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Cardiac%20Surgery

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Dr.Mehdi Hadadzadeh Assistant professore of cardiovascular surgery AS PS Coarctation of the aorta Tetralogy of Fallot ... – PowerPoint PPT presentation

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Title: Cardiac%20Surgery


1
Cardiac Surgery
  • Dr.Mehdi Hadadzadeh
  • Assistant professore of cardiovascular surgery



2
Surgical Cardiac Diseases
  1. Coronary artery disease.
  2. Valvular heart disease.
  3. Congenital heart diseas.
  4. Pericardial disease.
  5. Cardial tumor.S
  6. Great vessel disease.
  7. Cardiac dysrhythmia.
  8. Transplant.

3
Cardiac Surgery
Off pump
  • With pump

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8
CABG
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12
CT Angio
13
Conduits
  • Lima
  • RIMA
  • Radial.a
  • Ulnar.a
  • Sup Inf epigastric.a
  • Lat Thoracic.a
  • RGEA
  • Saphenous vein
  • Cephalic vein
  • Synthetic graft Homograft

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19
Questions of Patients after Discharge
  1. Swelling of lower limbs
  2. Drugs
  3. Rehabilitation , Risk Factor modification.
  4. Recurrency of CAD
  5. Medical and surgical treatment of other disease
  1. Activity
  2. Pain
  3. Psychologic disturbances
  4. Diet
  5. Driving
  6. Sexual activity
  7. Sleeping

20
Valvular Heart Disease
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  • Three classes of techniques
  • valve repair
  • 2) valve replacement
  • 3) transcatheter

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25
Mechanical Cardiac Valve Prosthesis
26
  • Mechanical Valves
  • durable with valve life up to 20 years
  • B. requires anticoagulation (INR 2.5 -3.0)
  • C. usually indicated in young patients or
    patients with chronic atrial fibrillation

27
Biological Cardiac Valve Prosthesis
28
  • Bioprosthetic Valves
  • low incidence of thromboembolism
  • B. average durability is 10-15 years
  • C. Biovalves may be chosen in females who desire
    to become pregnant

29
Trans catheter
30
Surgical Interventien in Congenital Heart Defects
31
Congenital Heart Defect Based On The Shunt Type
32
Defects with Rt to Left Shunt
  • TOF
  • TGA
  • TAPVC
  • Ebsteins anomaly
  • Pulmonary atresia

33
Defects with Left to Rt Shunts
  • ASD
  • ASD VSD
  • VSD
  • PDA

34
Defects without Shunt
  • AS
  • PS
  • Coarctation of the aorta

35
Tetralogy of Fallot
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TAPVC
38
EBSTEIN'S ANOMALY
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Type of congenital heart operations
  • Curative operation(ASD-VSD-COA,.)
  • Palliative operation(Systemic pulmonary
    shunt-Pulmonary artery banding-Atrial septectomy)

45
Sys-Pul shunt
46
PA Banding
47
Atrial septectomy
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