Below are some of the advanced procedures and care that our Red Mountain CTS physicians provide to patients:

Coronary bypass grafting (heart surgery - CABG)
This surgical procedure relieves angina and reduces the risk of death from coronary artery disease. Arteries or veins from elsewhere in the patient’s body are grafted to the coronary arteries to bypass atherosclerotic narrowings and improve blood supply to the heart muscle. This procedure can be lifesaving in those patients who, by virtue of evidence-based research, are not good candidates for percutaneous catheter techniques or continued medical therapy. At Red Mountain CTS, the physicians may also perform minimally invasive and “off pump” procedures without the use of a heart-lung machine. Our team has long adhered to the principles published in the “Appropriateness Criteria for Revascularization” by the American College of Cardiology and American Heart Association.

Aortic and Mitral valve repair and replacement
Surgical treatment for mitral valve disease includes either repairing the patient’s diseased valve or replacing it with a mechanical valve or an animal tissue valve. The physicians at Red Mountain CTS will go into great detail of the procedure with the patient(s) at the time of their in-office or in-hospital consultation to ensure that the patient(s) as well as their family members understand all the benefits and or risks involved with this type of procedure. Dr. Iva A. Smolens area of interest is in Mitral Valve repair and replacement procedures.

Surgical ventricular restoration for congestive heart failure
When a heart attack occurs in the left ventricle (the chamber of the heart that pumps blood to the body), a scar may form, making the rest of the heart work harder to pump blood throughout the body. Over time, the left ventricle becomes larger than normal and pumps less effectively. This leads to heart failure and severe limitation of a patient’s activity level. In the ventricular restoration or Dor procedure, the surgeon excludes the scarred, dead area of heart tissue from the circulation and reshapes the ventricle to a more normal shape – improving heart function. This is often done in conjunction with coronary bypass surgery and/or valve repair. Both Dr. Michael C. Maxwell and Dr. Iva A. Smolens will discuss this procedure in great length in order to ensure patient and family education.

Surgical treatment of thoracic and thoracoabdominal aortic aneurysms and dissection
The aorta is the largest blood vessel in the body, most of which is located in the chest. Weakening of the wall can cause an aneurysm (dilatation) which is prone to rupture, or lead to a separation of the wall known as an aortic dissection. Either can be a life-threatening emergency. Once an aneurysm or dissection is identified by a chest X-ray, echocardiogram, computed tomography angiography (CAT SCAN), Dr. Michael C. Maxwell will begin to develop a repair strategy. These complex operations help ensure the safe distribution of blood to the rest of the body. The procedure repairs weakened or ruptured arteries or damaged section of aorta with a graft of special surgical woven material.

Esophageal and pulmonary resection procedure (Esophagogastrectomy)
Both the esophagus and lungs are vital organs that can be affected by either benign or malignant diseases (cancer). In some cases, surgical removal of lung tissue or the esophagus is necessary for treatment. Dr. Michael C. Maxwell will use innovative surgical techniques to tailor the operation according to the patient’s needs. Minimally invasive surgery has become standard therapy in certain cases to remove cancerous tissue from the lungs.

Carotid Artery Disease (CAD)
Carotid Artery Disease is a result of build up of fatty substances and cholesterol deposits, otherwise known as plaque. Overtime the plaque build up can completely block the carotid artery. When this occlusion occurs the chance of a patient having a stroke greatly increases, this is the third leading cause of death in the U.S. Dr. Michael C. Maxwell ensures the necessary steps are made when he treats patients with CAD. Whether its a CAT SCAN, Ultrasound, or cardiac clearance that is required, our team at Red Mountain CTS makes sure the proper steps are in place before a patient is scheduled for a Carotid Endarterectomy procedure (CEA). In addition to post-operative follow-up after the procedure, we schedule patient yearly follow-up for this condition in order to assure that the procedure has been a success.

Evaluation and surgical treatment of mediastinal tumors
Mediastinal tumors are abnormal tissue growths in the part of the chest cavity between the two lungs. These tumors can be benign or malignant (cancer) and occur across all age groups. Surgical treatment may include thoracotomy, a procedure performed through an incision in the chest, and minimally invasive approaches, including thoracoscopy and mediastinoscopy. The physicians at Red Mountain CTS will find the best surgical option for the patient(s) with these types of diagnosis.

Peripheral Artery Disease (PAD)
The most common cause of PAD is the build-up of plaque on the inside of the arteries. Overtime, this can greatly reduce the blood flow to your arms and legs, and eventually begin to build up throughout the circulatory system (which is called atherosclerosis). Plaque is made up of fatty material (cholesterol), calcium, and other material in the blood. If you are a smoker with high cholesterol, high blood pressure, and are over the age of 65, the likelihood of you becoming diagnosed with peripheral artery disease and atherosclerosis increases. These conditions can increase a patients chances of having a heart attack, stroke, and even death. Many people who have PAD do not have symptoms, however, the symptoms that are most recognizable over time are tight, aching, or squeezing pain in the calf, thigh, and or buttock. At Red Mountain CTS the physicians utilize the most up-to-date Ultrasound Technology that allows both Dr. Iva A. Smolens and Dr. Michael C. Maxwell determine whether or not the use of the VNUS ablation therapy or Sclerotherapy is the best option for the patient(s). The ultrasound test is quick and painless and is able to performed in the office, in addition to the VNUS ablation and Sclerotherapy treatment. If it is determined that the out-patient procedures is not needed our physicians at Red Mountain CTS will provide the patient(s) with additional options for treatment of PAD.


Red Mountain CTS team carefully addresses the concerns of patients and their families, educating them on what to expect both before and after surgery.                                      

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