Our cardiac anesthesia  program provides both academic and private practice experience with access to 900 cardiac cases per year. We have a very large catchment area and serve as a tertiary care referral center. Additionally, our thoracic surgery performs several hundred thoracotomies each year for management of pulmonary and esophageal disease. We have a very active interventional cardiology program with ample volume of procedures for structural heart disease including TAVR, mitraclip, watchman, septal defect closures and melody valve. Our electrophysiology program is booming, there are hundreds of EPS/ablations every year including complex scar VT with percutaneous ventricular support.

We also offer a very robust experience in pediatric and adult congenital heart disease, approximately one-third of cardiac cases are pediatric or adult congenital. Our faculty helped pioneer neonatal heart transplantation and continue to have a strong transplant program.


Our cardiothoracic attendings are experts in adult and pediatric perioperative transesophageal echocardiography as well as point of care ultrasonography. We offer active collaboration with our cardiology partners as they offer vital insight to the natural progression of cardiovascular disease and the challenges that present during long-term follow-up.


We also have a strong research division in our department with numerous opportunities for research. However, the strength of our program is our ability to tailor the educational experience to each fellows' unique goals. We are proud to offer a broad based clinical teaching experience including pediatric and adult cardiothoracic surgery in academic and private practice settings. 

The department offers one cardiothoracic fellowship position per academic year, most fellows elect to join us from August through July.


  • Clinical rotations in the operating room devoted to cardiac and thoracic surgical procedures and advanced perioperative echocardiography

  • Cardiology echocardiography rotation with assignment to transesophageal procedures inside and outside of the operating room.

  • Cardiothoracic ICU

  • Electives in pediatric cardiac surgery and congenital heart disease, research, point of care ultrasonography, interventional cardiology, electrophysiology and CIED management

  • Weekly cardiac conference lecture series, including a fellow lead echo rounds presentation every month

  • Research presentation at the Society of Cardiovascular Anesthesiologists is strongly encouraged

Ryan Lauer, MD

Fellowship Program Director

Melissa McCabe, MD

Associate Fellowship Program Director

Darnell Sy

Residency/Fellow Coordinator

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Application Process 

We are currently offering one fellowship position per year. Candidates interested in the Cardiothoracic Anesthesia Fellowship at LLUMC should apply via the San Francisco Match.

The Adult Cardiothoracic Anesthesiology (ACTA) Fellowship Match was established in 2012. The goal of the SF Match is to coordinate appointments, thus relieving the pressure of uncoordinated appointments and forced early choices. The participating programs will not make any appointments until the match has been completed. 


The Society of Cardiovascular Anesthesiologists (SCA) sponsors the matching process and is responsible for enforcement of the applicable rules. The SF Match office does not sponsor or approve any of the participating programs. The function of the SF Match is strictly limited to processing of the match. Listing or not listing of any program in the directory does not imply any form of approval, disapproval or endorsement. 

About the Match

The match takes place in June and will be used to process all applicants who want to start their fellowship training in July of the following year. Applicants are responsible for ensuring they meet all prerequisites for eligibility prior to registering for the match. All match participants must agree and abide by the SF Match rules and policies as well as any additional rules stated by the sponsoring group. Please review the Rules page prior to registering. 


There is a $100 non-refundable applicant registration fee that covers registration and matching. Once registered, applicants can manage their account by logging in to their account profile. To register, click on “Register” and follow the steps. The registration fee can be paid with a Visa or a MasterCard. . All match participants must agree and abide by the SF Match rules and policies as well as any additional rules stated by the sponsoring group. Please review the Rules page prior to registering. 


(See Section III.A of the ACGME Program Requirements for Graduate Medical Education in Adult Cardiothoracic Anesthesiology – revised effectively July 1, 2016) 



For more information:

Please contact our program coordinator, Darnell Sy by phone (909) 558-4015 x44015 or email