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Liverpool Heart and Chest Hospital, Thomas Drive, L14 3PE
Switchboard: 0151 600 1616

Mr Mark Pullan

Date: 30 September 2015 10:32
Mr Mark Pullan

Personal Assistant:

NHS Patients

Gillian Judge

Tel: 0151 600 1397

Private Patients

Pat Routledge

Tel: 0151 600 1986

Responsibilities at LHCH

Consultant Cardiac Surgeon

Associate Chief Clinical Information Officer (Surgery)

Areas of Practice

Adult Cardiac Surgery

Special Clinical Interests

  • Off Pump (Beating Heart) Coronary Artery Bypass Grafts
  • Arterial revascularisation & “No-Aortic Touch operations”
  • Complex Mitral Valve Repair
  • Atrial Fibrillation Ablation Surgery
  • Small Access and Sternal sparing Aortic and Mitral Valve operations

Research Interests

  • Off Pump Coronary Surgery
  • Operative Blood Conservation

Current Membership Of Professional Regional and National Bodies

  • Royal College of Surgeons of England and Edinburgh
  • Society For Cardiothoracic Surgery in Great Britain and Ireland
  • GMC Deanery Assessor
  • Examiner for the Cardiothoracic Intercollegiate Exam

Training and Education

I was trained as a Cardiac Surgeon in the North West of England. This region has been the pioneer of Cardiac Surgical Performance Management.  This programme is the most highly rated in the country for its depth and breadth.

As a consultant in Liverpool I have been one of the leading off-pump surgeons with one of the largest number of these cases in the country.  I regularly hold training days for other Consultant Cardiac Surgeons to come and be taught the “Liverpool technique”.  This technique has one of the highest success rates in the country and attracts many surgeons from the UK and abroad to come and learn.

I have a large practice of complex mitral repairs with very good results in difficult valves such as Barlows disease, Bileaflet disease and calcified valves.  I also offer to take on difficult and redo Mitral operations.

About you

Keen XC & Downhill Mountain biker

Publications

1. 51 peer reviewed publications
2. 2 book Chapters

Five-Year Outcomes after On-Pump and Off-Pump Coronary-Artery Bypass.
Jones SG, Pullan MD, Kirmani BH.
N Engl J Med. 2017 Nov 9;377(19):1896-7. doi: 10.1056/NEJMc1712000. No abstract available.
PMID:
29120116

Conversion after off-pump coronary artery bypass grafting: where are the quality markers?
Kirmani BH, Muir AD, Poullis MP, Pullan DM.
Eur J Cardiothorac Surg. 2017 Oct 1;52(4):829-830. doi: 10.1093/ejcts/ezx153. No abstract available.
PMID:
28498945

Arrhythmogenic gene remodelling in elderly patients with type 2 diabetes with aortic stenosis and normal left ventricular ejection fraction.
Ashrafi R, Modi P, Oo AY, Pullan DM, Jian K, Zhang H, Gerges JY, Hart G, Boyett MR, Davis GK, Wilding JPH.
Exp Physiol. 2017 Nov 1;102(11):1424-1434. doi: 10.1113/EP086412. Epub 2017 Sep 24.
PMID:
28804970

Letter by Poullis and Pullan Regarding Article, "Frequency and Predictors of Internal Mammary Artery Graft Failure and Subsequent Clinical Outcomes: Insights From the Project of Ex-Vivo Vein Graft Engineering via Transfection (PREVENT) IV Trial".
Poullis M, Pullan M.
Circulation. 2016 May 24;133(21):e664. doi: 10.1161/CIRCULATIONAHA.116.021513. No abstract available.
PMID:
27217438

Off-Pump Conversion: In-hospital Mortality and Long-Term Survival.
Pullan M, Oo A, Poullis M.
Thorac Cardiovasc Surg. 2017 Jun;65(4):296-301. doi: 10.1055/s-0035-1566742. Epub 2015 Nov 24.
PMID:
26600406

A comparison of survival between on-pump and off-pump left internal mammary artery bypass graft surgery for isolated left anterior descending coronary artery disease: an analysis of the UK National Adult Cardiac Surgery Audit Registry.
Hickey GL, Pullan M, Oo A, Mediratta N, Chalmers J, Bridgewater B, Poullis M.
Eur J Cardiothorac Surg. 2016 May;49(5):1441-9. doi: 10.1093/ejcts/ezv396. Epub 2015 Nov 18.
PMID:
26586790
. .
Left ventricular apical masses: distinguishing benign tumours from apical thrombi.
Kirmani BH, Binukrishnan S, Gosney JR, Pullan DM.
Eur J Cardiothorac Surg. 2016 Feb;49(2):701-3. doi: 10.1093/ejcts/ezv098. Epub 2015 Mar 19.
PMID:
25792148

The validity of the original EuroSCORE and EuroSCORE II in patients over the age of seventy.
Poullis M, Pullan M, Chalmers J, Mediratta N.
Interact Cardiovasc Thorac Surg. 2015 Feb;20(2):172-7. doi: 10.1093/icvts/ivu345. Epub 2014 Oct 27.
PMID:
25348730

A need for speed? Bypass time and outcomes after isolated aortic valve replacement surgery.
Chalmers J, Pullan M, Mediratta N, Poullis M.
Interact Cardiovasc Thorac Surg. 2014 Jul;19(1):21-6. doi: 10.1093/icvts/ivu102. Epub 2014 Apr 9.
PMID:
24722513

The effect of patient sex on survival in patients undergoing isolated coronary artery bypass surgery receiving a radial artery.
Pullan M, Kirmani BH, Conley T, Oo A, Shaw M, McShane J, Poullis M.
Eur J Cardiothorac Surg. 2015 Feb;47(2):324-30. doi: 10.1093/ejcts/ezu100. Epub 2014 Mar 18.
PMID:
24644313

Should obese patients undergo on- or off-pump coronary artery bypass grafting?
Pullan M, Kirmani BH, Conley T, Oo A, Shaw M, McShane J, Poullis M.
Eur J Cardiothorac Surg. 2015 Feb;47(2):309-15. doi: 10.1093/ejcts/ezu108. Epub 2014 Mar 14.
PMID:
24634482

Statins and long-term survival after isolated valve surgery: the importance of valve type, position and procedure.
Pullan M, Chalmers J, Mediratta N, Shaw M, McShane J, Poullis M.
Eur J Cardiothorac Surg. 2014 Mar;45(3):419-24; discussion 424-5. doi: 10.1093/ejcts/ezt399. Epub 2013 Aug 19.
PMID:
23959738

Is single-unit blood transfusion bad post-coronary artery bypass surgery?
Warwick R, Mediratta N, Chalmers J, Pullan M, Shaw M, McShane J, Poullis M.
Interact Cardiovasc Thorac Surg. 2013 Jun;16(6):765-71. doi: 10.1093/icvts/ivt062. Epub 2013 Feb 28.
PMID:
23449665
Free PMC Article

Red cell distribution width and coronary artery bypass surgery.
Warwick R, Mediratta N, Shaw M, McShane J, Pullan M, Chalmers J, Poullis M.
Eur J Cardiothorac Surg. 2013 Jun;43(6):1165-9. doi: 10.1093/ejcts/ezs609. Epub 2012 Dec 31.
PMID:
23277431

Theoretical treatise: arterial pressure during aortic surgery.
Ridgway T, Al-Rawi O, Palmer K, Pullan M, Poullis M.
J Extra Corpor Technol. 2012 Sep;44(3):151-4.
PMID:
23198396
Free PMC Article

In-hospital mortality and long-term survival after coronary artery bypass surgery in young patients.
Mediratta N, Chalmers J, Pullan M, McShane J, Shaw M, Poullis M.
Eur J Cardiothorac Surg. 2013 May;43(5):1014-21. doi: 10.1093/ejcts/ezs459. Epub 2012 Nov 8.
PMID:
23137563

Choice of conduit for coronary artery bypass grafting in poor ventricles.
Attaran S, Shaw M, Saleh HZ, Pullan MD, Fabri BM.
Asian Cardiovasc Thorac Ann. 2012 Aug;20(4):392-7. doi: 10.1177/0218492312438467.
PMID:
22879544

Validation of EuroSCORE II in a modern cohort of patients undergoing cardiac surgery.
Chalmers J, Pullan M, Fabri B, McShane J, Shaw M, Mediratta N, Poullis M.
Eur J Cardiothorac Surg. 2013 Apr;43(4):688-94. doi: 10.1093/ejcts/ezs406. Epub 2012 Jul 24.
PMID:
22833541

The long-term effects of developing renal failure post-coronary artery bypass surgery, in patients with normal preoperative renal function.
Chalmers J, Mediratta N, McShane J, Shaw M, Pullan M, Poullis M.
Eur J Cardiothorac Surg. 2013 Mar;43(3):555-9. doi: 10.1093/ejcts/ezs329. Epub 2012 Jun 15.
PMID:
22707433

Outcomes and predictors of prolonged ventilation in patients undergoing elective coronary surgery.
Saleh HZ, Shaw M, Al-Rawi O, Yates J, Pullan DM, Chalmers JA, Fabri BM.
Interact Cardiovasc Thorac Surg. 2012 Jul;15(1):51-6. doi: 10.1093/icvts/ivs076. Epub 2012 Apr 11.
PMID:
22495507
Free PMC Article

Sampling time error in EuroSCORE II.
Poullis M, Fabri B, Pullan M, Chalmers J.
Interact Cardiovasc Thorac Surg. 2012 May;14(5):640-1. doi: 10.1093/icvts/ivs034. Epub 2012 Feb 20.
PMID:
22350775
Free PMC Article

Long-term survival after coronary artery bypass surgery stratified by EuroSCORE.
O'Boyle F, Mediratta N, Fabri B, Pullan M, Chalmers J, McShane J, Shaw M, Poullis M.
Eur J Cardiothorac Surg. 2012 Jul;42(1):101-6; discussion 106-7. doi: 10.1093/ejcts/ezr253. Epub 2012 Jan 4.
PMID:
22219491

Does the outcome improve after radiofrequency ablation for atrial fibrillation in patients undergoing cardiac surgery? A propensity-matched comparison.
Attaran S, Saleh HZ, Shaw M, Ward A, Pullan M, Fabri BM.
Eur J Cardiothorac Surg. 2012 Apr;41(4):806-10; discussion 810-1. doi: 10.1093/ejcts/ezr107. Epub 2011 Dec 21.
PMID:
22219413

A comparison of outcome in patients with preoperative atrial fibrillation and patients in sinus rhythm.
Attaran S, Shaw M, Bond L, Pullan MD, Fabri BM.
Ann Thorac Surg. 2011 Oct;92(4):1391-5. doi: 10.1016/j.athoracsur.2011.04.119.
PMID:
21958786

Comparing the outcome of on-pump versus off-pump coronary artery bypass grafting in patients with preoperative atrial fibrillation.
Attaran S, Saleh HZ, Shaw M, Bond L, Pullan MD, Fabri BM.
Interact Cardiovasc Thorac Surg. 2011 Sep;13(3):288-92. doi: 10.1510/icvts.2011.270249. Epub 2011 Jun 23.
PMID:
21700596

Do patients in congestive cardiac failure undergoing cardiac surgery demonstrate worse outcomes compared with those with a history of cardiac failure?
Attaran S, Shaw M, Bond L, Pullan MD, Fabri BM.
Heart Surg Forum. 2011 Jun;14(3):E178-82. doi: 10.1532/HSF98.20101137.
PMID:
21676684

Monitoring cardiac output trends with end-tidal carbon dioxide pressures in off-pump coronary bypass.
Saleh HZ, Pullan DM.
Ann Thorac Surg. 2011 May;91(5):e81-2. doi: 10.1016/j.athoracsur.2010.12.039.
PMID:
21524440

Atrial fibrillation postcardiac surgery: a common but a morbid complication.
Attaran S, Shaw M, Bond L, Pullan MD, Fabri BM.
Interact Cardiovasc Thorac Surg. 2011 May;12(5):772-7. doi: 10.1510/icvts.2010.243782. Epub 2011 Feb 28.
PMID:
21357310

The use of cell salvage in routine cardiac surgery is ineffective and not cost-effective and should be reserved for selected cases.
Attaran S, McIlroy D, Fabri BM, Pullan MD.
Interact Cardiovasc Thorac Surg. 2011 May;12(5):824-6. doi: 10.1510/icvts.2010.249136. Epub 2011 Feb 5.
PMID:
21297148

Does off-pump coronary artery revascularization improve the long-term survival in patients with ventricular dysfunction?
Attaran S, Shaw M, Bond L, Pullan MD, Fabri BM.
Interact Cardiovasc Thorac Surg. 2010 Oct;11(4):442-6. doi: 10.1510/icvts.2010.237040. Epub 2010 Jul 9.
PMID:
20621997

Mathematical modelling to identify patients who should not undergo left ventricle remodelling surgery.
Warwick R, Pullan M, Poullis M.
Interact Cardiovasc Thorac Surg. 2010 May;10(5):661-5. doi: 10.1510/icvts.2009.217919. Epub 2010 Jan 21.
PMID:
20093268

Predictive accuracy of EuroSCORE: is end-diastolic dysfunction a missing variable?
Sastry P, Theologou T, Field M, Shaw M, Pullan DM, Fabri BM.
Eur J Cardiothorac Surg. 2010 Feb;37(2):261-6. doi: 10.1016/j.ejcts.2009.05.059. Epub 2009 Sep 20.
PMID:
19773181

Do beating heart techniques applied to combined valve and graft operations reduce myocardial damage?
Lu JC, Shaw M, Grayson AD, Poullis M, Pullan M, Fabri BM.
Interact Cardiovasc Thorac Surg. 2008 Feb;7(1):111-5. Epub 2007 Nov 30.
PMID:
18055482

Is off-pump coronary surgery justified in EuroSCORE high-risk cases? A propensity score analysis.
Oo AY, Grayson AD, Patel NC, Pullan DM, Dihmis WC, Fabri BM.
Interact Cardiovasc Thorac Surg. 2003 Dec;2(4):660-4.
PMID:
17670151

Logistic risk model for prolonged ventilation after adult cardiac surgery.
Reddy SL, Grayson AD, Griffiths EM, Pullan DM, Rashid A.
Ann Thorac Surg. 2007 Aug;84(2):528-36.
PMID:
17643630

Antimicrobial prophylaxis for endocarditis: emotion or science?
Chalmers JA, Pullan DM.
Heart. 2007 Jun;93(6):753; author reply 753-4. No abstract available.
PMID:
17502656
Free PMC Article

Preoperative calculation of risk for prolonged intensive care unit stay following coronary artery bypass grafting.
Ghotkar SV, Grayson AD, Fabri BM, Dihmis WC, Pullan DM.
J Cardiothorac Surg. 2006 May 31;1:14.
PMID:
16737548
Free PMC Article

Does off-pump surgery offer benefit in high respiratory risk patients? A respiratory risk stratified analysis in a propensity-matched cohort.
Reddy SL, Grayson AD, Oo AY, Pullan MD, Poonacha T, Fabri BM.
Eur J Cardiothorac Surg. 2006 Jul;30(1):126-31. Epub 2006 May 26.
PMID:
16730448

Incidence of stroke following coronary surgery without cardiopulmonary bypass: does the avoidance of aortic manipulation make a difference?
Grayson AD, Pai RK, Pullan DM.
Ann Thorac Surg. 2005 Dec;80(6):2422. No abstract available.
PMID:
16305939

On-pump versus off-pump surgical revascularization for left main stem stenosis: risk adjusted outcomes.
Lu JC, Grayson AD, Pullan DM.
Ann Thorac Surg. 2005 Jul;80(1):136-42.
PMID:
15975355

Total arterial revascularisation: effect of avoiding cardiopulmonary bypass on in-hospital mortality and morbidity in a propensity-matched cohort.
Pandey R, Grayson AD, Pullan DM, Fabri BM, Dihmis WC.
Eur J Cardiothorac Surg. 2005 Jan;27(1):94-8.
PMID:
15621478

A randomized comparison of three methods of analgesia for chest drain removal in postcardiac surgical patients.
Akrofi M, Miller S, Colfar S, Corry PR, Fabri BM, Pullan MD, Russell GN, Fox MA.
Anesth Analg. 2005 Jan;100(1):205-9.
PMID:
15616079

Reexploration for bleeding after coronary artery bypass surgery: risk factors, outcomes, and the effect of time delay.
Karthik S, Grayson AD, McCarron EE, Pullan DM, Desmond MJ.
Ann Thorac Surg. 2004 Aug;78(2):527-34; discussion 534. Review.
PMID:
15276512

Coronary surgery in patients with peripheral vascular disease: effect of avoiding cardiopulmonary bypass.
Karthik S, Musleh G, Grayson AD, Keenan DJ, Pullan DM, Dihmis WC, Hasan R, Fabri BM.
Ann Thorac Surg. 2004 Apr;77(4):1245-9.
PMID:
15063245

Off-Pump Coronary Artery Bypass (OPCAB) surgery reduces risk-stratified morbidity and mortality: a United Kingdom Multi-Center Comparative Analysis of Early Clinical Outcome.
Al-Ruzzeh S, Ambler G, Asimakopoulos G, Omar RZ, Hasan R, Fabri B, El-Gamel A, DeSouza A, Zamvar V, Griffin S, Keenan D, Trivedi U, Pullan M, Cale A, Cowen M, Taylor K, Amrani M; United Kingdom Multi-Center Comparative Analysis of Early Clinical Outcome.
Circulation. 2003 Sep 9;108 Suppl 1:II1-8.
PMID:
12970199

Effect of avoiding cardiopulmonary bypass in non-elective coronary artery bypass surgery: a propensity score analysis.
Karthik S, Musleh G, Grayson AD, Keenan DJ, Hasan R, Pullan DM, Dihmis WC, Fabri BM.
Eur J Cardiothorac Surg. 2003 Jul;24(1):66-71.
PMID:
12853047

Effect of preoperative aspirin use in off-pump coronary artery bypass operations.
Srinivasan AK, Grayson AD, Pullan DM, Fabri BM, Dihmis WC.
Ann Thorac Surg. 2003 Jul;76(1):41-5.
PMID:
12842510

Off-pump coronary artery bypass surgery does not reduce gastrointestinal complications.
Musleh GS, Patel NC, Grayson AD, Pullan DM, Keenan DJ, Fabri BM, Hasan R.
Eur J Cardiothorac Surg. 2003 Feb;23(2):170-4.
PMID:
12559338

'Shunt shuffle'-a simple technique of introducing intracoronary shunts for off-pump coronary artery bypass.
Patel NC, Pullan DM, Fabri BM.
Eur J Cardiothorac Surg. 2002 Jun;21(6):1121-2.
PMID:
12048097

Does off-pump total arterial revascularization without aortic manipulation influence neurological outcome? A study of 226 consecutive, unselected cases.
Patel NC, Pullan DM, Fabri BM.
Heart Surg Forum. 2002;5(1):28-32.
PMID:
11937459

Functional assessment of skeletal muscle ventricles after pumping for up to four years in circulation.
Thomas GA, Hammond RL, Greer K, Lu H, Jarvis JC, Shortland AP, Pullan DM, Salmons S, Stephenson LW.
Ann Thorac Surg. 2000 Oct;70(4):1281-9; discussion 1290.
PMID:
11081886