For Appointments Call (703) 280-5858

Thoracic Conditions

Cardiac, Vascular and Thoracic Surgery Associates (CVTSA) has more than a quarter century of experience delivering advanced thoracic surgery to patients requiring diagnosis, staging and treatment of diseases of the thoracic cavity. Our thoracic surgeons perform more than 750 operations annually with results that are rarely matched across the nation.  Meet our thoracic surgeons.

More importantly perhaps than these results, we promise to provide patients nothing less than a commitment equivalent to what we would wish for our own family members.

With experience treating cancers found in the thoracic cavity and diseases of the esophagus, chest wall, diaphragm and stomach, our thoracic surgeons, recognized as among the best in Virginia, Maryland and DC area by Washingtonian Magazine, offer diagnosis, staging and treatment of disorders of the chest, including:


  • Esophageal Cancer
  • Esophageal Perforation
  • Hiatal Hernia
  • Benign Esophageal Conditions


  • Lung Cancer
  • Emphysema
  • Lung Volume Reduction


  • Aneurysm of the Abberant Right Subclavian Artery
  • Disorders of the Mediastinum
  • Descending Cervical Mediastinitis
  • Myasthenia Gravis
  • Thymoma


Our goal at CVTSA is to provide you with as much information as possible about your thoracic diagnosis and treatment options. Use the links to the left to navigate our Thoracic Surgery section.

Cardiac Vascular and Thoracic Surgery Associates proudly services thoracic surgery patients in the Virginia, Maryland and DC areas.  To schedule an appointment, please call (703) 280-5858.

In addition to malignancies of the esophagus, a multitude of benign esophageal conditions do exist. While there are many different diagnoses, some of the more common diseases seen by thoracic surgeons are Zenker’s Diverticulum, Epiphrenic Diverticulum, Achalasia and Leiomyoma.


The mediastinum is the space situated in the middle of the chest cavity, between the lungs. It contains many structures including the thymus gland, heart & great vessels, nerves, lymph nodes and the esophagus. Diseases of the mediastinum that are not heart related include tumors and infections which are often times life-threatening and demand prompt diagnosis. Following is a brief summary of these potential disease processes that are within the scope of practice of a thoracic surgeon.

Thymus Gland

Lungs are the essential organs of respiration, allowing the body to take in oxygen and eliminate carbon dioxide. Oxygen is delivered to the chest through the trachea (windpipe) and bronchial tubes in the lungs, which are composed of three lobes on the right and two lobes on the left. The lobes are composed of smaller units, segments, which are in turn further composed of millions of elastic, air sacs (alveoli). It is at the level of the alveolus that the gas exchange of carbon dioxide for oxygen takes place.

Esophageal Cancer Treatment - DC, Maryland & Virginia Esophageal Cancer Surgeons

For more than two decades, the thoracic surgeons at CVTSA have cared for patients in Virginia, Maryland and Washington DC with esophageal cancer. 

Gastroesophageal Reflux Disease

The esophagus is the tube that carries food from a person’s mouth to the stomach. At the junction of the two, there is a specialized area of muscle called the lower esophageal sphincther (LES) which acts as a valve allowing food to move into the stomach but at the same preventing it from refluxing back into the esophagus.

Hernias are protrusions of vital structures into an area where they don’t belong. Hernias can occur out of the chest wall from the lungs or through the diaphragm from the abdomen. Hernias require surgery when the function of the herniated organ is compromised. The most common type of hernia to occur through the diaphragm is a hiatal hernia. This occurs when the stomach comes through the diaphragm at the “hiatus” and sits in the chest.


Hyperhidrosis is a condition where there is profuse and excessive sweating of the head, underarms, hands and/or feet. Normally, the body maintains a steady core temperature and sweating is a natural mechanism used to dissipate heat. Individuals with hyperhydrosis have sweating well in excess of what is considered normal and frequently are affected by serious social problems, i.e. unwillingness to shake hands or to give public talks.

Lung Cancer Treatment - DC, Maryland & Northern Virginia Lung Cancer

The thoracic surgeons at CVTSA in Northern Virginia use state-of-the-art minimally invasive surgical techniques to treat lung cancer.

During the last decade, with the introduction of new immunosuppressive drugs and the development of improved surgical techniques, lung transplantation has remained a widely accepted therapy for patients with end-stage lung disease. Together, CVTSA and the Inova Transplant Center have been a pioneer in the Washington DC, metropolitan area, establishing the Transplant Program in 1986, and beginning lung transplantation in 1991. 

Lung volume reduction surgery (LVRS) offers hope for some patients with emphysema. Because emphysematous lungs are overinflated, the chest wall and diaphragm cannot function properly because they are moved out of place to accommodate the distended lungs.



Vein Treatment

CVTSA's Board Certified Vascular Surgeons specialize in minimally invasive treatment of varicose veins.