Dr. Lance Landvater, a cardiothoracic surgeon at Carolina Cardiovascular Surgical Associates.
performed bypass surgery on his
fellow doctor and took great pleasure in receiving the greatest compliment a colleague could bestow upon him.He
also enjoys the reaction he
receives from his
patients.In these days of increasing regulation, reduced compensation and rapidly evolving technology, the good he
does as a physician overcomes the bad.
"This has proven to me to be a very enjoyable profession," Landvater
explained."At least in my experience, cardiac patients tend to be the most appreciative of what you have done.They are happy to be alive."
Lives are indeed at stake, and neither doctor takes for granted what will happen when they enter an operating room.
"This has been a remarkable 15 years," said Dr. Mann, who like Dr. Landvater
is deeply involved in WakeMed's Heart Center operation.
"You know when you do a cardiac operation what the mortality rate is,what the risk is for a patient to live or die," Dr. Landvater
Drs. Mann and Landvater
are among the leaders in the fight against CVD.
has a particular interest in valve replacements, stentless valves (which may last longer than valves including stents), microvalve repair, and so-called off-pump coronary bypass.
"We are seeing a shift away from mechanical valves to tissue valves, which have greater durability," he
said."We also are seeing a strong trend toward repairing valves with microvalve surgery rather than replacement."Less invasive procedures are also being developed, and procedures that leave less scarring is seen as especially important by women who need heart surgery, Dr. Landvater
pointed out that the technique is not for every patient,or every surgeon.
"People ask me, 'Why can't you do me off-pump?' You have to take into account the patient.You also have to take into account the experience of the surgeon."Dr. Landvater
sees other developments as exciting,including better heart assistance devices rather than artificial hearts, interventional stenting to attack aneurysms, and advances in thoracic surgery to treat lung tumors and lung disease.
In the meantime, doctors such as Landvater
and Mann will need to push the edge of research and stay abreast of new developments in order to provide the best care.
"I anticipate by the time that I retire that I probably will be doing most of what I do now quite differently," Landvater
After all, Landvater
added, "The reality in medicine, the first tenet as a surgeon, is to do no harm.
...About Lance Landvater:Landvater, 52, was born in Lancaster, PA, and attended Bowman Gray School of Medicine at Wake Forest University where he was graduated in 1977.Earlier, he earned a Bachelor of Arts degree in 1973 at Franklin & Marshall College in Lancaster.Before coming to Raleigh, he held a number of different positions, including chief surgical resident and a cardiothoracic fellowship at George Washington University.He
wife Cynthia have three children, Susan, Spencer and Lance
...Dr. Lance Landvater of Carolina Cardiovascular Associates pointed out that Wake Med has certainly indicated a willingness to invest in the latest technology and treatments.