Appointments and affiliations
Clinical Associate Cardiac Surgeon
Coordinator, Heart Valve Follow-up Clinic (Ontario Telemedicine Network)
University of Ottawa Heart Institute
Dr. Harry Lapierre is Clinical Associate Cardiac Surgeon and Coordinator of the Heart Valve Follow-up Clinic (Ontario Telemedicine Network) at the University of Ottawa Heart Institute.
Background
Dr. Lapierre obtained his BSc in Microbiology from the Université de Montréal in 1989, followed by his MD in 1994 and residencies and fellowships at the following affiliated hospitals: Université de Montréal, McGill University in Montreal, and the University of Toronto.
During his Fellowship in Toronto, he performed over 650 open-heart cases representing the full spectrum of adult cardiac surgery care (coronary bypasses on- and off-pump, mitral valve operations including repair, aortic valve replacements, diseases of the aorta, pacemakers, and implantable cardioverter defibrillators).
He is involved in the Heart Institute's program for minimally invasive surgery for stand-alone atrial fibrillation ablation. Approximately 20 surgeries have been performed with a success rate of about 80 percent. As Valve Clinic Coordinator, he ensures that all patients with valve prostheses are followed and treated according to the latest guidelines, and that patients with prosthesis dysfunction are promptly referred back for treatment. His feedback to community doctors helps to update them in the management of patients with native and prosthesis valve pathologies.
Also, Dr. Lapierre trains surgical assistants (three MDs) and tutors two nurses as part of the RFNA program.
Research and clinical interests
Dr. Lapierre and Dr. Marc Ruel developed the first world series of minimally invasive cardiac surgical coronary artery bypass grafting (MICS CABG) operations, in which all territories of the heart can be bypassed non-invasively via a 5-7 cm left thoracotomy approach, without use of the heart-lung machine.
Dr. Lapierre's other interests are heart transplantation and devices for heart failure (Heartmate II, Thoratec, Impella RD, LD and LP).
Publications
LATEST PUBLICATIONS
- Price J, Lapierre H, Ressler L, Lam BK, Mesana TG, Ruel M. Prosthesis-patient mismatch is less frequent and more clinically indolent in patients operated for aortic insufficiency. J Thorac Cardiovasc Surg in press (major contributor).
- McGinn JT, Usman S, Lapierre H, Pothula VR, Mesana TG, Ruel M. Minimally invasive coronary artery bypass grafting: dual center experience in 450 consecutive patients. Circulation in press (major contributor).
- Chan V, Veinot JP, Hynes M, Lapierre H, Ruel M. Infected right ventricular myxoma and pulmonary valve endocarditis. J Thorac Cardiovasc Surg 2007;134:248-249 (minor contributor).
- Lapierre H, Chan V, Ruel M. Off-pump coronary surgery through mini incisions: is it reasonable? Current Opinion in Cardiology 2006;21:578-583.
- Stevens LM, Lapierre H, Pellerin M, El-Hamamsy I, Bouchard D, Carrier M, Perrault LP. Atrial versus biatrial approaches for cardiac myxomas. Interactive CardioVascular and Thoracic Surgery 2003;2:521-525 (major contributor).
FULL LIST OF PAPERS IN REFEREED JOURNALS
- Stevens LM, Lapierre H, Pellerin M, El-Hamamsy I, Bouchard D, Carrier M, Perrault LP. Atrial versus biatrial approaches for cardiac myxomas. Interactive CardioVascular and Thoracic Surgery 2:521-525; 2003 (major contributor)
- Lapierre H, Chan V, Ruel M. Off-Pump Coronary Surgery through Mini Incisions: Is It Reasonable? Current Opinion in Cardiology 21:578-83; 2006
- Chan V, Veinot JP, Hynes M, Lapierre H, Ruel M. Infected right ventricular myxoma and pulmonary valve endocarditis. J Thorac Cardiovasc Surg 134:248-9; 2007 (minor contributor)
- Price J, Lapierre H, Ressler L, Lam BK, Mesana TG, Ruel M. Prosthesis-Patient Mismatch Is Less Frequent and More Clinically Indolent in Patients Operated for Aortic Insufficiency. J Thorac Cardiovasc Surg in press (major contributor)
- McGinn JT, Usman S, Lapierre H, Pothula VR, Mesana TG, Ruel M. Minimally Invasive Coronary Artery Bypass Grafting: Dual Center Experience in 450 Consecutive Patients. Circulation in press (major contributor)
ABSTRACTS
- Chan V, Burwash I, Lam BK, Auyeung A, Lackey E, Ressler L, Lapierre H, Bedard P, Mesana TG, Ruel M. Indications for Tricuspid Valve Repair in Patients with Tricuspid Regurgitation at the time of Mitral Valve Replacement: Evidence from Echocardiographic, Functional, and Survival Data. American Heart Association Scientific Sessions. November 2008, New Orleans, LA, USA, Circulation AHA Abstract Supplement. October 2008. (minor contributor)
- McGinn JT, Reddy V, Lapierre H, Ruel M. Three Hundred Consecutive Cases of Multi-Vessel Small Thoracotomy (MVST) Coronary Artery Bypass Grafting. American Heart Association Scientific Sessions. November 2008, New Orleans, LA, USA, Circulation AHA Abstract Supplement. October 2008. (major contributor)
- Kulik A, Masters RG, Bédard P, Hendry PJ, Lam BK, Rubens FD, Ressler L, Lapierre H, Mesana TG, Ruel M. Does early postoperative lipid-lowering therapy slow the development of bioprosthesis structural deterioration? American Heart Association Scientific Sessions. November 2008, New Orleans, LA, USA, Circulation AHA Abstract Supplement. October 2008. (minor contributor)
- Price J, Lapierre H, Lam BK, Mesana TG, Ruel M. Age is an Independent Effect Modifier of Prosthesis-Patient Mismatch in Patients Undergoing Aortic Valve Replacement. American Heart Association Scientific Sessions. November 2008, New Orleans, LA, USA, Circulation AHA Abstract Supplement. October 2008 (major contributor)
- Lapierre H, Chan V, McDonald B, Dupuis JY, Mesana TG, Ruel M. Multi-Vessel small thoracotomy : A non-sternotomy, off-pump coronary bypass surgery Technique. Canadian Cardiovascular Congress Scientific Sessions. October 2007, Quebec, Quebec, Canada. Can J Cardiol CCC Abstract Supplement SC, October 2007.
- Chan V, Burwash IG, Lam B, Auyeung T, Lackey E, Ressler L, Lapierre H, Bedard P, Mesana TG Ruel M. Indications for tricuspid valve repair in patients with tricuspid regurgitation at the time of mitral valve replacement: Evidence from prospective echocardiographic, functional, and survival data. Canadian Cardiovascular Congress Scientific Sessions. October 2008, Toronto, Ontario, Canada. Can J Cardiol CCC Abstract Supplement SE, October 2008. (Minor Contributor)
- Chan V, Masters RG, Hendry P, Grisoli D, Burwash IG, Ressler L, Lapierre H, Mesana TG, Ruel M. Long-term outcomes following composite and separate valve-graft replacement: Data from prospective clinical and echocardiographic follow-up. Canadian Cardiovascular Congress Scientific Sessions. October 2008, Toronto, Ontario, Canada. Can J Cardiol CCC Abstract Supplement SE, October 2008. (Minor Contributor)
- Price J, Suuronen EJ, McBride H, Lapierre H, Crowe S, Naidoo S, Tee R, Mesana TG, Ruel M. Off-pump coronary artery bypass grafting is associated with enhanced circulating progenitor cell responses and a different apoptic mechanism. Canadian Cardiovascular Congress Scientific Sessions. October 2008, Toronto, Ontario, Canada. Can J Cardiol CCC Abstract Supplement SE, October 2008. (Minor Contributor)
- Kulik A, Masters RG, Bedard P, Hendry P, Lam B, Rubens FD, Ressler L, Lapierre H, Mesana TG, Ruel M. Does early postoperative lipid-lowering therapy slow the development of bioprosthesis structural valve deterioration. Canadian Cardiovascular Congress Scientific Sessions. October 2008, Toronto, Ontario, Canada. Can J Cardiol CCC Abstract Supplement SE, October 2008. (Minor Contributor)
- Ruel M, Lapierre H, Reddy V, McGinn JT. Multi-vessel small thoracotomy coronary artery bypass grafting: The first 300 cases. Canadian Cardiovascular Congress Scientific Sessions. October 2008, Toronto, Ontario, Canada. Can J Cardiol CCC Abstract Supplement SE, October 2008. (Major Contributor)
BOOK CHAPTERS
- Ruel M, Chan V, Lapierre H, McGinn JT. Multi-Vessel Small Thoracotomy (MVST) Coronary Artery Bypass Grafting. In Sellke FW, Ruel M (editors): Atlas of Cardiac Surgical Techniques. Philadelphia, Elsevier Science; Anticipated publication date 4th quarter 2009 (Major Contributor).