Surgical Procedures

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3 Common Surgical Procedures for Cardiovascular System

Transcript of Surgical Procedures

  • 1. Surgical Procedures
    Adam Rowe
    Medical Terminology
    Bios 120
    17 February 2010

2. Cardiovascular Surgical Procedures
Earliest open heart surgery performed in 19th century
Robot-assisted heart surgery becoming more common
Major complications are neurological
3. Heart Transplantation
Surgery to remove damaged or diseased heart and replace it with a healthy donor heart
Heart is removed in patient and blood is circulated through heart-lung bypass machine
Keeps blood oxygen rich during procedure
Donor heart is stitched in place
Tubes are inserted to remove air, fluid and blood out of chest for several days
4. Heart Transplantation
Recommended for:
Coronary artery disease
Severe heart failure
Heart defects present at birth
Only when medication wont work
Not recommended for patients with:
Recent cancer
Insulin-dependent diabetes
Kidney, lung, nerve or liver disease
Smoking addiction
5. Heart Transplantation
Risks
Deep venous thrombosis
Damage to organs from anti-rejection medication
Heart attack or stroke
Facts
About 3,500 performed each year
First one performed in 1968
6. Heart Transplant
Outlook
First 24-48 hours are spent in ICU
Typical hospital stay is 4-21 days
Recovery time is about 6 months
Main concern is rejection
80% success rate for first 2 years
Post operation survival rate is 15 years
7. Embolectomy
Emergency surgical removal of an emboli which is blocking blood circulation
Catheter Embolectomy
Inserting a catheter with an inflatable balloon attached to tip
Passing catheter beyond tip of clot
Inflating the balloon and pulling out the clot
Surgical Embolectomy
Simple surgical removal of clot by incision into the vessel
8. Embolectomy
Indication
Surgical and catheter embolectomy is preferred for patients with pulmonary embolism
Acute limb ischemia
Removal of blood clot
Stroke
9. Embolectomy
Risk and outcome
recover
80% success rate
Vessel wall damage, heart attack
Good outcome, unless necrosis before the procedure was extensive
Relatively quick
Leave from work may be necessary
No heavy lifting
10. Valve Replacement
One or more heart valves are replaced with a healthy valve
Mechanical Valves
- Man made valve
- Lifetime anticoagulant is
needed
Biological Valves
- Taken from cow, pig or human
donors
-Dont last as long as
mechanical valves
11. Valve Replacement
Procedure
Multiple incisions made in chest
Heart is stopped and passed through heart-lung machine to keep blood oxygenated
Incision is made in heart or aorta to reach valve
Correct size valve is selected and stitched into place
12. Valve Replacement
Risks
Mortality rate of 1-5%
Infection, bleeding, stroke, heart attack
Recovery
ICU for 12-36 hours immediately following surgery
Typical stay is 4-10 days
Full recovery is 1-3 months, depending on health
No heavy lifting for 3-6 months
13. Valve Replacement
Facts
About 225,000 performed each year
Mechanical valves often make a faint clicking noise as they open and close
Aortic Stenosis is the most common reason for valve replacement