Gregory W. Fischer, MD
Department of Anesthesiology
and Cardiothoracic Surgery
The Mount Sinai Medical Center
New York, NY 10029
Dr. Gregory Fischer is the Director of Adult Cardiothoracic Anesthesia. With broad clinical expertise and research interests that include brain oxygenation monitoring and three-dimensional echocardiography, Dr. Fischer is an active clinician, a productive researcher and a gifted lecturer. His most recent manuscript on predictors of vasoplegic syndrome has just been accepted for publication in Circulation.
Dr. Fischer received his medical degree from the University of Zurich, Switzerland. After graduation he completed his residency in Anesthesiology and Critical Care in major medical centers throughout Switzerland. After successfully completing a fellowship program in Cardiothoracic Anesthesia at The Mount Sinai Medical Center he join our staff. Dr Fischer has been an attending cardiac anesthesiologist at Mount Sinai since 2004. Additionally, Dr Fischer shares his time as a critical care physician in the Cardiothoracic Surgery Intensive Care Unit.
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Hi. My name is Greg Fischer, I’m the Director of Adult Cardiothoracic Anesthesia here at The Mount Sinai Medical Center. Our team consists of ten board certified anesthesiologists, who are sub-specialized in the region of cardiac anesthesia. We perform approximately 1300 open heart cases annually, 500 of those being dedicated to the sub-specialty of mitral valve surgery. So, I think it would be fair to say that not only are our surgeons but also the anesthesiologists, as well as our perfusionists have been able to gather a considerable amount of experience in dealing with this subset of patient.
Because we are a high volume center, and a referral center for mitral valve repair surgery, one of the areas that we do specialize in is complex mitral valve surgery, which requires not only a tremendous skill set from our cardiac surgeons, but also a skill set from the cardiac anesthesiologists, which enables us to get these patients safely through the procedure. Being able to properly analyze a mitral valve is one of the most difficult skills in echocardiography. Because we are such a high volume center, all of our cardiac anesthesiologists quickly become very comfortable with viewing, looking at a mitral valve in echo, in real time and are able to make diagnosis of what exactly is wrong with this valve and this can help our surgeons in repairing the valve correctly.
As a large volume center, we see a lot of patients presenting with asymptomatic mitral regurgitation who are under the age of 50. Because of our large numbers, we have developed the expertise in taking care of this subset of patient.
Our team functions like a very well oiled unit. The surgeons and anesthesiologists know exactly what to expect from each other and this is then brought over as an advantage to the patient. Our results speak for themselves.
Dr Fischer’s clinical interests include: trans-esophageal echocardiography (TEE), in which he is board certified by the National Board of Echocardiography (NBE). Recently, he has focused his attention on the upcoming field of real-time 3-dimensional TEE. Additionally, Dr. Fischer is investigating neuro-cognitive outcomes after cardiac surgery and the utility cerebral oximetry in patients on cardio-pulmonary bypass.
Dr Fischer is a member of the American Society of Anesthesiology, the New York State Society of Anesthesiology and a diplomat of the European Society of Anesthesiology and Critical Care.
Dr. David Adams and Dr. Gregory Fischer review a 3D representation of a mitral valve.