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Cardiothoracic Anesthesiology

The faculty members of Cardiothoracic Anesthesiology are skilled clinicians who provide anesthesia services for over 1,400 cases a year in state-of-the-art operating rooms (ORs) as well as the electrophysiology, and cardiac catheterization laboratories. The University of Maryland Medical Center offers advanced cardiopulmonary life supports, including ventricular assist device, and extracorporeal membrane oxygenation (ECMO) to critically ill patients.

Our division members work closely with surgeons, perfusionists, and intensivists in a wide variety of cases, including minimally invasive valve repairs, coronary revascularization, major aortic surgery, ventricular assist device placement, transplantations, and adult congenital procedures. During these procedures, our division provides perioperative transesophageal echocardiography (TEE) service with the help of sonographers using 4 TEE machines with 3D imaging capabilities.

The members of our team constantly strive to improve the quality of care for cardiovascular patients based off critical review of our performances in blood conservation, thromboprophylaxis, and infection control. The collaborative atmosphere among different specialties typifies one of the many strengths of our medical center.

Faculty

Fellows

 

  • Seung Choi, MD
  • Patrick Coleman, MD
  • TomMario Davis, MD

 

Sonographers

  • Inna Shats, MA, BS, RDCS, FASE, Chief Sonographer - EMAIL
  • Bobby Ezzati, RCS - EMAIL
  • Kristen Jordan, RDCS - EMAIL
  • Sarah Krejak, RDCS - EMAIL
  • Glenda March - EMAIL

Education and Research

Education: Our faculty members actively in teach residents, fellows, and medical students in and out of ORs. Anesthesiology residents are exposed to a wide variety of anesthetic techniques along with TEE, and blood conservation techniques.  Participation in Cardiothoracic Fellowship provides further specialization in cardiothoracic anesthesiology by providing extensive TEE training, patient blood management, and research opportunities. Dr Odonkor currently serves as an ABA Oral Board Examiner, ABA MOCA minute question writer and member of the Standardized Oral Examination Committee at the ABA.

Research: Cardiothoracic Division members actively conduct their own research, participate in multi-center clinical trials, and support cardiac surgeons in evaluating new surgical techniques and cardiopulmonary devices. One of the major research focuses is coagulation monitoring in complex cardiac surgery. One of the major research focuses in the Division is coagulation monitoring in complex cardiac surgery. Dr. Williams spends a significant proportion of her time in the laboratory and her research interests include cardiopulmonary bypass associated coagulopathy and sepsis induced coagulopathy. Drs. Williams, Strauss and Odonkor are actively involved in the Cardiac Xenotransplantation program at the University of Maryland School of Medicine, which has produced the longest surviving orthotopic pig heart to baboon xenotransplant. Dr. Strauss was involved in the first successful minimally invasive intraoperative TEE guided “HARPOON” assisted repair of the Mitral Valve in North America.

Service:

  • Dr. Strauss was selected to serve as a member of the SCA research committee.
  • Dr. Henderson was selected to serve as a member of the SCA Blood Conservation Committee. He also serves on the Faculty Senate, Diversity Advisory Committee and Admission Committee at the University of Maryland School of Medicine
  • Dr. Odonkor serves as a member on the Perfusion Advisory Committee of the Maryland Board of Physicians.

Oral Presentation:

  •  Henderson RA, Hematological Effects After Autologous Blood Infusion in Cardiac Surgical Patients, SABM, University of Maryland, Baltimore, Oral. 2020

Recent Publications

Sankova SK, Deshpande S, Miller SP, Tanaka K. Anesthesia in the Postgenomic Era: Commercial Polymorphism Screening in a Cardiac Surgery Patient. Anesth Analg. March 2021. PMID:33780384.

Patel PA, Henderson RA Jr, Bolliger D, Erdoes G, Mazzeffi MA. The Year in Coagulation: Selected Highlights from 2020. J Cardiothorac Vasc Anesth. March 2021. PMID:33781668.

Henderson RA, Judd M, Strauss ER, Gammie JS, Mazzeffi MA, Taylor BS, Tanaka KA. Hematologic evaluation of intraoperative autologous blood collection and allogeneic transfusion in cardiac surgery. Transfusion . January 2021. PMID:33423288.

Brown JM, Hajjar-Nejad MJ, Dominique G, Gillespi M, Siddiqui I, Romine H, Odonkor P, Dawood M, Gammie JS.. A Failed Cardiac Surgery Program in an Underserved Minority Population County Reimagined: The Power of Partnership. J Am Heart Assoc. 2020;9(23):e018230. PMID:33213254.

Mondal S, Hollander KN, Ibekwe SO, Williams B, Tanaka K. Heyde Syndrome-Pathophysiology and Perioperative Implications. J Cardiothorac Vasc Anesth. October 2020. PMID:33132021.

Del Valle M, Hollander KN. What Is That Flow? Clinically Relevant Incidental Finding in a Patient Undergoing Coronary Artery Bypass Grafting, Mitral Valve Repair, and Maze Cryoablation. J Cardiothorac Vasc Anesth. 2020;34(11):3160-3163. PMID:32563629.

Strauss ER, Dahmane E, Judd M, Guo D. A Pharmacokinetic and Pharmacodynamic Investigation of an ε-Aminocaproic acid regimen designed for the context of cardiac surgery with cardiopulmonary bypass. J Cardiothoracic Vasc Aesth.2021 Feb;35(2):406-417.doi:10.1053/j.jvca.2020.07.048.Epub 2020 Jul 21. PMID:32811752.

Mazzeffi M, Chow JH, Anders M, Gibbons M, Okojie U, Feng A, Ibrahim I, Morris NA, Martz D, Rock P. Intraoperative hypotension and perioperative acute ischemic stroke in patients having major elective non-cardiovascular non-neurological surgery. J Anesth. February 2021. PMID:33564908

Tanaka KA, Henderson RA, Strauss ER. Evolution of viscoelastic coagulation testing in the perioperative setting. Expert Rev Hematol. 13(7), 697-707. PMID: 32310702. 2020

Goerlich C, Singh A, Kaczorowski D , Abdullah M, Lewis B, Tatarov I, Hershfeld A, Zhang T, Strauss E, Odonkor P, Williams B, Ayares D, Griffith B, Mohiuddin M. Lack of Human Thrombomodulin Gene Expression in Life Supporting Pig-to-Baboon Cardiac Xenotransplantation Models Accelerate Antibody Mediated Rejection. Transplantation. 104(S3), S635. 2020

Chow JH, Strauss E, Mazzeffi MA. Angiotensin II and Vasoplegia in Cardiac Surgery: Paradigm Changer or Costly Contender?. J Cardiothorac Vasc Anesth. 35(1), 59-60. PMID: 32950345. 2021

Tanaka KA, Mondal S, Morita Y, Williams B, Strauss ER, Cicardi M. Perioperative Management of Patients With Hereditary Angioedema With Special Considerations for Cardiopulmonary Bypass. Anesth Analg. doi: 10.1213/ANE.0000000000004710. [Epub ahead of print]. PMID: 32102012. 2020

Williams B, Henderson RS, Reformato VS, Pham T, Taylor BS, Tanaka KA. Hemostasis Management of Patients Undergoing Emergent Cardiac Surgery After Ticagrelor Loading. Case Report. J Cardiothorac Vasc Anesth. 34(1):168-174. PMID: 31375405. 2020

Mondal S, Sankova S, Lee K, Sorensen E, Kaczorowski D, Mazzeffi M. Intraoperative and Early Postoperative Management of Patients Undergoing Minimally Invasive Left Ventricular Assist Device Implantation. J Cardiothorac Vasc Anesth. 16;S1053-0770(20)30374-8. DOI: 10.1053/j.jvca.2020.04.015. PMID: 32505605. 2020

Deshpande SP, Sankova S, Dorsey N, Dawood MY, Tanaka K. Transcatheter tricuspid valve-in valve replacement-hope for the forgotten valve!. Korean J Anesthesiol. 73(3), 264-266. doi: 10.4097/kja.20104. Epub 2020 Mar 12. PMID: 32160737. 2020

Chow JH, Abuelkasem E, Sankova S, Henderson RA, Mazzeffi MA, Tanaka KA. Reversal of Vasodilatory Shock: Current Perspectives on Conventional, Rescue, and Emerging Vasoactive Agents for the Treatment of Shock. Anesth Analg. 130(1), 15-30. PMID: 31348056. 2020

Mondal S, Quintili AL, Karamchandani K, Bose S. Thromboembolic disease in COVID-19 patients: A brief narrative review. J Intensive Care. 8:70. doi.org/10.1186/s40560-020-00483-y. PMID: 32939266. 2020

Mondal S, Hollander KN, Ibekwe SO, Williams B, Tanaka KA. Heyde Syndrome-Pathophysiology and Perioperative Implications. J Cardiothorac Vasc Anesth. S1053-0770(20)31098-3. PMID: 33132021. 2020

Mondal S, Sankova S, Lee K, Sprenson EN, Kaczorowski D, Mazzeffi M. Intraoperative and Early Postoperative Management of Patients Undergoing Minimally Invasive Left Ventricular Assist Device Implantation. J Cardiothorac Vasc Anesth. S1053-0770(20)30374-8. doi: 10.1053/j.jvca.2020.04.015. PMID: 32505605. 2020

Acho C, Morita Y, Fernandez V, Safwan M, Galusca D, Aboujoud M, Yoshida A, El-Bashir J, Nagai S. Immediate Post-Operative Extubation Decreases Pulmonary Complications in Liver Transplant Patients. Transplantation. DOI: 10.1097/TP.0000000000003450. 2020

Yoon J, Salamanca-Padilla Y. Effect of left ventricular diastolic dysfunction on development of primary graft dysfunction after lung transplant. Curr Opin Anaesthesiol. 33(1), 10-16. PMID: 31789901. 2020

Mazzeffi M, Judd M, Rabin J, Tabatabai A, Menaker J, Menne A, Chow J, Shah A, Henderson R, Herr D, Tanaka K. Tissue Factor Pathway Inhibitor Levels During Veno-Arterial Extracorporeal Membrane Oxygenation in Adults. ASAIO J. PMID: 33606392. 2021

Patel PA, Henderson R, Bolliger D, Erdoes G, Mazzeffi MA. The Year in Coagulation: Selected Highlights from 2020. J Cardiothorac Vasc Anesth. S1053-0770(21), 00192-0. PMID: 33781668. 2021

Henderson RA, Choi S. History and Practice of Acute Normovolemic Hemodilution. Curr Anesthesiol Rep. 10, 282-288. 2020

Gammie JS, Quinn RW, Strauss ER, Wang L, D'Ambra MN, Hung J, Bernstein DA, Tran D, Rice MK, Holmes SD, Pasrija C. Initial Clinical Experience with Mitral Valve Translocation for Secondary Mitral Regurgitation. Ann Thorac Surg. S0003-4975(21), 00051-5. PMID: 33440174. 2021

Book Chapter:

Henderson RA. Vascular Anesthesia Procedures. Alan Kaye, eds. Hemostasis, Thrombosis, Transfusion, and Blood Conservation. Oxford University Press: Chapter 3 23p-40p. 2021