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CARDIAC SURGERY: PRINCIPLES AND TECHNIQUES Course Sheet Academic Year of enrolment:
Professor and Collaborators:
Hours of classroom activity:
Prerequisites:
Knowledge of systematic anatomy, biochemistry, biophysics and physiology
Objectives
Contents theoretical basis for understanding the rationale for extracorporeal circulation as well as mechanical substitutes for ventricular and cardio-respiratory function. The pathophysiology of pathologic conditions of interest in adult cardiac surgery including some of the most common congenital heart diseases will also be addressed.
Extended Syllabus Embryological development of the heart "in toto".
- Descriptive and topographical anatomy of the heart and great vessels
- Congenital heart diseases: interatrial communication, interventricular communication, Transposition of the great arteries, Tetralogy of Fallot, aortic coarctation.
- History and evolution of heart surgery.
- Extracorporeal circulation and organ protection techniques.
- Aortic valvular pathology and its treatment.
- Mitral valvular pathology and its treatment
- Tricuspid valvular pathology and its treatment
- Valvular prostheses: types and indications
- Myocardial revascularization surgery: indications, types of conduits used, revascularization techniques.
- Ischemic heart disease and its complications of surgical interest (ventricular aneurysm, ruptured heart, acute mitral insufficiency from ruptured m. papillaris, post-infarct interventricular communication, intraventricular thrombosis)
- Acute aortic syndromes: Pathologic anatomy, clinical diagnosis, instrumental diagnosis, surgical treatment.
Recommended Bibliography • A.Haverich, G. Ziemer
Operations on the Heart and Great Vessels in Adults and Children
Springer-Verlag Berlin and Heidelberg GmbH & Co. K
• Lawrence Cohn
Cardiac Surgery in the Adult Fifth Edition
McGraw-Hill Inc.,US
• Luigi Chiariello Ed.
Trattato di Chirurgia Cardiaca
Società Editrice Universo
• Cardiopulmonary Bypass: Second Edition
Edited by Sunit Ghosh, Florian Falter and Albert C. Perrino
Cambridge University Press
Teaching Methods
Evaluation methods Verification of learning:
face-to-face examination with or without the aid of written evaluation by multiple choice questions or brief essay