Surgical Teaching Simulator · Med Student Edition

Learn the operation, step by step — with the anatomy, drugs & complications behind each move

The case. A 68-year-old presents with exertional dyspnoea, angina and one episode of syncope — the classic triad of severe aortic stenosis. On examination there is an ejection systolic murmur radiating to the carotids with a slow-rising pulse.

Echo. Calcific tricuspid aortic valve; peak velocity 4.6 m/s, mean gradient 52 mmHg, valve area 0.8 cm² — severe AS. LV function preserved, coronaries unobstructed on angiography.

The plan. First-time isolated surgical aortic valve replacement (SAVR) on cardiopulmonary bypass. You will take the case from skin to closure. At every step, tap 📖 Learn for the anatomy, physiology, drugs and things that can go wrong.

🎓 Aimed at healthcare students and practitioners — from first exposure to the operation through to trainee-level detail. Tap 📖 Learn on any step for the core notes, then open the “deep dive” for more depth.

Disclaimer. This is an educational simulation created for teaching. It deliberately simplifies and stylises a real operation, is not comprehensive, and may contain simplifications or inaccuracies. It is not medical advice and is not a substitute for supervised clinical training, textbooks, or your local protocols and guidelines — it must never be used to guide the care of a real patient. Techniques and sequences vary between surgeons and centres. Non-graphic: no blood or distressing imagery.