Bekeredjian R, Schilling T, Katus H A, Haverich A
Abteilung Innere Medizin III: Kardiologie, Angiologie und Pneumologie, Universitätsklinik Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Deutschland.
Chirurg. 2010 Dec;81(12):1058-65. doi: 10.1007/s00104-010-1956-9.
Cardiology and cardiothoracic surgery are closely related so that collaboration and communication are required to offer optimal therapy for patients. During the last decades many innovations have reduced the borders between cardiology and cardiothoracic surgery. Today, cardiologists may perform coronary interventions with good results that would have previously been the domain of coronary bypass surgery. In addition new valvular interventions have been developed, such as transfemoral or transapical aortic valve implantation and endovascular mitral valve reconstruction. New developments in cardiothoracic surgery have led to less invasive procedures and many surgical procedures can now be performed with minimally invasive techniques and without a cardiopulmonary bypass. To enable optimal therapy for patients, closer collaboration between cardiologists and cardiothoracic surgeons is required setting the stage for individualized therapy in the future.
心脏病学与心胸外科密切相关，因此需要合作与沟通以为患者提供最佳治疗。在过去几十年中，许多创新缩小了心脏病学与心胸外科之间的界限。如今，心脏病专家可以进行冠状动脉介入治疗，且效果良好，而这些治疗以前是冠状动脉搭桥手术的领域。此外，还开发了新的瓣膜介入治疗方法，如经股动脉或经心尖主动脉瓣植入术以及血管内二尖瓣重建术。心胸外科的新进展已使手术创伤更小，现在许多外科手术都可以通过微创技术进行，且无需体外循环。为了能为患者提供最佳治疗，心脏病专家和心胸外科医生需要更紧密的合作，为未来的个体化治疗奠定基础。
