HEART SURGERY

Degree course: 
Corso di Long single cycle degree (6 years) in Medicine and Surgery
Academic year when starting the degree: 
2015/2016
Year: 
4
Academic year in which the course will be held: 
2018/2019
Course type: 
Compulsory subjects, characteristic of the class
Credits: 
3
Period: 
First Semester
Standard lectures hours: 
16
Detail of lecture’s hours: 
Lesson (16 hours)
Requirements: 

Written test and oral exam. In order to pass the written test and to access the oral exam, the student must obtain a minimum score of 18/30, in at least 3 of 4 questions. The exam will focus on the program of the of integrated course, aiming to evaluate: knowledge and understanding (25%), ability to apply knowledge and capacity of understanding (25%),judgement (15%), communicative skills (15%) and learning ability (20% ),in relation to the theoretical and practical bases of surgical pathology (natural history, diagnostic methods and prognostic guidelines of diseases of surgical interest). One final score for the integrated course.

Assessment: 
Voto Finale

To reach a complete acknowledgement on principal physiopathological aspects of most relevant surgical pathologies
To acquire the basic knowledge of: diagnosis and treatment of the main vascular and heart disease of surgical interest; natural history, diagnostic methods and prognostic guidelines of surgical diseases of the thoracic organs; pathophysiology, natural history, diagnostic methods, prognostic guidelines and principles of surgical therapy of digestive diseases.

Program of SURGICAL PHYSIOPATHOLOGY:
Postoperative complications; surgical wound infections
Peritoneal disease
Abdominal trauma
Shock
Breast diseases
Endocrinosurgical diseases (thyroid, parathyroid, pancreas and adrenals)
Transplants
Urologic diseases
Intestinal obstruction and acute abdomen
Digestive hemorrhage and intestinal ischemia
Oesophageal pathologies
Gastric, duodenal, biliary and pancreatic pathologies
Small intestine and appendix
Inflammatory intestinal diseases

Program of VASCULAR SURGERY:
Pathology of:
Thoracic-abdominal aorta
Aneurysmal disease
Aortic dissection
Carotid artery diseases
Cerebrovascular disease
Arterial diseases of the lower limbs
Atherosclerotic and non-atherosclerotic arterial disease
Chronic venous insufficiency
Venous thrombosis and pulmonary thromboembolism
Diseases of visceral arteries
Aneurysmal and obstructive diseases
Principles of instrumental diagnosis of vascular diseases

Program of CARDIAC SURGERY:
Embryology
Extracorporeal circulation
Preoperative evaluation
Congenital heart diseases
Acquired valvular diseases
Thoracic aorta diseases
Ischemic heart diseases
Cardiac tumors

Program of THORACIC SURGERY:
surgical anatomy, pathophysiology, natural history and diagnostic methods of the main surgical diseases of the chest.
Chest wall: malformations; tumors; surgical anatomy;diagnostic procedures.
Pleura: pleural effusions; empyema; hemothorax; chylothorax; pleural mesothelioma; metastatic pleural tumors; spontaneous and acquired pneumothorax.
Mediastinum: surgical anatomy; pathophysiology; diagnostic methods; mediastinal syndromes; inflammatory and neoplastic diseases; tumors of the anterior, middle and posterior mediastinum; thymic tumors.
Trachea: surgical anatomy; pathophysiology; diagnostic methods;malformations;inflammatory and neoplastic diseases; trauma.
Lung: anatomy; pathophysiology; malformations; inflammatory, infectious and degenerative diseases; primary and metastatic neoplasms: natural history and diagnosis.
Diaphragm: diaphragmatic hernias: surgical anatomy, pathophysiology, diagnostic methods.
Chest trauma: rib fractures, penetreting and blunt trauma, injuries of the thoracic organs; mediastinal emphysema.
Tracheobronchial endoscopy and thoracoscopy.

Program of DIGESTIVE SURGERY :
Surgical aspects of obesity
Surgical pathology of the esophagus
Surgical pathology of the stomach and duodenum
Surgical pathology of liver and biliary tract
Surgical diseases of the pancreas
Surgical diseases of the colon and rectum
Surgical disease of the spleen and lymphadenopathy
Hernias

Sabiston, Textbook of Surgery, ed. Saunders
R. Dionigi: Chirurgia, Ed. Elsevier,2017
Giulio Carcano & Renzo Dionigi: Principi di tecnica chirurgica, Ed.Masson,1999
Giulio Carcano & Renzo Dionigi: Le ferite, Ed. Masson, 1998
L.H, Cohn, L.H.Edmunds Jr – CARDIAC SURGERY IN THE ADULT - Mc Graw Hill, 2003
C. Beghi - Dispensa delle lezioni di Cardiochirurgica (available on Cardiochirurgia-Insubria)

Professors

Parent course