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Vascular surgery and cardiothoracic surgery: what is the difference?

Patients are often referred between specialists without anyone explaining who does what. Here is the short version.

Who treats what

  • A cardiologist treats the heart with medication, stents and pacemakers, without open surgery
  • A cardiothoracic surgeon operates on the heart itself, the heart valves and the lungs
  • A vascular surgeon treats every artery and vein outside the heart and the brain — the aorta, the neck arteries, the arteries and veins of the arms, abdomen and legs

Where the paths cross

The aorta is shared ground. Disease of the ascending aorta and arch is usually cardiothoracic territory; the descending thoracic and abdominal aorta is vascular. Complex cases are planned jointly, which is exactly how they should be.

If you are unsure who to see, ask your GP for a vascular opinion — we will redirect you promptly if you need a different specialist.

Associations & Hospitals

Professional associations and hospitals Professor Sultan works with

Logos of the Western Vascular Institute, Galway Clinic, European Society for Vascular Surgery, International Society of Endovascular Specialists, Vascular and Endovascular Surgery Society, Royal College of Surgeons in Ireland, Saolta University Health Care Group, Society for Vascular Surgery, Galway University Hospitals, Vascular Society, and NUI Galway