Mount Sinai Heart Institute Best Regional Hospital Miami - FT. Lauderdale The Only High-Performing Heart Hospital in Miami-Dade

Cardiothoracic Surgical Procedures

Mount Sinai's doctors have the most extensive experience in cardiac valve surgery of any hospital in Florida, and they are among the most experienced in minimally invasive valve surgery in the United States. In fact, more valve surgeries are performed at the Mount Sinai Heart Institute than any other hospital in Florida. Our minimally invasive valve repair and replacement techniques are proven to result in less physical trauma and better long-term outcomes than more traditional cardiac surgical procedures.

Joseph Lamelas, M.D., chief of cardiac surgery, can provide every available cardiac surgical alternative based on a patient's needs and condition. A nationally recognized leader in cardiac surgery, Dr. Lamelas has taught his groundbreaking surgical techniques to hundreds of surgeons both nationally and internationally, and has developed advanced, minimally invasive surgical tools that are being used by surgeons across the country.

 

Aortic Surgery

The aorta is the largest artery in the body and is responsible for distributing oxygen-rich blood to all parts of the body. There are several conditions that can affect the aorta and require surgery.

Procedures:

  • Endoluminal grafting
  • Descending aortic aneurysms
  • Frozen elephant trunk
  • Hybrid debranching arch techniques

 

Carotid Endarterectomy

Carotid endarterectomy is an operation during which the vascular surgeon removes the inner lining of your carotid artery if it has become thickened or damaged. This procedure eliminates a substance called plaque from your artery and can restore blood flow. 

Coronary Artery Bypass Surgery

CABG surgery is advised for selected groups of patients with significant narrowings and blockages of the heart arteries (coronary artery disease). CABG surgery creates new routes around narrowed and blocked arteries, allowing sufficient blood flow to deliver oxygen and nutrients to the heart muscle.

Procedures:

  • CABG
  • Off-Pump CABG
  • Arterial revascularization (using internal mammary arteries, radial artery and gastroepiploic artery)
  • Redo coronary revascularization (with or without heart valve surgery)
  • TransMyocardial laser revascularization

 

Heart Valve Repair/Replacement Surgery

During heart valve surgery, one or more valves are repaired or replaced. Repair means that the valve is mended to help it work better. Replacement means your diseased valve is removed and a new valve is inserted in its place. Whether a valve will be repaired or replaced can only be decided once surgery has begun.

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Heart Valve Replacement Without Surgery

Mount Sinai Medical Center is participating in the Medtronic CoreValve U.S. Clinical Trial, which is evaluating a new, non-surgical alternative to open-heart surgery for patients with severe aortic stenosis. The trial uses a new technology designed to replace a diseased aortic heart valve through the skin and without surgical removal of the diseased valve.

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Mitral Valve Repair

Mitral valve repair is a cardiac surgery procedure performed by cardiac surgeons to treat stenosis (narrowing) or regurgitation (leakage) of the mitral valve. The mitral valve is the "inflow valve" for the left side of the heart.

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Minimally Invasive Cardiac Surgery

Standard heart surgery typically requires exposure of the heart and its vessels through median sternotomy (dividing the breastbone), considered one of the most invasive and traumatic aspects of open-chest surgery. A minimally invasive approach allows access to the heart through small incisions and without stopping the heart, without separating the breastbone (sternum) and ribcage, and without requiring a heart-lung machine to be used.

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Robotic Thoracic Surgery

Robotic surgery is a type of minimally invasive surgery in which surgeons use robotic assistance to perform complex procedures on the thorax (chest cavity and organs within the chest). This type of surgery offers patients a shorter hospital stay, faster healing time and quicker recuperation than standard open surgery or minimally invasive surgery.
 

Thoracic Endoscopy

Thoracic endoscopy is type of exploratory surgery to search for problems inside the lungs. If a problem is found, several procedures may be performed.

Procedures:

  • Flexible and rigid bronchoscopy
  • Endobronchial stenting
  • Laser resection of endobronchial tumors
 

Thoracic Surgery

Thoracic surgery refers to surgery of the lungs, esophagus, chest wall and mediastinum (chest cavity). It can be performed using standard open, minimally invasive or robotic techniques.

Procedures:

  • Thoracotomy lung biopsy
  • Thoracotomy lung resections and pneumonectomy
  • Thoracotomy decortication
  • Spinal exposure for orthopedic and neurologic procedures
  • Chest wall resection and reconstruction
  • Mediastinal surgery
  • Mediastinoscopy and biopsy
  • Mediastinotomy and biopsy


Minimally Invasive Procedures:

  • Video assisted lung biopsy
  • Video assisted bullectomy and pleural sclerosis
  • Video assisted lung resection and pneumonectomy
  • Video assisted decortication
  • Video assisted placement of pericardial pacemaker leads
  • Video assisted resection of thoracic tumors
  • Video assisted resection of mediastinal tumors
  • Video assisted mediastinoscopy
  • Microwave tumor ablation
  • Endobronchial ultrasound
  • Lung cancer screening
  • Image guided thoraocoscopic living nodule recreation
  • Lung cancer screening
  • Suno guided transbronchial biopsies


Robotic Procedures:

  • Lung nodule biopsy
  • Lung resection/lobectomy
  • Thymectomy
  • Treatment of benign esophageal disorders
  • Resection of esophageal tumors
  • Treatment of gastroesophageal reflux disease (GERD)
  • Resection of mediastinal tumors
  • Treatment of hyperhydrosis
 

Vascular Surgery

Vascular surgery refers to surgery to treat diseases of the vascular system. Our vascular surgeons and interventional radiologists apply the latest equipment, minimally invasive techniques and endovascular procedures to perform procedures in all arterial regions to treat conditions like aneursyms and peripheral artery disease (PAD).

Procedures:

  • Ambulatory phlebectomy
  • Atherectomy (removal of arterosclerosis plaque)
  • Caval interruption
  • Cool Laser revascularization
  • CryoPlasty therapy
  • Portal hypertension intervention
  • Surgical "open" aneurysm repair
  • Thrombolysis
  • Vascular stenting
  • Venous thrombectomy
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