Marc Pelletier, MD
Division Chief, Cardiac SurgeryCards
About
Research
Publications
2026
Contemporary cardiac surgery outcomes databases: Data sources, variables, and applications
Hameed I, Talapaneni S, Fatimi A, Bazarbaev A, Dankwa S, Candelario K, Ahmed A, Assi R, Mehaffey J, Pelletier M. Contemporary cardiac surgery outcomes databases: Data sources, variables, and applications. JTCVS Open 2026, 29: 101485. DOI: 10.1016/j.xjon.2025.10.011.Peer-Reviewed Original ResearchFollow-upSociety of Thoracic Surgeons databaseNew Zealand Fontan RegistryAnalysis of clinical outcomesThoracic Surgeons databaseTaiwan National Health Insurance Research DatabaseNational Health Insurance Research DatabaseHealth Insurance Research DatabaseRetrospective observational studyAdministrative claims databaseFontan RegistrySurgeons databaseCardiac surgeryMulticenter databaseNational Death IndexClinical outcomesClinical evidenceEuropean RegistryProcedural detailsClaims databaseObservational studyPractice patternsClinical databaseClinical practiceDeath IndexTopical versus Intravenous Tranexamic Acid in Cardiac Surgery: A Meta-analysis of Randomized Controlled Trials
Motawea K, Tanas Y, Abouelenien M, Pelletier M, Abu-Omar Y, El-Diasty M. Topical versus Intravenous Tranexamic Acid in Cardiac Surgery: A Meta-analysis of Randomized Controlled Trials. Journal Of Cardiothoracic And Vascular Anesthesia 2026 PMID: 41680051, DOI: 10.1053/j.jvca.2026.01.011.Peer-Reviewed Original ResearchIntravenous tranexamic acidRandomized Controlled TrialsIntensive care unit lengthCardiac surgeryPostoperative blood lossTopical tranexamic acidTranexamic acidBlood lossNo significant differenceTransfusion requirementsPediatric patientsSignificant differenceMeta-analysis of randomized controlled trialsSafety outcomesIntensive care unit length of stayUnit length of stayControlled TrialsHemoglobin level changeIntravenous TXA administrationMeta-analysisSystematic reviewLength of stayPerioperative bleedingTXA administrationRespiratory failure
2025
Vacuum-assisted venous drainage versus gravitational venous drainage in patients undergoing cardiac surgery: A meta-analysis.
Motawea K, Gadelmawla A, Ibrahim M, Soliman T, Kheuka Y, Tzagournis A, El Diasty M, Abu-Omar Y, Pelletier M. Vacuum-assisted venous drainage versus gravitational venous drainage in patients undergoing cardiac surgery: A meta-analysis. Perfusion 2025, 2676591251409379. PMID: 41420131, DOI: 10.1177/02676591251409379.Peer-Reviewed Original ResearchPacked red blood cellsCardiac surgeryVenous drainageClinical outcomesAmount of packed red blood cellsPost-cardiac surgery complicationBlood product transfusionMeta-analysisVacuum-assisted venous drainageHigh-risk groupStatistically significant associationPooled effect estimatesRandomized Controlled TrialsProduct transfusionTube drainageBlood lossPostoperative mortalityRe-operationBlood transfusionSurgery complicationsPostoperative resultsRe-ExplorationRed blood cellsCohort studyResultsSixteen studiesPercutaneous Decannulation versus Open Surgical Decannulation in Patients Weaned from Venoarterial Extracorporeal Membrane Oxygenation: A Systematic Review and Meta-Analysis
Motawea K, Qadri M, Ibrahim M, Abouelinin M, Pelletier M. Percutaneous Decannulation versus Open Surgical Decannulation in Patients Weaned from Venoarterial Extracorporeal Membrane Oxygenation: A Systematic Review and Meta-Analysis. Journal Of Cardiothoracic And Vascular Anesthesia 2025 DOI: 10.1053/j.jvca.2025.11.012.Peer-Reviewed Original ResearchFemoral VA extracorporeal membrane oxygenationVA extracorporeal membrane oxygenationExtracorporeal membrane oxygenationRandomized Controlled TrialsVenoarterial extracorporeal membrane oxygenationMembrane oxygenationSurgical decannulationMeta-analysisCohort studyRBC transfusionSystematic reviewWound complicationsPercutaneous decannulationProcedural successControlled TrialsVascular complicationsICU lengthAmount of RBC transfusionMulti-Center Randomized Controlled TrialPooled effect estimatesVenoarterial (VA) ECMOFemoral venoarterial extracorporeal membrane oxygenationLength of hospital stayUnits of RBC transfusionICU length of stayA structured, competency-based framework for aspiring cardiothoracic surgeons
Ahmed A, Colon S, Dafflisio G, Kothari P, Uzoigwe N, Zhou A, Buchwald J, Sharew B, Glenn C, Medvedovsky S, Olivera J, Kramer R, Colon G, Tomasko J, Pereira S, Antonoff M, Pelletier M, Hameed I. A structured, competency-based framework for aspiring cardiothoracic surgeons. JTCVS Open 2025, 28: 736-752. PMID: 41473059, PMCID: PMC12745101, DOI: 10.1016/j.xjon.2025.10.005.Peer-Reviewed Original ResearchCardiothoracic surgeonsSurgical traineesCardiothoracic surgical trainingCardiothoracic surgery traineesThoracic Surgery Residents AssociationCardiothoracic surgeryCardiothoracic surgical traineesCompetency-based assessment frameworkIll patientsSurgery traineesMethod MembersSurgical trainingThoracicSurgeonsCompetency-based frameworkSurgical educationMedical Student AssociationIndependent learningClinical knowledgeDevelopment of clinical knowledgeAssociationSurgeryProgressive developmentPatientsComparison of post-operative inflammatory biomarkers between minimal invasive extracorporeal circulation and conventional extracorporeal circulation in cardiac surgery. A meta-analysis of 15 randomized control trials.
Motawea K, Ibrahim M, Amer A, Kandil O, Abourady Y, Pelletier M, Abu-Omar Y, El-Diasty M. Comparison of post-operative inflammatory biomarkers between minimal invasive extracorporeal circulation and conventional extracorporeal circulation in cardiac surgery. A meta-analysis of 15 randomized control trials. Perfusion 2025, 2676591251385872. PMID: 41060842, DOI: 10.1177/02676591251385872.Peer-Reviewed Original ResearchMinimally invasive extracorporeal circulationConventional extracorporeal circulationC-reactive proteinRandomized Controlled TrialsCardiac surgerySystemic inflammatory mediatorsExtracorporeal circulationTNF-aIL-8Inflammatory biomarkersMinimal invasive extracorporeal circulation groupIL-10Inflammatory mediatorsConventional extracorporeal circulation groupIL-6Controlled TrialsLeucocyte countResultsFifteen randomized controlled trialsLevels of TNF-aTumor necrosis factor-aMeta-analysisRoutine clinical practiceNo significant differenceCardiopulmonary bypassClinical outcomesLong-Term Impact Of Permanent Pacing After Mitral Valve Surgery: A Scoping Review Of Current Literature.
H. El Sherbini A, Amin H, Soghrati N, Kuchibhatla A, Elsherif S, Abdel-Halim M, Abu-Omar Y, Pelletier M, El-Diasty M. Long-Term Impact Of Permanent Pacing After Mitral Valve Surgery: A Scoping Review Of Current Literature. Cardiac Thoracic And Vascular Surgery 2025, 32: 51-58. PMID: 40886302, DOI: 10.48729/pjctvs.479.Peer-Reviewed Original ResearchConceptsMitral valve surgeryPermanent pacemakerLong-term outcomesValve surgeryMulti-factorial etiologyPermanent pacingLate outcomesHeart failureImpact of permanent pacemakerIncidence of permanent pacemakerAssociated with prolonged hospital length of stayLate congestive heart failureProlonged hospital length of stayPre-existing atrial fibrillationConcomitant surgical proceduresHospital length of stayPermanent pacemaker implantationComprehensive electronic literature searchLiterature searchCongestive heart failureIschemic heart diseaseElectronic literature searchElectrical conduction disordersLength of stayRandomized Controlled TrialsDefining the Learning Curve in Minimally Invasive Cardiac Surgery: A Systematic Review and Meta-Analysis
Elsebaie A, Boutros C, Awad A, Sanad M, Pelletier M, Abu-Omar Y, El-Diasty M. Defining the Learning Curve in Minimally Invasive Cardiac Surgery: A Systematic Review and Meta-Analysis. The Annals Of Thoracic Surgery 2025, 121: 480-490. PMID: 40886757, DOI: 10.1016/j.athoracsur.2025.08.013.Peer-Reviewed Original ResearchMinimally invasive cardiac surgeryCoronary Artery Bypass GraftingInvasive cardiac surgeryAortic valve replacementArtery Bypass GraftingValve surgeryCardiac surgeryValve replacementBypass GraftingMinimally invasive aortic valve replacementMinimally invasive mitral valve surgeryLearning curveInvasive mitral valve surgeryMinimally invasive valve surgeryAortic cross-clamp timeMinimally invasive coronary artery bypass graftingInvasive coronary artery bypass graftingCross-clamp timeMitral valve surgerySystematic reviewMedian sternotomyPostoperative complicationsSurgical outcomesPostoperative outcomesCardiopulmonary bypassContemporary Bypass Techniques in Hybrid Revascularization
Olutola O, Vega P, Pelletier M. Contemporary Bypass Techniques in Hybrid Revascularization. 2025, 127-138. DOI: 10.1007/978-3-031-87302-7_12.Peer-Reviewed Original ResearchCoronary Artery Bypass GraftingLeft internal mammary arteryMinimally invasive direct coronary artery bypassPercutaneous coronary interventionHybrid coronary revascularizationCardiac surgeonsBypass GraftingAssociated with lower perioperative mortalitySimultaneous coronary artery bypass graftingLeft internal mammary artery bypassHybrid operating suiteLIMA-LAD bypassInterventional cardiologistsLeft anterior descending (LAD) arteryRobotic-assisted approachOff-pump surgeryLow perioperative mortalityHigh-risk patientsInternal mammary artery graftsMinimally invasive techniquesCoronary artery bypassArtery Bypass GraftingInternal mammary arteryMammary artery graftsSingle-vessel diseaseDiaphragm dysfunction from phrenic nerve injuries during LVAD or heart transplant: Positive role of diaphragm pacing
Boutros C, Elmo M, Carl N, Abu-Omar Y, Arora R, Elgudin Y, Gray K, Pelletier M, Onders R. Diaphragm dysfunction from phrenic nerve injuries during LVAD or heart transplant: Positive role of diaphragm pacing. JHLT Open 2025, 9: 100281. PMID: 40520816, PMCID: PMC12166398, DOI: 10.1016/j.jhlto.2025.100281.Peer-Reviewed Original ResearchNon-invasive ventilationLeft ventricular assist deviceDiaphragm pacingHeart transplantationMechanical ventilationNerve injurySingle-center cohort studyPhrenic nerve dysfunctionPhrenic nerve injuryLeft ventricular assist device recipientsPhrenic injuryDiaphragm dysfunctionDifficulty weaningNerve dysfunctionNerve injuresCase seriesDiaphragm functionMV weaningDP useAdverse eventsCohort studyVentricular assist deviceHTxExploratory case seriesTransplantation
Clinical Care
Overview
Marc Pelletier, MD, MSc, is chief of cardiac surgery for Yale Medicine and Yale New Haven Hospital, and physician-in-chief of cardiac surgery for the Heart and Vascular Center of Yale New Haven Health System. He leads a large team of surgeons including a variety of heart subspecialists with an increasing focus on minimally invasive approaches, robotic surgery techniques, and the use of artificial intelligence in surgery to improve care and outcomes for patients.
A practicing cardiac surgeon himself, Dr. Pelletier’s areas of specialty include transcatheter aortic valve replacement (TAVR) procedures, minimally invasive valve surgery, aortic valve and aortic root surgery, surgery for heart failure, and minimally invasive coronary bypass surgery.
Teamwork is the key to success for all cardiac surgeries, Dr. Pelletier says. “We do this work well at Yale because we have the right supporting structures, and that means the anesthesiologists, nurses, perfusionists, technicians, and others in the operating room who are specially trained in the different cardiac surgery subspecialties. The cardiac surgeon may lead the team but is also one part of the equation,” he says.
Dr. Pelletier joined Yale Medicine from University Hospitals in Cleveland, Ohio, where he served as division chief in cardiac surgery and held the Jay L. Ankeney Professorship in Cardiothoracic Surgery at Case Western Reserve University. Prior to that, he served as surgical director of the TAVR program at Brigham and Women's Hospital and Harvard Medical School. He joined the Brigham group in 2016 after nine years as head of cardiac surgery at the New Brunswick Heart Centre in Canada, which followed a period as assistant professor of cardiac surgery at Stanford University.
In addition to his work as a clinician, Dr. Pelletier is a national leader, serving as program chair of the 2026 annual meeting of the Society of Thoracic Surgeons (STS) and serving on multiple workforces for the STS, including the Council on Education and the Workforce on Cardiac and Vascular Surgery.
He is a prolific researcher who has authored over 130 peer-reviewed publications in journals including Circulation and The New England Journal of Medicine. “In the last few years, my research interests have shifted toward clinical outcomes research,” he says. “That can mean using existing databases to get additional insights into such questions as what's the best way to do this operation? Should we be using this medication after surgery or another medication?”
The most important focus in heart surgery—and in medicine—is patients, Dr. Pelletier says. “It's never lost on me that each patient I interact with is trusting me with one of the most important events in their life. In fact, they often will divide their life between ‘before heart surgery’ and ‘after heart surgery,’” he says. “The interaction I have with them before surgery may be brief, but in that moment, I want to make sure that they trust me, that they know I'm going to do the best job that I can, and that our team will do their best job and not leave any stone unturned.”
Clinical Specialties
Board Certifications
Thoracic & Cardiac Surgery
- Certification Organization
- Royal College of Physicians & Surgeons of CANADA
- Original Certification Date
- 2000
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