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Lester C. Permut, MD

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Lester C. Permut, MD

Cardiac Surgery, Transplantation

On staff since December 2002

Children's Title: Program Director, Cardiothoracic Surgery Education

Academic Title: Associate Professor

Research Center: Center for Developmental Therapeutics

Recommendations

BreeanneHouston, TX08.27.13
Dr. Permut was the surgery who placed a shunt in my daughter's heart in March of 2013. His bedside manner is impeccable, he was fantastic with a set of frantic parents. My daughter was to have a stent placed, but it failed, and we were called the next day at 8 am to come to the hospital to sign papers for surgery that afternoon - there was an opening and Dr. Permut saw no reason to push off my baby's surgery when he could help her that day. We arrived an hour later from Olympia and signed the paperwork after he answered all of our questions and reassured us of what was happening. His team was fantastic - we were updated constantly throughout the surgery.
StephanieYelm08.03.13
Our daughter was born with a complex single ventricle heart defect. Dr. Permut has performed both of her open heart surgeries so far and we would go to no other surgeon. He has the best bedside manner and really takes his time to make sure all questions are answered and to explain all aspects of your child's condition and procedures. Of all the doctors we have encountered at Seattle Children's, he is the one my husband and I trust the most. I will never be able to express how much gratitude I have for Dr. Permut. He does an excellent job and I am fairly certain he is blessed.
KimberlyMilton, WA07.11.13
My son was diagnosed with a large atrial septal defect and cleft mitral valve in January of this year (2013) at the age of 4. Dr. Permut was his surgeon on February 26, 2013. He was absolutely amazing during pre-op, answered all of my questions honestly, educated me on the surgery itself, and eased my fears a bit. During surgery, he made every effort to get as good of a repair as possible - putting my son on bypass 3 times to try to get the valve to stop leaking. He was almost more sad than I was when he told us there just wasn't enough tissue to work with, so my son would still have a moderate leak (which was still an improvement as it was severe prior to surgery) and would need a valve replacement in his early teens. The compassion he showed to my family and I and obvious investment he puts into his patients is incredible. Not only is he an extremely gifted surgeon, but he's also someone who genuinely cares about these kids and their families.
DianeCopake, NY04.25.13
When my son William, (an identical twin) was diagnosed with an AP Window in 1995 we were in a state of shock. It was a Wednesday and the open heart surgery was scheduled for that Friday. I remember very clearly how Dr. Permut answered all of our questions, sometimes two and three times over. He calmly reassured us that everything would be fine, and he was right. Today, at 18, William is as big as his brother at 6'3", and the only visible sign that he had surgery is a thin little "zipper" scar on his broad chest. We will never forget the compassion and humanity of Dr. Permut, and we are thankful every day for his gift of healing.
JohnDuvall, Washington06.13.12
Dr. Permut was the first heart surgeon we worked with at Seattle Children's and was responsible for placing an ICD in our three year-old son's abdomen as well as playing a major role in his culminating heart transplant. He took so much time and care explaining the process to us and helping us understand both why these were necessary operations and how they would be conducted. While no one wants their child to need heart surgery, there are moments when that is the best option. I would trust Dr. Permut with my child's life as often as necessary . . . Seattle Children's is lucky to have him. Thank you, Dr. Permut!
JimBethel06.05.12
12 years ago, Dr. Permut operated on my son who was 5 days old in order to correct a case of Transposition of the Great Arteries (TGA). Today my son is a healthy boy who plays travel football, basketball and lacrosse. Thank you Dr. Permut
JohnDuvall, Washington06.13.12
Dr. Permut was the first heart surgeon we worked with at Seattle Children's and was responsible for placing an ICD in our three year-old son's abdomen as well as playing a major role in his culminating heart transplant. He took so much time and care explaining the process to us and helping us understand both why these were necessary operations and how they would be conducted. While no one wants their child to need heart surgery, there are moments when that is the best option. I would trust Dr. Permut with my child's life as often as necessary . . . Seattle Children's is lucky to have him. Thank you, Dr. Permut!
LisaMontrose, NY11.14.11
Dr. Permut performed my son's surgery 15 years ago! He explained everything to my husband and I before the surgery and was there for us the whole time. After the surgery (transposition of the great arteries) of my one-week old son at the time, Dr. Permut stayed by his side all night long until he knew my son would be alright. It is because of Dr. Permut that we now have our healthy, beautiful 15 year old, 10th grader! Dr. Permut is always in our prayers and in our thoughts.
JaredSeattle, WA11.02.11
Dr Permut was exactly what my wife and I needed for our beautiful 14 day old daughter. After talking with him for 2 hours about our daughter's heart condition and what procedure would need to be done, we were at ease...as at ease as a couple can be when their daughter is about to have open heart surgery! We are currently still at the hospital after a successfull surgery on our little girls heart. Dr Permut has been by no less than 4 times post op to check in. He is an amazing surgeon and my daughter is thriving thanks to him. Have no fear anyone reading this, he is the best!
JamesAnchorage Alaska10.25.11
Dr Permut is a knowledgeable, fabulous and a sensitive surgeon. He operated on our 10 day old son that had a major heart defect. He spent the time to explain everything to us and what was going to happen during the procedure. His dedication and encouragement were amazing. Our son is alive today because of Lester Permut. Thank you for everything you have done. Everyone tells us that his scar looks great and it has healed up beautifully.
JanSammamish, WA08.22.11
Dr. Permut did an amazing job repairing our son's TOF and was caring, patient, and kind throughout the process. I remember one of the nurses saying that he was one of the most genuinely caring surgeons she had run across, and I think that says a lot. Our son's boundless energy and beautifully fading scar say a lot for his technical capability as well. We just celebrated his first birthday a few weeks ago and he is 5 months post-op.
AngelaMillwood, NY06.03.11
10 years ago our 15 year old son was diagnosed with an atrial septal defect and two veins leading to the wrong side of the heart. We were devastated. Dr. Permut explained the procedure to us. When I was about to faint, he said, "I have never lost a patient." That was just what I needed to hear, but was too scared to ask. Our son was out of the hospital in three days. The next year he played high school football. He is a healthy 25 year old college graduate. I never pass the Westchester County Medical Center without saying a prayer of gratitude for Dr. Lester Permut (even though I know that Seattle is now so lucky to have him). Thank you Dr. Permut for our son.
FranciscaForks, Washington05.18.11
Dr. Permut was absolutley amazing! When first hearing that my son had to have open heart surgery I was scared and had lots of questions. But when I met Dr. Permut, he explained the procedure, risks, and outcomes and anything else in between. I understood everything and his drawings further helped me feel confident that he was going to help my son. By the end of his explanations me and my family had already had all of our questions answered with his explanations. He is amazing, and I'm glad my son had such a great surgeon.
TinaOlympia Washington04.21.11
What is there to say? Dr. Permut saved our daughter's life, along with the skilled team at Children's Hospital. She was brought into his care in April of 2006, he was very easy to understand and didn't mind telling us over and over again what he would be doing. Our little girl has to have another open heart surgery and once again we find ourselves with Dr. Perumt. I am conifent he will once again perform magic to repair her little heart. Thank you Children's for having such a skilled surgeon on your team, God has certainly blessed him with wonderful skills.
GypsyBoise, Idaho12.01.10
D. Permut saved our son's life. Our son was sent to Seattle Children's around 48 hours with severe heart defects, at 7 days old we trusted Dr. Permut and his team to bring him back to us. He is such a knowledgeable Dr with tons of patience He did his best to explain the complex problems and corrections to our sons heart in a way that we could understand and didn't mind explaining it all 100 times if needed. Our son is now almost a year and that is all thanks to Dr. Permut! You couldn't pick a better surgeon Thank you Dr Permut and Seattle Children's for having him there.
AmyRedmond, WA12.04.10
Dr. Permut helped save my son's life... honestly I can't give a better recommendation than that!
Recommend Dr. Lester Permut

Overview

Board Certification(s)
Thoracic Surgery
Congenital Cardiac Surgery
Medical/Professional School
Boston University School of Medicine, Boston
Residency
Surgery - General, Beth Israel Hospital, Boston
Surgery - General, Beth Israel Hospital, Boston
Cardiothoracic Surgery, University of California, Los Angeles School of Medicine, Los Angeles
Fellowship
Cardiovascular Surgery, NIH Warren Grant Magnuson Clinical Center, Bethesda
Cardiothoracic Surgery, University of California, Los Angeles School of Medicine, Los Angeles
Pediatric Cardiothoracic Surgery, University of California, Los Angeles School of Medicine, Los Angeles
Clinical Interests

Cardiac Surgery

Awards and Honors

Award NameAward DescriptionAwarded ByAward Date
SEATTLE MAGAZINE TOP DOCTOR - 2014Seattle Magazine 2014
Seattle Magazine Top Doctor - 2013Seattle Magazine 2013
Seattle Magazine Top Doctor - 2012Seattle Magazine Top Doctor - 2012Seattle Magazine 2012
U.S. News Top DoctorU.S. News and World Report 2012

Publications

One size does not fit all: the influence of age at surgery on outcomes following Norwood operation.
Journal of cardiothoracic surgery , June 2014: 9(1)100
Significance of Positive Mediastinal Cultures in Pediatric Cardiovascular Surgical Procedure Patients Undergoing Delayed Sternal Closure.
The Annals of thoracic surgery , May 2014
Modified Blalock-Taussig shunt versus ductal stenting for palliation of cardiac lesions with inadequate pulmonary blood flow.
The Journal of thoracic and cardiovascular surgery , Jan. 2014: 147(1)397-401
Downsized Contegra graft as a right ventricle-to-pulmonary artery conduit in the setting of mediastinitis.
The Annals of thoracic surgery , Sept. 2013: 96(3)1077-8
Benign mediastinal lymphadenopathy presenting as cor triatriatum.
Congenital heart disease , May 2013: 8(3)E70-2
Increased extracorporeal membrane oxygenation center case volume is associated with improved extracorporeal membrane oxygenation survival among pediatric patients.
The Journal of thoracic and cardiovascular surgery , Feb. 2013: 145(2)470-5
Long-term mechanical cardiac assist in children: a work in progress.
Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography , Jan. 2013: 26(1)50-1
Predictors of ECMO support in infants with tachycardia-induced cardiomyopathy.
Pediatric cardiology , Aug. 2011: 32(6)754-8
Direct optical measurement of intraoperative myocardial oxygenation during congenital heart surgery.
ASAIO journal (American Society for Artificial Internal Organs : 1992) , July 2011: 57(4)314-7
Association of thymectomy with infection following congenital heart surgery.
World journal for pediatric and congenital heart surgery , July 2011: 2(3)351-8
Minimizing bleeding associated with mechanical circulatory support following pediatric heart surgery.
European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery , March 2011: 39(3)392-7
Triiodothyronine Supplementation in Infants and Children Undergoing Cardiopulmonary Bypass (TRICC): a multicenter placebo-controlled randomized trial: age analysis.
Circulation , 2010 Sep 14: 122(11 Suppl)S224-33
Sternal wire removal in pediatric patients: wire versus cable sternotomy closure.
The Journal of thoracic and cardiovascular surgery , June 2010: 139(6)1663-4
Absent aortocoronary connections in a neonate with pulmonary atresia and an intact ventricular septum.
Journal of cardiothoracic and vascular anesthesia , Feb. 2008: 22(1)98-101
Surgery for left ventricular outflow obstruction in children
Johns Hopkins Manual of Cardiothoracic Surgery, Lippincott , 2007
Coarctation of the aorta and interrupted aortic arch
Johns Hopkins Manual of Cardiothoracic Surgery, Lippincott , 2007
Direct microvascular repair of an infant's transected coronary artery: case report.
Journal of reconstructive microsurgery , Nov. 2005: 21(8)547-9
Decision making for mechanical cardiac assist in pediatric cardiac surgery.
Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual , 2005: 41-50
The Triiodothyronine for Infants and Children Undergoing Cardiopulmonary Bypass (TRICC) study: design and rationale.
American heart journal , Sept. 2004: 148(3)393-8
Thoracoscopic pericardial window creation and thoracic duct ligation in neonates.
JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons , Oct. 2003: 7(4)353-7
Anomalies of the coronary arteries
Fetal and Neonatal Cardiology, WB Saunders , 2002
Vascularized muscle flaps and reoperative approach for complicated, dehisced sternal wounds in children.
Annals of plastic surgery , May 1998: 40(5)523-7
Transposition of the great arteries
Oxford Textbook of Surgery, 2nd edition, Oxford University Press , 1998
Late results and reoperation after repair of complete and partial atrioventricular canal defect.
Seminars in thoracic and cardiovascular surgery , Jan. 1997: 9(1)44-54
Perioperative care of the pediatric patient
Glenn's Thoracic and Cardiovascular Surgery, Appleton & Lange , 1996
Surgical management of complex functional single ventricle
Glenn's Thoracic and Cardiovascular Surgery, Appleton and Lange , 1996
Surgical management of pulmonary atresia and ventricular septal defect
Glenn's Thoracic and Cardiovascular Surgery, Appleton & Lange , 1996
Tricuspid atresia
Glenn's Thoracic and Cardiovascular Surgery, Appleton & Lange , 1996
Effect of late postoperative atrial septal defect closure on hemodynamic function in patients with a Lateral tunnel Fontan procedure.
Journal of the American College of Cardiology , July 1995: 26(1)259-65
Modification of the Fontan procedure. Superior vena cava to left pulmonary artery connection and inferior vena cava to right pulmonary artery connection with adjustable atrial septal defect.
Circulation , 1995 Jun 15: 91(12)2943-7
Cardiac decompression after operation for congenital heart disease in infancy.
The Annals of thoracic surgery , Nov. 1994: 58(5)1392-6
Early and late results of mitral valve repair in children.
The Journal of thoracic and cardiovascular surgery , May 1994: 107(5)1262-70; discussion 1270-1
Surgical management of pulmonary atresia with ventricular septal defect and multiple aortopulmonary collaterals.
Israel journal of medical sciences , March 1994: 30(3)215-24
Inferior epigastric artery as a conduit for coronary bypass
Choices in Cardiology , 1994: 8(1)1-3
Surgical management of left ventricular outflow obstructionin children: Valvar and supravalvar aortic stenosis
Prog Pediatric Cardiology , 1994: 3(3)177-187
Surgical management of pulmonary atresia with ventricular septal defect and multiple aortopulmonary collaterals.
Advances in cardiac surgery , 1994: 575-95
Expression of major histocompatibility antigens and vascular adhesion molecules on human cardiac allografts preserved in University of Wisconsin solution.
The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation , Nov. 1993: 12(6 Pt 1)1044-51; discussion 1051-2
Double inlet single ventricle
Pediatric Cardiac Surgery, Mosby Year Book , 1993
Transposition of the great arteries
Oxford Textbook of Surgery, Oxford University Press , 1993
Antegrade and retrograde blood cardioplegia delivery
Technocouer , 1993: 929-32
Complete functional recovery after 24-hour heart preservation with University of Wisconsin solution and modified reperfusion.
Circulation , Nov. 1991: 84(5 Suppl)III316-23
Cardiac preservation in patients undergoing transplantation. A clinical trial comparing University of Wisconsin solution and Stanford solution.
The Journal of thoracic and cardiovascular surgery , Nov. 1991: 102(5)657-65
Clinical trial of University of Wisconsin solution for cardiac transplantation: preliminary results.
The Journal of thoracic and cardiovascular surgery , Nov. 1991: 102(5)798-9
Results of total cavopulmonary connection in the treatment of patients with a functional single ventricle.
The Journal of thoracic and cardiovascular surgery , Aug. 1991: 102(2)280-6; discussion 286-7
Preoperative duplex scan assessment of the inferior epigastric artery as a coronary bypass conduit.
The Annals of thoracic surgery , 1991 Sep: 52(3)567-8
New technique of vascularization of the trachea and bronchus for lung transplantation.
The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation , March 1991: 10(2)280-7
Immediate postoperative care of the cardiac transplant patient
Chapter in Cardiomyopathies and Heart-Lung Transplantation, McGraw Hill , 1991
Results of operation for coexistent obstructive hypertrophic cardiomyopathy and coronary artery disease.
Journal of the American College of Cardiology , June 1989: 13(7)1527-33
Hemodynamic effects of chronically stimulated skeletal muscle on the dysfunctional canine left ventricle
Surgical Forum , 1988: 32278-280
Cardiogenic shock requiring intra-aortic balloon support: Long-term followup
Concepts and Controversies in Cardiovascular Surgery, Appleton-Century-Croft Publishers , 1983

Primary Office

Seattle Children's
RC.2.820 - Cardiology Administration
4800 Sand Point Way NE
Seattle, WA 98105
206-987-1083

Additional Offices

Seattle Children's
RC.2.820 - Cardiology-Heart Ctr
4800 Sand Point Way NE
Seattle, WA 98105
206-987-2015

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