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Surgical Procedures Adam Rowe Medical Terminology Bios 120 17 February 2010
Cardiovascular Surgical Procedures Earliest open heart surgery performed in 19th century Robot-assisted heart surgery becoming more common Major complications are neurological
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
Heart Transplantation Recommended for: Coronary artery disease Severe heart failure Heart defects present at birth Only when medication won’t work Not recommended for patients with: Recent cancer Insulin-dependent diabetes Kidney, lung, nerve or liver disease Smoking addiction
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
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
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
Embolectomy Indication Surgical and catheter embolectomy is preferred for patients with pulmonary embolism Acute limb ischemia Removal of blood clot  Stroke
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
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      -  Don’t last as long as          mechanical valves
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
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
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

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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 won’t 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 - Don’t 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