Cardiology

Cardiology

A branch of medicine that deals with disorders of the heart as well as certain parts of the circulatory system.

Definition :

A heart transplant, or heart transplant, is a surgical procedure that involves replacing a diseased heart with a healthy heart, taken from a donor of the same blood type.

Indications :

End-stage heart failure with maximum use of medical treatment, frequent hospitalizations and NYHA (New York Heart Association) stage III or IV :

1 – When no other solution is possible.

2 – In patients who will be able to derive maximum benefit from it.

3 – Primary cardiomyopathies.

4 – Ischemic cardiomyopathy.

5 – Ventricular dysfunction after valve replacement surgery.

6 – Ventricular dysfunction of aged congenital heart disease, operated or not.

Process :

Before registration on the national waiting list, the multidisciplinary team will discuss the indications and what is called the benefit / risk balance before proceeding with the administrative registration. Once registered, the patient will be assigned a Score that will allow him to move up the list according to several parameters that the medical team will provide in software.

This information is given as an indication and must be transmitted by a doctor on the day of your treatment.

The information contained on this site should not be used as a substitute for a medical consultation. Always speak with your doctor for information on diagnosis and treatment.

Transluminal dilatation, percutaneous transluminal coronary angioplasty (PTCA) or percutaneous coronary intervention are similar which is a treatment which allows one or more coronary arteries to dilate which are narrowed or blocked by an atherosclerotic plaque which causes infarctions of the heart with or without cardiac arrest.

The procedure is performed under local anesthesia by an expert cardiologist with special attention during this procedure.

The stages of coronary angioplasty surgery :

1 – A coronary angiography is an X-ray examination using X-rays with a contrast product that allows you to view blocked arteries on a screen.

2 – A balloon is introduced through the femoral (above the leg) or radial (wrist) artery.

3 – The cardiologist lifts the balloon up to the targeted artery during the coronary angiography.

4 – The balloon inflates, which crushes the atherosclerotic plaque and widens the diameter of the artery.

5 – Blood circulation is restored with a new X-ray control which makes it possible to ensure that the objective is reached by the fact that the artery is perfectly unblocked.

6 – Placement of a simple or pharmacoactive stent (small spring) (covered with an antiproliferative substance) in the artery during the procedure to prevent it from being blocked again.

7 – End of the operation with return to the hospital room and prescription of antiplatelet therapy.

Average length of stay in France : 3-7 days.

Number of days of hospitalization : 1-2 days.

This information is given as an indication and must be transmitted by a doctor on the day of your treatment.

The information contained on this site should not be used as a substitute for a medical consultation. Always speak with your doctor for information on diagnosis and treatment.

Which is the consequence of several coronary arteries which are blocked which triggers angina pectoris, heart attack and heart failure.

– Very common disease 1st cause of death in the world.

– 80% of sudden deaths are linked to the rupture of an atherosclerotic plaque, the majority of which is of coronary origin.

– 1.1 M deaths worldwide linked to coronary heart disease, i.e. 1 death / 30 sec.

– Or one death / 7 min.

– Of which 1/3 related to coronary disease.

– Infarct mortality.

– 10% die during the first hour.

– 15% die at 1 year.

Coronary artery bypass surgery, or heart bypass surgery, is a common surgical procedure performed on the heart to prevent coronary artery disease and coronary artery disease.

The surgeon will identify and remove a healthy blood vessel from another part of the body, usually the chest, leg or arm (mammary artery, saphenous vein, radial artery, he will then attach it to the coronary artery, above and below the blocked section, bypassing it effectively.

The entire procedure is performed under general anesthesia.

There are two methods of performing coronary bypass surgery :

1 – Beating heart surgery, also called pumpless surgery, is performed while the heart is beating. It often requires special equipment that allows the surgeon to operate on the heart while it is beating.

1.2 – The advantages of this procedure are multiple.

1.3 – Hospitalization is shorter

1.4 – The patient can go out after two or three days of observation.

1.5 – The intervention is less painful and recovery almost immediate

2 – The stopped heart surgery is performed by an incision in the chest while the heart is stopped and an Extra Body Circulation device (ECB) is responsible for circulating the blood.

Technique with CEC :

Placement of an atriocave cannula which will divert the blood in a heparin circuit equipped with an oxygenator (role of the lung), and an arterial pump (role of the heart) leading to a reinjection circuit. in place in the ascending aorta. – exclusion of the heart by aortic clamping and preservation of cardiac function thanks to cardioplegia which stops the heart, but above all protects it.

Average length of stay in France : 4-6 days.

Number of days of hospitalization : 1-2 days.

The information contained in this site should not be used as a substitute for a medical consultation.

Always speak with your doctor for information on diagnosis and treatment.

A non-surgical technique for replacing a person’s pulmonary valve.

It is used to treat patients who are not recommended for open heart surgery and manifests itself as :

– Increasing progressive dyspnea (difficulty in breathing).

– Palpitations, G precordialgia (heart pain on the left).

The examinations necessary for the intervention are :

– A transthoracic Doppler echocardiography (TTE).

– Magnetic resonance imaging (MRI) and / or coroscanner.

An artificial heart valve attached to a metal frame is placed inside a thin, hollow and flexible tube (catheter). This is then guided to the heart by a vein (usually at the top of the leg or in a vein in the neck). Once in place, a small balloon attached to the end of the catheter is inflated to open the new valve into position, replacing the old one. The catheter is then withdrawn.

This allows the new valve to pump blood properly.

Average length of stay in France : 10-15 days.

Number of days of hospitalization : 5-10 days.

The information contained in this site should not be used as a substitute for a medical consultation.

Always speak with your doctor for information on diagnosis and treatment.

A non-surgical technique for replacing a person’s pulmonary valve.

It is used to treat patients who are not recommended for open heart surgery and manifests itself as :

– Increasing progressive dyspnea (difficulty in breathing).

– Palpitations, G precordialgia (heart pain on the left).

The examinations necessary for the intervention are :

– A transthoracic Doppler echocardiography (TTE).

– Magnetic resonance imaging (MRI) and / or coroscanner.

An artificial heart valve attached to a metal frame is placed inside a thin, hollow and flexible tube (catheter). This is then guided to the heart by a vein (usually at the top of the leg or in a vein in the neck). Once in place, a small balloon attached to the end of the catheter is inflated to open the new valve into position, replacing the old one. The catheter is then withdrawn.

This allows the new valve to pump blood properly.

Average length of stay in France : 10-15 days.

Number of days of hospitalization : 5-10 days.

The information contained in this site should not be used as a substitute for a medical consultation.

Always speak with your doctor for information on diagnosis and treatment.

A cardiac resynchronization device sends tiny electrical impulses to the lower chambers of your heart to help it perform its pumping function more efficiently.

Cardiac resynchronization is a therapeutic option for the treatment of heart failure in which an implantable heart device helps the lower chambers of the heart beat rhythmically.

What is a cardiac resynchronization device ?

A cardiac resynchronization device sends small electrical impulses to the two lower chambers of the heart to help them beat in a more synchronized manner. This improves the heart’s ability to supply the body with blood and oxygen.

The heart device is a tiny computer with a battery contained in a small titanium case the size of a watch. It weighs around 85 grams.

It is designed to treat heart failure.

In addition to the heart apparatus, insulated wires called leads are implanted for a dual purpose: to carry information signals from your heart to the heart apparatus and to carry electrical impulses to your heart.

Finally, your implantable system communicates with a programmer, that is to say a computer placed in your doctor’s office which is used to program the heart device and to retrieve useful information for your doctor.

There are two types of implantable devices for the treatment of heart failure :

1 – The cardiac resynchronization device.

2 – The cardiac resynchronization device with defibrillation therapy.

These two devices help coordinate the pumping action of the heart and improve blood flow. The former can also speed up a heart that is beating too slowly, and the latter can also detect and treat dangerously rapid heart rhythms that some people with damaged myocardium may develop. Your doctor will determine the type of device that is appropriate for your condition.

Average length of stay in France : 8-10 days.

Number of days of hospitalization : 2-5 days.

This information is given as an indication and must be transmitted by a doctor on the day of your treatment.

The information contained on this site should not be used as a substitute for a medical consultation.

Always speak with your doctor for information on diagnosis and treatment.

An Automatic Implantable Defibrillator (AID) is a tiny computer with a battery contained in a small titanium case the size of a watch. It weighs around 70 grams. The ICD is implanted under your skin, usually on the left or right of your chest, just below the collarbone.

Besides the device itself, probes (tiny insulated wires) are implanted for a dual purpose :

1 – Carry the signals from your heart to the heart apparatus.

2 – If necessary, transport the electrical impulses to your heart.

The third part of your implantable system is a programmer, which is an external computer located at your doctor’s office, which is used to program the heart device and collect information that will help your doctor manage your condition. treatment.

Average length of stay in France : 8-10 days.

Number of days of hospitalization : 2-5 days.

The information contained in this site should not be used as a substitute for a medical consultation.

Always speak with your doctor for information on diagnosis and treatment.

An endovascular prosthesis is like a small metal “mesh” placed inside your aorta. It supports the weakened area, allowing you to return to your normal activities.

An endovascular prosthesis is a synthetic fabric tube with a metal support structure (stent). The stent excludes the area of the aorta weakened by the aneurysm to prevent its rupture.

The stent is designed so that it can be placed inside the injured area of your aorta without surgically opening the blood vessel and removing tissue.

Endovascular therapy is a new form of treatment for thoracic aortic aneurysms, which is less invasive than open surgery. Endovascular treatment uses a device called a stent.

The endovascular prosthesis is a synthetic fabric tube with a metallic support structure (stent). During the procedure, it is placed inside your thoracic aorta using a flexible, thin and long plastic tube called a delivery catheter.

The catheter is inserted into an artery in the leg near the groin.

Aided by advanced medical imaging techniques, the surgeon guides the catheter carrying the prosthesis to the aneurysm inside the aorta.

Once the prosthesis is in position, the surgeon deploys it and withdraws the catheter.

The purpose of endovascular solution and open surgery is to prevent rupture of a thoracic aneurysm. Only your doctor can determine which treatment is best suited to your condition and condition.

Open Surgery :

Open surgery is performed under general anesthesia. A surgeon first makes an incision in your side. Then the aneurysm is replaced with a fabric prosthesis which is sewn in place.

Endovascular Surgery :

Endovascular repair can be done under local or general anesthesia, depending on the patient. Endovascular repair is considered less invasive than open surgery because the stent is placed without opening your chest or removing part of your aorta.

Average length of stay in France : 10-14 days.

Number of days of hospitalization : 7 days.

This information is given as an indication and must be transmitted by a doctor on the day of your treatment.

The information contained on this site should not be used as a substitute for a medical consultation.

Always speak with your doctor for information on diagnosis and treatment.

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