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Valvular heart medicine revolves around the need to accurately identify locations of pathological structures and/or the interventional tools needed to manage that pathology. The imaging of the valves is developing at an enormous pace and the clinician must be aware of the advantages of each modality and how it compares to the others available. There is a need for a practical, clinical atlas designed to work the reader through cases and assessing the gold standard choices available to physicians. This atlas will represent the full multimodality imaging decisions needed when assessing mitral valvular disorders. Within this atlas the authors will be presenting a comprehensive pictorial overview of the highly complex pathology/treatment techniques and management in this diverse group of patients with varied mitral valvular pathologies. Imaging modalities move fast representing challenge to practitioners. This atlas will enable them to learn the choices available and be well versed in techniques. It will therefore be essential reading for all cardiac imagers, surgeons, interventionalists, anesthetists and trainees in these disciplines.
This book is intended to be a link between guidelines and clinical practice, a complementary tool to help physicians to be well informed regarding the important field of heart failure. It will be a useful tool for professionals from all the fields of cardiology: non-invasive cardiology, interventional cardiology, electrophysiology and cardiovascular imaging. The topic of heart failure is continuously changing, with new important information being added constantly. The pathophysiology is better understood and there is a trend for a better characterization of special groups of population, such as oncologic patients with heart failure. The new imaging techniques have become valuable tools for the diagnosis of heart failure, while pharmacological and novel cell and gene treatments have evolved enormously. The challenge for the practitioners is making the right selection of treatment strategy that best fits a patient. This book presents detailed information on the indications, selection and mechanism of action of these treatments, whether they be mechanical circulatory devices or pharmacological treatments. The contemporary pharmacological and non-pharmacological management of heart failure has the main target of early prevention of disease progression and the avoidance of heart transplant. In the era of shortage of donors, prevention is the mainstay of the therapeutic strategy, and this is the main philosophy of our book.
Comprehensive and up-to-date analysis of GERD Has focus on remedies to failed treatment of the disease
Thoracic anaesthesia is regarded as a post fellowship sub-speciality within anaesthesia, and can be daunting. This handbook provides an easily accessible, informative, and palatable guide to this often complex subject. The text is sub-divided into basic sciences, pre-operative assessment, diagnostic procedures, and an anaesthetist's walk-through of key thoracic surgical procedures. It concludes with an emergency section covering thoracic anaesthesia emergencies, critical care, and the thoracic surgical patient, and ends with essential guidance on the relevant practical procedures necessary to manage cases. The text provides an essential reference for the core curriculum of the Fellowship of the Royal College of Anaesthetists and for the day-to-day practice of post fellowship anaesthetists alike. The discussions of the surgical procedures are simple, highlighting the poignant stages that can affect the anaesthetic management of the patient. The authors use the very latest evidence in order to keep the reader up to speed with developments in the field. Whether on-call, running day-to-day lists or working within critical care, this indispensable guidebook will optimise the preparedness of all staff in dealing with any case, whether simple or complex.
Now in its 4th edition, Kirklin/Barratt-Boyes Cardiac Surgery remains your indispensable source for definitive, state-of-the-art answers on every aspect of adult and pediatric cardiac surgery. This dynamic medical reference thoroughly and systematically covers the full range of new and classic surgical procedures-including the latest alternate and minimally invasive surgical techniques-and presents the up-to-date clinical evidence you need to make effective management decisions. Be certain with expert, dependable, accurate answers for every stage of your career from the most comprehensive, definitive text in the field! Get comprehensive coverage of all areas of cardiac surgery, including ischemic, valvular, and congenital heart disease; cardiac tumors; constrictive pericarditis; thoracic aortic surgery; cardiac transplantation; coronary artery disease; aortic valve disease; cardiac rhythm disturbances; heart failure and transplantation; disease of the thoracic aorta; tetralogy of Fallot; anesthesia; and postoperative care. Stay current with the latest advancements and practices. Comprehensive updates throughout include new information on endovascular management of thoracic aorta disease; new data on clinical outcomes; the most recent minimally invasive procedures; non-invasive CT angiography; new alternative surgical approaches to mitral valve surgery; and many other hot topics! Make the most well-informed decisions and achieve optimal outcomes by exploring each condition's natural history; diagnostic criteria; indications for surgery; operative techniques; and follow-up care. Reference information quickly thanks to a new, streamlined format and easily searchable online access to the complete text, downloadable image library, reference links, and more at expertconsult.com. Visually grasp and better understand critical information with the aid of a new, full-color design that includes an abundance of detailed charts and graphs. Stay current with the latest advancements and practices. Comprehensive updates throughout include new information on endovascular management of thoracic aorta disease; new data on clinical outcomes; the most recent minimally invasive procedures; non-invasive CT angiography; new alternative surgical approaches to mitral valve surgery; and many other hot topics! Reference information quickly thanks to a new, streamlined format and easily searchable online access to the complete text, downloadable image library, reference links, and more at www.expertconsult.com. Master cardiac surgery with the Gold Standard for Cardiac Surgery - the most definitive and clinically comprehensive resource on cardiologic procedures including latest alternate and minimally invasive surgical procedures
Chest Surgery provides readers with a comprehensive and authoritative text that explains and illustrates all thoracic surgery procedures, with the exception of those on the heart and esophagus. The easy-to-read text is supported by clear, instructive line drawings and intraoperative photographs. The result is a well-illustrated practical guide for the seasoned and novice practitioner alike. The contributors, who are all acknowledged experts, demonstrate simple and safe forms of operation by distilling their experience into the most efficient methods for both standard and less common procedures. For ease in following a surgical procedure, the text description of each step is coupled with an appropriate drawing. There are often numerous ways of performing an operation, and this book takes care to impart the basic principles underlying surgery. It will be the "must-have" guide for all thoracic surgery residents who wish to acquaint themselves with the latest developments in this constantly expanding field.
This book covers in detail all aspects of functional mitral and tricuspid regurgitation, from its pathophysiology and natural history, to its assessment, medical and surgical treatment, and long term results. Functional Mitral and Tricuspid Regurgitation encompasses information and knowledge from a diverse background including cardiology, cardiac surgery and basic science. This is necessary for a full understanding of the subject in order to optimally manage patients with this condition.
This revised and updated book provides a simplified approach to interpreting most diagnostic tests in the field of respiratory medicine. Easy to understand and practical, it contains more than 125 illustrated diagrams and over 50 tables with essential information that summarize the various diagnostic tests and interpretative approaches in a simple and understandable fashion. Of special note are chapters on exercise testing and diagnostic tests for sleep disorders, the latter a new and emerging field. This new edition contains revised information based on the newest ATS guidelines. Pulmonary Function Tests in Clinical Practice Second Edition assists residents and fellows in internal medicine, pulmonology, allergology and critical care by explaining the key information obtained from lung volume measurement and increases understanding of pulmonary function tests within the modern diagnostic armamentarium.
Heart failure is an important and ever expanding sub-speciality of cardiology. Many health care professional bodies are now developing specialist expertise in heart failure. This is true for cardiologists in training, consultant cardiologists, care of the elderly and general physicians, cardiothoracic surgeons, primary care doctors, pharmacists and specialist nurses. With advances in medical therapy, the prognosis of the condition has improved dramatically. Whereas once heart failure was a pre-terminal diagnosis, now for many it is treatable. However, some patients remain symptomatic and at high risk of death despite maximal medical therapy. These patients can benefit from a range of novel device therapies. For those who remain symptomatic despite optimal treatment cardiac transplantation remains an option. This updated book comprehensively covers all aspects necessary to manage a patient with heart failure. It gives simple, clear advice on the diagnosis, investigation and treatment options available highlighting the current evidence-base. The chapters provide concise and objective information to guide all health care professionals involved in the modern day multi-disciplinary management of the syndrome. The book is set out logically to mirror the patient journey in heart failure. An updated edition of the first practical manual of heart failure management.
This is a concise review of up-to-date concepts and techniques in the discipline of heart transplantation. It is a review and reference for practitioners managing patients with advanced heart disease, including patients with end-stage heart failure, mechanical circulatory support or transplant recipients. Heart failure is a major public health issue, with a prevalence of over 5.8 million in the USA, and over 23 million worldwide, and rising. The lifetime risk of developing heart failure is one in five. Heart failure carries substantial morbidity and mortality, with 5-year mortality that rival those of many cancers. As heart transplantation remains the best treatment option for patients with end stage heart failure, this primer will provide valuable information and management strategies for physicians caring for these patients. Also, due to continued shortage in donor organs, heart transplantation is a limited resource - which further underscores the importance of appropriately evaluating patients for transplant candidacy and managing their pre, peri- and post-transplant care for maximum benefit and best outcomes.
There are many excellent textbooks that exist in the area of implantable devices for arrhythmia control. Few textbooks, however, provide a case study approach. Collectively, these workbooks provide an approach to problem solving an electrocardiographic interpretation for patients with permanent pacemakers and defibrillators. Volume 1 addresses patients with permanent pacemakers. Volume 2 examines interactions between pacemakers and implantable defibrillators. Volume 3 provides case studies of transtelephonic pacemakers electrocardiography. Volume 4 provides more pacemaker and implantable defibrillator troubleshooting cases. This volume takes a case-orientated approach, providing a diverse series of problems on a broad range of pacing related topics. The cases are divided into easy, moderate and complex according to their level of difficulty, allowing the reader to gauge their progress. This workbook is suitable for physicians, nurses, technicians, technologists and industry engineers, particularly those new to the field who are keen to learn in a practical way.
An important reference in the field of myocardial revascularization, the book will serve as an important source of information for those engaged in the performance of transmyocardial laser revascularization and those who are actively considering adding it to their therapeutic armamentarium.. An important reference in the field of myocardial revascularization, the book will serve as an important source of information for those engaged in the performance of transmyocardial laser revascularization and those who are actively considering adding it to their therapeutic armamentarium. An important reference in the field of myocardial revascularization, the book will serve as an important source of information for those engaged in the performance of transmyocardial laser revascularization and those who are actively considering adding it to their therapeutic armamentarium. Finally, there is a dependable guide to transmyocardial laser revasculariztion (TMR). In this groundbreaking volume, clinicians who pioneered the use of this innovative treatment share their insights on the indications, results, mechanisms, and limitations of the technique.Under the careful editorial guidance of Drs. Bridges, Horvath, and Chiu, contributing authors explain: the evolution, science, rationale, and limitations for TMR how to select suitable candidates anesthetic considerations and the role of transesophageal echo TMR as a sole or combination therapyWhether you are already practicing TMR or contemplating its addition to your therapeutic armamentarium, this concise reference will answer all your questions about this important new procedure. An important reference in the field of myocardial revascularization, the book will serve as an important source of information for those engaged in the performance of transmyocardial laser revascularization and those who are actively considering adding it to their therapeutic armamentarium. Finally, there is a dependable guide
This heart anatomy book describes the cardiac development and cardiac anatomy in the development of the adult heart, and is illustrated by numerous images and examples. It contains 550 images of dissected embryo and adult hearts, obtained through the dissection and photography of 235 hearts. It has been designed to allow the rapid understanding of the key concepts and that everything should be clearly and graphically explained in one book. This is an atlas of cardiac development and anatomy of the human heart which distinguishes itself with the use of 550 images of embryonic, fetal and adult hearts and using text that is logical and concise. All the mentioned anatomical structures are shown with the use of suggestive dissection images to emphasize the details and the overall location. All the images have detailed comments, while clinical implications are suggested. The dissections of different hearts exemplify the variability of the cardiac structures. The electron and optical microscopy images are sharp and provide great fidelity. The arterial molds obtained using methyl methacrylate are illustrative and the pictures use suggestive angles. The dissections were made on human normal and pathological hearts of different ages, increasing the clinical utility of the material contained within.
There is an evident practice gap in education of general adult cardiologists on long-term management of congenital heart disease (CHD). The goal of this book is to help general cardiologists, but also pediatricians and related care providers in the management and diagnosis of adult CHD. Adult Congenital Heart Disease in Clinical Practice provides clear, practical advice on adult CHD for the busy fellow, resident and practicing clinician. It includes training and revision material to assist learning and is formatted in such a way as to provide short, concise content designed for easy recall of salient facts.
Leaving a life marked by crippling setbacks and his father's doubt, in 1967 a twenty-something doctor from India arrived in America with only five dollars and the desire to claim his American dream. The journey still awaiting Dr. Arun K. Singh would be unparalleled. Faced with an entirely new culture, racism, and the lasting effects of disabling childhood injuries, through hard work and perseverance he overcame all odds. Now having performed over 15,000 open heart surgeries, more than nearly every surgeon in history, Dr. Singh reflects on his most memorable patients and his incredible personal life. Shared for the first time, these intimate and uplifting accounts, along with photos, will have you cheering for the underdog and appreciating the enduring determination of the human spirit.
This book offers a comprehensive overview of all major pathologic conditions involving the lung and mediastinum and the related diagnostic procedures. Oncologic and non-oncologic conditions are reviewed and described in detail, featuring, besides normal anatomy, also high quality images from several modalities (including X-ray, CT, MR and PET), as well as b/w and color illustrations and line drawings. Complications associated with surgical and oncological treatments are also presented in detail with extensive imaging examples. The book provides a thorough coverage of the topic of thoracic imaging, yet considering a concise and synthetic approach essential to optimal learning. The book will be a useful reference guide for the everyday clinical practice of young radiologists, residents and medical students.
A TIMES BEST BOOK OF 2019 An intimate and compelling exploration into the unique psyche of the heart surgeon, by one of the profession's most eminent figures. Although Professor Stephen Westaby was born with the necessary coordination and manual dexterity, it was a head trauma sustained during university that gifted him the qualities of an exceptional heart surgeon: qualities that are frequently associated with psychopathy. His thirty-five-year career has been characterised by fearlessness and ruthless ambition; leaving empathy at the hospital door as thousands of patients put their lives in his hands. For heart surgeons, the inevitable cost of failure is death and in The Knife's Edge, Westaby reflects on the unique mindset of those who are drawn to this exhilarating and often tragic profession. We discover the pioneers who grasped opportunities and took chances to drive innovation and save lives. Often difficult, uninhibited and fearless, theirs is a field constantly threatened by the risk of public failure. Like those before him, Westaby refuses to draw the line in his search of a lifetime solution to problems of the heart. His determination is unerring - a steadfastness underpinned by his unusual mind. But as we glimpse into the future of cardiac surgery, for all its remarkable scientific advancement, one question remains: within the confines of socialised medical healthcare systems, how can heart surgeons - individuals often hardwired with avoidance of self-doubt, a penchant for glory and a flagrant disregard for authority - truly flourish?
This book is a fully updated and revised second edition of a highly successful text in which a new concept of knowledge mining, based on explication and transfer of interventional knowledge of experts, has been implemented. The dedicated training program that is set out will serve the needs of all interventional operators, whether cardiologists, vascular surgeons, vascular specialists, or radiologists, enabling them to achieve a consistent expert level across the entire broad spectrum of catheter-based interventions. Operator skills - and in particular decision-making and strategic skills - are the most critical factors for the outcome of catheter-based cardiovascular interventions. Currently, such skills are commonly developed by the empirical trial and error method only. The explicit teaching, training, and learning approach adopted in this book permits the rapid transfer of interventional knowledge and enables individual operators to negotiate steep learning curves and acquire complex skills in a highly efficient manner. It will thereby offer invaluable assistance in meeting successfully the challenges of modern cardiovascular care.
This book reviews and describes the best practices of anesthesia in thoracic surgery, according to evidence-based medicine. It covers preoperative assessment, applied pharmacology, airway management and ventilation methods. The analgesic methods in this surgical specialty are also discussed. This book is aimed at all specialists in the world of anesthesiology and critical care as well as to physicians in training. It may also be of interest to thoracic surgeons and pulmonologists.
This book is the first available practical manual on the open abdomen. Practicing physicians, surgeons, anesthesiologists, nurses, and physiotherapists will find in it a ready source of information on all aspects of open abdomen management in a wide variety of settings. The coverage includes, for example, the open abdomen in trauma, intra-abdominal sepsis, and acute pancreatitis, step-by-step descriptions of different techniques with the aid of high-quality color figures, guidance on potential complications and their management, and features of management in different age groups. The book contents illustrate the most recent innovations and drawing upon a thorough and up-to-date literature review. Useful tips and tricks are highlighted, and the book is designed to support in daily decision making. The authors include worldwide opinion leaders in the field, guaranteeing the high scientific value of the content.
Featuring a combination of easily digestible sections, clinical images, and a text layout that assists rapid fact acquisition, this book highlights the core topics in congenital cardiac surgery. The text covers all the commonly encountered anomalies, with simple explanations of the underlying anatomy and management options. Readers are provided with strong support from the outset; including guidance on diagnosis, operative technique, and post-operative management. Aimed at trainees preparing for professional examination and newly appointed consultants, this invaluable handbook is a go-to resource for the busy practitioner. It will also be an ideal reference for cardiologists, intensivists, perfusionists, and cardiac nurses, requiring a concise and accessible summary of the surgical aspects of diagnosis and treatment. The book includes sections on transplantation, ECMO, hybrid procedures and adult congenital heart disease.
This book provides comprehensive information on transcatheter aortic valve implantation (TAVI), which was introduced for the treatment of aortic valve disease less than two decades ago. It explains how TAVI has delivered satisfactory results even in high and intermediate risk patients and outlines how it continues to evolve, thus requiring awareness of state of the art approaches to indication, risk stratification, device choice, procedure, and follow-up. In addition, it reports on the complex and multidisciplinary approach needed to maximize the efficacy, safety, and appropriateness of TAVI, providing detailed clinical, interventional and surgical perspectives focusing on the development of this cardiovascular intervention. Starting with the history of TAVI, addressing the interventional anatomy of aortic valve disease, and reporting on the expert authors' day-to-day experiences, this highly informative book offers an essential update for all cardiologists and surgeons interested in transcatheter aortic valve implantation, as well as any clinician, decision-maker and stakeholder involved in patient selection, procedural management, and follow-up.
This book provides an overview of the use of rapid prototyping in patients with cardiac pathology. With the exponential increase in the use of prototyping, or 3D printing technology, medical applications are becoming more widespread across specialties. Although medical centers are beginning to apply this technology for improved patient care, there is no single text to which specialists can refer for guidance about this emerging modality. The book discusses the use of rapid prototyping in medicine; model creation; image acquisition; rapid prototyping techniques; applications in congenital and structural heart disease; and development and management of a rapid prototyping service. The use of rapid prototyping for pre-procedural planning in patients with cardiac disorders such as septal defects, Tetralogy of Fallot, transcatheter aortic valve replacement, and ventricular assist devices and heart transplant significantly enhances visualization of cardiovascular anatomy. Rapid Prototyping in Cardiac Disease is a unique and valuable resource for cardiac imaging specialists, cardiothoracic surgeons, radiologists, and biomedical engineers.
This book offers a comprehensive overview of thoracic pathologies of surgical interest involving the lung, mediastinum, esophagus, and chest wall with the aim of providing both radiologists and thoracic surgeons with a reference of high value in everyday clinical practice. Oncologic and non-oncologic conditions are reviewed from both the radiological and the surgical point of view, each one being documented with the aid of high-quality radiologic images from several modalities (including X-ray, fluoroscopy, CT, MR, and PET), illustrations/artwork, and high-definition images from the surgical table. The postoperative anatomy and complications associated with thoracic surgery procedures are also described in detail, with provision of imaging examples that highlight aspects of importance in differentiating between normal and abnormal findings. Written by experts in the field, Diagnostic Imaging for Thoracic Surgery is exceptional in combining precise descriptions of surgical procedures with key teaching points in imaging interpretation.
Atlas of Pulmonary Cytopathology: With Histopathologic Correlations offers concrete diagnostic guidance for anatomic pathologists to accurately identify pulmonary disease using exfoliative and aspiration techniques. It not only illustrates the cytomorphology of lung specimens, but also presents and contrasts common problem areas that can lead to erroneous interpretation. Clearly and concisely written by leaders in the field, this volume is a practical desk reference for all facets of the diagnostically challenging area of pulmonary cytopathology. The Atlas features nearly 500 carefully selected high-resolution color images detailing important aspects of the full range of lung diseases and conditions including infections, non-neoplasic disorders, benign neoplasms, and malignant tumors such as adenocarcinoma, squamous cell carcinoma, neuroendocrine tumors, epithelial tumors and malignant mesothelioma, mesenchymal and lymphohistiocytic tumors, as well as metastatic tumors. Additionally, the book's images of the histopathology and gross characteristics of lesions provide morphologic correlations that will be relevant to cytopathologists and surgical pathologists alike. To provide a broader, more enriching perspective, the Atlas features a special chapter on the bronchoscopic characteristics of lung lesions to provide a differential diagnosis through the eyes of an experienced pulmonologist. It also reviews the updated classification guidelines of lung tumors from the World Health Organization (WHO), providing a multidisciplinary approach to enhance the reader's understanding of how cytopathology, histopathology, and bronchoscopic information together create a powerful tool for the prevention and early detection of neoplastic, non-neoplastic, and infectious disease of the lower respiratory tract. Key Features: Provides practical, expert diagnostic guidance for the full range of pulmonary cytopathology Illuminates common diagnostic pitfalls and interpretive errors made in lower respiratory tract specimens Presents nearly 500 high-resolution color images Includes bronchoscopic-pathologic correlations from an expert pulmonologist
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