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Cardiothoracic Surgery Basics

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Coronary Artery Bypass Grafting (CABG)

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Surgical procedure to restore normal blood flow to an obstructed coronary artery. A vein from the body is grafted to the coronary artery to bypass the atherosclerotic plaque that is causing the blockage.

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Thoracotomy

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Surgical procedure involving a large incision in the chest to gain access to the organs in the thoracic cavity, often used for diagnostics or treatment of lung or esophageal diseases.

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Lobectomy

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Surgical removal of a lobe of the lung, typically performed to treat lung cancer or other pulmonary lesions.

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Pericardiectomy

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Surgical removal of part or all of the pericardium, the membrane enclosing the heart, to treat conditions such as constrictive pericarditis.

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Aortic Aneurysm Repair

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Surgical treatment of an aneurysm in the aorta, involving the replacement of the dilated portion of the artery with a graft.

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Pneumonectomy

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A surgical procedure to remove an entire lung, usually performed to treat lung cancer.

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Valve Replacement

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Surgical replacement of a diseased valve with either a mechanical or biological valve to restore normal blood flow.

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Mitral Valve Repair

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A surgical procedure performed to treat a leaky or narrowed mitral valve in the heart.

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Heart Transplantation

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A surgical transplant procedure performed on patients with end-stage heart failure or severe coronary artery disease when other treatments have failed.

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Sternotomy

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Surgical operation in which a vertical inline incision is made along the sternum, after which the sternum itself is divided, or 'cracked', to allow access to the heart and lungs.

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Pulmonary Thromboendarterectomy

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Surgical removal of a blood clot from the pulmonary artery, which can be necessary in cases of chronic pulmonary embolism.

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Bronchoscopy

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Procedure allowing the visual examination of the airways using a bronchoscope. It can assist with diagnosis and sometimes treatment of lung conditions.

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Ventricular Septal Defect Repair

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Surgical procedure to close a hole between the heart's two lower chambers (the ventricles) that is present from birth.

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Thoracoscopic Surgery

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Minimally invasive surgery of the chest performed with a thoracoscope (small video camera) and instruments inserted through small incisions.

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Minimally Invasive Direct Coronary Artery Bypass (MIDCAB)

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A variation of CABG that is performed through a smaller incision and often without the need for cardiopulmonary bypass.

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Ventricular Assist Device (VAD)

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A mechanical pump that is used to support heart function and blood flow in people with weakened hearts.

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Cardiac Tamponade

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A medical emergency in which fluid accumulates in the pericardium, putting pressure on the heart and hindering the heart's ability to pump effectively.

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Transmyocardial Laser Revascularization (TMR)

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A procedure in which a laser is used to create channels in the heart muscle to improve blood flow in patients with severe angina or coronary artery disease.

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Atrial Septal Defect Repair

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Surgical procedure to close a hole between the heart's two upper chambers (the atria) to prevent blood from leaking into the wrong part of the heart.

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Pacemaker Insertion

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A surgical procedure in which a small electronic device is implanted under the skin to help regulate the heartbeat.

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Tracheostomy

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Surgical creation of an opening through the neck into the trachea to provide an airway and to remove secretions from the lungs.

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Cardiopulmonary Bypass (CPB)

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Technique that temporarily takes over the function of the heart and lungs during surgery, maintaining the circulation of blood and the oxygen content of the body.

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Mediastinoscopy

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A surgical procedure that allows the examination of the mediastinum through a scope, to sample lymph nodes and help in the diagnosis of cancer or other diseases.

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Pleurectomy

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Surgical removal of part of the pleura, the membrane that lines the chest cavity and envelops the lungs, often to manage pleural effusions or mesothelioma.

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Esophagectomy

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Surgical removal of all or part of the esophagus, often to treat esophageal cancer.

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Robotic-Assisted Surgery

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A type of minimally invasive surgery that uses a robotic system to allow the surgeon to perform complex procedures with more precision, flexibility, and control than with conventional techniques.

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Bentall Procedure

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A surgery performed to correct defects of the aorta which involves replacing the aortic valve, aortic root, and ascending aorta with a composite graft.

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Automatic Implantable Cardioverter-Defibrillator (AICD)

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A device implanted into the body that can detect life-threatening cardiac arrhythmias and deliver a shock to restore a normal heartbeat.

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Coronary Angioplasty

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A procedure used to widen blocked or narrowed coronary arteries (the main blood vessels supplying the heart), often involving the use of a balloon catheter to dilate the artery.

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Sternal Plating

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A technique used after sternotomy to promote healing and stability of the sternum by using metal plates and screws to hold the sternum together.

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Lung Volume Reduction Surgery (LVRS)

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Surgical removal of diseased, emphysematous lung tissue, which improves breathing and lung function in selected patients with severe emphysema.

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Cardiac Ablation

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A procedure that can correct heart rhythm problems (arrhythmias) by scarring or destroying tissue in the heart that's triggering an abnormal heart rhythm.

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Hybrid Coronary Revascularization

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Combination of surgery and angioplasty for the treatment of coronary artery disease, where CABG is used to bypass the most significant blockage and angioplasty is used to open smaller blockages.

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Video-Assisted Thoracoscopic Surgery (VATS)

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A type of thoracic surgery performed using a small video camera (thoracoscope) that is introduced into the patient's chest via small incisions.

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Stent Placement

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The insertion of a small mesh tube (stent) into a coronary artery to keep the artery open and decrease the chance of a heart attack.

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Electrophysiological Study (EPS)

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A test that measures the electrical activity of the heart to diagnose arrhythmia locations and mechanisms, often preceding ablation procedures.

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Transcatheter Aortic Valve Replacement (TAVR)

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A minimally invasive surgical procedure that repairs the valve without removing the old, damaged valve by wedging a replacement valve into the aortic valve's place.

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Pericardiocentesis

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A procedure in which a needle and a catheter remove fluid from the pericardium, the sac around the heart, typically to treat cardiac tamponade.

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Atrial Fibrillation Ablation

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A cardiac ablation procedure specifically to isolate the pulmonary veins and eliminate atrial fibrillation, a common type of irregular heartbeat.

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Endoscopic Vein Harvesting

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A minimally invasive technique of obtaining a vein, such as the saphenous vein, for use as a bypass graft in coronary artery bypass surgery.

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Thrombectomy

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Surgical removal of a thrombus (blood clot) from a blood vessel to restore normal blood flow and prevent damage to tissues and organs.

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Off-Pump Coronary Artery Bypass (OPCAB)

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A variation of CABG surgery where the coronary artery bypass is performed without the use of cardiopulmonary bypass (on a beating heart).

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Extracorporeal Membrane Oxygenation (ECMO)

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A treatment that uses a pump to circulate blood through an artificial lung back into the bloodstream, providing heart-lung bypass support outside of the body.

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Maze Procedure

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Surgical treatment for atrial fibrillation that creates a 'maze' of new electrical pathways to allow electrical impulses to travel easily through the heart.

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Coarctation of the Aorta Repair

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Surgical treatment for coarctation (narrowing) of the aorta involving removal of the narrowed segment and reconnection or bypass of the aorta.

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