We treat many types of conditions affecting blood vessels in the heart and lungs. From thoracic aneurysms to complex aortic root replacement, these surgical options can prevent life-threatening damage to the heart and other organs. At TriStar Cardiovascular Surgery in Nashville, our cardiothoracic surgeons are experts in vascular and endovascular surgery. We work with you and your cardiologist to determine the best treatment plan for the following:

  • Aortic aneurysm
  • Thoracic aneurysm
  • Aortic root replacement (Bentall procedure)
  • Valve-sparing aortic root replacement
  • Ascending aorta replacement
  • Aortic arch replacement (Hemiarch, Total arch replacement)
  • Descending thoracic aortic replacement
  • Hybrid antegrade stent grafting of descending thoracic aorta
  • Aortic arch debranching procedures
  • Innominate artery/Proximal carotid/subclavian/axillary artery bypass
  • Vena caval/Innominate vein reconstruction
  • Thoracotomy
  • Thoracic endovascular aortic repair (TEVAR)
  • Complex thoracic lung surgery
  • Minimally invasive lung surgery

Reasons for Thoracic Surgery

You could require cardiothoracic surgery for any of the following reasons:

  • To confirm diagnosis of a lung or chest disease
  • To remove a portion of the lung or the entire lung
  • To re-inflate lung tissue that has collapsed due to disease or trauma
  • To remove pus from the chest
  • To remove blood clots from the chest

Types of Cardiothoracic Procedures


A thoracotomy is an operation to open the chest wall. The surgery allows access to the lungs and surrounding structures. Depending on the disease location, a thoracotomy incision may be done on the right or left side of the chest. Sometimes, a small incision can be made in the front part of the chest.

Wedge Resection

A wedge resection is a surgical procedure during which the surgeon removes a small wedge-shaped portion of the lungs containing the nodule or mass along with healthy tissue that surrounds the area. The surgery is performed in order to establish a diagnosis. A wedge resection can be performed by minimally-invasive video-assisted throacopic surgery (VATS) or a thoracotomy (open chest surgery).


A lobectomy is a type of thoracic surgery to remove one of the lobes of the lungs. The procedure may be performed when an abnormality has been detected in a specific part of the lung. When only the affected lobe of the lung is removed, the remaining healthy tissue is spared to maintain adequate lung function. A lobectomy is most often performed during a thoracotomy (surgical incision of the chest).


This is an open-chest surgical procedure to remove an entire lung. A pneumonectomy is often performed if you have lung cancer that cannot be treated by removing a smaller portion of the lung.