Thomas L. Spray, MD

Thomas L. Spray, MD

Thomas L. Spray, MD, is Chief of the Division of Cardiothoracic Surgery at Children's Hospital of Philadelphia and the Mortimer J. Buckley Jr.  MD Endowed Chair in Cardiac Surgery.

Areas of Expertise: Cardiac, cardiopulmonary and pulmonary transplantation, Reparative cardiac surgery in infants with complex congenital malformations
Locations: Main Campus
Phone: 215-590-4040

Background

Dr. Thomas L. Spray is Chief of the Division of Cardiothoracic Surgery at Children's Hospital of Philadelphia, Mortimer J. Buckley Jr. MD Endowed Chair in Cardiac Surgery, and Professor of Surgery at the Perelman School of Medicine at the University of Pennsylvania. Dr. Spray received his medical degree and training in general and cardiothoracic surgery at the Duke University School of Medicine and specialty training in cardiac pathology at the National Institutes of Health before joining the staff at Washington University, St. Louis, going on to become chief of cardiothoracic surgery there. He joined the staff at Children's Hospital of Philadelphia in 1994.

Dr. Spray takes a creative, individualized approach to reconstructive operations in neonates and infants and is a proponent of early corrective repair when possible. Dr. Spray has also maintained the Hospital's preeminence in the management of infants and children with complex "single ventricle" physiology. He is an internationally recognized leader in the application of the pulmonary autograft as a replacement for the aortic valve ("Ross procedure") in the pediatric population. He has contributed widely to the literature in congenital cardiothoracic surgery and holds numerous leadership positions in national and international professional associations.

Dr. Spray also brought to the institution unique capabilities in pediatric heart and lung transplantation. In just a few years, the program has become the most comprehensive service of its kind on the eastern seaboard. Infants and children with a wide variety of complex cardiac and pulmonary disorders, for whom transplantation is the optimal treatment, can be fully evaluated and treated by a specialized multidisciplinary team at Children's Hospital under Dr. Spray's direction. He has successfully transplanted a series of children following a period on extracorporeal membrane oxygenation (ECMO) as a "bridge" to transplant and added living-donor lobar lung transplantation to the program.

Under Dr. Spray's leadership, a multidisciplinary approach to the care of pediatric cardiothoracic patients was put in place. Cardiac services at Children's Hospital have now expanded to provide total care for the full range of infants and children with congenital cardiothoracic disorders.

Education and Training

Medical School

MD - Duke University School of Medicine, Durham, NC

Residency

General and Thoracic Surgery - Duke University School of Medicine, Durham, NC

Fellowship

Research Fellow in Surgery - Duke University School of Medicine, Durham, NC

Additional Training

Staff Associate, Pathology Branch - National Institutes of Health, Rockville, MD

Board Certification

Congenital Cardiac Surgery
Surgery
Thoracic Surgery

Titles and Academic Titles

Chief, Division of Cardiothoracic Surgery

Alice Langdon Warner Endowed Chair in Pediatric Cardiothoracic Surgery

Professor of Surgery, Perelman School of Medicine at the University of Pennsylvania

Departments and Services

Publications

Papers

2018

Gaynor JW, Parry S, Moldenhauer JS, Simmons RA, Rychik J, Ittenbach RF, Russell WW, Zullo E, Ward JL, Nicolson SC, Spray TL, Johnson MP. The impact of the maternal-foetal environment on outcomes of surgery for congenital heart disease in neonates. Eur J Cardiothorac Surg. 2018 Feb 13. doi: 10.1093/ejcts/ezy015. [Epub ahead of print] PMID: 29447332 [PubMed - as supplied by publisher]

2015

Naim MY, Gaynor JW, Chen J, Nicolson SC, Fuller S, Spray TL, Dlugos DJ, Clancy RR, Costa LV, Licht DJ, Xiao R, Meldrum H, Abend NS. Subclinical seizures identified by postoperative electroencephalographic monitoring are common after neonatal cardiac surgery.  J Thorac Cardiovasc Surg. 2015;150(1):169-178.

Books

Kirshbom PM, Gaynor JW, Spray TL. Heart and lung transplantation. In: Nelson, Greeley et al (Eds.) Critical Heart Disease in Infants and Children, Harcourt Health Sciences. In press

Rychik J, Spray TL. Strategies to treat protein-losing enteropathy. In: Pediatric Cardiac Surgery Annual of the Seminars in Thoracic and Cardiovascular Surgery, Vol 5, 2002.

Spray TL, Bridges ND: Lung transplantation for pulmonary hypertension. In: Braunwald E (Ed.) Advances in Cardiology, McGraw-Hill Professional, New York, NY 2002.

Gardner TJ, Spray TL (Eds.) Rob & Smith's Operative Surgery. London: Arnold Publishers, 2002.

Hoffman TM, Spray TL. Foreword. In: Rychik J, and Wernovsky G (Eds.). The Hypoplastic Left Heart Syndrome, 2001.

Hoffman TM, Spray TL. Infant heart transplantation for HLHS. In: Rychik J, and Wernovsky G (Eds.). The Hypoplastic Left Heart Syndrome, 2001.

Spray TL. Reconstructive surgery: First stage. In: Rychik J, and Wernovsky G (Eds.). The Hypoplastic Left Heart Syndrome, 2001.

Spray TL. Invited Commentary on: Kumar RNS, Dharmapuram AK, Rao IM, Gopalakrishnan VC, Pillai VR, Nazer YA, Cartmill T. The fate of the unligated vertical vein after surgical correction of total anomalous pulmonary venous connection in early infancy. J Thorac Cardiovasc Surg 2001;122:615-17

Wernovsky G, Marino BS, Spray TL. Immediate results after the Ross operation. In: Miller WJ (Ed.) Progress in Pediatric Cardiology 2001.

Spray TL. Use of pulmonary autograft for aortic valve replacement. In: Gardner TJ and Spray TL (Eds.). Rob & Smith Operative Cardiac Surgery. 5th Edition. London: Arnold Publishers, 2001.

Spray TL. Hypoplastic left heart syndrome. In: Gardner TJ and Spray TL (Eds.). Rob & Smith Operative Cardiac Surgery. 5th Edition, London: Arnold Publishers, 2001.

Spray TL. Atrioventricular septal defects. In: Gardner TJ and Spray TL (Eds.). Rob & Smith Operative Cardiac Surgery. 5th ed. London: Arnold Publishers, 2001.

Gold JP, DeCamp MM Jr., DiSesa VJ, Grossi EA, Spray TL, Whyte RI, Wood D, Zwischenberger JB (Eds.). Prerequisite thoracic surgery curriculum. A multimedia textbook of introductory topics in cardiothoracic surgery. 2001 Thoracic Surgery Directors Association: 2001 Thoracic Surgery Directors Association: Irvington (New York): Amadeus Multimedia Technologies; 2001.

Spray TL (Ed.). Seminars in thoracic and cardiovascular surgery. Pediatric Annual 1999. Philadelphia (PA): WB Saunders Co., 1999.

Kaiser LR, Kron L, Spray TL (Eds.) Mastery of Cardiothoracic Surgery. Lippincott-Raven Publishers, Philadelphia, 1997.

Spray TL. Transposition of the great arteries. In: Kaiser LR, Kron L, Spray TL (Eds.). Mastery of Cardiothoracic Surgery. Lippincott-Raven Publishers, Philadelphia, 1997, 785-800.

Spray TL. Truncus Arteriosus. In: Kaiser LR, Kron L, Spray TL (Eds.). Mastery of Cardiothoracic Surgery. Lippincott-Raven Publishers, Philadelphia, 1997, 759-770.

Spray TL. Lung and Heart-Lung Transplantation in Children. In: Kaiser LR, Kron L, Spray TL (Eds.). Mastery of Cardiothoracic Surgery. Lippincott-Raven Publishers, Philadelphia, 1997, 916-929.