INTRODUCTION TO CARDIOTHORACIC SURGERY

SMF BEDAHRSUD Budhi AsihJakarta

HISTORICAL PERSPECTIVE

Heart Wound Surgery of the Pericardium Catheteritation of the right site heart Cardio Pulmonary ByPass Congenital Heart Surgery

Extra Corporal Life Support Myocardial Protection Valvular Heart Surgery Coronary Artery Bypass Arrythmic Surgery

Pace Makers Heart, Heart-Lung, and Lung Transplantation Heart Assist and Artificial Heart Thoracic Aorta Surgery

How important is CT surgical How important is CT surgical service in the future?service in the future?

Causes of death 2020:Causes of death 2020:CoronaryCoronaryStrokeStrokeEmphysemaEmphysemaResp. inf.Resp. inf.Resp. cancerResp. cancerTrafficTrafficTuberculosisTuberculosisStomach CaStomach CaHIVHIV Lancet 1997 Lancet 1997

Area of Activities in CT Surgery1. Cardiac:

Adult: Surgical treatment of CAD Valvular Heart Surgery Surgery of the Great Vessels Surgery for Arrythmias Cardiothoracic transplantation and chronic

circulatory support Trauma, Cardiac Neoplasms, etc

Pediatric: Left to Right Right to Left Complex Cardiac Anomaly Open or Closed Heart Surgery

Area of Activities in CT Surgery

2. Thoracic Non-Cardiac Surgery Trauma Infections Lung Disease Tumors of the Lung Surgery for Esophagus Congenital defect Future:

The use of Genetic Science Innovative therapy and technology

General thoracic surgeryThoracoscopicEndoscopic

Heart and lung transplantationCell transplantation

MyoblastsStemcells

Multiorgan transplantationPediatric co-operation

Aortic surgeryComplex proceduresEndoscopic stent grafts

Coronary artery bypass surgeryEndoscopic surgeryAutomatic anastomotic devicesRobotic surgeryValve surgery New technology valves, tissue engineering techniqueEndoscopic proceduresCardiac arrhythmiaAtrial fibrillation procedures

Maze, microwave, radiofrequencyThoracoscopic microwave Maze

Mechanical assist devices (VAD)Berlin HeartIMPELLA

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