Slightly different emphases between valve disease and ischaemic heart disease, but broadly similar principles (and both conditions may overlap).
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
- Prinicipally assess using Coronary angiography
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
- Infective endocarditis
- Aortic stenosis
- Aortic incompetence
- Mitral stenosis
- Mitral incompetence
- Prosthetic valves
Congenital heart disease
- Atrial septal defect
- Ventricular septal defect
- Tetralogy of Fallot
- Transposition of the great arteries
- Persistent ductus arterious
Surgical treatment of heart failure
This category has the following 2 subcategories, out of 2 total.
Pages in category "Cardiothoracic surgery"
The following 86 pages are in this category, out of 86 total.