Veidlapa Nr. M-3 (8)
Study Course Description
Late Postoperative Period
Course Code
RSK_032
Branch of Science
Clinical medicine; Surgery
ECTS
27.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Romans Lācis
Residency Speciality
Speciality
Cardiac surgeon
Supervisor of Medical Speciality
Romans Lācis
Contacts
-
About Study Course
Objective
To train residents in late postoperative period management after cardiac surgery, with a particular focus on „redo” surgery, hybrid surgery and robotic surgery. To train residents to conduct classes for students and perform scientific and research studies.
Learning Outcomes
Knowledge
1.Knowledge of the course of late postoperative period, of keeping coronary grafts patent, of anticoagulation therapy after heart valve replacement.
Skills
1.• To participate in „redo” surgery, to luxate the heart out of adhesions for proceeding with the surgery; • To conduct student and resident classes in the speciality; • To do a scientific research thesis.
Competences
1.To provide primary and emergency aid to patients in compliance with requirements set by legal acts of Cabinet of Ministers of Latvia, Health ministry and regulations of Cardiac Surgeons Association.
Assessment
Individual work
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Individual work |
-
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-
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The resident compiles an overview, recommendations for remote postoperative management after myocardial revascularization, and valve surgery.
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Examination
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Examination |
-
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-
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The material is submitted in printed and data carrier format. The lecturer evaluates the material according to a 10-point system.
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Study Course Theme Plan
FULL-TIME
Part 1
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Seminar
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Modality
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Location
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-
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-
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Topics
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Surgical treatment of atrial fibrillation (AF).
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-
Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Converting to off-pump mode during surgery.
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-
Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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“Redo” cardiac surgery.
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-
Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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“Redo” congenital heart disease surgery (two-stage surgery)
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Patient management after coronary artery bypass grafting (CABG), assessing outcomes.
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-
Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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“Redo” myocardial revascularization.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Late postoperative period in congenital heart disease surgery.
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-
Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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CHD combined with heart valve diseases.
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-
Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Surgery of cardiac arrhythmias (pacemakers).
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-
Seminar
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Modality
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Location
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|---|---|---|
|
-
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-
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Topics
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CHD myocardial revascularization combined with left ventricle aneurism resection.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Managing late postoperative period after cardiac surgery.
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-
Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Multifocal atherosclerosis and myocardial revascularization within combined surgery.
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Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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CHD combined with brachiocephal vessel stenosis.
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-
Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Improving the results of surgical treatment, perspective.
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-
Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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CHD combined with KSS a.subclavia and/or aortic occlusion.
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-
Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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“Redo” heart valve reconstruction.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Specialized room
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Topics
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Managing late postoperative period after heart valve replacement surgery.
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-
Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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Standards and algorithms in cardiac surgery.
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Total ECTS (Creditpoints):
27.00
Number of Residency Seminars:
18
Length (weeks):
20
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Cardiac Surgery. Operative and Evolving Technique. 2nd Edition, Kindle Edition, 2021
2.
Otto CM, Bonow RO. Valvular Heart Disease: A Companion to Braunwald’s. Heart Disease. 4th Edition. Philadelphia, PA: Elsevier Saunders; 2014.
3.
Diagnosis and Management of Adult Congenital Heart Disease. 3rd Edition, 2017.
4.
Adult Congenital Heart Disease, An Issue of Cardiology Clinics. 1st Edition, 2020.
Additional Reading
1.
Important Changes Published in the new 2020 ACC/AHA Valvular Heart Disease Guidelines
2.
Centers for Disease Control and Prevention, National Center for Health Statistics. Underlying Cause of Death 1999-2017 on CDC WONDER Online Database, released December, 2018. Data are from the Multiple Cause of Death Files, 1999-2017, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program.
3.
2017 ESC/EACTS Guidelines for the management of valvular heart disease
4.
Heart valve disease
5.
2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines
6.
2021 ESC Guidelines on cardiovascular disease prevention in clinical practice: Developed by the Task Force for cardiovascular disease prevention in clinical practice with representatives of the European Society of Cardiology and 12 medical societies With the special contribution of the European Association of Preventive Cardiology (EAPC)
7.
2021 ESC Guidelines for Acute and Chronic Heart Failure: Key Points
8.
2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart Failure ESC Clinical Practice Guidelines
9.
2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) With the special contribution of the Heart Failure Association (HFA) of the ESC
10.
Khonsari's Cardiac Surgery: Safeguards and Pitfalls in Operative Technique 5th Edition, Kindle Edition (2022)
Other Information Sources
1.
Technical Aspects of Modern Coronary Artery Bypass Surgery. 1st Edition, Kindle Edition with Audio/Video