UMC's First Arterial Switch Procedure!

JACKSON, Miss. – Dr. Jorge Salazar, University of Mississippi Health Care’s chief of congenital heart surgery, has performed the state’s first arterial switch on a Heidelberg newborn.
On Aug. 4, Salazar performed the Medical Center’s first arterial switch procedure on Zavin Arellano, a complex procedure that involved switching the heart’s major arteries, which are reversed, back to their normal position and moving the delicate coronary arteries with the aorta. With the help of a highly-skilled team of medical professionals, the surgery was successful.
“It’s one of the most complex heart surgeries done in children, and it’s the first time it has ever been performed in the state of Mississippi,” Salazar said. “This surgery represents the fact that we offer all congenital heart services here in Mississippi with excellent results.”
Since joining the Medical Center in April, Salazar and the congenital heart team have operated on 55 children with heart defects – all with excellent outcomes.
Georgianna Joe noticed her youngest son Zavin’s strange breathing when he was three days old. “I could see his stomach going in and out, in and out. He was breathing heavy,” she said.
The mother of two older sons, ages 8 and 9, couldn’t shake her concern, so she told a nurse, who alerted a physician.
“He told me when he listened to his heart, he heard an echo. They said his oxygen level was low,” Joe said.
A short time later, an AirCare crew flew to Laurel to bring Zavin to the University of Mississippi Medical Center for a thorough examination. The diagnosis: transposition of the great vessels and a ventricular septal defect.
Transposition of the great vessels reverses the way blood circulates through the body, reducing the amount of oxygen in the blood. Without adequately oxygenated blood, the body can’t function properly.
In other words, Zavin was born with two major heart vessels switched and a hole in his heart.
“I remember when they told me. I just cried a lot,” Joe said. “But we had lots of prayers.”
Before Salazar joined the University of Mississippi Medical Center, Zavin and his mother would have had to abruptly leave the state and fly to another medical center to repair the defects. Instead, they made UMMC and Mississippi history.
Dr. Giorgio Aru, professor of surgery and heart transplant surgeon, said UMMC continues its legacy as a frontrunner in the treatment of cardiovascular diseases.
“For many years, the Division of Cardiothoracic Surgery has been actively looking for a national leader in pediatric cardiac surgery totally dedicated to the creation and leadership of a pediatric cardiac center,” he said. “We were finally able to recruit Dr. Salazar, who has the skills and the vision necessary to place the University of Mississippi Medical Center at the same level of the major centers in the country for pediatric cardiac care.”
Joe said support from hospital staff helped her cope with stress during what’s typically a joyous time. Often, her husband, Roberto Arellano, had to work and care for the other children while she remained at the hospital.
“It was scary at first, but whatever that would help him survive, we had to do it,” she said.
Salazar said the congenital heart program is just one way the Medical Center is working to improve children’s health.
For that, Joe said she was grateful. Zavin’s heart is now completely normal, and he will have the opportunity for a normal life.
Hospital beds have been Zavin’s only home since his birth July 21. Joe looks forward to taking her now 1-month-old son to meet family and friends for the first time and to finally sleep in his own bed.

Dr. Salazar, Now at UMC!!

Jorge Salazar, MD


Contact Information:
Office Phone: 601- 984-5170

Office Fax: 601- 984-5198

E-mail: jsalazar@umc.edu


Biography:
Dr. Jorge Salazar, an expert in congenital heart surgery, has joined the UMMC faculty as an associate professor of surgery and director of the Pediatric Heart Program.

A mathematical sciences graduate of the University of Washington, Seattle, in 1990, Salazar received the M.D. from the University of Washington School of Medicine in 1994. He did a general surgery residency from 1994-2000 and a cardiothoracic surgery residency from 2001-03 at Johns Hopkins Hospital in Baltimore, Md., and a congenital heart surgery fellowship from 2003-04 at the University of California, San Francisco.

He immediately joined the faculty at the University of Texas Health Science Center in San Antonio as an assistant professor and head of congenital cardiac surgery. Salazar became founder and director of the ECLS Program at Christus Santa Rosa Children’s Hospital in San Antonio, from 2004-07, before eventually becoming the hospital’s chief of congenital heart surgery. While there, he concurrently served as an assistant professor and director of congenital cardiac surgery at UTHSCSA. In 2007, Salazar joined the faculty at the Baylor College of Medicine.

Education and Training
University of California, San Francisco Fellow, Congenital Heart Surgery 2003-2004
Hospital Val de Hebron, Madrid, Spain Visiting Fellow, Cardiac Surgery 2001
Johns Hopkins Hospital Resident, Cardiothoracic Surgery 2000-2003
Resident, Cardiac Surgery Research 1996-1998
Resident, General Surgery 1994-2000
University of Washington School of Medicine MD 1994
University of Washington BS 1990
Professional Memberships
American Board of Surgery
American Board of Thoracic Surgery

Jorge Salazar, MD Publications

Published in Refereed Journals
1. Allibhai T, DiGeronimo R, Whitin J, Salazar JD, To-Sang Yu T, Ling XB, Cohen H, MD, Dixon P, Madan A. Effects of moderate versus deep hypothermic circulatory arrest and selective cerebral perfusion on cerebrospinal fluid proteomic profiles in a piglet cardiopulmonary bypass model. Accepted and in press 6/2009, Journal of Thoracic and Cardiovascular Surgery



2. Salazar JD, Coleman R, Griffith S, McNeil J, Steigelman M, Young H, Hensler J, Dixon P, Calhoon C, Baisden C, Serrano F, Digeronimo R. Selective Cerebral Perfusion: Real-time Evidence of Neuroprotection During Deep Hypothermic Circulatory Arrest. Accepted and in press 5/2009, Annals of Thoracic Surgery



3. Salazar JD, Coleman R, Griffith S, McNeil J, Young H, Calhoon C, Serrano F, Digeronimo R. Brain Preservation With Selective Cerebral Perfusion For Operations Requiring Circulatory Arrest: Protection at 25°C is Similar to 18°C With Shorter Operating Times. Accepted and in press 5/2009, European Journal of Cardiothoracic Surgery



4. Sumpio BE, Allie DE, Horvath KA, Marston WA, Meites HL, Mills JL, Orgill DP, Salazar JD, Song DH, Toursarkissian B. The Role of Negative Pressure Wound Therapy (NPWT) in Treating Peripheral Vascular Graft Infections. Vascular. 2008 Jul-Aug;16(4):194-200. Review.



5. Fleck T, Gustafsson R, Harding K, Ingemansson R, Lirtzman MD, Meites HL, Moidl R, Price P, Ritchie A, Salazar JD, Sjogren J, Song DH, Sumpio BE, Toursarkissian B, Waldenberger F, Wetzel-Roth W. The management of deep sternal wound infections using vacuum assisted closure (V.A.C.) therapy. Int Wound J. 2006 Dec;3(4):273-280.



6. Salazar JD, Ermis P, Laudito A, Lee R, Wheatley GH, Paul S, Calhoon J. Cardiothoracic surgery resident education: update on resident recruitment and job placement. Ann Thorac Surg 2006 Sep;82(3):1160-1165.



7. Yin S, Salazar JD, Nolke L, Azakie A, Karl TR. Late pulmonary valve implantation after repair of tetralogy of Fallot. Asian Cardiovasc Thorac Ann 2005 Jun;13(2):139-142.



8. Bethea BT, Salazar JD, Grega MA, Doty JR, Fitton TP, Alejo DE, Borowicz LM, Gott VL, Sussman MS, Baumgartner WA. Determining the Utility of Temporary Pacing Wires After Coronary Artery Bypass Surgery Ann Thorac Surg 2005 Jan;79:104-107.



9. Salazar JD, Lee R, Wheatley GH, Doty JR. Are there enough jobs in cardiothoracic surgery? The thoracic surgery residents association job placement survey for finishing residents. Ann Thorac Surg 2004 Nov;78(5):1523-1527.



10. Dodd-o JM, Welsh LE, Salazar JD, Walinsky PL, Peck EA, Shake JG, Caparrelli DJ, Ziegelstein RC, Zweier JL, Baumgartner WA, Pearse DB. Effect of NADPH oxidase inhibition on cardiopulmonary bypass-induced lung injury. Am J Physiol Heart Circ Physiol. 2004 Aug;287(2):H927-36.



11. Dodd-o JM, Welsh LE, Salazar JD, Walinsky PL, Peck EA, Shake JG, Caparrelli DJ, Bethea BT, Cattaneo SM, Baumgartner WA, Pearse DB. Effect of bronchial artery blood flow on cardiopulmonary bypass-induced lung injury. Am J Physiol Heart Circ Physiol 2004 Feb;286(2):693-700.



12. Doty JR, Wilentz RE, Salazar JD, Hruban RH, Cameron DE. Atheroembolism in cardiac surgery. Ann Thorac Surg 2003 Apr;75(4):1221-1226.



13. Doty JR, Walinsky PL, Salazar JD, Brawn J, Haggerty M, Redmond JM, Baumgartner WA, Gott VL. Left atrial-inferior vena cava bypass achieves retroperfusion of the porcine spinal cord: morphologic and preliminary physiologic studies. J Surg Res 2002 Nov;108(1):157-164.



14. Doty JR, Salazar JD, Forastiere AA, Heath EI, Kleinberg L, Heitmiller RF. Postesophagectomy morbidity, mortality, and length of hospital stay after preoperative chemoradiation therapy. Ann Thorac Surg 2002 Jul;74(1):227-231.



15. Salazar JD, Wityk RJ, Grega MA, Borowicz LM, Doty JR, Petrofski JA, Baumgartner WA. Stroke after cardiac surgery: short- and long-term outcomes. Ann Thorac Surg 2001 Oct;72(4):1195-1201.



16. Brock MV, Salazar JD, Cameron DE, Baumgartner WA, Conte JV. The changing profile of the cardiac donor. J Heart Lung Transplant 2001 Sep;20(9):1005-1009.



17. Gruber PJ, Sprecher BS, Doty JR, Salazar JD, Nyhan D, Conte JV, Baumgartner WA, Misek DE, Puravs E, Krause M, Hanash S, Balser JR, Gruber SB. Comprehensive proteomic and genomic expression analysis of cardiopulmonary bypass Cardiology in the Young 2001 May;11(1):194-194.



18. Fonger JD, Doty JR, Salazar JD, Walinsky PL, Salomon NW. Initial experience with MIDCAB grafting using the gastroepiploic artery. Ann Thorac Surg 1999 Aug;68(2):431-436.



19. Baumgartner WA, Walinsky PL, Salazar JD, Tseng EE, Brock MV, Doty JR, Redmond JM, Blue ME, Goldsborough MA, Troncoso JC, Johnston MV. Assessing the impact of cerebral injury after cardiac surgery: will determining the mechanism reduce this injury? Ann Thorac Surg 1999 Jun;67(6):1871-1873.



20. Doty JR, Fonger JD, Salazar JD, Walinsky PL, Salomon NW. Early experience with minimally invasive direct coronary artery bypass grafting with the internal thoracic artery. J Thorac Cardiovasc Surg 1999 May;117(5):873-880.



21. Chun HJ, Doty JR, Salazar JD, Richmond J, Fonger JD. Noninvasive graft flow and patency assessment following minimally invasive direct coronary artery bypass (MIDCAB) grafting. Heart Surg Forum 1999;2(3):230-234.



22. Salazar JD, Doty JR, Tseng EE, Marin PC, Girotto JA, Roseborough GS, Yang SC, Heitmiller RF. Relationship of the long thoracic nerve to the scapular tip: an aid to prevention of proximal nerve injury. J Thorac Cardiovasc Surg 1998 Dec;116(6):960-964.



23. Doty JR, Walinsky PL, Salazar JD, Alejo DE, Greene PS, Baumgartner WA. Conservative management of late rejection after heart transplantation: a 10-year analysis. Ann Surg 1998 Sep;228(3):395-401.



24. Salazar JD, Doty JR, Lin JW, Dyke MC, Roberts J, Heitmiller ES, Heitmiller RF. Does cell type influence post-esophagectomy survival in patients with esophageal cancer? Dis Esophagus 1998 Jul;11(3):168-171.



25. Doty JR, Salazar JD, Fonger JD, Walinsky PL, Sussman MS, Salomon NW. Reoperative MIDCAB grafting: 3-year clinical experience. Eur J Cardiothorac Surg 1998 Jun;13(6):641-649.



26. Doty JR, Salazar JD, Liddicoat JR, Flores JH, Doty DB. Aortic valve replacement with cryopreserved aortic allograft: ten-year experience. J Thorac Cardiovasc Surg 1998 Feb;115(2):371-379.



27. Zehr KJ, Liddicoat JR, Salazar JD, Gillinov AM, Hruban RH, Hutchins GM, Cameron DE. The autopsy: still important in cardiac surgery. Ann Thorac Surg 1997 Aug;64(2):380-383.



28. Boyle EM, Maier RV, Salazar JD, Kovacich JC, O‘Keefe G, Mann FA, Wilson AJ, Copass MK, Jurkovich GJ. Diagnosis of injuries after stab wounds to the back and flank. J Trauma 1997 Feb;42(2):260-265.



Books
Book chapters written
1. International Consensus Group. V.A.C. Therapy: Clinical Guidelines for Deep Sternal Wound Infections. A Reference Source for Physicians In: KCI Publication. 2006.



http://publicaffairs.umc.edu/center_view/042610/pediatric_heart_program.html

Dr. Emile Bacha

Institutional Affiliation
•Morgan Stanley Children's Hospital of NewYork (CHONY)/Columbia University
Specialty
•Pediatric Cardiac Surgery
Background
•Munich Medical School (M.D.)
•Munich Surgery Residency
•MGH General Surgery Residency
•Emory Univ. General Surgery Residency
•Research - Hopital Marie-Lannelongue, Paris (1995/96)
•MGH Cardiothoracic Residency (1996/98)
•Instructor in Surgery, Children's Hospital Boston (1999/00)
•Director, Pediatric Cardiac Surgery, University of Chicago Children's Hospital
•Sr. Associate and Associate Professor of Surgery, Children's Hospital Boston/Harvard Medical School
•Chief, Congenital & Pediatric Heart Surgery, Morgan Stanley Children's Hospital of New York/Columbia
Interests
•congenital heart surgery
For More Information, See the Following Links:

http://childrensnyp.org/mschony/patients/family-guide.html

http://nyp.org/news/hospital/pediatric-cardiac-surgery.html

http://www.docstoc.com/docs/2982072/Molly-McCarthy-here-with-Dr-Emile-Bacha-and-her-mother

http://thesmallandmighty.org/cast-bacha.php

http://www.eurekalert.org/pub_releases/2004-10/ama-lso100804.php

Dr. Richard Jonas

Richard A. Jonas, M.D.

Chief, Cardiovascular Surgery
Co-Director, Children’s National Heart Institute
Children’s National Medical Center
Washington, District of Columbia


Education


M.D., University of Adelaide, South Australia, Australia


Residency


Royal Melbourne Hospital and Royal Children’s Hospital, Melbourne, Australia
Cardiac Surgery, Green Lane Hospital, Auckland, Australia


Fellowship


Cardiac Surgery, Brigham and Women’s Hospital, Boston, Massachusetts Cardiac Surgery, Children’s Hospital Boston, Boston, Massachusetts


Hospital Affiliations/Admitting Privileges


Children’s National Medical Center


Dr. Richard Jonas is world-renowned for his contributions to the field of pediatric cardiovascular surgery. Particularly, he has made great strides in the advancement of corrective surgery and optimizing outcomes of patients after surgery for congenital heart disease. He has been nationally recognized for his roles as Editor of the Pediatric Cardiac Surgery Annual, Secretary and Treasurer of the Congenital Heart Surgeons Society and the President of the American Association of Thoracic Surgery.

Before joining Children’s National Medical Center, Dr. Jonas was Professor of Child Surgery at Harvard Medical School and Cardiovascular Surgeon-in-Chief at Children’s Hospital Boston. He was also the Co-Principal Investigator of a research project for the National Institutes of Health, titled ‘Infant Heart Surgery: CNS Sequelae of Circulatory Arrest.

Currently, Dr. Jonas is also working on a number of research projects and clinical trials for the National Heart, Lung and Blood Institute. His biggest project is a study on the causes of brain injury during reduced flow cardiopulmonary bypass. The goal is to find the safety margin for treating brain injury in children. Dr. Jonas is also working on a clinical trial of hematocrit Strategy in infant heart surgery as well as research on mental retardation and developmental disabilities, neurobehavioral sequelae of cardiac surgery and randomized therapeutic trials in pediatric heart disease.

Dr. Jonas has also been a major player in developing international cardiac surgical programs, including ones in Shanghai, China and Iraq. He has written 30 book chapters, 281 journal articles and contributed to four textbooks.

You may also check out the following links for more information:
http://www.washingtonpost.com/wp-dyn/content/article/2005/11/24/AR2005112400899.html
and
http://www.childrensnational.org/DepartmentsandPrograms/default.aspx?Id=354&Type=Dept&Name=Cardiac Surgery