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History
The Division of Cardiothoracic Surgery evolved into a leading clinical,
teaching and research center from one of the earliest such programs
in the United States. Evarts Graham, M.D., first established the program
and directed it himself in the 1930s. Graham is known for many outstanding
achievements, including the first successful pneumonectomy (lung removal)
for cancer in 1933.
Today, under the leadership of renowned thoracic surgeon G. Alexander
Patterson, M.D, the division continues to be a pioneer in developing
treatments for heart and lung disease in adults and children.
Over the years, the division has grown to include new specialties
and programs.
Pediatric cardiothoracic surgery initially was performed at Barnes
Hospital. Then, in 1968, a separate clinical service for pediatric
cardiothoracic patients was created at St. Louis Children’s
Hospital.
In 1988, the division created a separate service for general thoracic
surgery at Barnes Hospital. At the same time, a separate path for
the training of general thoracic surgeons was created. The American
Board of Thoracic Surgery granted one additional fellowship position
for this purpose. Currently, two fellows in cardiothoracic surgery
and one fellow in general thoracic surgery are appointed each year.
The training program is two years in length, and all three fellows
are eligible for certification by the American Board of Thoracic Surgery.
In 1995, the boards of Barnes Hospital and The Jewish Hospital of
St. Louis, two adjacent Washington University teaching hospitals,
agreed to merge the two hospitals, creating Barnes-Jewish Hospital
(BJH). The division’s offices and most of its clinical practice
are located at BJH.
Washington University reached an agreement in 1999 with Christian Hospital Northeast
– one of the affiliate hospitals of BJC HealthCare – for exclusive
provision of cardiothoracic surgical services. This service now is an integral
part of the division with two faculty members including a medical director.
In 2001, a critical intensive care service – which coordinates
the care of patients in the 21-bed cardiothoracic intensive care unit
– became part of the division. All of the service’s physicians
are board certified in both anesthesiology and critical care.
The same year, Washington University entered into an agreement with Skaggs Community
Health Center in Branson, MO, for provision of cardiothoracic surgical services
at that facility.
In addition, the division has signed an affiliation agreement with
St. Mary's Good Samaritan, Inc. of Mt. Vernon, IL, to provide cardiac
surgery services to the 250,000 people in its service area.
Washington University physicians are the medical staff of Barnes-Jewish Hospital and St. Louis Children's Hospital
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