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Dr. Steven Guyton

Thoracic Surgery
Portland, OR
47 years experience male

Locations

Office

Portland , OR

Address

5420 SW Westwood View, Portland , OR
Directions

My office hours

Wednesday: 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 58-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Yes: The more valves that are involved the higher the risk. Or if there is coronary artery disease in addition to valve disease operative risk is increased... Read More
A member asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Because : Because neither parent has a gene for the a blood type (both are o/o in order to have type o blood) the baby could only have type o blood (with the sa... Read More
A female asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
The : The mitral valve closes when the heart beats to prevent blood from flowing backwards into the lungs. When the mitral valve does not close properly on... Read More
A 37-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Varied: Lupus, rheumatoid arthritis and scleroderma, can cause pericarditis. Kidney failure (uremic pericarditis), tumors, genetic diseases such as familial m... Read More
A 37-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 47 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
A 46-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 47 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
A 40-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Yes: Costochondritis pain is caused by inflammation of the junction between the rib and cartilage attached to it. It can usually be relieved by Ibuprofen ... Read More
A 25-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Varied: Pericarditis is often a complication of a viral infection – usually a gastrointestinal virus, or rarely the flu virus or aids. It may also be caused ... Read More
A 41-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
CABG via thoracotomy: This is a coronary artery bypass operation done through an incision between the ribs rather than splitting the breastbone.
A 41-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
</= 3 mm diameter: Generally less than or equal to 3 millimeters internal diameter.
A 93-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
No: Perhaps a slight increase in risk. Atrial fibrillation leads to a significantly higher risk of stroke and anti coagulation is commonly recommended for... Read More
A 38-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
May be heart failure: Being short of breath lying down is called orthopnea, often associated with paroxysmal dyspnea - awakening in the night short of breath and having to ... Read More
A male asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
The : The pain you describe could very well be related to the flu. Influenza can cause inflammation of the lung or the lining around the lung and when this... Read More
A member asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Given : Given your husband's lack of obesity, lack of smoking, and non sedentary existence, i doubt that you have much to worry about. Only if he has a stron... Read More
A 35-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Not different: Studies haven't shown a difference in life expectancy between various methods of doing cabg, though few studies have been done.
A male asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
This : This is a description of a billing code for a chest x-ray. The x-ray is shot twice - once from back to front (pa), and once from the side (lateral). ... Read More
A 22-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Congratulations : Congratulations on your successful surgery - now without a murmur! there's no reason you can't use an ointment on your scar, though i doubt neosporin ... Read More
A male asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Atrial : Atrial fibrillation can be a sign of underlying heart disease, such as mitral valve disease or other conditions that can cause stretching of the atria... Read More
A 59-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
What : What precisely can be done will depend of the condition of the tissues in the neck. Most academic medical centers in the country will have specialist... Read More
A female asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
It : It would be possible. Most often this occurs by an error in placing the leads in the appropriate positions.
A 66-year-old male asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Add'l named artery: 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
A female asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Atenolol : Atenolol helps to decrease blood pressure and also decreases the force with which the heart ejects blood. It is a medicine to slow the heart rate and... Read More
A member asked:
Dr. Steven Guyton
Thoracic Surgery 47 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 of... Read More
A 28-year-old male asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Anti-inflammatories: Hiccups in this situation are often caused by irritation of the diaphragm caused by an inflammatory process related to the heart attack. Anti-inflamma... Read More
A 38-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Yes, possible : This is called aspiration. A massive aspiration event could cause drowning and death. More often, small amounts of repeated aspiration lead to a pneum... Read More
A 44-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
No: Bone marrow transplant would not treat the primary tumor and would be ineffective. A bone marrow transplant would introduce such high risks that it wo... Read More
A 35-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Yes: The airways do not depend entirely on cough to clear themselves. Cilia bring foreign material up and out of the windpipe and it is routinely swallowe... Read More
A 30-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Mycotic aneurysm : Is generally an infected area of a blood vessel that is stretched out of its usual cylindrical shape. At an anastomosis between two vessels this coul... Read More
A male asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Blood : Blood pressure normally varies throughout the day. A single reading that is high does not mean you have high blood pressure. Recording your blood pr... Read More
A 37-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Not usually: Generally pectins excavatum doesn't affect breast development. Poland syndrome is one situation when pectus and abnormal breast development occur toge... Read More
A member asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Blood : Blood pressure normally varies throughout the day. A single reading that is high does not mean you have high blood pressure. Recording your blood pres... Read More
A female asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
The : The symptoms you describe are typical of a heart attack or inflammation around the heart (pericarditis) - they can also be caused by anxiety and hyper... Read More
A 46-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Fairly likely: The symptoms could all be caused by a cancer in the left upper lobe of the lung. Pain can come from irritation inside the chest cavity. Hoarseness c... Read More
A 59-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
The : The laboratory test you seem to be describing is called an inr (international normalized ratio). The inr measures the time it takes for your blood to... Read More
A male asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Swelling : Swelling is not a side effect of an epidural. I would be concerned that you may have blood clots obstructing the veins in your thighs or up in your p... Read More
A male asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Her : Her abnormal ekg and elevated enzymes indicate that she probably came into the hospital with an mi. Anoxic encephalopathy can occur as quickly as 2 -... Read More
A 82-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Several: Different problems could be causing his breathlessness. Could be congestive heart failure or chronic obstructive pulmonary disease. Severe decondition... Read More
A 17-year-old male asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
No: They only act as a lubricant to make a bowel movement easier.
A 43-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Surgery or stent: The best treatment for angina which is not controlled by optimal medical therapy is revascularization by coronary artery bypass grafting or stenting.
A member asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
It's : It's most likely the end of a stitch that was put in under the skin. Keep it clean and get back in to see your doctor as soon as you can. You could ... Read More
A 59-year-old male asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
It : It is unlikely that a single dose of 25 mg will cause any significant problem. Monitor your heart rate. If it becomes dramatically lower than usual ... Read More
A 39-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Yes: Everyone feels the discomfort of a heart attack differently. It is quite possible to have no pain at all and have a severe heart attack.
A 32-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Average - teen years: Overall the survival rate of heart transplants in children is nearly 90 percent after one year and is approaching 70 percent after ten years. Surviva... Read More
A 38-year-old female asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Concerned: In the situation you describe i would be concerned about the cancer having spread to the brain (called a metastasis). It's also possible medications ... Read More
A 29-year-old male asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Unlikely: More likely is a catastrophe such as a heart attack, aortic dissection or pulmonary embolus. I expect you would need an autopsy establishing his meds... Read More
A 34-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
MI more serious: All are caused by not enough blood flow to the heart. Mi causes permanent damage. Unstable angina does not. Acute coronary syndrome can be applied to ... Read More
A 34-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Anti-inflammatories: Most episodes of pericarditis are caused by viruses and are treated symptomatically. Aspirin, Ibuprofen or other anti-inflammatory drugs are used - so... Read More
A 25-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
By Exclusion: It's generally a diagnosis of exclusion, when one can't find another reason for symptoms of angina. It would require a catheterization with coronary ... Read More
A 32-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Cleanliness: Most episodes of pericarditis are caused by viruses similar to those that cause colds. Hand washing frequently and staying away from ill people are yo... Read More
A 39-year-old member asked:
Dr. Steven Guyton
Thoracic Surgery 47 years experience
Blocks blood flow: Homeostasis is a process whereby the body's systems are kept balanced in good working order. In the heart chemical signals from heart muscle that is n... Read More

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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
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less