HEART SURGERY
- Overview
- Assessment methods
- Learning objectives
- Contents
- Full programme
- Bibliography
- Teaching methods
anatomy and physiology of cardiovascular system
Basic knowledge about clinical applications of cardiac surgery
Pathophysiology and clinical aspects of acquired heart diseases.
Cardiopulmonary bypass (CPB) or ExtraCorporeal Circulation (ECC). Historical aspects, principles and techniques.
Cardioplegia: historical aspects, cardioplegic solutions and techniques.
Coronary artery disease (CAD). Atherosclerosis: etiology, pathophysiological mechanisms and clinical aspects. Indications to different treatments and indications to surgical myocardial revascularization (coronary artery bypass grafting CABG). CABG: mycardial revascularization. On pump and off pump coronary surgery.
Acquired valvular diseases: Valvular prosthesis, anticoagulation and anti-platelets therapy.
Mitral valve disease: pathogenesis and pathophysiology and clinical aspects of mitral stenosis and mi-tral regurgitation. Mitral valve replacement (mechanical and biological prosthesis) and mitral valve repair.
Tricuspid disease: repair and replacement of tricuspid valve
Aortic valve disease: pathogenesis and pathophysiology and clinical aspects of aortic stenosis and aortic regurgitation. Aortic valve replacement (mechanical and biological prosthesis) and aortic valve repair.
Minimal invasive cardiac surgery in valvular disease.
Endocarditis. . Etiology, pathogenesis, pathophysiology and clinical aspects of endocarditis. Diagno-sis and indications to surgical tratment.
Aortic aneurysms. Pathogenesis, pathophysiology and clinical aspects of aortic aneurysms. Indi-vcations to surgical treatment and surgical options.
Aortic dissection. Etiology, pathogenesis, pathophysiology and clinical aspects of acute aortic dissec-tions.
Classifications and indications to surgical teatment. Surgical techniques and options.
Postoperative course.
PRINCIPLES AND METHODS OF CARDIOPULMONARY BYPASS (CPB)
Physiology and pathophysiology pf CPB.
cpb. Application of CPB in clinical context.
Pathophysiology of CPB. Monitoring of clinical parameters in CPB.
Coagulation management
Acid-base management.
cxardioplegia and myocardial protection
Management on CPB in clinical and surgical scenarios.
aplications
Accidental events and problem solving in CPB management.
GOAL of the course in give the necessary knowledge ti understand the principles and mechanisms underlying open heart surgery.
BOOKS
CARDIOPULMONARY BYPASS – PRINCIPLES AND PRACTICE – 3RD EDITION – GLENN P. GRAVLEE
e-learning, slides, papers
Modalità di verifica dell'apprendimento MOD_VER_APPR Sì
Testi di riferimento TESTI_RIF Sì R. Dionigi – CHIRURGIA 4^ EDIZIONE - MASSON ED.
L.H, Cohn, L.H.Edmunds Jr – CARDIAC SURGERY IN THE ADULT - Mc Graw Hill, 2003
C. Beghi - Dispensa delle lezioni di Cardiochirurgica (available at Cardiochirurgia-Insubria)
Slides delle lezioni R. Dionigi – CHIRURGIA 4^ EDIZIONE - MASSON ED.
L.H, Cohn, L.H.Edmunds Jr – CARDIAC SURGERY IN THE ADULT - Mc Graw Hill, 2003
C. Beghi - Dispensa delle lezioni di Cardiochirurgica (available at Cardiochirurgia-Insubria)
Slides of the lessons
frontal lessons and discussion od clinical cases in OR