Department of Cardiovascular Surgery

Cardiovascular Surgery

Quick Facts

A long and consolidated experience with traditional techniques is now combined with the mastery of the most innovative methods for the treatment of ischemic heart disease and its acute complications, valve diseases, birth defects of adults and heart rhythm disorders.

The Cardiovascular Surgery Unit uses both traditional techniques and the most advanced techniques currently available for the surgical treatment in heart disease.

Ischemic heart disease

A long and consolidated experience with traditional techniques is now combined with the mastery of the most innovative methods for the treatment of ischemic heart disease and its acute complications:

  • Coronary revascularization in sternotomy with the use of extracorporeal circulation (traditional intervention);
  • Coronary revascularization in sternotomy without the use of extracorporeal circulation ("beating heart" surgery);
  • Revascularization in left mini-thoracotomy (skin incision of a few centimeters) without the aid of Extracorporeal Circulation (minimally invasive coronary surgery) for the treatment of mono- or bi-vascular disease;
  • Complete coronary revascularization using only arterial ducts;
  • Coronary revascularization with multiple "Y" anastomosis arterial grafts without ascending aortic trauma (no aorta touch);
  • Treatment of acute complications of myocardial infarction: rupture of the interventricular septum, free wall of the left ventricle, rupture of the papillary muscles;
  • Treatment of chronic complications of ischemic heart disease: aneurysm and reconstruction of left ventricular geometry, treatment of mitral ischemic insufficiency.

Valve surgery

In valve surgery, we have the most up-to-date and well-established valve reconstruction techniques, alongside the traditional experience of heart valve replacement.

Mitral valve

  • Replacement with sternotomy and extracorporeal circulation by mechanical or biological valve prostheses (traditional surgery);
  • Repair and reconstruction of the valve system with sternotomy and extracorporeal circulation according to the most advanced techniques (almost all mitral insufficiency treated);
  • Repair and reconstruction of the valve system with extracorporeal circulation and video-assisted technique by right mini-thoracotomy and mini-sternotomy (minimally invasive surgery).

Aortic valve, aortic efflux region and ascending aorta

  • Replacement with sternotomy and extracorporeal circulation by mechanical or biological valve prostheses or by homograft;
  • Valve repair and reconstruction with sternotomy and extracorporeal circulation according to the most advanced techniques;
  • Valve repair or replacement with mini access (minimally invasive surgery) and extracorporeal circulation;
  • Valve replacement without sternotomy with transcatheter transfemoral or trans-apical (TAVI) valve implant, without extracorporeal circulation;
  • Replacement of the ascending aorta with sternotomy and extracorporeal circulation by prosthetic tube or cadaver tissue for the treatment of acute (dissection) or chronic (aneurysm) pathology according to the most recent techniques that provide in selected cases the preservation of the native valve;
  • Replacement of the aortic arch with sternotomy and extracorporeal circulation by prosthetic tube.

Tricuspid valve

  • Replacement with sternotomy and extracorporeal circulation by mechanical or biological valve prostheses (traditional surgery);
  • Repair with sternotomy and extracorporeal circulation;
  • Repair with sternotomy and extracorporeal circulatory beating heart without cardioplegic arrest.

Surgical aritmology

The daily collaboration with the electrophysiologist and the creation of shared diagnostic-therapeutic paths has allowed the development of consolidated procedures and innovative lines of surgical treatment of heart rhythm disorders, in particular:

  • Surgical ablation of Atrial Fibrillation during cardiac surgery (plastic/valve replacement, aorto-coronary bypass);
  • Ablation of Atrial Fibrillation isolated and closure of the left auricle by thoracoscopy;
  • Ablation of ventricular arrhythmias from epicardium and endocardium during surgery of left ventricular aneurymectomy;
  • Ablation of complex ventricular arrhythmias congenital and acquired by epi and endocardial way with mini-thoracotomy (minimally invasive route) or in stereotomy;
  • Implantation of biventricular pacemaker via left mini-thoracotomy (minimally invasive).

Congenital defects of the adult

The Unit deals with the surgical correction of congenital defects in adults such as the interatrial defect and the interventricular defect, which are repaired according to the most advanced techniques of minimally invasive surgery.