Cardiac Surgery 1600-Lek4KACH-J

SEMINAR 1
- Check of the basic knowledge of anatomy, physiology, pathophysiology and cardiology.
- The extracorporeal circulation (ECC) system used in cardiac surgery
- ECC system description
- ECC in clinical use: rules and techniques
- specific ECC related techniques (heparine use, hypothermiia, cardioplegic heart arrest)
- ECC related complications (inflammatory reaction, hemolysis, neuro-psychiatric disorders)

- Mechanical circulatory support
- Intraaortic Baloon Pump (IABP): device description, operation principle, complications.
- Extracorporeal and implantable Ventricular Assist Devices (VAD)
- ECMO
- Indications for mechanical circulatory support

- Congenital heart disease - indications and description of surgical treatment
- epidemiology, patophysiology and classification of congenital heart disease
- persistent ductus arteriosus (PDA)
- coarctation of the aorta (CoA)
- atrial septal defect (ASD I and II)
- ventricular septal defect (VSD)
- common atrio -ventricular canal (AV canal)
- tetralogy of Fallot (ToF), systemic - pulmonary shunts
- transposition of great arteries (TGA)
- hypoplastic left heart syndrome (HLHS)
- common truncus arteriosus (CTA)

- Surgical treatment of ischemic heart disease
- anatomy of coronary arteries
- patophysiology of coronary circulation
- assesment of coronary pathology and ischemic heart failure
- indications for surgery in ischemic heart disease
- coronary bypass grafting (CABG) in acute and elective scenarios
- coronary bypass grafting with and without extracorporeal circulation
- surgical treatment of the cosequences of the acute myocardial infarction
- cardiological care and rehabilitation after CABG

SEMINAR 2

- Surgical treatment of the acquired aortic valve disease
- Aortic stenosis (AS)
- ethiology
- classification of stenosis
- patophysiology
- natural history
- indications for aortic valve repair or replacement
- techniques and prosthetic valves
- postoperative care and follow-up
- Aortic regurgitation (AR)
- ethiology
- classification of regurgitation
- patophysiology
- natural history
- indications for aortic valve repair or replacement
- techniques and prosthetic valves
- postoperative care and follow-up

- Aortic aneurysms and dissections
- classification and diagnostics
- surgical and endovascular treatment
- postoperative care and follow-up

- Acquired mitral valve disease
- Mitral stenosis (MS)
- ethiology
- classification of stenosis
- patophysiology
- natural history
- indications for mitral valve repair or replacement
- techniques and prosthetic valves
- postoperative care and follow-up
- Mitral regurgitation (MR)
- ethiology
- classification of regurgitation
- patophysiology
- natural history
- indications for mitral valve repair or replacement
- techniques and prosthetic valves
- postoperative care and follow-up

- Acquired tricuspid valve disease
- ethiology
- classification
- patophysiology
- natural history
- indications for repair or replacement
- techniques and prosthetic valves
- postoperative care and follow-up

SEMINAR 3

- Preoperative arrangements before cardiac, and especially, valvular surgery
- Outpatient care after vavular surgery
- Complications after valvular surgery
- Surgical treatment of infective endocarditis
- Endocarditis and rheumatic fever prophylaxis

- Surgical treatment of cardiac tumors
- Heart transplantation

- Mechanical support techniques in low cardiac output syndrome and heart failure
- Intraaortic counterpulsation pump (IABP) in pre- and postoperative period
- Ventricular assist devices (VAD) support of one or two ventricles
- Total artificial heart (TAH)

CLASSES DAY 1

- Extracorporeal circulation: Heart-lung machine setup and technical options
- general descrip[tion
- cirquit and cannulae
- operation of occlusive (roller) and non-occlusive (centrifugal) pumps
- cardioplegia

- Mechanical support of failing heart
- Intraaortic baloon pump
- Extracorporeal Membrane Oxygenation (ECMO)
- Ventricular assist device (VAD)

- Ischemic heart disease patient
- preoperative arrangements and diagnostic assesment

CLASSES DAY 2

- Postoperative care unit
- equipment, monitoring of vital functions
- respirator
- chest drainage system
- cardiac output measurement

- Patient with valvular disease
- preoperative examination interpretation
- physical examination
- surgical options in aortic valve operations

CLASSES DAY 3

- Postoperative care unit
- equipment, monitoring of vital functions
- respirator
- chest drainage system
- cardiac output measurement

- Patient with valvular disease
- preoperative examination interpretation
- physical examination
- surgical options in mitral and tricuspid valve operations