Dr. Steven Guyton

Thoracic Surgery
Portland, OR
48 years experience male

Locations

Office

Portland , OR

Address

5420 SW Westwood View, Portland , OR
Directions

My office hours

Thursday: 9:00am - 5:00pm
Show more

Insurances accepted

Aetna

BlueCross BlueShield

UnitedHealthcare

Medicaid

Medicare

No Value

Oregon Health Plan

Other

Oregon Health and Science University

Portland, OR

Northwest Cardiovascular Institute Surgical Associate

Portland, OR

About

Bio

I have worked with the OHSU Cardiothoracic Surgery team since 2007 and served as Division Chief from 2008 to 2012. I served on the faculties at Case Western Reserve University and the University of Washington before coming to OHSU. I practiced cardiothoracic surgery at Virginia Mason Medical Center in Seattle for twenty years before moving to Portland. I have been active in numerous surgical organizations, serving the American College of Surgeons as an Executive Committee member of the Board of Governors; the Western Thoracic Surgical Association as Treasurer and President; and the Society of Thoracic Surgeons on Postgraduate Education, Membership, Medico-Legal and Standards and Ethics Committees. I chaired peer review and research committees and served as President of the Northwest Affiliate for the American Heart Association. I now serve as Vice-Chair of the Research Committee for the Western States Affiliate of the American Heart Association. My primary clinical interests include off-pump coronary bypass and mitral valve repair . I am committed to optimizing the training of cardiothoracic surgeons and served as associate director of the OHSU cardiothoracic surgery resident training program. My work focuses on maximizing benefits to the patient while minimizing stay in the hospital and recuperation time. Outside of work I mostly spend time with my family and work around the house.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Thoracic Surgery

Doctor Q&A

127 Answers
82 Agrees
The number of answers this doctor has agreed with.
A 52-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Not commonly: The most frequent side effects are hot flashes, headache, nausea and weight gain.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Surgery: For a malignant mesothelioma ranges from a local excision to an extensive operation called a radical extra pleural pneumonectomy. Surgery is generally... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Usually drugs: Anti-inflammatory medications are the first line treatment - Ibuprofen and others, Colchicine and steroids may be needed. Rarely fluid may need to be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Another opinion: From another cardiologist or a cardiac surgeon is always a good idea. Coronary bypass grafts take blood around blockages in arteries which feed heart... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
No: A non st elevation myocardial infarction (nstemi) results in some degree of permanent damage to the heart muscle. Unstable angina does not.
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Small vessels: Angina is pain or discomfort caused by not enough blood delivering oxygen to the heart muscle. Typically, there are blockages in larger coronary arter... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Possibly: The only way to know is to have a full evaluation by a physician.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Same as first time: Angina, heart attack, sometimes heart failure with shortness of breath or leg swelling without angina.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Feed heart muscle: In humans usually two main coronary arteries come off the aorta to feed the heart muscle. The right coronary feeds the right side of the heart and som... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
MI more serious: All are caused by not enough blood flow to the heart. Mi causes permanent damage. Angina does not. Acute coronary syndrome can be applied to either of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Good sign: A nodule that hasn't grown over that period of time is unlikely to be a cancer.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Yes: Cardiovascular disease is any disease affecting the heart or blood vessels. This includes coronary artery disease, diseases of heart valves, aneurysms... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
The : The combination of a headache and blood pressure that high means that you should seek medical attention urgently. If you have a physician, call the o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Anatomy of disease: Where the blockages are in the coronaries can determine whether a patient is a candidate for minimally invasive cabg. More experienced surgeons may be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Doubtful: Cardiac discomfort generally comes on with activity or stress and then fades with rest or relaxation. Localized pain as you have described sounds mor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
The : The best advice is to call 911. Severe chest pains radiating into your back and jaw can be an indication of an aortic dissection. This is an extrem... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
No: I would not expect any problem from these practices.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Not a replacement: Mitral valve repair refers to an operation to correct dysfunction of the mitral valve using tissues of the valve itself rather than replacing the valv... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 59-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
The : The best answers you can get to this issue will be from your cardiologist and your cardiac surgeon. They will have all the information regarding the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Needs evaluation: The blood pressure is too high. At this level it will cause damage to blood vessels throughout the body. The rapid heart rate or tachycardia is like... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Fluid or not: A pleural effusion is a collection of fluid inside the chest, around the lung. A pleural based infiltrate implies a process within the lung itself, ad... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Smoke deposits: Tar and other materials in the smoke get deposited in the lungs. Coughing it out is the only way the body can get rid of it. Otherwise it would build ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Combination: Pet-ct uses a combination of x-rays and a scan for metabolic activity to be more sensitive than either alone. Ct can show the size and shape of struc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Low risk: For someone your age the surgery is generally very low risk and will likely prevent development of significant pulmonary hypertension in the future.
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Possible: It would certainly be possible, particularly if there were an underlying bleeding disorder.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Unlikely: Unlikely that the massage caused the pneumothorax. If a rib was fractured the pain from that would be your major complaint. Possibly bearing down du... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Infection: Ludwig's angina is a strangling sensation caused by swelling of the floor of the mouth, the tongue, and the pharynx (upper throat). It can be life-th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old male asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Good, not complete: An ekg is a good diagnostic tool, but a more complete diagnosis would interpret the ekg along with results of blood tests and perhaps an echocardiogra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
I : I agree that you should be concerned that she may not be reliably taking the warfarin as prescribed. It would be very unusual for the inr to drop so ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Very unlikely: Most patients who have an aortic valve replacement in the us these days get some type of animal tissue. These are carefully treated to minimize the ri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
A free health clinic: If you can't afford to see a cardiologist there are a number of places where you can be seen for very little. You may have to show that you can't affo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Fluttering : Fluttering heartbeats are generally termed palpitations and can be triggered by stress, exercise, medication or sometimes by an underlying medical con... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
It : It sounds as though you have engaged in the appropriate tests to figure out this problem. Certainly atrial fibrillation can come and go. A holter mo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
The : The symptoms you experienced are very like a heart attack, and certainly could have been. Similar symptoms can occur with episodes of rapid heart rhy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
My : My best recommendation is that you get an annual physical exam, so that your doctor can stay on top of any developing problems and recommend measures ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Possible: Simply falling into the water could deliver enough force to break a rib, but it would be unlikely to be a severe break. Another possibility if the pa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Unlikely: For someone your age who is otherwise healthy, the symptom complex you describe is most likely a cold. The chest pain can come from irritation of the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Blood : Blood pressure medications often include beta blockers like metoprolol or atenolol. These drugs can prevent one's heart from going faster when one ex... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
The : The short answer is no. Iridology is not supported by valid research studies and is widely considered quackery. Clincal data does not support correl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
The : The combination of chest pain, left arm numbness and increased symptoms when you are more active seems to suggest a possible cause of your symptoms be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old male asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
This : This may well be a musculoskeletal pain related to prior activity, but other causes are possible. A blood clot traveling to your lungs can cause this... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Very suspicious: The pattern of symptoms you describe is very suspicious for a heart attack or angina pec toros, caused by not enough blood getting to the heart. This ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Another opinion: From another cardiologist or a cardiac surgeon is always a good idea. Coronary artery bypass grafts take blood around blockages in the coronary arter... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Peripheral : Peripheral arterial disease results from deposition of cholesterol and calcium usually in the arteries of the abdomen and legs and can be a marker for... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Lose heart muscle: Each heart attack cause the loss of some heart muscle. Sometimes a little, sometimes a lot. If you lose enough heart muscle you can develop heart fail... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Yes: While people with high blood pressure, high cholesterol, and/or overweight have a higher risk of heart disease, not having these factors does not mean... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old male asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Yes: Several other conditions could cause the symptoms you describe. The fact that it has continued without much change for so long actually argues agains... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 56-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Concerned: It would be best to be concerned and contact your doctor about what to do. While you are on Lasix (furosemide) you should follow your weight daily an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Esophagoscopy: Esophagitis can be symptomatic or silent, esophageal cancer rarely causes symptoms until it is bulky enough to cause swallowing problems. Esophagosc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 48 years experience
Angiogram diagnosis: Angina occurring without demonstrable narrowings of the larger coronary arteries on the surface of the heart. Can be definitively diagnosed only with ... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

7
Recommendations
238
Thank you notes
Apr 12, 2014
Dr Guyton is an outstanding physician and surgeon.
HealthTap member
Dec 16, 2012
I've been anxious to write a review for Dr. Guyton for over two months now and have written several but they're always too long or too indepth. If you could only see the numerous versions I've writte...Read More
HealthTap member
Dec 16, 2012
I would recommend Dr. Guyton without hesitation. Over the years, he has proved himself to be an extraordinarily talented surgeon and an incredibly caring and patient doctor. I credit Dr. Guyton and hi...Read More
HealthTap member
Thank u Dr. I think it is CGH-but I do not share opinions like this with my parents neighbors- or anyone. I let Drs. Evaluate. Thank. You
HealthTap member
Thanks for your quick reply! Thanks if I know I can excersise safely that is important to me, thank for your time
HealthTap member
Thanks for your quick reply! Low haemoglobin, PCV, MCV, MCH-what does it signify?

Education & Training

Medical/Graduate school

Harvard Medical School
Graduated 1975MD

Residency

MASSACHUSETTS GENERAL HOSPITAL

Awards

Top Doctors, Portland Monthly Magazine, 2012
President, American Heart Association, Northwest Affiliate, 2001
Hardy Cross Dillard Scholar, University of Virginia Law School, 2007-2008

Affiliations

American College of Surgeons
North Pacific Surgical Association
Society of Thoracic Surgeons

Publications

Wang CA, Guyton SW: Hyperparathyroid crisis. Ann Surg 1979; 190:782 790
Patton AS, Guyton SW, Lawson DW, Shannon JM: Treatment of severe atrial injuries. Am J Surg 1981; 141:465 471
Paull DL, Anderson RP, Guyton SW: Aortic valve replacement at Virginia Mason Medical Center. Virginia Mason Clin Bull, Spring 1987; 41:1 6
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