The Department of Cardiovascular Surgery at the Fourth Affiliated Hospital, Zhejiang University School of Medicine routinely performs off-pump coronary artery bypass grafting, total arterial coronary bypass grafting, and various cardiac valve replacement and valvuloplasty procedures. It also delivers high-complexity major vascular surgeries, including left ventricular assist device implantation, David procedure, Bentall procedure, Wheat procedure, ascending aortic replacement, aortic arch replacement, and thoraco-abdominal aortic replacement, covering a full spectrum of cardiovascular conditions. Minimally invasive thoracoscopic and small-incision approaches are its distinctive features. Under the leadership of Discipline Director Zhang Zonggang, a clinician with long-standing expertise who has completed more than 8, 000 cardiac operations, including complex valve replacement and challenging coronary artery bypass grafting. The department has a professional cardiopulmonary bypass team and standardized postoperative intensive care units. Leveraging advanced life-support and monitoring technologies, including ECMO, IABP, and intraoperative transesophageal echocardiography (TEE), it develops individualized comprehensive treatment strategies for complex and difficult cases, supported by a well-established technical system and stable surgical outcomes.
1.Standardized management for cardiovascular surgical diseases in strict compliance with authoritative domestic and international clinical guidelines to provide standardized and individualized treatment regimens for patients.
2.Routine performance of off-pump coronary artery bypass grafting, multi-vessel arterial bypass grafting, and diverse valve replacement/valvuloplasty procedures. Combined operations such as concomitant radiofrequency ablation and ascending aortic replacement are carried out for patients with atrial fibrillation and ascending aortic aneurysm. Expertise encompasses aortic root replacement, ascending and aortic arch surgery, as well as repair of various complex congenital heart diseases including atrial septal defect and ventricular septal defect, with minimally-invasive thoracoscopic small-incision approaches available.
3.Integrating the strengths of surgical and interventional therapies to formulate comprehensive treatment strategies for complex cases, with mature techniques and high surgical success rates.
4.Intraoperative transesophageal echocardiography (TEE) is widely applied, providing solid support for precise surgical manipulation, intraoperative outcome evaluation and complication prevention in cardiovascular surgical procedures.