bryanlgh heart institute annual report 2011
DESCRIPTION
2011 Annual Report of the BryanLGH Heart Institute.TRANSCRIPT
2 01 1 annual report
Patients First.
Our commitment to quality outcomes
We’re pleased to present our 2011 Annual Report. We look
forward to discussing these results with you, answering your
questions about our continued growth and hearing how we
can further improve both the patient experience and our service
to you and your practice. In the meantime, we encourage you
to refer to your preferred quality and safety rating organization
to learn about the exceptional care being provided at BryanLGH
Heart Institute.
As your locally owned and governed provider of heart care,
we value our partnership — one that ensures quality care for
our citizens and reinvests in future services for our state.
Sincerely,
Clyde Meckel, MD Edward Raines, MD, JD
Our thanks and best wishes to
our partner, cardiovascular surgeon
David Hughes, MD, who retires from
BryanLGH Heart Institute in 2011.
Dr. Hughes attended the Baylor College of Medicine and was a general surgery
resident and later a thoracic surgery resident at the University of Michigan
Hospitals in Ann Arbor. He completed a fellowship in cardiovascular surgical
research at the Texas Heart Institute in Houston where he helped investigate
the potential for nuclear-powered artificial hearts.
Since finishing residency, Dr. Hughes has served as Chief of the Cardiac and
Thoracic Surgery Division at Creighton University School of Medicine, as
assistant clinical professor of surgery at the University of Nebraska College of
Medicine and as Chief of Cardiothoracic Surgery at Clarkson Hospital in Omaha.
Dr. Hughes specializes in valve surgery, coronary artery bypass graft surgery,
aortic root surgery, and surgical treatment of lung cancer. He is board certified
by the American Board of Surgery and the American Board of Thoracic Surgery.
pictured left to right
Scott Coatsworth, MD; W. Michael Kutayli, MD; Robert Hibbard, MD;
Clyde Meckel, MD; Andrew Merliss, MD; Steven Krueger, MD; Ryan
Whitney, MD; Joseph Kummer, MD; Keith Miller, MD; Dale Hansen, MD;
Todd Tessendorf, MD; Timothy Gardner, MD; Nadarajah Srikumar, MD;
David Hughes, MD; Edward Raines, MD
Clyde Meckel, MD
Growth
We have expanded our services in Lincoln, offering
more preventative and community- based services.
These include our firefighter heart disease
prevention program, mobile screening, HeartAware
early detection services offered online and on-site,
health screenings at local businesses and our special
“Cooking with the Cardiologists” program. In
addition, we provide educational symposiums for
physicians in Nebraska and surrounding states.
Here at home we have improved our surgical suites
and monitoring capabilities—offering patients the
most state-of-the art equipment and technology
available as well as comfortable surroundings to
help ensure a comfortable recovery.
In the following pages we introduce our new partners
and provide a sampling of program advancements
and developments.
The BryanLGH Heart Institute continues to grow and expand.
In addition to offering clinics in more than 30 communities
across four states, we have added two cardiologists and are
looking forward to both a new surgeon and yet another
cardiologist joining us in 2011.
More than 30
communities across
four states are provided
advanced services
from BHI.
“�The�Impella�device�increases�blood�supply�to�the�rest�of�
the�body�during�complex�and�emergent�procedures,�
allowing�the�actual�heart�muscle�to�rest�and�recover,”�
said�Timothy�Gardner,�MD,�cardiologist,�BryanLGH�Heart�
Institute.�“Our�institution�is�one�of�the�most�experienced�
in�the�country�with�the�Impella�procedure�and�believes�
support�with�Impella�has�a�positive�impact�on�the�
patient’s�survival.”
bryanlgh.org/BHI
Gr
ow
th
2010 additions to our team.
w. Michael Kutayli, MD
1990-1991
InternshipGeneral Hospital Colombo
1991-1994
Internal Medicine ResidencyWoodhull Medical Center, NY
1999-2002
Research Fellow, HypertensionBrigham and Women’s Hospital
1991
Emergency Room PhysicianGeneral Hospital Colombo
1998-1999
Research Fellow, CardiologyWestern Pennsylvania Hospital
1997
Bachelors, summa cum laudeCase Western Reserve University
2001
Doctor of MedicineUniversity of South Dakota
bryanlgh.org/BHI
nadarajah Srikumar, MD
2002-2005
Cardiology FellowshipUT Southwestern Medical Center
2001-2004
Internal MedicineCreighton University
Medical Center
2005-2008
Cardiology FellowshipCreighton University
Medical Center
2004-2005
Chief Resident, Internal MedicineCreighton University Medical Center
2008-2010
Cardiac ElectrophysiologyUniversity Hospitals Case Medical Center
2002
Master of Medicinal Science Harvard Medical School
ColumBus expansIonWe�have�a�new,�full-service�cardiology�
office�in�Columbus,�NE.�Nadarajah�
Srikumar,�MD,�his�wife�and�three�
daughters�have�become�part�of�the�
Columbus�community.�Columbus�native�
Todd�Tessendorf,�MD,�maintains�his�Friday�
appointment�schedule�in�Columbus.�
Gr
ow
th
robert oakes, MD
2011 additions to our team.
1996
Bachelor of Arts in BiologyHastings College
2002-2003
Fellowship with Sarnoff Endowment
for Cardiovascular Science New York Medical College
2002-2004
General Surgery Residency
Stanford Department of SurgeryStanford University Medical Center
1998
Bachelor of ScienceUniversity of Arizona
2002
Doctor of MedicineHarvard Medical School
bryanlgh.org/BHI
Mathue Baker, MD
2005
Doctor of Medicine University of Nebraska
2005-2008
Internal Medicine ResidencyUniversity of Nebraska Medical Center
2008-2011
Cardiology FellowshipUniversity of Nebraska Medical Center
2005-2006
Research Fellowship in
Cardiovascular Surgery
Stanford Department of SurgeryStanford University Medical Center
2008-2009
Chief Resident in General Surgery
Stanford Department of SurgeryStanford University Medical Center
2009-2011
Cardiothoracic Surgery Residency
Brigham and Woman’s HospitalHarvard Medical School
2004-2005
Fellowship in Cardiovascular Surgery
Stanford Department of
Cardiothoracic SurgeryStanford University Medical Center
2006-2008
Senior Resident in General Surgery
Stanford Department of SurgeryStanford University Medical Center
2010
Chief Resident, Cardiac Surgery
Brigham and Woman’s HospitalHarvard Medical School
Gr
ow
th
prevention
Steven Krueger, MD
“�He�saved�my�life.�I�had�
two�coronary�arteries�
that�were�blocked�that��
Dr.�Krueger�found.”���
�
–�Firefighter�Dan�Bare
Three years ago, Dr. Krueger learned of Dr. Robert
Superko’s research on risk of heart disease in
firefighters. Dr. Superko, one of Dr. Krueger’s
professors during his internship and residency
at Stanford University Medical Center in Palo Alto,
California, was principal investigator in the landmark
Federal Emergency Management Agency (FEMA)-
sponsored study of firefighters and heart disease.
Though he was intrigued by how he could help
the community through a program similar to Dr.
Superko’s —which focuses on genes associated with
coronary artery disease, the only existing program
of its nature in the country —Dr. Krueger chose to
implement a program focused on risk factors.
The first step of the program is for the firefighters
to fill out the HeartAware survey. After completing
this initial step, the firefighters are taken through a
one-on-one interview by a member of the program’s
dedicated staff. All information is evaluated using
a point-scale (developed by Dr. Krueger) to arrive
at a reasonable idea of risk. Once aware of the risk
factors, the team is very aggressive in modifying
those risk factors and intense in their communication
with the firefighters’ primary care physicians as well.
While too early to have statistical evidence of the
success, out of the nearly 100 Lincoln firefighters
who have taken advantage of this voluntary
program, all but two individuals have shown at
least some risk for heart attack.
The program is close to being able to be expanded
to local communities and then throughout the state.
There is a great deal of interest from both firefighters
and primary care physicians as they learn that
voluntary firefighters may be at even a higher risk
than their full-time counterparts.
When he learned that firefighters have a 300% greater risk of
heart attack than the average person, BHI’s Dr. Steven Krueger
developed a Lincoln firefighter prevention program…and the
plan is to take it outstate.
bryanlgh.org/BHI
pr
ev
en
tio
n
world class surgeryleft to right
Keith Miller, MD
Ed Raines, MD
Terry Bejot, MD
CNN�selected�BryanLGH�cardiothoracic�
surgeon�Edward�Raines,�MD,�for�its�special�
health�report�The�Last�Heart�Attack,�airing�
summer�2011.�Hosted�by�Sanjay�Gupta,�MD,�
the�program�includes�segments�with�
President�Bill�Clinton�and�Dr.�Raines’�
patient,�Lincoln�teacher,�Tom�Bare.
world class surgery
The BryanLGH Cardiac Surgery Program brings together
a team of experienced experts from multiple disciplines
to offer the most complete and fully integrated care in
the region.
mitral Valve proceduresCalendar Year 2010
91.4%
8.6%Replacement
Repair
mortality Rates Mitral Valve Replacement/Repair
4
0%
2
BryanLGH Heart Institute
National Average 5.4%
51 3
CarDiaC SurGery
Surgery Program advances:
• Cox Maze III
• Aortic root repair
• Cord sparing
• Minimally invasive approach
• Appendage over-sew
• All-arterial grafts
• Echo-certified anesthesiologists
62.5%
37.5%Open Surgery
Minimally Invasive
bryanlgh.org/BHI
Heart Valve Center of Excellence
Ca
rD
iaC
Su
rG
er
y
Speed
Dale Hansen, MD
bryanlgh.org/BHI
“�I�was�flown�to�BryanLGH�from�the�Broken�
Bow�hospital.�I�was�rushed�to�the�cath�lab�
for�a�stent�and�was�back�in�my�room�—�all�
before�my�son�arrived.”
–�Broken�Bow�patient��Anna�Marie�Robison
1 2 3
Average Length of Stayfor Angioplasty/Stent Procedure
2 days
BHI
National
1 day
CMS ORYX Time ComplianceDoor-to-Balloon Time Measured (Less than 90 Minutes)
25 50 75 100
100%
89%
BHI
National
Appropriate Care Measures Completion of all AMT Indicators
25 50 75 100
100%95.2%
BHI
National
.5 1 1.5
Risk-Adjusted Mortality Ratefor Angioplasty/Stent Procedure
1.4%
BHI
National
1.26%
BryanLGH Heart Institute
National AverageKey
2,948 Heart Caths Performed 783 Angioplasty/Stent Procedures in 2010
interventional CarDioloGy
Once an artery is occluded, time is muscle. We have
gone to great lengths to assure our patients the fastest
door-to-balloon times.
int
er
ve
nt
ion
al
Robert Hibbard, MD
expertise
BryanLGH Heart Institute’s Vascular program, under the
direction of Robert Hibbard, MD, FACC, in the past year has
performed more than 1,000 peripheral angiograms, including
carotid stenting, thoracic and abdominal stent grafting and
treatment of peripheral limb salvage.
Program advances include:
• Thoracic stent grafting for trauma and dissection
• First endovascular repair of coarctation
• First endovascular repair using the new Endurant stent graft
• Aggressive limb salvage using a myriad of the latest technologies
– Directional athrectomy
– Cryoplasty
– Laser athrectomy
– Rotational athrectomy
• Continued enrollment into research trials for iliac, SFA, AAA
• Began endovenous programs to treat venous ulcers, varicosities
and venous insufficiency, using venous ablation
with radio frequency
• Endovenous treatment of acute and chronic DVT
bryanlgh.org/BHI
Interventional�cardiologist�Robert�Hibbard,�
MD,�FACC,�the�number�one�enroller�in��
the�Sapphire�Worldwide�Carotid�Stent�Trial,�
presented�at�the�American�College�of�
Cardiology�National�Conference�in�
New�Orleans�this�April.
interventional CarDioloGy
The new Endurant graft offers more
options to address the complex
anatomy of an aneurysm.
int
er
ve
nt
ion
al
innovationleft to right
Andrew Merliss, MD
W. Michael Kutayli, MD
Dr. Andrew Merliss of BHI performed the first balloon
cryoablation in Nebraska at BryanLGH Medical Center
in February, 2011.
ablation procedures
• Ablations of the following tachycardia
– AV node re-entrant tachycardia
– Atrial fibrillation
– Pulmonary vein isolation
– AV nodal ablation
• Accessory pathway tachycardia
• Atrial flutter
• Atrial tachycardia
• Ventricular tachycardia
other procedures
• 414 pacemaker devices were implanted
• 279 ICD procedures
• 1,027 EP procedures total in 2010
The�BryanLGH�Heart�Institute�Atrial�Fibrillation�
Center,�with�conventional,�advanced�and�experi-
mental�therapies,�provides�multidisciplinary,�
comprehensive�treatment�of�atrial�fibrillation�—�
the�most�common�heart�rhythm�disturbance.
bryanlgh.org/BHI
This innovative new procedure, which was just
approved by the FDA in December 2010, shows promise
as it is lower-risk and results in less procedure time
than radiofrequency ablation. (Nationwide, the
procedure is experiencing an 80-85% success rate.)
The advance with this new procedure is the ability
to treat the offending problem in a circumferential
manner without gaps in coverage. Balloon cryoabla-
tion entails inserting a catheter into the left atrium
of the heart and then sending -112 degrees Fahrenheit
coolant through a tiny balloon which has been inflated
after being introduced into the catheter.
BryanLGH was also the first in the region to utilize
state-of-the-art Stereotaxis magnetic navigation
and 3D mapping technology to assist in cardiac
ablation procedures.
eleCtrophySioloGy (ep)
el
eC
tr
op
hy
Sio
lo
Gy
(ep
)
outreach
bryanlgh.org/BHI
HeaRtawaRe pRogRam
BryanLGH�nurses�are�making�a�difference�
through�our�online�HeartAware�screening,�
with�94�percent�of�at-risk�individuals�accepting�
the�offer�for�further�screening.�The�national�
conversion�average�is�78�percent.
BryanLGH Heart Institute is committed to putting patients first.
In keeping with this spirit, we periodically offer community
education programs and resources for the public to help people
better understand and prevent cardiovascular disease.
Our mobile screening van visits many communities as well as businesses. Our HeartAware survey is
accessible in person or online for patients to assess their risk for heart disease; follow-up interviews
and initial testing are provided free of charge for
those who are deemed at risk. Carotid artery
screenings are provided at local businesses and
our “Cooking with the Cardiologists” is a fun and
engaging way to help people learn to prepare
healthy meals. In addition, those in the community
may register online for a number of lectures and
classes on nutrition, weight management, stress
management and other relevant topics.
patient eDuCation
BryanLGH Heart Institute cardiologists Ryan
Whitney, MD and Scott Coatsworth, MD join
HyVee dietician Becky Guittar, RD for the growing
“Cooking with the Cardiologists” series.
pa
tie
nt
eD
uC
at
ion
leadership
bryanlgh.org/BHI
BryanLGH Heart Institute is recognized as a leader in cardiovascular
services. As a leader in this area, our key initiatives are to provide the
highest quality and leading-edge services as well as to offer educational
opportunities for our colleagues.
educational opportunities
We host several conferences for physicians, nurses
and allied health professionals throughout the year.
Many of these conferences offer CMEs and CEUs.
Spring and fall cardiology conferences are held for
physicians and a fall cardiology conference is held
for nurses. Online information and registration is
provided on our website.
Our website provides in-depth information about
the services and programs offered by the BryanLGH
Heart Institute. Go to www.bryanlgh.org/BHI to
access information about ongoing services as well
as new advances and technologies.
Our surgeons and cardiologists continue to take
on additional training and mentoring roles for
colleagues from across the country who travel
to BryanLGH for education.
Clinics and services:
• Arrhythmia Program
• Cardiac Rehabilitation
• Chest Pain Clinic
• Electrophysiology
• Heart Failure
• Heart Improvement Program (BHIP)
• Heart Valve Center of Excellence
• Lipid and Prevention Clinic
• Women’s Heart Program
advances in Care:
• Aquapheresis
• Balloon Cryoablation
• CRRT (Continuous Renal Replacement Therapy)
• Definity Contrast Imaging
• ECMO (Extracorporeal Membrane Oxygenation)
• Hyperhidrosis Treatment
• Hypothermia Core Body Cooling
• Impella (Ventricular Assist Device)
• Maze Procedure
• Minimally Invasive Valve Surgery
profeSSional eDuCation
BryanLGH�Heart�Institute�cardiologist�Joseph�
Kummer,�MD,�at�a�follow-up�visit�with�patient�Joy�
McCage.�Gage�County’s�protocol�for�heart�attack�
victims,�combined�with�12-lead�EKG�technology�on�
board�the�Beatrice�Fire�&�Rescue�ambulance,�allowed�
Dr.�Kummer�to�coordinate�immediate�transport�to�
the�BryanLGH�East�heart�catheterization�lab�—��
a�45-minute�savings�that�saved�Mr.�McCage’s�life.
pr
of
eS
Sio
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Du
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n
THe PHysIcIans of BryanlGh heart institute
Mathue Baker, MD
Dr. Baker graduated from the
University of Nebraska Medical
Center College of Medicine,
Omaha, where he also completed
an internal medicine residency
and cardiology fellowship.
His education also includes a
fellowship through the Sarnoff
Endowment for Cardiovascular
Science at New York Medical
College, Valhalla.
Scott Coatsworth, MD, FACC
A native of Lincoln, Nebraska,
Dr. Coatsworth attended the
University of Nebraska–Lincoln
and went on to the University of
Nebraska College of Medicine,
where he received his medical
degree with high distinction. He
then attended the University of
Iowa for both his residency in
internal medicine and a fellowship
in cardiology, where he served as
Chief Fellow in Cardiology.
Dr. Coatsworth is certified by
the American Board of Internal
Medicine and the American Board
of Internal Medicine Subspecialty
Board of Cardiovascular Diseases.
He has achieved fellowship status
with the American College of
Cardiology, Society for Cardiac
Angiography and Interventions
and the American Heart
Association Clinical Council.
Timothy Gardner, MD, FACC
Dr. Gardner pursued his
undergraduate education at
Portland State University. He
attended Baylor College of
Medicine in Houston, Texas,
and graduated with honors. Dr.
Gardner completed internal
medicine residency and a
cardiovascular fellowship
including interventional
cardiology at the Johns Hopkins
Hospital in Baltimore, Maryland
in 1996.
Dr. Gardner is board certified
in Cardiovascular Diseases and
Interventional Cardiology. He is
a fellow in the American College
of Cardiology and has been
recognized several times as one
of America’s Best Cardiologists
by the Consumer’s Research
Council of America. His special
interests are in coronary and
peripheral interventions and
pacemaker implantations.
Dale A. Hansen, MD, FACC
A native of Hartington, Nebraska,
Dr. Hansen attended the
University of Nebraska–Lincoln,
where he graduated with
distinction and was a member of
Phi Beta Kappa. He went on to the
University of Nebraska College
of Medicine in Omaha, where he
received his medical degree and
was a member of ACA. Dr. Hansen
served his residency in internal
medicine and a fellowship in
cardiology at the University of
Nebraska Medical Center. He
also completed a fellowship in
cardiology at Creighton University
Affiliated Hospital in Omaha.
Dr. Hansen is certified by the
American Board of Internal
Medicine and the American Board
of Internal Medicine Subspecialty
Board of Cardiovascular Diseases.
He has achieved fellowship
status in the American College
of Cardiology and the American
College of Chest Pain.
bryanlgh.org/BHI
Robert N. Hibbard, MD, FACC
Dr. Hibbard completed his
undergraduate studies at the
University of Wyoming and
then attended the Creighton
University School of Medicine in
Omaha, Nebraska. He completed
his internship, residency in
internal medicine and fellowship
in cardiology at the Creighton
University School of Medicine.
Dr. Hibbard is certified by the
American Board of Internal
Medicine and the American Board
of Internal Medicine Subspecialty
Boards of Cardiovascular Diseases
and Interventional Cardiology. He
is a fellow of the American College
of Medicine, American College
of Cardiology, American
College of Chest Physicians and
the American Society of
Angiography/Intervention.
Steven Krueger, MD, FACC
A native of Kearney, Nebraska,
Dr. Krueger attended Nebraska
Wesleyan University in Lincoln
where he earned his B.S. in Biology.
He received his medical degree
from the University of Nebraska
College of Medicine in Omaha.
He completed his internship and
residency at Stanford University
Medical Center in Palo Alto,
California. Dr. Krueger served
fellowships at the University
of Utah in Salt Lake City in
cardiology, electrophysiology
and congestive heart failure.
Dr. Krueger manages the care of
over 800 patients in the Heart
Improvement Program and has
served as principle investigator
on over 75 clinical research trials.
He is certified by the American
Board of Internal Medicine and
the American Board of Internal
Medicine Subspecialty Board of
Cardiovascular Diseases. He also
has achieved fellowship status
in the American College of
Physicians and the American
College of Cardiology.
Joseph L. Kummer, MD, FACC
A native of Omaha, Nebraska,
Dr. Kummer attended Saint Louis
University, where he received
two undergraduate degrees and
completed pre-medical studies
in 1996. He then attended the
University of Nebraska College
of Medicine in Omaha where he
earned his medical degree in 2000.
He completed his internship and
residency in Internal Medicine
at Northwestern University in
Chicago. He went on to complete
his fellowship in cardiology and
cardiovascular disease at Henry
Ford Hospital in Detroit, Michigan.
W. Michael Kutayli, MD
Dr. Kutayli graduated from the
Sanford School of Medicine
at the University of South
Dakota, Vermillion. He then
completed an internal medicine
residency and cardiology
fellowship at University Medical
Center in Omaha and cardiac
electrophysiology studies at
University Hospitals Case Medical
Center in Cleveland, Ohio.
THe PHysIcIans of BryanlGh heart institute
Clyde Meckel, MD, FACC
A native of Burwell, Nebraska, Dr.
Meckel attended the University
of Nebraska–Lincoln, where he
graduated with high distinction.
He then went on to the University
of Nebraska College of Medicine
where he received his medical
degree and graduated with
high distinction. He served
his internship at Brigham and
Women’s Hospital and Harvard
Medical School in Boston,
Massachusetts. He also completed
his residency in internal medicine
and his fellowship in cardiology at
Brigham and Women’s Hospital.
Dr. Meckel is board certified by
the American Board of Internal
Medicine and the American Board
of Internal Medicine Subspecialty
Board of Cardiovascular Disease
and Interventional Cardiology.
He is a fellow of the American
College of Cardiology, a member
of The Society for Cardiac
Angiography and Interventions
and a member of the American
Society of Nuclear Cardiology.
Andrew Merliss, MD, FACC
Dr. Merliss attended Colgate
University for his undergraduate
studies. He then attended the
George Washington University
School of Medicine, where he
also completed his internship.
From there, he completed his
residency at Harvard Medical
School and went on to serve his
cardiology fellowship at Boston
University Hospital. He completed
his fellowship in cardiac
electrophysiology at Harvard
Medical School, where he taught
for five years.
Dr. Merliss is certified by the
American Board of Internal
Medicine and the American Board
of Internal Medicine Subspecialty
Board of Cardiovascular Diseases,
as well as the Subspecialty Board
of Cardiac Electrophysiology. He is
a fellow of the American College of
Cardiology and is a member of the
North American Society for Pacing
and Electrophysiology and Project
Pacemaker International.
Keith Miller, MD, PhD, FACC
A native of Omaha, Nebraska, Dr.
Miller attended Cornell University
in Ithaca, New York where he
completed his undergraduate
studies. He went on to earn his
medical degree and his PhD
in molecular biology from the
University of Nebraska College of
Medicine in Omaha. He completed
his residency in internal medicine
at the University of Iowa Hospitals
and Clinics in Iowa City and his
cardiology fellowship at the
University of Chicago Hospitals.
Dr. Miller is certified by the
American Board of Internal
Medicine, the National Board
of Echocardiography and
the Certification Board of
Nuclear Cardiology.
Robert Oakes, MD
Dr. Oakes graduated from
Harvard Medical School, Boston,
in 2002 and completed a general
surgery residency, then a clinical
fellowship in cardiothoracic
surgery and a research fellowship
in cardiovascular surgery at
Stanford University Medical
Center, Palo Alto, California. He
then fulfilled cardiothoracic
surgery and cardiac surgery
residency studies at Brigham
and Women’s Hospital/Harvard
Medical School, Boston, Mass.
Dr. Oakes is certified by the
American Board of Surgery.
bryanlgh.org/BHI
Edward Raines, MD, FACS, JD
Dr. Raines attended the University
of Nebraska College of Law and
received his medical degree from
the University of Nebraska College
of Medicine. He then attended
the University of Utah Affiliated
Hospitals in Salt Lake City for
his general surgery residency,
serving as Chief Resident, as well
as completing his fellowship in
cardiothoracic surgery.
Dr. Raines specializes in minimally
invasive cardiac surgery, robotic
thoracic surgery, and mitral
valve repair. He is among fewer
than 10 surgeons in the country
successfully performing the Ross
heart valve replacement surgery.
Additionally, Dr. Raines has
been the principle investigator
of several national research
studies in cardiac surgery and
artificial hearts. Dr. Raines is
board certified by the American
Board of Surgeons and American
Board of Thoracic Surgery;
he is also a member of the
Cardiothoracic Surgery Network,
the International Society for
Minimally Invasive Cardiothoracic
Surgery and the Society of
Thoracic Surgeons.
Nadarajah Srikumar, MD
Dr. Srikumar graduated from the
University of Colombo, Sri Lanka,
and Harvard Medical School,
Boston, Mass. He completed an
internal medicine residency at
Woodhull Medical Center, NY;
research fellowships in cardiology
at Western Pennsylvania Hospital,
Pittsburgh, and hypertension at
Brigham and Women’s Hospital,
Boston, Mass.; a cardiology
fellowship at University of
Texas Southwestern Medical
Center, Dallas.
Todd Tessendorf, MD, FACC
A native of Columbus,
Nebraska, Dr. Tessendorf
received his undergraduate
degree from Nebraska
Wesleyan and his medical
degree from the University of
Nebraska College of Medicine.
He completed his internship
and residency at University of
Nebraska Medical Center and
a cardiology fellowship at the
University of Missouri-Kansas
City. Dr. Tessendorf has a focus in
coronary catheterization, nuclear
cardiology, and echocardiography.
Dr. Tessendorf is certified by
the American Board of Internal
Medicine Subspecialty Board of
Cardiovascular Diseases.
Ryan Whitney, MD, FACC
A native of Omaha, Nebraska,
Dr. Whitney attended the
University of Nebraska–Lincoln
for his undergraduate studies
and went on to the University
of Nebraska College of Medicine
in Omaha where he received his
medical degree. He completed his
residency in internal medicine at
the University of Iowa Hospitals
and Clinics in Iowa City. He
returned to Omaha to serve his
fellowships in cardiology and
interventional cardiology at
the University of Nebraska
Medical Center.
Dr. Whitney is certified by the
American Board of Internal
Medicine Subspecialty Boards
of Cardiovascular Diseases and
Interventional Cardiology.
BryanLGH Heart Institute 1600 South 48th St. Lincoln, NE 68506
(402) 483-3333 or toll-free (866) 895-5611
bryanlgh.org/BHI
Albion
Alma
Auburn
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Beatrice
Belleville, KS
Broken Bow
Cambridge
Clarinda, IA
Columbus
Crete
Fairbury
Fairfax, MO
Geneva
Hebron
Holdrege
Lincoln
Lexington
Marysville, KS
McCook
Nebraska City
Ord
Osceola
Pawnee City
Red Cloud
Seward
St. Paul
Superior
Syracuse
Tecumseh
Valentine
Wahoo
York
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