There are five cardiac units within the University of Toronto. In addition, there are extensive research facilities at all five of these hospitals: (This also includes the Medical Sciences Building located on campus at the University of Toronto.)
Pediatric Cardiac Surgery began at the Hospital for Sick Children in the late 1940's under the direction of Dr. W.T. Mustard. A broad referral pattern from a population of about 10 million people has allowed a focused development of care for the newborn, infant and child with congenital heart disease. A complete range of cardiologic investigation and intervention, echocardiography, anesthesia and 40 bed Intensive Care Unit allows for surgical management of approximately 700 children per year.
Care for the adult with congenital heart disease is provided at the adjacent Toronto Hospital in the Toronto Congenital Cardiac Centre for Adults. The adult clinic cares for over 3,500 patients and over 100 adults per year undergo surgery for congenital heart disease.
There are three full time pediatric cardiac surgeons at the Hospital for Sick Children. Two of the surgeons have a major commitment to laboratory research and two are involved in the adult cardiac surgical clinic.
The Hospital for Sick Children provides senior resident experience for trainees in the University of Toronto Cardiac Surgery Program. Six months experience is required by the Royal College as part of the Fellowship training. The resident is involved in a complete range of pediatric patients with congenital and acquired heart lesions.
Staff surgeons participate actively in medical undergraduate education (Years 2, 3 and 4). The Division has 2 Residents (1 assistant and 1 senior) and 5 fellows (2 in research and 3 in clinical activities).
Staff surgeons: 9; Clinical assistants: 5; Nurse clinicians: 4
Sunnybrook Health Science Centre currently performs 735 open heart cases each year, 20% which are valvular. There are active clinical trials and research protocols in myocardial protection and valve reconstruction. Opportunities exist for clinical fellows and/or assistants with an Education Licence or OHIP billing number.
To prevent, detect and treat diseases of the cardiovascular system, with particular attention to atherosclerosis, heart failure and valvular heart disease. Through these efforts, we attempt to provide exemplary patient care in a contemporary and caring medical environment, foster challenging and stimulating educational programs for undergraduate and post graduate students, and pursue new knowledge through research in selected aspects of our discipline.
At the Terrence Donnelly Heart Centre at St. Michael’s Hospital, 1500 cardiac procedures are performed. Close to 400 of these are valve complex aortic procedures. In addition, the vascular service performs 300 graft procedures per year. Electrophysiology: 150 defibrillators, and 300 pacemakers. Within the hospital, there is the Terrence Donnelly Cardiac surgical and vascular biology research laboratories. Its focus of interest include angiogenesis gene therapy and investigating the mechanism of restenosis.
The clinical trial division is extremely active and has national and international collaborative approaches.
There is usually one resident and several fellows on the service. The residents get a wealth of experience caring for the cardiac surgical patients. Also, there is time allotted for research projects suited to the individual resident.
“Heartbeat of Innovation: History of Heart Surgery at Toronto General Hospital”
Authors: N. Shorter, H. Scully, B. Goldman
University of Toronto Press
An in depth review of the surgeons and others from the 1930s to the present of the historically significant contributions to cardiac surgery from the flagship institution of the University of Toronto
“Heart Surgery in Canada; Memoirs, Anecdotes, History and Perspective”
Authors: B. Goldman, S. Belanger
A cross- Canada history of the first 50 years of heart surgery with contributions from all the leading centres and pioneer surgeons themselves from Newfoundland toBritish Columbia