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PATIENT TESTIMONIAL

Surgical expertise keeps Cape cardiac patients closer to home.
Cape Cod Hospital -- one of only three community hospitals in Massachusetts licensed to perform cardiac surgery -- began performing cardiac surgery in August, 2002. Since that time, hundreds of Cape patients have benefited from expert care close to home and family, supported through the hospital's affiliation with Brigham and Women’s Hospital, an internationally-renowned cardiovascular surgery center.

“We have done almost 600 cases, including almost 200 valve operations with excellent results,” said Robert J. Rizzo, M.D. F.A.C.S.  board-certified cardiac surgeon and Chief of Cardiac Surgery. “As our program evolves, we’re taking on more challenging terrain. We have already begun combined procedures, performing coronary bypass, valve, and aortic work on the same patient.”

Coronary artery bypass graft (CABG), the most common procedure, uses a vein from the leg or an artery from the chest or forearm and reattaches it to the coronary artery to route blood around a blockage. In valve surgery, the trend is to try to repair or save the valve. When necessary, both mechanical and tissue valve replacements can be performed here as well as aortic replacements for aneurysms. Congenital heart defects, such as atrial septal defects, have been repaired and even several cardiac tumors have been excised.

“The procedures we perform allow us to treat the majority of patients who need cardiac surgery,” said Dr. Rizzo. 

The cardiac surgery program also provides backup for angioplasty procedures  in which interventional cardiologists use a balloon-tipped catheter to enlarge a narrowing in the coronary artery and a stent to keep it open.

The cardiac surgery program has been in place for four years, but the work to bring it to Cape Cod Hospital began years before it was launched. First, approval had to be given by the Massachusetts Department of Public Health and an important affiliation between Cape Cod Hospital and Brigham and Women's Hospital was formed to provide support. This work was accompanied by an investment of millions of dollars in needed renovations, equipment and personnel. The improvements to Cape Cod Hospital, while designed to support the cardiac surgery program, have resulted in wider benefits as well.

“The various support services that have been put in place, including expanded blood banks, improved lab services, and increased staff, have improved the quality of medicine practiced throughout the hospital,” said Lawrence McAuliffe, M.D ., Chief of Cardiovascular Services at the hospital. “It has benefitted the community as a whole.”

“Cardiac surgery is a huge effort and we have assembled a superb team,” added Dr. Rizzo, “including dedicated cardiac scrub techs, OR nurses, physician assistants, anesthetists, expert perfusionists, a great cardiac anesthesiologist in Dr. Gilbert Connelly, specially trained cardiac ICU nurses and an excellent cardiac surgeon, Dr. Paul Pirundini.”

 
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