery's facilities are located at University of Iowa Hospitals and Clinics. Each year cardiothoracic surgeons at the hospitals perform more than 500 adult and pediatric heart surgeries, including coronary bypasses, transplants, and placement of mechanical cardiac assist devices; minimally invasive procedures such as mitral valve replacement and epicardial lead placement; and more than 600 general thoracic surgeries with emphasis on esophageal and lung diseases. Preparations are under way for providing coronary artery bypass grafting using robotics.

Postbaccalaureate Training

The department plays a primary instructional role in University of Iowa Hospitals and Clinics' 20-month postbaccalaureate Perfusion Technology Program; see the department's perfusion courses listed under Courses in this section of the Catalog. For more information about the Perfusion Technology Program, contact the Department of Cardiothoracic Surgery or visit the Perfusion Technology Program website.

Research

University of Iowa cardiothoracic surgeons are leaders in clinical research, particularly in oncologic surgery, diseases of the esophagus, artificial organs, pediatric cardiac surgery, and transplantation. Research also is under way in the sequence of mutations and in localization of genes predisposed to cancer.

The department trains fourth-year M.D. students in two courses, CTS:8401 Subinternship in Cardiothoracic Surgery and CTS:8497 Research in Cardiothoracic Surgery.

Iowa's cardiothoracic surgery residency program was established in 1948 and is fully accredited by the Accreditation Council for Graduate Medical Education. It is the only cardiothoracic surgery training program in Iowa. Two residents are accepted into the two-year program each year.

The Department of Cardiothoracic Surgery has specialty laboratories in gastric motility, analytical chemistry, transplantation, tissue culture, surgical bacteriology, shock, and cardiac bypass. These facilities permit study of experimental procedures such as heart valve replacement in large animals and heterotopic heart transplantation in mice and rats.

The laboratories also are used for supervised teaching exercises in surgical technique for medical students and junior residents, and for refinement of technique for senior residents and faculty members.

Cardiothoracic Surgery Courses

CTS:8401 Subinternship in Cardiothoracic Surgeryarr.

Participation in diagnosis, preoperative, operative, and postoperative care of thoracic and cardiac patients.

CTS:8497 Research in Cardiothoracic Surgeryarr.

Participation in diagnosis, preoperative, operative, and postoperative care of thoracic and cardiac patients.

CTS:8499 Cardiothoracic Surgery Off Campus4 s.h.

Individually arranged by student with approval of department to rotate outside of the University of Iowa Hospitals and Clinics. Requirements: M.D. enrollment.

Perfusion Courses

PERF:4161 Instrumentation in Perfusion Technology3 s.h.

Electrical circuitry, filters, pressure transducers, thermistors, cardiac output computers, fluid dynamics, intra-aortic balloon pumps, blood gas analyzers. Requirements: Perfusion Technology Program enrollment.

PERF:4162 Pathophysiology of Perfusion Technology5 s.h.

Hemostasis, acid base physiology, gas transfer, heart anatomy, heart embryology, congenital cardiac defects. Requirements: Perfusion Technology Program enrollment.

PERF:4163 Clinical Experience I2 s.h.

Perfusion in operating room: patient workup, observation, and reporting on extracorporeal setup, surgical procedure. Requirements: Perfusion Technology Program enrollment.

PERF:4164 Clinical Experience II3 s.h.

Continuation of PERF:4163; setup of extracorporeal circuit; ancillary duties of perfusionist. Requirements: Perfusion Technology Program enrollment.

PERF:4165 Clinical Experience III12 s.h.

Continuation of PERF:4164; management of cardiopulmonary bypass system. Requirements: Perfusion Technology Program enrollment.

PERF:4166 Clinical Experience IV12 s.h.

Continuation of PERF:4165; emphasis on supply maintenance, perfusion department management. Requirements: Perfusion Technology Program enrollment.

PERF:4167 Perfusion Seminar1 s.h.

Ethics in perfusion. Requirements: Perfusion Technology Program enrollment.

PERF:4168 Research in Perfusion1 s.h.

From topic selection to manuscript. Requirements: Perfusion Technology Program enrollment.

PERF:4169 Clinical Experience V12 s.h.

Continuation of PERF:4166. Requirements: Perfusion Technology Program enrollment.

PERF:4170 Principle and Practice of Perfusion Technology6 s.h.

Hypothermia, hemodilution, left heart bypass, dialysis, ultrafiltration, membrane and bubbler oxygenation. Requirements: Perfusion Technology Program enrollment.

PERF:4171 Devices in Perfusion Technology3 s.h.

Components of extracorporeal circuit; in vitro laboratory evaluation of components. Requirements: Perfusion Technology Program enrollment.