Page 6 - Clinical Connections - Autumn 2025
P. 6

RVC RESEARCH    STUDY    VETERINARY SERVICES       RVC.AC.UK
         Cardiothoracic Surgery
        CARDIOTHORACIC SURGERY SERVICE
        PASSES 20-YEAR MILESTONE


        The Cardiothoracic Surgery team

          t is two decades since the RVC started   Medicine  Service  and  Blood  Donor   Early cases
          offering pioneering – and often lifesaving   Programme were foundations enabling the   The first patient to benefit from the service
        I – surgery to help dogs with complex   Cardiothoracic Surgery Service to emerge.    was a dog called Monty, who was treated, in
        heart  conditions.  This  service  is  now  one   The blood transfusion requirements have   January 2005, for tricuspid valve dysplasia.
        of the leading centres in the world for   changed  significantly  over  the  decades.   Though the surgery was successful, the
        cardiothoracic surgery and continues to   Initially each dog required two or three units   team  recognised  that  developing  surgical
        evolve.                             of fresh whole blood but now patients, which   expertise  for  different  cardiac  disorders
          The Cardiothoracic Surgery Service   are  typically  smaller  and  primarily  mitral   would take time.
        was established by Dan Brockman, who   valve disease cases, only require packed   Between 2005 and 2012 one patient a
        joined the RVC in 2000. When Professor   red cells.                     month was scheduled, primarily tricuspid
        Brockman  first  arrived,  there  was  limited   Cardiopulmonary bypass equipment also   valve replacements, pulmonic stenosis
        intensive care provision but with the support   was required to get the service off the ground   surgery and double chamber right ventricle
        of Professor David Church, Amanda Boag   and an experienced NHS perfusionist, Alan   surgery.
        and others, including dedicated veterinary   Akins, joined the team. Later, when  Alan
        nurses, an Intensive Care Unit (ICU) with   retired, Nigel Cross, a paediatric perfusionist
        round the clock staffing was established.  from Great Ormond Street Hospital, joined
          The ICU and the (also new) Transfusion   the team.




                                        2001 to 2004
                                    The Critical Care Service
                                  and Intensive Care Unit were
                                  established, by Dez Hughes.

                                The Transfusion Medicine Service
                                 was formalised by 2004, led by                           2005 to 2011
                                 Gill Gibson and Amanda Boag.                     One case a month was scheduled.




























                  2000                                              2005                                           2012 to 2015
          Dan Brockman joined the                        The RVC Cardiothoracic Surgery                  Between 2012 and 2015 a surgical team
           RVC, having previously                       Service was established. A dog called             from Japan visited the RVC to operate
           worked at the University                     Monty with tricuspid valve dysplasia               on dogs with mitral valve disease.
           of Pennsylvania’s School                     was the first patient, in January 2005.
           of Veterinary Medicine,                                                                         In 2015 The RVC team did its first
        which had been working towards                                                                   mitral valve repair without support from
        a cardiothoracic surgery service.                                                                       surgeons from Japan.


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