Department: COMPARTIMENT CLINIC CHIRURGIE CARDIOVASCULARA

SPECTRUL CHIRURGICAL PRINCIPAL INCLUDE:

• Reconstructia radacinii aortice prin prezervare valvulara aortica ( Tehniciile: Tiron David, Yacoub in functie de patologie)
• Plastia sau protezarea de valva aortica
• Plastia sau protezarea de valva mitrala
• Plastia de valve tricuspida (inclusiv tratamentul bolii Ebstein)
• Cura anevrismului de aorta ascendenta cu inlocuire valvulara (Bentall modificat)
• Revascularizarea coronariana complet arteriala cu circulatie extracoporeala sau pe cord batand (OPCAB)
• Cura anevrismului de crosa aortica
• Tratamentul patologiilor valvulare combinate
• Tratamentul cardiomiopatiei hipertrofice obstructive
• Tratamentul tumorilor cardiace
• Tratamentul defectelor septale la adult
• Patologii cardiace congenitale la adult
• Tratamentul urgentelor cardiace

 

DOTARE:

Bloc operator de Chirurgie Cardiovasculara dotat conform cu standardul european (2020)

Fiecare sala dispune de:

• Flux laminar cu posibilitate de reglare si monitorizare a temperaturii
• Pompa de circulatie extracorporeala Stoeckert S5 sau S3
• Aparat de anestezie pentru proceduri complexe
• Aparatura de monitorizare a functiilor vitale si a parametrilor de evaluare hemodinamica
• Ecocardiograf cu sonda transesofagiana 2D si 3D – General Electric Vivid E9
• Turn Aesculap Einstein 3D pentru proceduri chirurgicale endoscopice
• Aparatura de monitorizare a perfuziei cerebrale (NIRS)
• Defibrilator cu padele interne si padele atasate pentru interventiile minim-invazive
• Stimulatoare bicamerale externe pentru controlul ritmului cardiac perioperator
• Aparat de masurare flux sangvin intraoperator (Flowmetru)
• Lampa scialitica
• Sistem focalizat de iluminare
• Masa chirurgicala radiotransparenta cu specific de chirurgie cardiovasculara
• Aparat determinare coagulare (ACT) si aparat de trombelastografie
• Saltele cu sistem de racire/incalzire
• Sistem de autotransfuzie (Cell Saver)
• Consola pentru balon de contrapulsatie intraaortic
• Aparate de electrocoagulare monopolarã şi bipolarã
• Aparate portabile de aspiraţie
• Echipament si instrumentar pentru intervenţii minim-invazive si endoscopice
• Instrumentar chirurgical pentru operatii conventionale
• C-ARM mobil

 
COMPARTIMENTUL DE CHIRURGIE CARDIOVASCULARA DISPUNE DE:

• Sala pentru interventii hibride dotata conform cu standardul european 2016 (Heart Team)
• Cabinet de evaluare ecocardiografica si doppler vascular pre- si postoperator
• Cabinete de consultatii
• Sala de pansamente
• Saloane de urmãrire postoperatorie (monitorizare EKG) cu unul, doua sau trei paturi, cu grup sanitar propriu
• Colaborare directa cu sectia de anestezie si terapie intensiva cu paturi si personal dedicat in exclusivitate cazurilor de chirurgie cardiovasculara
• Colaborare cu cele doua clinici de cardiologie si cardiologie interventionala ale spitalului

 

DOMENII DE CERCETARE:

• Reconstructiile valvulare in endocarditele acute
• Reconstructiile radacinii aortice cu prezervarea sau plastia valvulara aortica
• Cardiopatii coronariene in insuficienta ventriculara stanga – Tratamentul prin tehnici hibride

 

ARTICOLE PUBLICATE LA NIVEL INTERNATIONAL E CATRE MEDICI AI CLINICII NOASTRE:

(ISI Thompson/PubMed):

Catalin C. Badiu*, Rüdiger Lange*, Manfred Vogt, Bernhard Voss, Jürgen Hörer, Zsolt Prodan, Christian Schreiber, Domenico Mazzitelli

Valve-sparing root replacement in children with aortic root aneurysm: mid-term results

Eur J Cardiothorac Surg. 2013 May;43(5):958-64.

* Both authors contributed equally

Catalin Constantin Badiu , Constantinos Sideris, Marcus André Deutsch, Markus Krane, Ina Hettich, Bernhard Voss, Domenico Mazzitelli, Rüdiger Lange

Aortic root replacement: Comparison of clinical outcome between different surgical techniques

Eur J Cardiothorac Surg. 2014 Oct;46(4):685-92; discussion 692

Catalin C. Badiu, Bernhard Voss, Magdalena Dorfmeister, Rüdiger Lange

Valve-sparing root replacement: Where are the limits?

Tex Heart Inst J 2011;38(6):661-2)

Catalin C. Badiu, Sabine Bleiziffer, Walter B. Eichinger, Iva Zaimova, Andrea Hutter, Domenico Mazzitelli, Bernhard Voss, Rüdiger Lange

Are bicuspid aortic valves a limitation for aortic valve repair?

Eur J Cardiothorac Surg. 2011 Nov;40(5):1097-104.

Catalin Constantin Badiu, Sabine Bleiziffer, Anke Opitz, Ina Hettich, Marcus-Andre Deutsch, Markus Krane, Bernhard Voss, Rüdiger Lange

Hemodynamic performance of the Biovalsalva Valved Conduit after Aortic Root Replacement

J Heart Valve Dis. 2014 Jan;23(1):97-104

Catalin C. Badiu, Sabine Bleiziffer, Walter B. Eichinger, Ina Hettich, Markus Krane, Robert Bauernschmitt, Rüdiger Lange

Long-term performance of the Hancock bioprosthetic valved conduit in aortic root position

J Heart Valve Dis, 2011. 20(2): p.191-98.

Badiu CC, Eichinger W, Bleiziffer S, Hermes G, Hettich I, Krane M, Bauernschmitt R, Lange R.

Should root replacement with aortic valve-sparing be offered to patients with bicuspid valves or severe aortic regurgitation?

Eur J Cardiothorac Surg. 2010 Nov;38(5):515-22. Epub 2010 Apr 18.

Badiu CC, Schreiber C, Hörer J, Ruzicka DJ, Wottke M, Cleuziou J, Krane M, Lange R.

Early timing of surgical intervention in patients with Ebstein’s anomaly predicts superior long-term outcome.

Eur J Cardiothorac Surg. 2010 Jan;37(1):186-92. Epub 2009 Aug 19.

Badiu CC, Eichinger W, Ruzicka D, Hettich I, Bleiziffer S, Bauernschmitt R, LAnge R

Long-term performance of the Hancock bioprosthetic conduit for aortic root replacement

Thoracic and Cardiovascular Surgeon – 01/2008; 56

Badiu CC, Vasilescu A, Danet A, Zimnicaru OA, Tudorica S, Blindaru AC, Tudor C

How to Perform a Late Explantation of a SapienXT Transcatheter Aortic Prosthesis

1. of Cardiac Surgery- 2020- Epub ahead of print

Lange R, Burri M, Eschenbach LK, Badiu CC, da Silva JP, Nagdyman N, Fratz S, Hörer J, Kühn A, Schreiber C, Vogt MO.

Da Silva’s cone repair for Ebstein’s anomaly: effect on right ventricular size and function.

Eur J Cardiothorac Surg. 2015 Aug;48(2):316-20; discussion 320-1

Deutsch MA, Prinzing A, Fiegl K, Wottke M, Badiu CC, Krane M, Goppel G, Bleiziffer S, Guenzinger R, Lange R.

Early haemodynamic performance of a latest generation supra-annular aortic bioprosthesis: experience from a large single-centre series.

Eur J Cardiothorac Surg. 2015 Dec 10. pii: ezv411. [Epub ahead of print]

Krane M, Deutsch MA, Piazza N, Muhtarova T, Elhmidi Y, Mazzitelli D, Voss B, Ruge H, Badiu CC, Kornek M, Bleiziffer S, Lange R.

One-Year Results of Health-Related Quality-of-Life Among Patients Undergoing Transcatheter Aortic Valve Implantation.

Am J Cardiol. 2012 Jun 15;109(12):1774-81

Mazzitelli D, Nöbauer C, Rankin JS, Badiu CC, Krane M, Crooke PS, Cohn WE, Opitz A, Schreiber C, Lange R.

Early results after implantation of a new geometric annuloplasty ring for aortic valve repair.

Ann Thorac Surg. 2013 Jan;95(1):94-7

1. Mazzitelli, C. Nöbauer, J. S. Rankin, C. C. Badiu, M. Dorfmeister, P. S.Crooke, A. Wagner, C. Schreiber, R. Lange

Early Results of a Novel Technique for Ring-Reinforced Aortic Valve and Root Restoration

Eur J Cardiothorac Surg. 2014, Mar;45(3):426-30

Deutsch MA, Krane M, Schneider L, Wottke M, Kornek M, Elhmidi Y, Badiu CC, Bleiziffer S, Voss B, Lange R

Health-Related Quality of Life and Functional Outcome in Cardiac Surgical Patients Aged 80 Years and Older: A Prospective Single Center Study

J Card Surg. 2014 Jan;29 (1):14-21

Elhmidi Y, Gunzinger R, Deutsch MA, Badiu CC, Krane M, Lage R

Outcomes of Patients Undergoing Third-Time Aortic or Mitral Valve Replacement

J Card Surg. 2014 Jan; 29 (1):8-13

Krane M, Voss B, Hiebinger A, Deutsch MA, Wottke M, Hapfelmeier A, Badiu CC, Bauernschmitt R, Lange R

Twenty years of cardiac surgery in patients aged 80 years and older: risks and benefits.

Ann Thorac Surg. 2011 Feb;91(2):506-13.

Voss B, Bauernschmitt R, Brockmann G, Krane M, Badiu CC, Lange R

Sternal reconstruction with plates and cables in complicated sternal dehiscence

Thoracic and Cardiovascular Surgeon – 01/2010; 58

Gozar H, Gozar L, Badiu CC, Suciu H

Congenital umbilical arterio-venous malformation: A word of caution

Inter CardioVasc and Thor Surg. 2014 May;18(5):688-9

Krane M, Mazzitelli D, Schreiber U, Garzia AM, Braun S, Voss B, Badiu CC, Brockmann G, Lange R, Bauernschmitt R.

LIFEBRIDGE B2T–a new portable cardiopulmonary bypass system.

ASAIO J. 2010 Jan-Feb;56(1):52-6.

Ruzicka DJ, Hettich I, Hutter A, Bleiziffer S, Badiu CC, Bauernschmitt R, Lange R, Eichinger WB.

The complete supraannular concept: in vivo hemodynamics of bovine and porcine aortic bioprostheses.

Circulation. 2009 Sep 15;120(11 Suppl):S139-45.

Krane M, Bauernschmitt R, Voss B, Badiu CC, Lange R.

Right ventricular fibroma in a 61-year-old man.

Thorac Cardiovasc Surg. 2009 Jun;57(4):235-7. Epub 2009 May 20.

Krane M, Bauernschmitt R, Hiebinger A, Wottke M, Voss B, Badiu CC, Lange R.

Cardiac reoperation in patients aged 80 years and older.

Ann Thorac Surg. 2009 May;87(5):1379-85.

Eichinger W, Badiu CC, Hettich I, DJ Ruzicka, Hutter A, Bleiziffer S, Bauernschmitt R, Lange R

Surgical repair techniques of complex sinus of valsalva aneurysm with perforation or involvment of the coronary ostia

Thoracic and Cardiovascular Surgeon-01/2009;56

Bleiziffer S, Eichinger WB, Hettich IM, Ruzicka D, Badiu CC, Guenzinger R, Bauernschmitt R, Lange R.

Hemodynamic characterization of the Sorin Mitroflow pericardial bioprosthesis at rest and exercise.

J Heart Valve Dis. 2009 Jan;18(1):95-100.

Krane M, Bauernschmitt R, Hiebinger A, Voss B, Badiu CC, Wottke M, Lange R

No differences in long term survival between primary cardiac surgery and cardiac reoperation in patients aged 80 years and older

Thoracic and Cardiovascular Surgeon- 01/2009;56

Krane M, Dummler S, Dressen M, Lahm H, Tesche C, Wildhirt S, Voss B, Badiu CC, Lange R, Bauernschmitt R

Identification of an up-regulated anti-apoptotic gene network in the internal thoracic artery compared to the radial artery

Atherosclerosis Supplements-01/2009; 10(2)

Eichinger W, Badiu CC, Ruzicka D, Hettich I, Bleiziffer S, BAuernschmitt R, Lange R

Aortic valve-sparing operations: reimplantation vs. remodeling

Thoracic and Cardiovascular Surgeon 01/2008; 56

Schreiber C, Heimisch W, Schad H, Brkic A, Badiu C, Lange R, Bauernschmitt R.

C1-INH and its effect on infarct size and ventricular function in an acute pig model of infarction, cardiopulmonary bypass, and reperfusion.

Thorac Cardiovasc Surg. 2006 Jun;54(4):227-32.

1. Enescu, M. Cinteza, D.Vinereanu,

Early Repolarization Syndrome- to Be or Not to Be Benign,

Maedica (Buchar). 2011 July; 6(3): 215–219

1. .Florescu, D. Benea, R Rimbas, M Diena, G.Lanzzillo, O.Enescu, M.Cinteza, D.Vinereanu.

Myocardial systolic velocities and deformation assessed by speckle tracking for early detection of left ventricular dysfunction in asymptomatic patients with severe mitral regurgitation.

Echocardiography. 2012 Mar;29(3):326-33.

Florescu M; Magda LS; Enescu OA; Jinga D, Vinereanu D.

Early Detection of Epirubicin-Induced Cardiotoxicity in Patients with Breast Cancer.

J Am Soc Echocardiogr 2014;27(1):83-92.

Enescu O.

Antioxidants rich foods may influence chronic obstructive pulmonary disease evolution.

Maedica (Buchar). 2010 Dec;5(4):308.

Enescu O.

Is homoarginine level associated with high cardiovascular risk and mortality?

Maedica (Buchar). 2010 Jul;5(3):227

Margulescu AD, Enescu OA, Vinereanu D.

A regularly irregular rhythm-what is the diagnosis?

Neth Heart J. 2016 Feb;24(2):156-8.

Mihalcea DJ, Florescu M, Suran BM, Enescu OA, Mincu RI, Magda S, Patrascu N, Vinereanu D Comparison of pulse wave velocity assessed by three different techniques: Arteriograph, Complior, and Echo-tracking.

Heart Vessels. 2016 Apr;31(4):568-77

 

CONTACT:  +40-21-3180522 (interior 562 sau 388)