UNIT VIII: ACQUIRED HEART DISEASE


A. Coronary Artery Disease



Contents:

  1. Cardiac anatomy
    1. Left and right main coronary arteries
    2. Left anterior descending coronary artery
    3. Circumflex coronary artery
    4. Right coronary artery
    5. Coronary venous system
    6. Left and right ventricular anatomy

  2. Radiographic cardiac and coronary anatomy
    1. Right anterior oblique views
    2. Left anterior oblique views
    3. Cranial view
    4. Ventriculography

  3. Pathologic development of atherosclerotic plaque
    1. Endothelial injury
    2. Platelet factors
    3. Cellular factors
    4. Serum factors

  4. Coronary artery bypass grafting
    1. Rationale
    2. Conduits
    3. Techniques
    4. Technical considerations
    5. Myocardial protection

  5. Preoperative evaluation
    1. Symptoms of cardiac ischemia
    2. Non-invasive testing
    3. Invasive testing
    4. Decision making

  6. Postoperative care
    1. Intensive care
    2. Acute care
    3. Long term management
    4. Late complications

  7. Outcome
    1. Expected operative mortality
    2. Long term results

  8. Complications of ischemic heart disease
    1. Chronic mitral insufficiency
    2. Ruptured papillary muscle (non-operative and operative management)
    3. Ventricular septal defect (non-operative and operative management)
    4. Cardiac rupture (non-operative and operative management)
    5. Left ventricular aneurysm

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