One of the largest, most experienced cardiac and thoracic surgery groups in the world, our Department of Thoracic and Cardiovascular Surgery cares for patients from all 50 states and around the world.
To assist our patients in learning more about our excellent care and how to become a patient, we have separated this information into
- Cardiovascular Surgery
- Thoracic Surgery
Our surgeons offer virtually every type of cardiac surgery including elective or emergency surgery for heart valve disease, aortic aneurysm, coronary artery disease, arrhythmias, heart failure, Marfan syndrome and other less common conditions.
Our depth and breadth of experience allows us to perform complex operations, such as second or third heart surgeries and conditions previously deemed inoperable with success rates above the national average. Our staff works with the newest surgical techniques, equipment and devices, including minimally invasive surgery, off-pump bypass, robotically assisted and percutaneous procedures.
As a participant in the Society of Thoracic Surgeons (STS) public reporting initiative, Cleveland Clinic is proud to achieve a three-star rating (highest) in all five categories for adult cardiac surgery, both categories for General Thoracic Surgery and the newest rating for Transcatheter Aortic Heart Valve Replacement. These categories include:
- Coronary Artery Bypass Graft (time frame January 2020-December 2020)
- Aortic Valve Replacement (time frame January 2018-December 2020)
- Aortic Valve Replacement + Coronary Artery Bypass (time frame January 2018-December 2020)
- Mitral Valve Repair/Replacement (time frame January 2018-December 2020)
- Mitral Valve Repair/Replacement + Coronary Artery Bypass Graft (time frame January 2018-December 2020)
- Lobectomy for lung cancer (time frame July 2017-June 2020)
- Esophagectomy for esophageal cancer (time frame July 2017-June 2020)
- Transcatheter Aortic Valve Replacement (STS/ACC TVT Registry, time frame October 2017-September 2020)
Thoracic Surgery includes surgery of the esophagus, trachea, lungs and chest. Learn more about the excellent care and outcomes provided by our thoracic surgeons.
What We Treat
- Coronary Artery Bypass Surgery - including high risk Coronary Artery Bypass Surgery,
- Heart Valve Surgery – including
- Aorta and Aortic Valve Surgery
- Robotic Assisted Mitral Valve Repair
- Minimally Invasive Mitral Valve Repair
- Mitral Valve Repair
- Surgery for Infective Endocarditis
- Tricuspid Valve Surgery
- Heart Valve Disease - Percutaneous Interventions
- Minimally Invasive and Robotically Assisted Heart Surgery
- Surgical treatment for Atrial Fibrillation (Maze Procedure, Modified Maze, Keyhole and Minimally Invasive Approaches)
- Surgical Procedures to Treat Heart Failure
- Surgery for Aortic Aneurysms, Marfan Syndrome, and Connective Tissue Disorders
- Surgery for Hypertrophic Cardiomyopathy
- Surgery for Chronic Thromboembolic Pulmonary Hypertension (CTEPH)
- Adult Congenital Heart Surgery
Why choose Cleveland Clinic for your care?
Our outcomes speak for themselves. Please review our facts and figures and if you have any questions don't hesitate to ask.
It has been demonstrated that improved clinical outcomes are linked to centers with high surgical volumes. The Department of Cardiovascular Surgery performs a high volume and variety of procedures. In 2020 we performed 4,723 cardiac surgeries.
What to Expect
Patients come from across the country and around the globe to the Miller Family Heart, Vascular & Thoracic Institute for heart surgery. We want to make the process as easy as possible for you. The surgical review is a three step process.
- Call 216.444.3500 or toll-free 877.843.2781 (877-8Heart1) 6 a.m. – 8 p.m. EST, Monday - Friday. We will assist you in making arrangements for a surgical review.
- We will collect your information to begin a surgical review.
- You will be provided a cardiac surgery checklist to help gather information we will need from you.
- Some patients require dental clearance to proceed with surgery. Your surgeon’s office will tell you if this is needed. If required, please print out the attached dental clearance form to take to your dentist.
- After the surgeon reviews your information, his or her office will discuss your surgical options.
At every step in the process we are here to answer your questions.
Interested in Coming to Cleveland Clinic for Heart Surgery?
If you need a heart operation, you want the best surgeon with the best team at the best hospital. But they may not be in your own neighborhood, your hometown, your state or even your country. You can still receive state-of-the-art care from the nation’s best hospital for heart surgery. Traveling to Cleveland Clinic is more comfortable and convenient than you might think.
216.444.3500 or toll-free 877.843.2781 (877-8Heart1)
Use our secure online form to submit an appointment request 24/7. We will receive it and follow-up with you as soon as possible.
Mon. - Fri., 8 a.m. - 5 p.m. (ET):
216.444.3500 or toll-free 877.843.2781 (877-8Heart1)
At all other times call Patient Access Services locally 216.444.8302 or toll-free 800.553.5056.
Go to Desk J4-1, 9500 Euclid Avenue, Cleveland, Ohio.
Cleveland Clinic Heart, Vascular & Thoracic Institute physicians, surgeons, and researchers continue to research into new treatments and therapies with the goal of improving patient care and outcomes into the future.
Clinical trials (or research studies) help us create the medicine of tomorrow. They provide hope through offering testing of new drugs, new surgical techniques or other treatments before they are widely available.
We can help you access hundreds of clinical trials across all specialty areas. Our new searchable online trials tool makes identifying treatment opportunities easier than ever.
Heart Surgery Program
Patients who choose to come to Miller Family Heart, Vascular & Thoracic Institute for heart surgery can expect to be operated on by the best surgeons and cared for by the finest nurses and medical staff in the world.
The Heart Surgery Program at Cleveland Clinic has been fine- tuned from years of experience with patients and their families. We are proud to provide a program that meets the patient's and family's needs from our first meeting to discharge home.
This is a general description of the heart surgery program. More specific instructions are included in the information you will receive during your visit, hospital stay and before you go home. Please feel free to ask questions to our health care team at any time during your stay.
- Learn about heart surgery
- Learn how to make travel arrangements to Cleveland Clinic for heart surgery.
To Come In Program (TCI)
Many cardiovascular patients are scheduled through our TCI program each year. This means patients come to Cleveland Clinic a few days before surgery as an outpatient to complete the pre-surgery evaluation and receive information to prepare for surgery. The TCI program allows patients to spend more time with their families instead of being admitted to the hospital several days before surgery.
Please see our visitor information for the latest
The TCI Center is located at the Thoracic & Cardiovascular Surgery Outpatient Center in J4 - 1.
Patients come into the TCI Center for a one or two-day evaluation process that includes meeting with:
The TCI Nurse
The TCI nurse works with your surgeon. He or she will perform a limited exam, review your records and provide you with instructions for your surgery. Instructions include:
- What to expect on the day of surgery. You also will receive information about how to prepare for surgery and what to expect during your hospital stay and recovery at home.
- A binder (notebook) that explains the surgical process, what to expect during your hospital stay, and important steps for recovery. Your family will bring this binder to the hospital after your surgery, as you will refer to it often during your stay. Also plan to bring it to all of your outpatient doctor's appointments.
- Information on how to download guided imagery recordings to listen to before, during and after your surgery. Guided imagery uses the power of imagination to induce peace, calm, strength and control. The calming music on guided imagery programs can be very helpful in quieting the mind. Many people find the program's soothing words create a greater sense of calm, well-being, safety and control. Plan to bring a player with you on the day of surgery to listen to guided imagery.
- Time for questions and answers.
The Cardiothoracic Anesthesiologist
You will meet one of our Cardiothoracic Anesthesiologists who is specially trained to administer anesthesia for cardiac surgery patients.
You will meet with a cardiologist who will perform a preoperative cardiac exam, answer your questions and review your medications.
The cardiologist will review your medical records and test results. He or she may order additional tests, if necessary. These tests may include a cardiac catheterization, echocardiogram, electrocardiogram, chest x-ray, blood-work or urinalysis.
Every attempt is made for you to meet your surgeon on the day of your preoperative visit. If this is not possible, we will schedule a more convenient time for you to meet the surgeon and discuss your surgery.
Where to check in
The night before surgery you will be told what time and where to report for surgery. Please limit the number of family members. You and your family will be asked to register with the receptionist at Desk J1 - 2, Miller Pavilion Surgical Center and Family Waiting area (in the Miller Family Pavilion, 1st Floor). Look for "Red Coat" staff members if you need assistance with directions - or ask any Cleveland Clinic employee - we are here to help. Your Direct Route is a website that you can access from your cell phone to help you with getting to the Cleveland Clinic - and around the campus.
Surgery takes place on the fourth floor of the J building in state-of-the-art operating rooms that are specially designed for heart surgery. The operating room nurses and cardiothoracic anesthesia teams work with your surgeon to ensure your safety and comfort during surgery.
Waiting During Surgery
While you are in surgery, your family waits in the Miller Pavilion Surgical Center and Family Waiting area. Your family will receive a communication device/pager so we can contact them when surgery updates are available. Please wait in the Surgical Center and Family Waiting area until you are called to attend the Family ICU Class. The CVICU Nurse Coordinator will provide your family with additional instructions about what to expect during the day.
Family ICU Class
The Family ICU Class is held on the day of surgery to provide your family with important information about what to expect the day of surgery. Your family will also receive information about visiting in the Cardiovascular Intensive Care Unit (CVICU). It is a good time to ask questions. Classes are twice daily, usually held at about 10 a.m. and 3 p.m., Mondays through Fridays in room Q1-204C located just off the Great Hall in the Glickman Building (down the hall from the waiting area). Classes are taught by the Cardiovascular ICU Nurse Coordinators. These CVICU Nurse Coordinators are also available to facilitate communication between families and members of the health care team.
Remember to designate one individual as the family spokesperson to provide an efficient flow of consistent information and to ensure patient confidentiality.
Receiving Updates about the Patient's Surgery
Your family will receive an update on their pager notifying them that the major portion of the cardiac procedure has been started.
Please note the amount of time it takes to perform the surgery can vary greatly. Emergency situations and unexpected findings may result in long wait times. We also hope your family will understand that delays result from our commitment to providing each patient with the best care. Please be prepared for unexpected delays by bringing reading or writing materials, small games or audio-players to occupy yourself while waiting. We will do our best to make sure that you and your family are as comfortable as possible during your stay.
After surgery on the heart is complete, the surgeon will update the family. Please listen carefully and take notes as you talk to the surgeon. Have a list of questions ready to ask the surgeon.
After speaking with the surgeon, it will be about 2 hours before you can check in to visit the patient. During this time, the patient will still be in the operating room for the closing process. Then the patient will be transferred to the Cardiovascular Intensive Care Unit (CVICU), where it may take about 1 additional hour for the admission and recovery process. Your surgeon will tell your family what CVICU you will be in.
Your family will report to either the J5, J6 or Q5 CVICU Family Waiting areas 2 hours after speaking with the surgeon. Your family will be asked to check in with the receptionist and let him or her know that this is your first visit.
A receptionist is present in the Lounge from 9 a.m. - 9:30 p.m. Monday-Friday, and 9 a.m. - 5 p.m. Saturday, 9 a.m. - 5:30 p.m. Sunday. If you visit during these hours and the receptionist is not in, please wait. If you have been waiting longer than 10 minutes, please use the beige wall phone to call the unit. The phone numbers for each unit are posted next to the phone.
Cardiovascular Intensive Care Unit (CVICU)
Immediately after your surgery, you will be cared for by a team of specially trained nurses in the Cardiovascular Intensive Care Unit (CVICU). Their goal is to help you recover as quickly and safely as possible. Along with your surgeon, members of the cardiothoracic anesthesia and surgical teams who took care of you in the operating room will continue to follow your progress in the CVICU.
You will receive more information about the CVICU and what to expect in your heart surgery binder.
Patients recover on a post-cardiovascular surgery nursing floor (also called a telemetry unit or step-down unit). There are six, 24-bed Post-Operative Units located on the 5th and 6th floor. Each patient room is private single occupancy.
During this time, you will begin your recovery phase. You will be encouraged to do as much as you can for yourself to assist in regaining strength and independence.
The balance of pain control and increasing activity will help you recover at a faster pace. More information on pain control after heart surgery.
Your health care team includes doctors, nurses and other healthcare professionals who specialize in your condition and treatment. The team will follow your progress and help you recover as quickly and safely as possible.
Please refer to your binder for recovery information during your hospital stay. You will receive a patient recovery plan that will show you what to expect as you progress.
Educational and Support Resources on the Nursing Unit
Patients and family members are provided many resources for support and education on the nursing unit:
Cardiovascular Surgery Classes
There are three classes designed to help patients and families learn how to prepare to travel home, how to progress activity and recovery, and how to live a healthy lifestyle after heart surgery. These are great opportunities to answer questions and Days and times of classes are listed in your binder.
Miller Family Heart, Vascular & Thoracic Institute Binder
You and your family members are given a binder (notebook) before surgery. This binder has tabs that detail what to expect before surgery, during your hospital stay, hospital recovery, and recovery at home. You and your family will continue to review the information in the binder that was given to you before surgery. You will review discharge instructions, including medication information before you go home. You will continue to use this binder at home to answer your questions and guide your recovery.
Health Education Videos
We have a variety of vides available to you online to watch during your hospital stay or when you return home. The instructions on how to watch your videos will be included in your surgery binder.
We have also created a series of videos addressing common questions or concerns that people often ask once they return home.
The cardiac rehabilitation staff will discuss activity guidelines for you to follow after going home. The Home Activity Class will present guidelines for activity progression and management of activity-related symptoms. Patients and family members should attend. Look in your binder for days, times and locations. The Preventive Cardiology and Rehabilitation Program is available for you to attend as an outpatient after you are discharged from the hospital.
The use of wireless computer devices IS permitted in public locations and patient areas in the Miller Pavilion. In addition, there are public computers located in the family waiting lounges and in the Patient & Family Health Education Center on the first floor. The Miller Family Heart, Vascular & Thoracic Institute website is a helpful resource for you and your family before and after your hospital stay.
To Help Ease Your Recovery
- Healing Services Touch Therapies Program. The Touch Therapies Program includes light massage therapy, reiki and Healing Touch™ to assist your recovery from medical or surgical interventions. The Touch Therapies Program is offered through a partnership between the Healing Services Team and the Sydell and Arnold Miller Family Heart, & Vascular & Thoracic Institute.
- Massage Therapy is used to support your medical condition and aid recovery from procedures. Massage can help reduce muscle tension, relieve stress and soothe pain. A light, 10-minute massage (with your physician’s approval) can assist your experience of well-being as you are healing. Fee-based massage therapy is offered to family members and visitors to help decrease stress so they can effectively support you.
- Healing Touch™ and reiki are relaxing, nurturing energy therapies where gentle touch assists in balancing your physical, mental, emotional and spiritual well-being to promote a deep sense of relaxation. These therapies work with your energy to support your natural ability to heal.
- To receive any of these complimentary touch therapies, please call Healing Services at 216.445.9543.
- Guided Imagery. Patients continue to use their guided imagery program obtained pre-surgery to help with relaxation and pain control. Family members may also find the programs relaxing. Programs are accessed online (for downloading into your mp3 player) or on our CC inpatient TV programs.
- Rooftop Terrace located on the top floor of the Miller Family Pavilion, offers beautiful views of the Cleveland skyline and a quite place to take a break.
- Art and Music Therapy. Cleveland Clinic's Arts and Medicine Institute offers art and music therapy to help patients in their healing and recovery. Call Cleveland Clinic's Arts and Medicine Institute at 216.448.8330 for more information.
- Click here to learn more about our resources.
Visiting hours on the nursing unit are unrestricted. However, it is important to take into consideration the patient's need for rest. During this time, there may be visitor restrictions due to COVID-19. Please see our most current visitor information.
Discharge to Home
Your cardiologist and surgical team will determine when you can go home. Your expected discharge date will be posted in your room.
The average hospital stay after surgery can be 5-10 days, depending on the type of procedure that was performed and your rate of recovery. Your health care team will follow your progress and help you recover as quickly as possible.
Once a discharge date has been set, you can make travel arrangements. If you are traveling home by plane, we recommend that you make sure your ticket is refundable should your discharge date change.
On the day of discharge, please have your family member arrive well before 11 a.m. to participate in your discharge planning and home-going instructions. If this is not possible, you may go to the Discharge Lounge after you are discharged from the unit.
You will have an appointment in the Post-Op Clinic 3-5 days after you leave the hospital. If you live outside of the Cleveland area, please plan to spend a few nights in a local hotel so you can be seen in the clinic. The appointment is very important. We will make sure your recovery is going well and that your medications are correct. If you are traveling by plane, please plan to fly home about 14 days after your day of surgery.
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