HEART SURGEONS IN MELBOURNE
A heart surgeon is a specialist who operates on the heart, lungs and other thoracic (chest) organs. As well as performing surgery, they also diagnose and treat diseases of these organs. Heart surgery is one of the most challenging and demanding areas of surgery. It's also highly competitive with a relatively small number of jobs. The work is extremely rewarding since diseases of the chest are a major cause of ill-health and death throughout the world.
Dr Sergei Mitnovetski
Dr Sergei Mitnovetski is a Melbourne based Cardiothoracic Surgeon with an extensive experience. He performs cardiac and thoracic surgical operations and also has an extensive experience in managing chest trauma. Dr Mitnovetski monitors and provides care to critically ill patients in Intensive Care Units as well as to the Ward patients on daily basis.
What does a heart surgeon do?
As a heart surgeon, you will see the immediate and often life-changing results of your work. The specialty is relatively young and is still evolving. The main areas of cardiothoracic surgery are: adult cardiac surgery, general thoracic surgery, congenital cardiac surgery, heart and lung transplant surgery .
Monitoring patients in intensive care is a vital part of the work. Although cardiothoracic surgery is relatively safe, complications can occur, including; death, infection, stroke, bleeding and heart rhythm problems amongst other things.
As well as performing surgery, cardiothoracic surgeons are involved in the treatment and management of the many different conditions within their specialty. This involves attendance at outpatient clinics, multi-disciplinary team meetings and ward rounds.
Cardiac surgeons perform various kinds of surgery including:
- coronary artery bypass surgery – restoring blood flow to the heart by bypassing the narrowed coronary arteries
- heart valve surgery – repairing and replacing narrowed or leaking heart valves
- aortic surgery – replacing an enlarged or damaged blood vessel leaving the heart
Thoracic surgeons perform a wide range of surgery including:
- Surgery for lung cancer, tumors and cysts
- Surgery on collapsed or infected lungs
- Keyhole thoracic surgery (video-assisted thoracoscopic surgery (VATS))
- Chest-wall deformities (pectus surgery)
Congenital cardiac surgeons treat babies and children with heart diseases that have been present from birth. These conditions include
- Septal defects (a hole between two of the heart’s chambers)
- Aortic and pulmonary valve stenosis (where the valve is narrower than normal)
- Transposition of the arteries
To read more about such conditions click here.
A Cardiothoracic Surgeon is a specialized type of Surgeon also known as; Cardiac Surgeon, Cardiovascular Surgeon, General Thoracic Surgeon, Congenital Heart Surgeon, Heart Surgeon.
A cardiothoracic surgeon is a medical doctor who specializes in surgical procedures inside the thorax (the chest), which may involve the heart, lungs, esophagus, and other organs in the chest. As well as performing surgery, they also diagnose and treat diseases of these organs.
What can heart surgeon help with?
A Cardiothoracic Surgeon is a specialized type of Surgeon also known as; Cardiac Surgeon, Cardiovascular Surgeon, General Thoracic Surgeon, Congenital Heart Surgeon, Heart Surgeon. A cardiothoracic surgeon is a medical doctor who specializes in surgical procedures inside the thorax (the chest), which may involve the heart, lungs, esophagus, and other organs in the chest. As well as performing surgery, they also diagnose and treat diseases of these organs.
Cardiothoracic surgeons see the immediate and often life-changing results of their work. Since the end of the Second World War cardiothoracic surgery has seen accelerated growth, along with rapidly evolving technological changes. This medical specialty is relatively young and is still evolving.
Cardiothoracic surgeons play an important role within the healthcare team. They operate on diseases that occur in the organs inside the chest and in the bony structures and tissues that form the chest cavity. A diagnosis of heart disease begins with a patient's primary care physician, who will then refer them to a cardiologist. If their cardiologist decides that they need surgery, he or she will refer them to a cardiothoracic surgeon, who becomes a new member of their heart-health team.
Within the specialty of cardiothoracic surgery, there are specific specialties - adult cardiac surgery, children's cardiac surgery, general thoracic surgery (disorders of the lungs and esophagus), congenital cardiac surgery, and heart and lung transplant surgery. A cardiothoracic surgeon may treat: coronary artery disease or blockages of the arteries in the heart, blockages in the heart valve(s), leaking heart valve(s), abnormal enlargement or aneurysms of the large arteries in the chest, heart failure, and atrial fibrillation.
Monitoring patients in intensive care is an important part of a cardiothoracic surgeon's work - although cardiothoracic surgery is very safe, complications can sometimes occur, including heart-beat irregularity (arrhythmias), stroke, post-operative bleeding, fluid around the lungs, infection, or thrombosis.
How do I find a heart surgeon?
Cardiothoracic surgeons typically work in hospitals, performing both scheduled and emergency operations. Some work in teaching hospitals, helping aspiring cardiothoracic surgeons to perfect their skills. Cardiothoracic surgeons are also involved in the treatment and management of many different conditions within their specialty, which may involve their presence at outpatient clinics, team meetings and ward rounds.
Cardiothoracic surgeons that are just starting out can expect to work long and irregular hours. They are often on-call and will need to work whenever an emergency comes up and a patient needs surgery immediately. Surgeons that work with large teams may trade off on-call shifts with others on their team or can switch between working day and night shifts. Cardiothoracic surgeons may perform two operations one day and four or five the next, depending on their patients' needs. This is a demanding career, and knowing how to manage stress is extremely important.
What qualifications does a heart surgeon need?
Training for a career in cardiothoracic surgery is not for the faint of heart. It can take 15 years to finish the schooling and residencies you need to perform surgeries on the heart, lungs, esophagus and blood vessels in the chest. But if you're willing to put in the time, a career in cardiothoracic surgery offers plenty of job security. The Society of Cardiothoracic Surgeons says more than half of the nation's heart-and-chest specialists are set to retire by 2023, which will drive demand for new specialists. Demand will also be driven by an aging population that will need more medical services.
The first step is a bachelor’s degree. You can major in any field in undergraduate school, as long as you take one year each of biology, general chemistry, inorganic chemistry, physics and calculus. During your junior year, plan to take the Medical College Admissions Test (MCAT), a multiple-choice exam that covers physical science, biology and verbal reasoning. After undergraduate school, you need a medical degree, which typically takes four years to earn. You’ll spend the first two years in the classroom, studying basic sciences and clinical medicine. Courses cover biochemistry, the nervous system, immunology, and cardiovascular, pulmonary and endocrine systems. In the third and fourth years, you’ll complete rotations providing patient care in hospitals under the supervision of experienced doctors. Every med student has to serve rotations in family medicine, internal medicine, neurology, pediatrics and surgery. During your final year, you should begin applying for residencies to begin your surgical training.
Residencies in general surgery and cardiothoracic surgery follow med school. General surgery residencies last five years and include rotations in pediatric surgery, orthopedic surgery, urology, gastrointestinal surgery and oncology surgery. You can also expect rotations in cardiothoracic surgery in the first through third years. In your fourth year of general surgery residency, you can apply for a two- to three-year residency in cardiothoracic surgery. Residents learn to perform heart-valve surgery, complex thoracic surgery, clinical trials and lung and esophageal surgery. You can also get additional training through fellowships in advanced techniques in heart failure and transplantation, children’s heart surgery or lung disorders.
To become a cardiothoracic surgeon, you first have to be interested in the organs, bony structures and tissues that form the chest cavity. A cardiothoracic surgeon treats and provides surgical interventions for diseases occurring in these areas.