Search

Anesthesiology Department

Cardiothoracic Division

  • University of Virginia Anesthesiologist Dr. Karen Singh in the Cardiac OR

    Dr. Karen Singh in the cardiac OR

  • The University of Virginia Cardiothoracic Anesthesiologists poses for a photo.

    Adult cardiothoracic anesthesiology division, from left to right: John McNeil, MD, FASE, Susan Walters, MD, Mike Mazzeffi, MD,MPH,MScFASA, Bob Thiele, MD, Karen Singh, MD, FASE, Keith Littlewood, MD, FASA, FSSH, Amanda Kleiman, MD, Keegan Stombaugh, MD, Jessica Zvara, MD, Randy Blank, MD, PhD, Paul Gallo, MD. Missing from photo: Sachin Mehta, MD and Josh Roach, MD

  • University of Virginia Dr. Josh Roach, MD smiles for a photo.

    Dr. Josh Roach

  • University of Virginia Drs. Jessica Zvara, MD, Robert Thiele, MD, John McNeil, MD, and Karen Singh, MD confer about a patient.

    Drs. Jessica Zvara, Robert Thiele, John McNeil, and Karen Singh

  • University of Virginia Anesthesiologists place a line.

    Dr. John McNeil Vascular Anesthesia Division Chief supervises central line placement in a cardiac surgery patient.

  • University of Virginia Dr. Keith Littlewood teaches a resident in the Cardiac Operating Room.

    Dr. Keith Littlewood, MD teaches a resident correct cardiac procedures.

  • University of Virginia Dr. Randal Blank, MD teaches and performs a Bronchoscopy on a patient.

    Dr. Randal Blank, MD, PhD, teaches Residents Dr. Kathryn Black, MD & Dr. Emmad Kabil, MD the finer points of a bronchoscopy.

About

University of Virginia Dr. Karen Singh, MD speaks with Dr. Jessica Zvara, MD outside of the OR.

Dr. Karen Singh speaks with Dr. Jessica Zvara outside of the OR.

The Cardiothoracic Anesthesiology Division at the University of Virginia (UVA) provides anesthesia and perioperative care for adult patients undergoing a variety of complex cardiac, thoracic and vascular surgical procedures. Our Division faculty is excited to optimize patient care to give our patients the best possible clinical experience.

Cardiac

Our cardiac anesthesiology faculty routinely provide anesthesia for coronary artery bypass surgery, complex valvular heart disease, thoracic aortic surgery, ventricular assist device placement and heart transplantation. In addition, we care for patients undergoing transcatheter aortic valve replacement (TAVR) and other structural valve procedures as part of the robust Heart and Vascular Institute. Our Anesthesiology Perioperative Echocardiography Service performs and interprets all adult cardiac surgery transesophageal echocardiography (TEE) and point of care echocardiography in the operating room and in the recovery unit. We routinely perform regional blocks (both single shot and catheters) for our patients. We also are now performing robotic cardiac surgery here, and our first adult cardiothoracic fellows started in July 2026.

Thoracic

Our thoracic anesthesiology team provides comprehensive perioperative care for a wide variety of thoracic procedures, including lung transplantation and surgery of the esophagus, stomach, lungs, mediastinum, and the thoracic spine. Thoracic procedures include open and minimally invasive procedures, including classical video assisted thoracoscopic surgery, as well as robotic surgeries.

Vascular

Our vascular anesthesiology team administers anesthesia for patients undergoing complex vascular surgery with a patient-centered approach. We have successfully developed and implemented cardiac and thoracic enhanced recovery after surgery (ERAS) programs. We enhance patient care through collaboration among the cardiothoracic and the vascular surgery teams, as well as with nursing staff who are essential to our progress. Teamwork allows us to give our patients the best possible outcomes.

 

A Message from the Cardiac Anesthesia Division Chief

John McNeil, MD, MBA, Cardiac & Vascular Division Chief

John McNeil, MD, MBA, Cardiac Anesthesia Division Chief

We have a very talented group of Cardiothoracic Anesthesiologists here at UVA. Our members have wide-ranging interests and skills in education, research, and clinical care. Many members in our division have been the recipients of teaching awards. Research interests are varied and include coagulopathy, echocardiography, advanced monitoring, medical student and resident education, and thoracic anesthesia.

All of our division members hold National Board of Echocardiography certification in Advanced Perioperative TEE, and we are one of the first centers in the nation to obtain IAC accreditation in perioperative transesophageal echocardiography. Our goal is to provide excellent resident education, and several in our division regularly teach cardiothoracic clinical skills in the simulation center and give formal lectures to prepare residents for their cardiac anesthesiology rotation. Many of us also teach transesophageal echocardiography and point-of-care ultrasound (POCUS) to residents through formal lectures as well as hands-on instruction in the simulation center and perioperative setting. Our division has a strong interest in the health effects from perioperative microplastic and nanoplastic exposure and is currently leading a clinical trial assessing microplastics levels in human heart valves.

The division is very excited to welcome our first two adult cardiothoracic anesthesia fellows in 2026.

 

A Message from the Vascular Section Chief

Jessica Zvara, M.D.,<br />Vascular Anesthesia Section Chief

Jessica Zvara, M.D.,
Vascular Anesthesia Section Chief

Dr. Jessica Zvara was named Vascular Anesthesia Section Chief in March 2024.  The vascular anesthesia experience at UVA is excellent. The new Aortic Center at UVA brings in many patients with complex aortic disease. With vascular surgery volumes increasing, residents have the opportunity to care for high acuity patients undergoing a variety of vascular procedures, ranging from limb salvage, to dialysis access, to bypass surgeries, to multi-stage hybrid aortic repairs.

Residents are supervised by faculty from many divisions, with dedicated teaching of classic vascular anesthesia principles (preoperative evaluation, the physiology of cross-clamping, spinal drains, coagulation) during high-risk cases. There is an opportunity to hone point-of-care ultrasound (POCUS) technique and non-invasive continuous blood pressure monitoring familiarity during less demanding surgeries. Our division works closely with our vascular surgery colleagues and the rest of the perioperative team to provide the best care possible to all patients undergoing vascular procedures at UVA.

 

Our Division

In This Section down-arrow
Menu