Medical Specialties

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Heart Surgery

Cardiac Surgery is the medical specialty that deals with disorders and diseases of the cardiocirculatory system that require surgical treatment.

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Its activity is mainly focused on:

  • All the diagnostic and therapeutic processes related to the cardiovascular system.
  • The organization and management of the health systems and structures needed to carry out this activity
  • The organization and management of the teaching systems related to the specialty
  • The accreditation of specialist professionals
  • The organization of professional societies and participation groups in administrative and/or political health institutions, both national and local. 

Scope of Cardiac Surgery
Cardiac surgery includes the preoperative, perioperative and postoperative processes in the following pathology groups:

  • Acquired abnormalities of the heart, pericardium and large vessels
  • Congenital anomalies of the heart and large vessels
  • Pathology of the thoracic aorta
  • Pathology of the supra-aortic trunks
  • Circulatory assistance
  • Heart transplant
  • Heart-lung transplant

 In order to carry out this activity, it is necessary to be able to perform the essential procedures and techniques listed below:

Portfolio of services
Preoperative, perioperative and postoperative process in the following pathology groups:

Congenital and acquired pathologies of cardiac valves that generate:

  • Significant stenosis or insufficiencies of the aortic valve, mitral valve, tricuspid valve or pulmonary valve.
  • Infections of any of the four valves
  • Pathologies of other anatomical regions of the heart that affect some of the valves
  • Dysfunction, thrombosis or infection of prosthetic valves previously implanted
  • Iatrogenic disease of any cardiac valve

Congenital anomalies of the adult heart

  • Abnormal drainage
  • Defects of the atrial septum and ventricular septum
  • Defects of the large vessels
  • Valvular anomalies

Pathology of the aorta in the thoracic segments

  • Atherosclerotic aneurysms
  • Aneurysms associated with connective tissue diseases
  • Acute or chronic arterial dissections
  • Mycotic aneurysms
  • Arterial pseudoaneurysms
  • Traumatic rupture of the thoracic aorta
  • (These pathologies will be addressed if they affect any of the following segments: aortic root, tubular aorta, aortic arch and ascending thoracic aorta)

Ischemic (coronary) heart disease

  • Significant coronary disease of one, two, or all three major coronary arteries
  • Severe coronary disease of the left coronary trunk
  • Mechanical complications after a heart attack

Pathologies of the pericardium

  • Severe pericardial effusion (“fluid around the heart”)
  • Purulent pericarditis
  • Constrictive pericarditis

Pathologies of the myocardium

  • Left dilated cardiomyopathy with ventricular dysfunction
  • Infiltrative cardiomyopathy
  • Advanced left or right ventricular dysfunction with poor functional class
  • Benign or malignant cardiac tumours
  • Penetrating or blunt cardiac trauma
  • Acute or chronic thromboembolic disease
  • Ventricular and supraventricular cardiac arrhythmias
  • Pleural pathologies
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