Category:Cardiothoracic surgery

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Contents

Pre-operative assessment

Slightly different emphases between valve disease and ischaemic heart disease, but broadly similar principles (and both conditions may overlap).

Co-morbidities

This is aimed at identifying co-morbidities that may affect surgery, e.g.

  • diabetes mellitus
  • respiratory impairment
  • renal impairment
  • markers of hypertensive end-organ damage
  • concomitant valvular disease
  • venous or peripheral vascular disease (may affect harvesting of vein grafts)
  • carotid artery disease

Coronary Artery Anatomy

Assessment of Cardiac Function

  • Assessment of left ventricular function
  • echocardiography - measures gradient/regurgitation in valve disease; ejection fraction in LV impairment
  • ventriculogram - performed during angiogram, dynamic and visual indication of heart contraction
  • To distinguish between 'hibernating' and 'dead' heart tissue:
    • Isotope scans, e.g. thallium, to assess for reversible ischaemia
    • PET scan - Fluorodeoxyglucose Positron Emission Tomography

Ischaemic heart disease

Valvular heart disease

Congenital heart disease

Surgical treatment of heart failure

Subcategories

This category has the following 4 subcategories, out of 4 total.

C

H

Pages in category "Cardiothoracic surgery"

The following 87 pages are in this category, out of 87 total.

A

B

C

C cont.

D

E

H

I

J

L

M

M cont.

N

P

R

S

T

V

W