Cardiac Surgery at the University of Ottawa Heart Institute is dedicated to life-saving procedures and advancing surgical techniques and treatment methods. Our surgeons specialize in reconstructing damaged portions of the heart and solving complex problems using minimally invasive procedures.
We have one of the most successful and innovative heart surgery programs in Canada. We are a recognized leader in less invasive surgery, repair of heart valves, the quality of surgical outcomes and patient satisfaction. Our heart transplant program has performed more than 500 transplants and serves patients across the country. We pioneer innovative surgical methods, such as minimally invasive coronary artery bypass, and educate surgeons here and abroad in these new techniques.
We perform more than 1,700 open-heart procedures annually and conduct research into progressive clinical practices and scientific approaches to ensure the best possible outcomes for our patients. Cardiac surgery has a proud legacy at the Heart Institute. Our physicians continue to set the standard in care, education, and research.
The Heart Institute is an international leader in cardiac surgery. We have among the lowest mortality rates and largest patient volumes throughout North America, particularly for high-risk patients. Our Cardiac Surgery program provides a model of surgical performance and expertise in which patient diagnosis, assessment, treatment, and follow-up involve a concerted team approach.
Through a tiny incision between the ribs, multiple healthy blood vessels are grafted onto arteries to bypass coronary blockages. The operation is conducted while the heart is beating. The standard open-heart method involves stopping the heart, using a heart-lung machine, and breaking the breastbone to open the chest. Only a few sites in North America perform this procedure, which requires specialized tools and training.
We specialize in heart valve surgical techniques--for reconstruction of valves instead of replacement--including mitral and aortic valve repair. Surgeons also perform complex aortic valve procedures using minimally invasive surgical techniques. The comprehensive Valve Surgery Clinic follows patients after surgery to ensure thorough follow-up care.
For patients suffering from aortic stenosis (narrowing of the aortic valve) who are not good candidates for surgery, TAVI offers a minimally invasive option. Our medical team combines the exceptional skills of a surgeon and an interventional cardiologist in performing this catheter-based procedure. This technique currently best suits the higher-risk surgical population.
The Heart Institute’s first transplant was performed in 1984, and as many as 36 transplants are conducted here annually. Transplant patients are seen in the Heart Function Clinic when their hearts are no longer strong enough to pump adequate volumes of blood. The Heart Institute helps set the standard for transplant procedures and protocols across the country as a leading member of the Canadian Cardiac Transplant Group. In 2012, the Institute performed its 500th heart transplant.
Left ventricular assist devices (LVADs) temporarily replace the heart’s pumping action and are surgically implanted for patients with end-stage heart failure who are waiting for a heart transplant (known as "bridge to transplantation"). The device takes blood from the left side of the heart and pumps it back to the aorta, the major vessel in the body. An LVAD is used until a donor heart is available for transplantation or in patients who are expected to improve (known as "bridge to recovery").
In this procedure, surgeons manoeuvre miniature tools through a keyhole-sized incision to destroy, or ablate, a targeted area of the heart. The ablation effectively short-circuits troublesome nerve endings responsible for atrial fibrillation, the most common form of arrhythmia.
In some patients, blood clots that travel to their lungs do not dissolve as they should and block the flow of blood. Blood pressure remains high, causing a persistent strain on the right side of the heart. The result is a condition known as chronic pulmonary embolism or chronic pulmonary hypertension. The Heart Institute is the designated Canadian centre for pulmonary thromboendarterectomy (PTE), a complex surgical procedure in which blood clots that block pulmonary arteries are removed.
Thoracic Aortic Repair
Like an inflated balloon, the wall of the aorta becomes thin and can tear (dissect) or rupture when it is stretched by an aneurysm. Aortic dissection or rupture requires immediate surgical repair. Patients with aortic disease are managed in the Aortic Clinic.
Surgeons and scientists at the Heart Institute combine their experience and skill to improve the quality of life of our patients, ensure better outcomes, and maintain a progressive approach to cardiovascular medicine. From its inception, the Heart Institute has pioneered novel surgical procedures that give patients a chance to lead better lives.
For more information, see:
- Bio-nanomaterials Chemistry and Engineering Laboratory - Emilio Alarcon, PhD
- Cardiovascular Tissue Engineering Laboratory - Erik Suuronen, PhD
Our diverse skills, collaborative setting, and innovative procedures provide an excellent environment for training young physicians and researchers. Our educational activities address students at all levels.
Up to 15 medical students rotate annually through our cardiac surgery program, including elective students from the faculties of medicine in other provinces.
Cardiac surgery as accredited by the Royal College of Physicians and Surgeons of Canada for medical residents requires a minimum of six years, following the completion of medical school.
The University of Ottawa offers clinical fellows one of the most advanced and diverse surgical training sites in Canada. In order to apply, both Canadian and International Medical Graduates must complete the Cardiac Surgery Fellowship Application form (PDF).
Canadian Medical Graduates (CMG):
Applications can be sent directly to the Clinical Fellowship Director and Postgraduate Program Administrator. The following documents must be included:
- Personal Statement
- Curriculum Vitae
- Three (3) letters of recommendation
- Completed Cardiac Surgery Fellowship Application form
International Medical Graduates (IMG):
Applications must be submitted through the Fellowship Application System for International Medical Graduates.
After applications have been successfully submitted via the online application system, please email the completed Cardiac Surgery Fellowship Application form to the Postgraduate Program Administrator.
Dr. Juan Grau, MD FACS FACC
Clinical Fellowship Director
Division of Cardiac Surgery
University of Ottawa Heart Institute
40 Ruskin Street
Ottawa, ON K1Y 4W7
Postgraduate Program Administrator
Division of Cardiac Surgery
The Ottawa Hospital, Civic Campus
Loeb Research Building, Main Floor
725 Parkdale Avenue
Ottawa, Ontario K1Y 4E9
Office# WM150f Box#411
More information regarding University of Ottawa fellowship programs can be found on the Faculty of Medicine, Postgraduate Medical Education website.
Training at the Heart Institute incorporates laboratory research in which young scientists investigate the means of rebuilding tissue in and around the heart. Master’s and PhD candidates in cellular and molecular medicine are supervised in groundbreaking basic research.
For more information, please see Cardiac Surgery Education.
Marc Ruel, MD, MPH, FRCSC, FAHA, FCCS
Division Head, Cardiac Surgery
- Munir Boodhwani, MD, FRCSC
- Vincent Chan, MD, MPH, FRCSC
- David Glineur, MD, PhD
- William Goldstein, MD, FRCSC
- Juan Grau, MD
- Paul J. Hendry, MD, FRCSC
- B-Khanh Lam, MD, CM, FRCSC
- Roy Masters, MD, FRCSC
- Thierry Mesana, MD, FRCSC
- Fraser Rubens, MD, MSc, FRCSC
- Jacqueline Fortier
- Gifferd Ko