11The Cardiac surgery unit, member of The Department of Cardiac Thoracic and Vascular Sciences at the University of Padua, is a state of the art structure linking the University and the local Hospital thus spanning diagnosis and treatment as well as clinical, applied and basic research. Patients with cardiovascular and thoracic diseases from across all the Italian areas are treated in this Cardiac Unit, and the patients receive treatment with the support of the Cardiologic unit. The Cardiac unit of Padua ranks among the busiest centres for Cardiac surgery in the country, with over 800 surgical procedures per year, and additionally with an high index of Complexity/Performance. During the current year this Cardiac Unit has the major number of ventricular assist device implantation for primary cardiac failure in Italy. Each year are performed 60 porcine aortic valve replacements, 200 pericardial ones, 40 transapical and transfemoral implants. Mitral replacement accounts for 60 bioprostheses and mitral repair for 60 cases. Additionally each year are performed 400 CABG procedures, an average of 22 heart transplants, 20 ventricular assist device implantations, and 70 ascending aorta replacements. In the institutional data base are totally updated more than 4000 bioprostheses in aortic position, 1500 in mitral position, more than 4000 CABG patients.

The Department of Cardiac Thoracic and Vascular Sciences at the University of Padua is one of the most research active surgical units of the country with a long history in innovative cardiac surgery and heart transplantation and is one of the oldest medical institutions also dealing with congenital heart malformations. The Cardiac Surgery unit of Padua showed to be a leader group in Italy either in terms of number and quality of publications either for advanced surgical activity. Since early 70’, the tissue valve structural deterioration phenomenon is a problem extensively studied, as stated by the large amount of published papers on this issue. Additionally, the first human heart transplant in Italy was performed here in Padova in 1985, followed by the first neonatal heart transplant in 1987, and furthermore the first Total Artificial Heart (Cardiowest) in 2007, the first totally endoscopic and robotic myocardial revascularisation, and finally the first totally endoscopic and robotic pulmonary veins isolation for atrial fibrillation. Clinical evaluation and follow-up of operated patients are routinely performed to assess long-term results and continuously improve techniques, and projects and results have been published in international literature.

Contributors to TRANLINK:

  • Prof. Gino Gerosa, MD: Professor of Cardiac Surgery
  • Dr. Tomaso Bottio, MD, PhD: Aggregate Professor of Cardiac Surgery
  • Dr. Michele Gallo, MD: Resident in Cardiac Surgery
  • Dr. Giuseppe Feltrin MD, PhD: Attending at the Dep. Of Cardiac Surgery

Website: http://www.unipd.it/international-highlights/node/70