CARDIAC SURGERY
The main fields of Cardiac Surgery include surgical treatment of ischemic heart disease, congenital
and acquired diseases of heart and thoracic aorta, and other cardiac diseases, e.g. neoplasms of
heart. Several diagnostic procedures are important in the decision-making process before, during and
after surgical treatment, which creates the need of close co-operation between cardiac surgeons and
other specialists and general practitioners. The treatment of cardiac - surgical patient is not
completed when he is discharged from the hospital. Principles of proper short- and long-term
postoperative care are very important in achieving a therapeutic success. This is why the course is
focusing on the problems related to cardiac surgery rather, than details of cardiac operation. The
Medical College graduates should have a knowledge regarding cardiac surgery which will involve
diagnostics, decision-making process and postoperative treatment.
TEACHERS:

dr hab. Lech Anisimowicz, prof. UMK

dr n. med. Wojciech Pawliszak

lek. Jarosław Kołakowski

lek. Remigiusz Tomczyk

lek. Przemysław Kuliński

lek. med. Jakub Piotrowski
CONTACT: kikkarch@cm.umk.pl
SYLABUS
I. Name of the unit offering the course: Department of Cardiac Surgery
II. Head of the unit: dr hab. Lech Anisimowicz, prof. UMK
III. 5th year, number of hours: 25
IV. Form of classes: seminars: 5, tutorials: 20
V. Form of crediting: credit with grade
VI. Number of ECTS points: 1
VII.
Aim of Teaching:
a.
To check fundamental knowledge of cardiac surgical anatomy, physiology and pathology
b.
Principles of perioperative and intraoperative care
c.
Ischemic heart disease
d.
Valvular heart disease
e.
Diseases of the great vessels
f.
Surgery for cardiac arrhythmias, congenital heart disease, pericardial disease, neoplasms of
the heart
g.
Circulatory support and heart transplantation
VIII.
Topic of classes:
a.
Fundamental knowledge of cardiac surgical anatomy, physiology and pathology
b.
Principles of perioperative and intraoperative care: Preoperative evaluation for cardiac
surgery, Monitoring and anesthesia, Extracorporeal circulation, Transfusion therapy and blood
conservation, Deep Hypothermic circulatory arrest, Myocardial protection, Postoperative care of
cardiac surgical patient, Cardiopulmonary resuscitation, Temporary circulatory support, Late
complications after cardiac surgery
c.
Ischemic Heart disease: Indications for coronary revascularization, Role of PCI and CABG,
Methods of surgical coronary revascularization: (CABG, OPCABG, MIDCAB, TECAB, TMLR), Surgical
treatment of complications of acute myocardial infarction: (postinfarction ventricular septal defect,
free wall rupture, acute mitral regurgitation), Ischemic mitral regurgitation, Left ventricular
aneurysm.
d.
Valvular heart disease: pathophysiology, Indications for surgical treatment, valve repair,
valve replacement, Surgical treatment of endocarditis.
e.
Diseases of great vessels: Aortic dissection, Ascending, arch and descending thoracic aortic
aneurysm, Traumatic lesions of great vessels, Surgery and endovascular techniques, Pulmonary
thromboendarterectomy
f.
Congenital heart disease in pediatric and adult patients, pericardial disease, Cardiac
neoplasms
g.
Cardiothoracic transplantation and chronic circulatory support: Heart transplantation, Heartlung and lung transplantation, Circulatory support, Total artificial heart, other surgical options for
heart failure, Tissue engineering for cardiac surgery
X.
Literature:
a.
TSRA Review of Cardiothoracic Surgery
http://www.tsda.org/resources/tsra-review-of-cardiothoracic-surgery/
b.
Multimedia
Manual
of
http://mmcts.oxfordjournals.org
Cardiothoracic
Surgery.
Editor:
Marko
Turina
RULES AND REGULATIONS
Clinical classes and seminars take place in the Chair and Department of Cardiac Surgery, Nicolaus
Copernicus University Collegium Medicum.
The Department is located at the dr A. Jurasz University Hospital Nr 1 Bydgoszcz.
The course in cardiac surgery in English for students of the fifth course of Medical Faculty takes four
days, and involves 20 hours of classes (4h daily), and 5 hours of seminars (1h15m daily). The subject
and details of the course are listed in syllabus. Each student should be prepared by reading the listed
subjects before the course, to be able to participate actively (sources available on-line are listed in
syllabus). Active participation and writing a test is required to complete the course.
The course starts every day, according to the schedule for each group, at 8.30 am. Each student
should be equipped with white medical coat, stethoscope, and shoes for indoor hospital use. The
program includes short breaks for relax, and small meal (not provided)