UPMC Center for Thoracic Aortic Disease

UPMC Content 2

Thoracic aortic disease can be catastrophic for patients — cutting lives short for some, and leading to devastating disability for others.

The Center for Thoracic Aortic Disease (CTAD) is a center of excellence — established by the UPMC Department of Cardiothoracic Surgery — that follows a cohesive and multidisciplinary system for delivering care. The CTAD aims to provide timely, comprehensive, and individualized disease management strategies for patients suffering from complex thoracic aortic diseases.

About the UPMC Center for Thoracic Aortic Disease

Thoracic aortic disease refers to conditions that affect the aorta — the largest artery in the body — which carries all the blood that is pumped out of the heart. Bulging or weakened areas in the wall of the aorta, known as aneurysms, can form due to disease or genetics. Aneurysms will enlarge over time, and then may be at risk for tearing (dissection) or rupture, which can cause life threatening bleeding and potentially death. Treatment options, based on your condition and the size of aneurysm or extent of the dissection, include medication to help control your blood pressure or surgical intervention to repair the affected portion of the aorta.

Approximately 15,000 Americans are diagnosed with thoracic aneurysms (TAA) each year. Thoracoabdominal aortic aneurysms (TAAA) are less common.

Why choose UPMC for thoracic aortic disease care?

At the UPMC Heart and Vascular Institute's Center for Thoracic Aortic Disease, our multidisciplinary approach to care and extensive experience – including 899 open heart cases and 229 aortic cases in 2018 – offers patients many benefits.

  • Ability to have a comprehensive evaluation at one location.
  • Minimally invasive treatment options include endovascular thoracic aortic repairs using stent grafts and aortic root reconstructions that preserve the aortic valve.
  • Access to the latest cardiovascular research and trials – the Center is a leading enroller in the International Registry of Acute Aortic Dissections (IRAD), as well as the leading implanter of the Cook Zenith Dissection Endovascular System.
  • The multidisciplinary team from the Center For Thoracic Aortic Disease, developing the protocols of tomorrow, published a total of 65 aortic-related publications in 2018.

Optimizing care. Saving lives.

The CTAD brings together experts with defined clinical and academic focuses on conditions and treatments for thoracic aortic diseases, including:

Thoracic Aortic Diseases/Conditions We Treat

  • Aortic Aneurysms
    • Aortic root aneurysm
    • Sinus of Valsalva aneurysm
    • Thoracic aortic aneurysm
      • Ascending aortic aneurysm
      • Aortic arch aneurysm
    • Thoracoabdominal aortic aneurysm
    • Abdominal aortic aneurysm
  • Aortic coarctation (narrowing)
  • Aortic dissection
    • Type A Aortic Dissection
    • Type B Aortic Dissection 
  • Bicuspid aortic valve
  • Brachiocephalic arterial insufficiency
  • Connective tissue disorder
  • Degenerative aneurysms 
  • Dysphagia lusoria
  • Ehlers Danlos syndrome
  • Familial thoracic aneurysms
  • Loeys Dietz syndrome
  • Marfan syndrome
  • Traumatic aortic injuries
  • Vascular rings

Treatment Options

  • Aortic valve repair
  • Aortic valve replacement
  • Valve sparing aortic root replacement
    • David procedure
    • BAV Repair (translocation)
  • Ascending aortic replacement
  • Aortic arch replacement
  • Aortic coarctation repair
  • Type A dissection repair
  • Type B dissection repair
  • Descending aortic aneurysm repair
  • Thoracoabdominal aortic aneurysm repair
  • TEVAR (Thoracic endovascular aortic repair)
  • EVAR (Endovascular aneurysm repair)
  • Subclavian to carotid transposition
  • Aortic transection repair

What To Expect

Advanced care with a single office visit

Patients with thoracic aortic disease often must consult many different specialists to address various aspects of their disease. At the UPMC Center for Thoracic Aortic Disease, our system streamlines care for patients.

When patients are referred, they undergo a comprehensive evaluation by the integrated, multidisciplinary team, at one location — the Thoracic Aortic Clinic at UPMC Presbyterian.

We offer consultations by specialists, including:

  • Cardiologists
  • Cardiovascular surgeons
  • Geneticists
  • Radiologists
  • Vascular surgeons
  • Neurologists

These appointments often can be coordinated with diagnostic imaging and cardiology testing in the same clinic, often in the same day. By bringing specialized testing and experts to the patient, the CTAD helps break down communication barriers, so that specialists can more closely collaborate on treatment planning for patients with thoracic aortic disease.

Those treatments may include minimally invasive approaches. Compared to traditional, open surgery, minimally invasive approaches offer patients the potential for:

  • Smaller incisions
  • Less post-operative pain
  • Fewer complications
  • A quicker recovery

Qualifying patients may be treated with thoracic endovascular therapy (stent grafts), a minimally invasive approach that could delay, or eliminate, the need for open-heart surgery.

Our Experts at the Center for Thoracic Aortic Disease

Thomas G. Gleason, MD, FACS, FACC, FACCP
Ronald V. Pellegrini Endowed Professor of Cardiothoracic Surgery
Chief, Division of Cardiac Surgery, University of Pittsburgh School of Medicine
Co-Director, UPMC Heart and Vascular Institute
Director, Center for Thoracic Aortic Disease

Forozan Navid, MD
Clinical Assistant Professor of Cardiothoracic Surgery, University of Pittsburgh School of Medicine

Ibrahim Sultan, MD
Assistant Professor of Cardiothoracic Surgery, University of Pittsburgh School of Medicine
Associate Director, Center for Thoracic Aortic Disease

Multidisciplinary Team

Cardiology

Catalin Toma, MD
John T. Schindler, MD
Dustin Kliner, MD

Imaging

Christopher Deible, MD
Joan Lacomis, MD
Glenn Andrews, MD
Elliott Gozansky, MD
Sina Tavakoli, MD, PhD
Jacob Sechrist, MD

Neurophysiology

Jeffrey Balzer, PhD

Neurosurgery

Ashutosh Jadhav, MD
Bradley Gross, MD

Vascular Surgery

Michael Singh, MD

The goal of the Center for Thoracic Aortic Disease is helping primary care, emergency medicine, and subspecialty providers identify, treat, follow, and track the progress of their patients with thoracic aortic disease.

Pre-hospital referrals and transfers for thoracic aortic emergencies — like an aortic dissection, ruptured aneurysm, or traumatic aortic injury — are quickly simplified with a single phone call, from the patient or provider, to the hotline below.

Contact Us at the UPMC Center for Thoracic Aortic Disease

Referring physicians need only to make a single phone call to the Center for Thoracic Aortic Disease to initiate a comprehensive evaluation for their patient.

To refer a patient for a comprehensive evaluation, call 412-647-7070.

For emergencies and immediate referrals, call 412-647-7070.
Fax: 412-623-3717

Thoracic Aortic Clinic
UPMC Presbyterian
5 Fl, B-Wing
200 Lothrop St.
Pittsburgh, PA 15213

Center for Thoracic Aortic Disease
Administrative Offices
UPMC Shadyside Medical Building Suite 715
5200 Centre Ave.
Pittsburgh, PA 15232