{"id":5514,"date":"2022-02-02T16:52:09","date_gmt":"2022-02-02T15:52:09","guid":{"rendered":"http:\/\/10.14.1.26\/website\/?post_type=service&p=5514"},"modified":"2026-04-20T16:14:41","modified_gmt":"2026-04-20T14:14:41","slug":"chirurgie-cardiaque","status":"publish","type":"service","link":"https:\/\/www.stpierre-bru.be\/en\/service\/chirurgie-cardiaque\/","title":{"rendered":"Chirurgie cardiaque"},"content":{"rendered":"

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Notre service assure la prise en charge de l’ensemble des interventions de chirurgie cardiaque coronarienne, valvulaire, aortique et rythmique.<\/strong> Nous utilisons des technologies de pointe en mettant l\u2019accent sur des techniques mini-invasives. Nous poss\u00e9dons une large expertise dans les chirurgies par robot-assist\u00e9es et \u00e0 c\u0153ur battant.<\/p>\n

Chaque patient n\u00e9cessite une prise en charge individualis\u00e9e qui est discut\u00e9e de mani\u00e8re pluridisciplinaire avec l’\u00e9quipe de Cardiologie, d’Anesth\u00e9sie et des Soins Intensifs.<\/p>\n

L’\u00e9quipe de Chirurgie Cardiaque est constitu\u00e9e de 3 chirurgiens seniors qui assurent la prise en charge pr\u00e9op\u00e9ratoire, op\u00e9ratoire et post-op\u00e9ratoire de chaque patient.<\/p>\n

<\/p>\n

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Chirurgie coronarienne<\/span><\/h2>\n

La chirurgie coronarienne consiste \u00e0 la revascularisation des art\u00e8res du c\u0153ur<\/strong> via des pontages qui sont r\u00e9alis\u00e9s \u00e0 l\u2019aide d\u2019art\u00e8res (mammaire ou radiale) ou de veines.<\/p>\n

Au CHU Saint-Pierre, 80% des pontages sont r\u00e9alis\u00e9s \u00e0 l\u2019aide des deux art\u00e8res mammaires<\/strong> afin d\u2019offrir le meilleur r\u00e9sultat possible \u00e0 long terme \u00e0 chaque patient. Cette chirurgie est traditionnellement r\u00e9alis\u00e9e par sternotomie m\u00e9diane. Les pontages peuvent \u00eatre r\u00e9alis\u00e9s \u00e0 c\u0153ur arr\u00eat\u00e9 \u00e0 l\u2019aide de la circulation extra-corporelle<\/strong> (technique on-pump<\/em>) ou \u00e0 c\u0153ur battant<\/strong> (technique off-pump<\/em>).<\/p>\n

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Nous r\u00e9alisons \u00e9galement des pontages coronariens par voie mini-invasive \u00e0 l\u2019aide du robot Da Vinci. Cette technique novatrice permet de r\u00e9aliser la chirurgie de pontage par trois petites incisions entre les c\u00f4tes. Elle est r\u00e9alis\u00e9e \u00e0 c\u0153ur battant et permet une r\u00e9cup\u00e9ration plus rapide, tout en garantissant les excellents r\u00e9sultats sur le long terme que procure le pontage coronarien.<\/p>\n

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Chirurgie valvulaire<\/span><\/h2>\n

La chirurgie valvulaire consiste \u00e0 la r\u00e9paration ou le remplacement d\u2019une ou plusieurs valves d\u00e9fectueuses du c\u0153ur.<\/strong><\/p>\n

Lorsqu\u2019il s\u2019agit d\u2019un probl\u00e8me d\u2019insuffisance ou r\u00e9gurgitation valvulaire<\/strong>, il est souvent possible de r\u00e9parer la valve avec d\u2019excellents r\u00e9sultats \u00e0 long terme. L\u2019avantage est de pouvoir \u00e9viter les m\u00e9dicaments anticoagulants \u00e0 long terme et d\u2019assurer d\u2019excellente performance h\u00e9modynamique sur le court terme.<\/p>\n

Lorsqu\u2019il s\u2019agit d\u2019un probl\u00e8me de st\u00e9nose<\/strong> (r\u00e9tr\u00e9cissement) valvulaire, il est alors souvent n\u00e9cessaire de remplacer la valve \u00e0 l\u2019aide de proth\u00e8se artificielle. Deux types de proth\u00e8ses sont disponibles: les proth\u00e8ses m\u00e9caniques faites dans un mat\u00e9riau synth\u00e9tique particuli\u00e8rement r\u00e9sistant \u00e0 l\u2019usure et les proth\u00e8ses biologiques ou bioproth\u00e8ses qui sont confectionn\u00e9es dans un tissu biologique pr\u00e9lev\u00e9 sur l\u2019animal (p\u00e9ricarde bovin ou valve aortique porcine).<\/p>\n

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Chacune de ces proth\u00e8ses a ses avantages et ses inconv\u00e9nients. Le choix de l\u2019une ou de l\u2019autre est discut\u00e9 de mani\u00e8re individuelle avec chaque patient.<\/p>\n

La chirurgie valvulaire peut \u00eatre \u00e9galement r\u00e9alis\u00e9e par voie mini-invasive<\/strong> en l’absence de contre-indication.Une petite incision de 5 cm est r\u00e9alis\u00e9e au niveau du creux axillaire pour la r\u00e9paration ou remplacement des valves mitrales et tricuspides. En cas de chirurgie de valve aortique, une petite incision est r\u00e9alis\u00e9e au niveau de la partie haute du sternum (mini-sternotomie).<\/p>\n

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Chirurgie de l\u2019aorte thoracique<\/span><\/h2>\n

La chirurgie de l\u2019aorte thoracique concerne essentiellement les an\u00e9vrismes<\/strong> (dilatations pathologiques d\u2019un segment de l\u2019aorte) ou les dissections aortiques<\/strong> (d\u00e9chirure de l\u2019aorte qui n\u00e9cessite une prise en charge urgente). La chirurgie consiste au remplacement de la partie de l’aorte malade par une proth\u00e8se synth\u00e9tique.<\/p>\n

Ces chirurgies sont vari\u00e9es et peuvent \u00e9galement concerner la valve aortique. Il est alors fr\u00e9quemment possible de pr\u00e9server cette valve et de la r\u00e9implanter dans la nouvelle aorte synth\u00e9tique. Il s’agit de l’intervention de Tirone-David<\/em> <\/strong>qui est particuli\u00e8rement b\u00e9n\u00e9fique au patient jeune en lui offrant une excellente qualit\u00e9 de vie \u00e0 long terme.<\/p>\n

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Chirurgie rythmique<\/span><\/h2>\n

La chirurgie rythmique concerne la mise en place d\u2019un stimulateur cardiaque (= pacemaker) mais \u00e9galement le traitement de la fibrillation auriculaire.<\/strong><\/p>\n

La pose d\u2019un stimulateur cardiaque<\/strong> (ou pacemaker) est n\u00e9cessaire lorsque le tissu de conduction entre les oreillettes et les ventricules est d\u00e9ficient. Cette d\u00e9ficience provoque un ralentissement, voire une interruption de l\u2019activit\u00e9 cardiaque se traduisant par des syncopes.<\/p>\n

L\u2019intervention se d\u00e9roule sous anesth\u00e9sie locale et ne n\u00e9cessite qu\u2019une nuit d\u2019hospitalisation.<\/p>\n

Le traitement de la fibrillation auriculaire<\/strong> peut \u00eatre r\u00e9alis\u00e9e en m\u00eame temps qu\u2019une chirurgie cardiaque valvulaire ou coronarienne. Elle peut \u00e9galement \u00eatre r\u00e9alis\u00e9e de mani\u00e8re percutan\u00e9e<\/strong> (en application locale sur la peau) par introduction d\u2019un cath\u00e9ter<\/strong> dans les art\u00e8res du c\u0153ur (= cath\u00e9t\u00e9risme cardiaque).<\/p>\n

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Plus que toute autre sp\u00e9cialit\u00e9, la chirurgie cardiaque repose sur un travail d\u2019\u00e9quipe, o\u00f9 le r\u00f4le de chacun est d\u00e9terminant : cardiologues, anesth\u00e9sistes, chirurgiens, mais aussi perfusionnistes, assurant le fonctionnement de la machine c\u0153ur-poumon artificiels, \u00e9quipe des soins intensifs, infirmi\u00e8res, kin\u00e9sith\u00e9rapeutes\u2026<\/p>\n","protected":false},"featured_media":0,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"\r\n

La chirurgie se d\u00e9finit comme l\u2019ensemble des op\u00e9rations manuelles et\/ou instrumentales r\u00e9alis\u00e9es sur ou dans un corps vivant \u00e0 des fins th\u00e9rapeutiques.<\/p>\r\n\r\n\r\n\r\n

Depuis 1940 on a pratiqu\u00e9 la chirurgie maximale invasive gr\u00e2ce aux compr\u00e9hensions des m\u00e9canismes de l\u2019agression chirurgicale et leur traitement.<\/p>\r\n\r\n\r\n\r\n

Depuis 1990, on essaye d\u2019inventer et codifier des interventions aussi efficaces mais moins invasives.<\/p>\r\n\r\n\r\n\r\n

La chirurgie minimal invasive est une chirurgie vid\u00e9o assist\u00e9e o\u00f9 les actes chirurgicaux sont r\u00e9alis\u00e9s sous le contr\u00f4le d\u2019une image optique ou reconstruite.<\/strong><\/p>\r\n","_et_gb_content_width":"","_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false},"categories":[1880,43],"tags":[1231,901,62,620,913,1234,1235,1233,923,1232],"class_list":["post-5514","service","type-service","status-publish","hentry","category-chirurgie","category-service","tag-aorte","tag-cardiaque","tag-chirurgie","tag-coeur","tag-coronaire","tag-pacemaker","tag-remplacement-valve","tag-rythme","tag-stent","tag-valvule"],"acf":[],"yoast_head":"\nChirurgie cardiaque - CHU Saint-Pierre | UMC Sint-Pieter<\/title>\n<meta name=\"description\" content=\"Cardiologues, anesth\u00e9sistes, chirurgiens, mais aussi perfusionnistes assurent le fonctionnement de la machine c\u0153ur-poumon artificiels, \u00e9quipe des soins intensifs, infirmi\u00e8res, kin\u00e9sith\u00e9rapeutes\u2026\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.stpierre-bru.be\/service\/chirurgie-cardiaque\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Chirurgie cardiaque - CHU Saint-Pierre | UMC Sint-Pieter\" \/>\n<meta property=\"og:description\" content=\"Cardiologues, anesth\u00e9sistes, chirurgiens, mais aussi perfusionnistes assurent le fonctionnement de la machine c\u0153ur-poumon artificiels, \u00e9quipe des soins intensifs, infirmi\u00e8res, kin\u00e9sith\u00e9rapeutes\u2026\" \/>\n<meta property=\"og:site_name\" content=\"CHU Saint-Pierre | UMC Sint-Pieter\" \/>\n<meta property=\"article:modified_time\" content=\"2026-04-20T14:14:41+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.stpierre-bru.be\/service\/chirurgie-cardiaque\/\",\"url\":\"https:\/\/www.stpierre-bru.be\/service\/chirurgie-cardiaque\/\",\"name\":\"Chirurgie cardiaque - 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