{"id":18507,"date":"2020-01-27T11:26:29","date_gmt":"2020-01-27T10:26:29","guid":{"rendered":"https:\/\/devhml.givememore.net\/specialites\/chirurgie-cardiaque-congenitale-pediatrique-et-adulte-2\/"},"modified":"2022-05-03T16:38:52","modified_gmt":"2022-05-03T14:38:52","slug":"chirurgie-cardiaque","status":"publish","type":"service","link":"https:\/\/devhml.givememore.net\/specialites\/chirurgie-cardiaque\/","title":{"rendered":"Chirurgie cardiaque"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Le coordonnateur m\u00e9dicale du p\u00f4le m\u00e9dico-chirurgical adulte est par le <a href=\"https:\/\/devhml.givememore.net\/specialites\/chirurgie-cardiaque-cardiologie-adulte\/lequipe\/\"><strong><span style=\"text-decoration: underline;\">Dr Philippe Deleuze<\/span><\/strong><\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Le service de chirurgie cardiaque est dirig\u00e9 par le <a href=\"https:\/\/devhml.givememore.net\/specialites\/chirurgie-cardiaque\/lequipe\/\"><span style=\"text-decoration: underline;\"><strong>Pr St\u00e9phan Haulon<\/strong><\/span><\/a>.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Pionni\u00e8res (depuis 1955, date de la premi\u00e8re CEC en Europe) nos \u00e9quipes couvrent tous les domaines de la chirurgie cardiaque (pontages, valves, chirurgie aortique, transplantations, coeur artificiel) ce qui fait de l&rsquo;H\u00f4pital Marie-Lannelongue l\u2019un des grands centres de cette sp\u00e9cialit\u00e9.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Le d\u00e9partement de chirurgie cardiaque adulte, en associant chirurgiens, cardiologues, anesth\u00e9sistes et r\u00e9animateurs, r\u00e9alise environ 800 interventions chirurgicales par an, dont 600 interventions sous circulation extracorporelle (CEC).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Le d\u00e9partement comprend 38 lits d\u2019hospitalisation, 4 places assises pour l&rsquo;Unit\u00e9 de Douleur Thoracique recevant les urgences, 12 lits de soins intensifs cardiologiques (USIC), et a acc\u00e8s \u00e0 12 lits de r\u00e9veil post-op\u00e9ratoire (SSPI) ainsi qu&rsquo;\u00e0 23 lits de r\u00e9animation lourde, mutualis\u00e9s entre p\u00f4les.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-image\"><figure class=\"alignright is-resized\"><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/devhml.givememore.net\/wp-content\/uploads\/2020\/01\/CEC-1024x680.jpg\" alt=\"\" class=\"wp-image-19210\" width=\"438\" height=\"291\" srcset=\"https:\/\/devhml.givememore.net\/wp-content\/uploads\/2020\/01\/CEC-1024x680.jpg 1024w, https:\/\/devhml.givememore.net\/wp-content\/uploads\/2020\/01\/CEC-300x199.jpg 300w, https:\/\/devhml.givememore.net\/wp-content\/uploads\/2020\/01\/CEC-768x510.jpg 768w, https:\/\/devhml.givememore.net\/wp-content\/uploads\/2020\/01\/CEC-200x133.jpg 200w, https:\/\/devhml.givememore.net\/wp-content\/uploads\/2020\/01\/CEC-400x266.jpg 400w, https:\/\/devhml.givememore.net\/wp-content\/uploads\/2020\/01\/CEC-600x398.jpg 600w, https:\/\/devhml.givememore.net\/wp-content\/uploads\/2020\/01\/CEC-800x531.jpg 800w, https:\/\/devhml.givememore.net\/wp-content\/uploads\/2020\/01\/CEC-1200x797.jpg 1200w, https:\/\/devhml.givememore.net\/wp-content\/uploads\/2020\/01\/CEC.jpg 1280w\" sizes=\"(max-width: 438px) 100vw, 438px\" \/><\/figure><\/div>\n<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"les-pathologies-concernees\">Les pathologies concern\u00e9es<\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li><span style=\"text-decoration: underline;\"><a href=\"https:\/\/devhml.givememore.net\/specialites\/chirurgie-cardiaque-cardiologie-adulte\/les-pathologies\/pathologie-coronaire\/\">Pathologie coronaire<\/a><\/span><\/li><li><span style=\"text-decoration: underline;\"><a href=\"https:\/\/devhml.givememore.net\/specialites\/chirurgie-cardiaque-cardiologie-adulte\/les-pathologies\/pathologie-de-la-valve-aortique\/\">Pathologie de la valve aortique<\/a><\/span><\/li><li><span style=\"text-decoration: underline;\"><a href=\"https:\/\/devhml.givememore.net\/specialites\/chirurgie-cardiaque-cardiologie-adulte\/les-pathologies\/pathologie-valvulaire-mitrale\/\">Pathologie valvulaire mitrale<\/a><\/span><\/li><li><span style=\"text-decoration: underline;\"><a href=\"https:\/\/devhml.givememore.net\/specialites\/chirurgie-cardiaque-cardiologie-adulte\/les-pathologies\/pathologie-de-laorte\/\">Pathologie de l\u2019aorte<\/a><\/span><\/li><li><span style=\"text-decoration: underline;\"><a href=\"https:\/\/devhml.givememore.net\/specialites\/chirurgie-cardiaque-cardiologie-adulte\/les-pathologies\/pathologie-de-linsuffisance-cardiaque\/\">Pathologie de l\u2019insuffisance cardiaque<\/a><\/span><\/li><li><span style=\"text-decoration: underline;\"><a href=\"https:\/\/devhml.givememore.net\/specialites\/chirurgie-cardiaque-cardiologie-adulte\/les-pathologies\/maladies-diverses\/\">Maladies diverses<\/a><\/span><\/li><li><span style=\"text-decoration: underline;\"><a href=\"https:\/\/devhml.givememore.net\/specialites\/greffes\/presentation\/\">Transplantation cardiaque<\/a><\/span><\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"la-cec\">La CEC<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">La circulation extracorporelle (CEC) permet, en d\u00e9rivant la circulation sanguine hors du corps, de remplacer temporairement, pendant une intervention de chirurgie cardiaque, la fonction de pompe du c\u0153ur et la fonction d\u2019oxyg\u00e9nation des poumons. L\u2019ensemble des d\u00e9partements chirurgicaux de l&rsquo;H\u00f4pital Marie-Lannelongue r\u00e9alise plus de 1 300 CEC par an, ce qui en fait l\u2019un des plus gros centres d\u2019Ile-de-France.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">L&rsquo;H\u00f4pital Marie-Lannelongue dispose de tous les types de CEC en veillant \u00e0 optimiser les circuits pour le bien-\u00eatre du patient : circuit avec traitement de surface permettant de limiter l\u2019anticoagulation g\u00e9n\u00e9rale du patient, circuits miniaturis\u00e9s pour limiter la dilution du patient et les ph\u00e9nom\u00e8nes inflammatoires (mini-CEC).<br>Cela nous permet ainsi, entre autre, de prendre en charge avec l\u2019accord de leur CLH, les t\u00e9moins de J\u00e9hovah.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"les-operations-combinees\">Les op\u00e9rations combin\u00e9es<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">De nombreux patients ont besoin d\u2019une chirurgie combin\u00e9e qui peut concerner l\u2019association pontages coronaires et remplacement valvulaire aortique, pontages coronaires et plastie mitrale, remplacement valvulaire aortique et plastie mitrale ou tricuspide, etc.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">L\u2019une des sp\u00e9cificit\u00e9s du d\u00e9partement de chirurgie cardiaque adulte de l&rsquo;H\u00f4pital Marie-Lannelongue est d\u2019associer une r\u00e9paration complexe de la valve aortique dans la chirurgie de l\u2019an\u00e9vrisme de l\u2019aorte ascendante de type Tirone David.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>La permanence des soins et l\u2019accueil des urgences cardiologiques sont assur\u00e9es 24\/24h avec un num\u00e9ro unique : <a href=\"tel:+33140948553\" data-type=\"tel\" data-id=\"tel:+33140948553\">01 40 94 85 53<\/a>.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Le coordonnateur m\u00e9dicale du p\u00f4le m\u00e9dico-chirurgical adulte est par le Dr Philippe Deleuze. Le service de chirurgie cardiaque est dirig\u00e9 par le Pr St\u00e9phan Haulon. Pionni\u00e8res (depuis 1955, date de la premi\u00e8re CEC en Europe) nos \u00e9quipes couvrent tous les domaines de la chirurgie cardiaque (pontages, valves, chirurgie aortique, transplantations, coeur artificiel) ce qui fait [&hellip;]<\/p>\n","protected":false},"author":22,"featured_media":0,"parent":0,"menu_order":6,"template":"","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"etablissements":[],"services":[],"class_list":["post-18507","service","type-service","status-publish","hentry"],"acf":[],"featured_img":false,"coauthors":[],"author_meta":{"author_link":"https:\/\/devhml.givememore.net\/author\/charlotte-gmm\/","display_name":"Charlotte"},"relative_dates":{"created":"Publi\u00e9 6 ans il y a","modified":"Mis \u00e0 jour 4 ans il y a"},"absolute_dates":{"created":"Publi\u00e9 le 27 janvier 2020","modified":"Mise \u00e0 jour le 3 mai 2022"},"absolute_dates_time":{"created":"Publi\u00e9 le 27 janvier 2020 11 h 26 min","modified":"Mise \u00e0 jour le 3 mai 2022 16 h 38 min"},"featured_img_caption":"","tax_additional":{"etablissements":{"linked":[],"unlinked":[],"slug":"etablissements","name":"\u00c9tablissements"},"services":{"linked":[],"unlinked":[],"slug":"services","name":"Services"}},"series_order":"","_links":{"self":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/18507","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service"}],"about":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/types\/service"}],"version-history":[{"count":3,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/18507\/revisions"}],"predecessor-version":[{"id":23374,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/service\/18507\/revisions\/23374"}],"wp:attachment":[{"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/media?parent=18507"}],"wp:term":[{"taxonomy":"etablissements","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/etablissements?post=18507"},{"taxonomy":"services","embeddable":true,"href":"https:\/\/devhml.givememore.net\/api\/wp\/v2\/services?post=18507"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}