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Cardiac Surgery

Sanger Heart & Vascular Institute combines expertise across the cardiac surgical spectrum with a multidisciplinary approach that gives patients the best opportunity for an optimal outcome.

Process Improvements

Process Improvements

As we work to continuously improve our program and outcomes, we launched our Perfect Care Initiative in 2019, and a cardiac ERAS® program and high-risk discharge pathway in 2022.

Passive data acquisition through novel integration of biosensors including heart rate, blood pressure, body weight, steps and sleep provides clinicians with advanced metrics for decision making. This is especially important when patients, many of whom live in rural areas, cannot easily return to the doctor’s office for face-to-face visits. Perfect care offers a solution by allowing patients improved access without having to leave home. The ability to learn, reduce barriers and optimize care for our patients outside the brick-and-mortar hospital setting results in improved outcomes.

The Perfect Care Initiative aims to improve patient access and education while eliminating disparities in peri-procedural cardiac surgery care. The initiative proactively engages cardiac surgery patients and their families with a unique, personalized, patient-centered approach to surgery through education, preoperative optimization, standardization of care and remote patient monitoring (RPM).

The initiative creates a periprocedural experience that ensures every patient receives the same level of care, regardless of facility, across the care continuum. Cardiac surgery nurse navigators educate patients during the preoperative phase and we continue care via remote patient monitoring for 90 days post discharge. Utilization of RPM connects patients to their care team via video visits and wearable devices following discharge.

Awards and Recognition

  • Ranked as one of the high performing hospitals for heart bypass surgery by U.S. News and World Report for 2022 and 2023.

  • Ranked as one of the high performing hospitals for aortic valve surgery by U.S. News and World Report for 2022 and 2023.

  • Highest rating for bypass surgery from the society of thoracic surgeons.

    STS/TVT 3-Star Rating

  • Watson Health: 50 Top cardiovascular hospitals - Atrium Health Carolinas Medical Center, Atrium Health Pineville - 2021 and 2022.

    Atrium Health Carolinas Medical Center &
    Atrium Health Pineville

Experience Where It Counts


  • 1,083

    Cardiac Surgery Volumes
    ARMUS, August 2021 - July 2022

  • CABG Procedures - Total 497, including 459 isolated procedures and 40 combined procedures.

Coronary Artery Bypass Graft (CABG)

  • Isolated CABG Procedures 30-day Readmission Rate, risk-adjusted - SHVI has a 6.58 percent rate verses the 9.09 percent benchmark.
  • Isolated CABG Procedures 30-day Mortality Rate, risk-adjusted - SHVI has a .59 percent rate verses a 2.5 percent benchmark.
  • Median Post-Procedure Length of Stay - SHVI has a 5 day length of stay verses 6 days benchmark.

97% of CABG patients at Atrium Health are free from complications and readmission.

Publications and Presentations

Peri-operative Anemia and Transfusions and Late Mortality in Coronary Artery Bypass Patients. Schwann TA, Vekstein AM, Engoren M, Grau-Sepulveda M, O’Brien S, Engelman D, Lobdell KW, Gaudino MF, Salenger R, Habib RH. Ann Thorac Surg. 2022 Nov 26:S0003-4975(22)01491-6. doi: 10.1016/j.athoracsur.2022.11.012. Epub ahead of print. PMID: 36574523.

The Society of Thoracic Surgeons/Society of Cardiovascular Anesthesiologists/American Society of Extracorporeal Technology Clinical Practice Guidelines for the Prevention of Adult Cardiac Surgery-Associated Acute Kidney Injury. Brown JR, Baker RA, Shore-Lesserson L, Fox AA, Mongero LB, Lobdell KW, LeMaire SA, De Somer FMJJ, Wyler von Ballmoos M, Barodka V, Arora RC, Firestone S, Solomon R, Parikh CR, Shann KG, Hammon J. Ann Thorac Surg. 2023 Jan;115(1):34-42. doi: 10.1016/j.athoracsur.2022.06.054. Epub 2022 Dec 20. PMID: 36549802.

The Society of Thoracic Surgeons/Society of Cardiovascular Anesthesiologists/American Society for Extracorporeal Technology Clinical Practice Guidelines for the Prevention of Adult Cardiac Surgery-Associated Acute Kidney Injury. Brown JR, Baker RA, Shore-Lesserson L, Fox AA, Mongero LB, Lobdell KW, LeMaire SA, De Somer FMJJ, Wyler von Ballmoos M, Barodka V, Arora RC, Firestone S, Solomon R, Parikh CR, Shann KG, Hammon J. Anesth Analg. 2023 Jan 1;136(1):176-184. doi: 10.1213/ANE.0000000000006286. Epub 2022 Dec 15. PMID: 36534719.

Invasive and noninvasive cardiovascular monitoring options for cardiac surgery. Recco DP, Roy N, Gregory AJ, Lobdell KW. JTCVS Open. 2022 Apr 11;10:256-263. doi: 10.1016/j.xjon.2022.02.028. PMID: 36004243; PMCID: PMC9390282.

Controversies in enhanced recovery after cardiac surgery. Shaw AD, Guinn NR, Brown JK, Arora RC, Lobdell KW, Grant MC, Gan TJ, Engelman DT; Perioperative Quality Initiative (POQI) and Enhanced Recovery after Surgery–Cardiac (ERAS® →-Cardiac) investigators. Perioper Med (Lond). 2022 Apr 28;11(1):19. doi: 10.1186/s13741-022-00250-7. PMID: 35477446; PMCID: PMC9047268.
Digital Health & Remote Monitoring to Reduce Length of Stay and Readmissions. Lobdell KW, Crotwell S, Watts LT, Frederick J, Reynolds J, Villafane J, Maxey T, Rose GA. STS 2022. 

Enhancing Recovery After Adult Cardiac Surgery with Technology. Crotwell S, Watts L, Frederick J, Skipper E, Lenoir B, Maxey T, Rose GA, Lobdell KW. European Association for Cardio-Thoracic Surgery (EACTS) 2022.

Long-Term Effects of Intraoperative Anemia and Transfusions in CAB. Schwann T, Engelman D, Lobdell KW, Engoren M, Habib R. STS 2022.

Long-Term Effects of Intraoperative Anemia and Transfusion in CAB. Society of Thoracic Surgeons (STS) 2022.

Perfect Care-Digital Health and Remote Monitoring to Reduce Length of Stay and Readmissions. Lobdel Kl, Crotwell S, Watts L, Frederick J, Lobdell KW, Villafane J, Maxey T, Rose GA. STS 2022.

Perfect Care: Engagement and Remote Monitoring. Crotwell S, Frederick J, Watts L, Maxey T, Rose GA, Lobdell KW. EACTS 2022. 

ERASC SWOT.
Lobdell KW. ERAS® 8th International Congress. 

Practice Makes Perfect? Institutional Coronary Artery Bypass Case Volumes and Outcomes. Schwann T, Engoren M, Guadino M, Mentz G, Saadat S, Engelman D, Lobdell KW, Habib R. EACTS 2022. 

Abdominal and Thoracic Trauma. Lobdell KW. US Army Reserve - 7458th MORU 2022. 

Learn about our renowned cardiovascular surgery program.

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