SURGICAL INSTRUMENTATION PROGRAM

TRAINING SURGICAL PLANNING

Versión: 1
IQX-FT-003-BUC

STUDENT NAME: CODE: PRACTICE

Dani Sofía Benítez Sánchez 01210021015 LEVEL: IV

TEACHER'S NAME: Lidy Higuera PRACTICE STAGE: ICB NOTE:

SPECIALTY: CX SURGEON: DATE: 24/04/2024

CARDIOVASCULAR Dr. Fabian Giraldo

NAME OF PATIENT: MEDICAL HISTORY NUMBER: PATIENT AGE:

SURGICAL PROCEDURE TO PERFORM:

Aortic Valve Replacement

SURGICAL INSTRUMENTATION PROCESS

1. PLANNING STAGE:

1.1. Surgical Objective: (Make description)

Replace the aortic valve through a sternotomy with extracorporeal circulation to replace the damaged valve with
a valve implant
1.2. Anatomy and physiology: (Make graph and description).

 The aortic valve normally has three semilunar-shaped leaflets or cusps.

 They are usually called the left coronary cusp, the right coronary cusp, and the non-coronary cusp.
 Each valve is separated by a commissure
 In the space between each of the three leaflets and the arterial wall, a small sac-shaped cavity is formed called
the aortic sinus or sinus of Valsalva. In two of these sinuses is the origin of the coronary arteries.
 It is one of the two semilunar valves of the heart, the other being the pulmonary valve.
 Its function is to prevent the reflux of blood from the aorta into the left ventricle; it opens when the left ventricle
contracts and closes when the left ventricle relaxes.
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TRAINING SURGICAL PLANNING

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 The aortic valve is located behind the pulmonary valve, in the congenital disease called transposition of the
great vessels, the situation of these two valves is reversed, the anterior valve is the aortic valve.
 The main alterations in aortic valve function are aortic stenosis and aortic insufficiency.

 The aortic valve normally has three leaflets; in 1-2% of the population there is a congenital anomaly and it only
has two leaflets.
 SURGICAL INSTRUMENTATION PROGRAM

TRAINING SURGICAL PLANNING

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IQX-FT-003-BUC

1.3. Check list:

MEDICAL EQUIPMENT/ DRUGS AND

SUTURES AND
INSTRUMENTAL DEVICES SOLUTIONS
NEEDLES
-Eq. extracorporeal -Pack of Heart Pericardium repair: -Saline solution
-Eq. Accessory -Compresses -Silk 0 SH - Infiltration
-Valve Gauges -Gauze Arterial and venous
-Reciprocating Saw -Fields for two tobacco bags:
-Sternal Retractor -Handlebars -Polyester 2/0 needle ½
-Defibrillator paddles -Accessory Robes C.R. 25cm
-Gloves Tobacco Vent Bags,
-Gauze container Cardioplegia and aortic
-Short sharps container closure:
-Electro scalpel -Polypropylene 4/0
-Alligators needle ½ C.R. 17cm
-Rubber Suction Fixation of Cannulas:
-Yankawer cannula -Silk 1 Precut
-Aseptosyringe Aorta Repairs:
-Tourniquets -Silk 4/0 vascular
-20 and 10 ml syringe Valve Setting:
-Arterial cannula 20 fr -Valve Kit
-Venous Cannula 24 fr -Pacemaker wire
-tube to chest Sternal:
-Nelaton probe #8 and 14 -Surgical Wire 5
-Rigid pericardium Muscle:
aspirator -Poliglactin 910 2/0
-Vent aspirator Skin:
-Ioban -Monocryl 4/0
-Antegrade and ostium Chest tube fixation:
cardioplegia cannula -Polyester 2/0 whit
-Three-way tap plush
(cardioplegia) Pacemaker wire
-Connectors fixation:
-pink needle -Silk 2/0 SH
-Aortic valve Hemostatics:
-Pathology Flask -Bone Wax
-Bioglue

WEEKLY REPORT FORMAT OF TRAINING PRACTICE

SURGERY ASSISTANCE RECORD FORM - TRAINING PRACTICE IQX-FT-024-UDES
 SURGICAL INSTRUMENTATION PROGRAM

TRAINING SURGICAL PLANNING

Versión: 1
IQX-FT-003-BUC

STUDENT SIGNATURE: TEACHING SIGNATURE: __________________________