- Docente: Giorgio Arpesella
- Credits: 3
- Language: Italian
- Teaching Mode: Traditional lectures
- Campus: Bologna
- Corso: Long cycle 2nd degree programme in Medicine (cod. 0080)
Learning outcomes
The students will reach a wide knowledge regarding the most actual surgical and medical therapeutic options in the treatment of the advanced and terminal cardiac failure: diagnosis and medical therapy, heart transplantation clinical screening, other surgical and mechanical alternatives, heart transplantation and other surgical options as cellular cardiomyoplasty, Batista's cardiomyoplasty, dynamic cardiomyoplasty, cardiac electrical re-syncronization, Bolling technique for mitral regurgitation associated to ventricular dilatation, Acorn device implantation. Moreover, students will acquire the capabilities to understand and apply the basis of indication and contraindications, in a continuous evolving science, of the different surgical techniques and Ventricular Assistance Devices with technologies offers to the surgeon, in a short and long term utilization (left ventricular assistances, right and biventricular devices, para and intracorporeal systems and total artificial heart).
Course contents
Historical background. Clinical management of the patient with advanced chronic heart failure. Functional mitral insufficiency. Indications and contraindications to cardiac transplantation. Clinical and pharmacological management of cardiac transplanted patients. Maximal therapy concept in heart failure, single drug mechanism of action, and clinical management of patient with maximal medical therapy. Clinical parameters and instrumental diagnosis needed to give indication to surgery. Critical analysis of relative and absolute contraindications to surgery. General concepts of problems related to cardiocirculatory assistances and artificial heart projects. Actual surgical techniques. Cardiocirculatory assistances classification. Intra-aortic balloon pump physiology. Continuous flow devices physiology. Pulsatile flow devices physiology. Therapeutical approach and "art status". Materials used for the assistances and related problems. Energy release. Critical analysis of new projects on cardiocirculatory assistances. Postoperative clinical problems. Long term complications and results.
Teaching methods
Frontal lessons
Assessment methods
A test with questions and multiple answer
Teaching tools
Slides, video, bibliographic references
Office hours
See the website of Giorgio Arpesella