Pediatric Heart Diseases
A.Y. 2023/2024
Learning objectives
- Acquire knowledge of the anesthetic techniques used in the treatment of children's heart disease
- Knowing the principles of general pediatrics and acquire the knowledge of instrumental diagnostic techniques.
- Knowing the pathophysiology of congenital heart diseases and their surgical treatment
- Acquire extracorporeal circulation methods in the surgical treatment of cardiac pathologies
- Knowing the principles of general pediatrics and acquire the knowledge of instrumental diagnostic techniques.
- Knowing the pathophysiology of congenital heart diseases and their surgical treatment
- Acquire extracorporeal circulation methods in the surgical treatment of cardiac pathologies
Expected learning outcomes
Knowledge of the pathophysiology of pediatric congenital heart diseases, instrumental diagnostics, surgical treatment using Extracorporeal Circulation and anesthetic techniques used
Lesson period: First semester
Assessment methods: Esame
Assessment result: voto verbalizzato in trentesimi
Single course
This course can be attended as a single course.
Course syllabus and organization
Single session
Prerequisites for admission
No prior knowledge is required
Assessment methods and Criteria
The exam will be written. It will mainly consist of multiple choice questions with the addition of some open questions, in addition it will be possible, at the discretion of the teacher, to carry out an additional oral test.
Paediatric surgery
Course syllabus
Anatomy and pathophysiology of congenital heart disease
Arrhythmic disorders in children
Notes on the main infectious heart diseases
Elements of pediatric echocardiography
Arrhythmic disorders in children
Notes on the main infectious heart diseases
Elements of pediatric echocardiography
Teaching methods
The courses will include lectures with the possible addition of laboratory exercises
Teaching Resources
B. Marino, G. Santoro, O. Milanesi, R. Formigari - Cardiologia pediatrica. Problematiche cliniche - Minerva Medica
Gabriele Bronzetti - L'ECG dell'età evolutiva. Normali e varianti, aritmie, cardiopatie congenite, atleti - Il pensiero scientifico editori
A. Carlson Merrow, Selena Hariharan - Diagnostica per immagini in pediatria - Edra
Gabriele Bronzetti - L'ECG dell'età evolutiva. Normali e varianti, aritmie, cardiopatie congenite, atleti - Il pensiero scientifico editori
A. Carlson Merrow, Selena Hariharan - Diagnostica per immagini in pediatria - Edra
Paediatric heart surgery
Course syllabus
Atrial communications.
Interventricular communications.
Defects of the atrioventricular canal.
Ventricular outflow malformations.
Tetralogy of Fallot.
Ebstein anomaly.
Transposition of the large vessels.
Tricuspid atresia.
Double ventricle right ventricle.
Common arterial trunk.
Hypoplastic left heart syndrome.
Abnormal pulmonary venous return.
Patent arterial duct.
Aortic coarctation.
Aortic arch interrupted.
Interventricular communications.
Defects of the atrioventricular canal.
Ventricular outflow malformations.
Tetralogy of Fallot.
Ebstein anomaly.
Transposition of the large vessels.
Tricuspid atresia.
Double ventricle right ventricle.
Common arterial trunk.
Hypoplastic left heart syndrome.
Abnormal pulmonary venous return.
Patent arterial duct.
Aortic coarctation.
Aortic arch interrupted.
Teaching methods
The courses will include lectures with the possible addition of laboratory exercises
Teaching Resources
DIONIGI - Chirurgia - Masson Ed., 2002, 3a edizione
JONAS - Comprehensive Surgical Management of Congenital Heart Disease - Arnold, 2004
JONAS - Comprehensive Surgical Management of Congenital Heart Disease - Arnold, 2004
Paediatric anaesthesiology
Course syllabus
The preoperative visit
hemostasis
Special clinical situations
The induction of anesthesia
Maintenance and monitoring
Awakening and postoperative control
Assistance to the patient in postoperative intensive care
Anesthesia in pediatric cardiac surgery
Treatment of cariogenic shock and respiratory insufficiencies
hemostasis
Special clinical situations
The induction of anesthesia
Maintenance and monitoring
Awakening and postoperative control
Assistance to the patient in postoperative intensive care
Anesthesia in pediatric cardiac surgery
Treatment of cariogenic shock and respiratory insufficiencies
Teaching methods
The courses will include lectures with the possible addition of laboratory exercises
Teaching Resources
Linee guida SIAATIP
Methods and techniques of extracorporeal circulation
Course syllabus
Left-right shunts
Filling the circuit - Checking the blood count in extracorporeal circulation
PH trend in CEC and in hypothermia
Right-left shunts
Inflammatory cascade
Pathophysiology of CEC
Monitoring in CEC
Ultrafiltration
Complex congenital heart disease
Circle arrest
CEC Low flow hypothermic
Brain protection
Hemodynamic characteristics in congenital heart disease of the atrioventricular and ventricular-arterial junction Myocardial ischemia
Ischemia time
Reperfusion process
Myocardial protection
Hemodynamic characteristics in congenital ischemic heart disease
Cardiovascular assistance in CEC (IECS, intraoperative extracorporeal support)
Normothermic and hypothermic CEC
Hypothermia
Filling the circuit - Checking the blood count in extracorporeal circulation
PH trend in CEC and in hypothermia
Right-left shunts
Inflammatory cascade
Pathophysiology of CEC
Monitoring in CEC
Ultrafiltration
Complex congenital heart disease
Circle arrest
CEC Low flow hypothermic
Brain protection
Hemodynamic characteristics in congenital heart disease of the atrioventricular and ventricular-arterial junction Myocardial ischemia
Ischemia time
Reperfusion process
Myocardial protection
Hemodynamic characteristics in congenital ischemic heart disease
Cardiovascular assistance in CEC (IECS, intraoperative extracorporeal support)
Normothermic and hypothermic CEC
Hypothermia
Teaching methods
The courses will include lectures with the possible addition of laboratory exercises
Teaching Resources
Kirklin JW, Barrat-Boies BG: Cardiac Surgery. New Jork; C. Livingstone. 1993
Jonas RA,Elliot MJ: Cardiopulmonary Bypass in Neonates,Infants and Young Children. London; Butterworth Heinemann. 1994.
Stark J, de Leval M: Surgery for Congenital Heart Defects. Philadelphia; WB Saunders Company. 1994
Calza G: Fisiopatologia della CEC in età pediatrica. Torino; Edizioni Minerva Medica. 2013
Gregory S. Matte CCP, LP, FPP, Perfusion for Congenital Heart Surgery: Notes on Cardiopulmonary Bypass for a Complex Patient Population
Jonas RA,Elliot MJ: Cardiopulmonary Bypass in Neonates,Infants and Young Children. London; Butterworth Heinemann. 1994.
Stark J, de Leval M: Surgery for Congenital Heart Defects. Philadelphia; WB Saunders Company. 1994
Calza G: Fisiopatologia della CEC in età pediatrica. Torino; Edizioni Minerva Medica. 2013
Gregory S. Matte CCP, LP, FPP, Perfusion for Congenital Heart Surgery: Notes on Cardiopulmonary Bypass for a Complex Patient Population
Methods and techniques of extracorporeal circulation
MED/50 - APPLIED MEDICAL TECHNOLOGY AND METHODOLOGY - University credits: 2
Lessons: 20 hours
Professor:
Ghitti Davide
Paediatric anaesthesiology
MED/41 - ANAESTHESIOLOGY - University credits: 1
Lessons: 10 hours
Professor:
Ranucci Marco Maria Andrea
Paediatric heart surgery
MED/23 - HEART SURGERY - University credits: 1
Lessons: 10 hours
Professor:
Pocar Marco
Paediatric surgery
MED/20 - PAEDIATRIC SURGERY - University credits: 2
Lessons: 20 hours
Professor:
Colli Anna Maria
Professor(s)
Reception:
by appointment please write or phone me
Paediatric Cardiology Pad Mangiagalli IRCCS Fondazione Ospedale Magiore Ca' Granda Policlinico di MIlano 3rd Floor Stairway B