The first in the Problems in Anesthesia seris, Cardiothoracic Surgery examine and provide guidance for a number of problematic clinical scenarios in cardiothoracic surgery anesthesia. This is a field which is growing in complexity due to the increasingly diverse set of conditions that are now treated surgically, and also due to developments in technology which are leading to different approaches to even common problems. This book will be of interest to the qualified specialist and the general trainee in anesthesiology.

Cases are presented followed by an approach to the case, utilizing the various experiences of anesthesiologists from both sides of the Atlantic. The case-based teaching relates the material to the clinic, and the discussion then explains the options in approach. Each chapter concludes with a series of essential tips in dealing with the various problems. Cases covered range from the common (e.g. off-pump coronary bypass) to the rare (e.g. anesthetic management of the patient with carcinoid heart disease).

The aim of the book is to allow readers to learn from both the successes and the complications within the cases covered, and in this way disseminate knowledge amongst those working in the field as well as pave the way for further investigation and continued advancement.

Mechanical Circulatory Support: Principles and Applications offers innovative approaches to complex clinical scenarios and represents the current state-of-the-art for managing patients on mechanical circulatory support devices. Topics are presented in a concise fashion, making it a practical resource for care givers who need a user's manual in the heat of the moment during patient care as well as a reference for a better understanding of the unique components of every device available for human use. This book provides a comprehensive, up-to-date analysis of the most relevant issues facing health care providers in the management of advanced heart failure. With content that features patient selection strategies, implantation techniques, device specific considerations, and management of clinical challenges in the post-operative setting, this textbook offers evidence-based answers to the complex questions facing nurses, perfusionists, advanced practice providers, and physicians.

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?

SHORTLISTED FOR THE COSTA BIOGRAPHY PRIZE THE SUNDAY TIMES NO.2 BESTSELLER WINNER OF THE BMA PRESIDENT'S AWARD 2017 An incredible memoir from one of the world's most eminent heart surgeons, recalling some of the most remarkable and poignant cases he's worked on. Grim Reaper sits on the heart surgeon's shoulder. A slip of the hand and life ebbs away. The balance between life and death is so delicate, and the heart surgeon walks that rope between the two. In the operating room there is no time for doubt. It is flesh, blood, rib-retractors and pumping the vital organ with your bare hand to squeeze the life back into it. An off-day can have dire consequences - this job has a steep learning curve, and the cost is measured in human life. Cardiac surgery is not for the faint of heart. Professor Stephen Westaby took chances and pushed the boundaries of heart surgery. He saved hundreds of lives over the course of a thirty-five year career and now, in his astounding memoir, Westaby details some of his most remarkable and poignant cases - such as the baby who had suffered multiple heart attacks by six months old, a woman who lived the nightmare of locked-in syndrome, and a man whose life was powered by a battery for eight years. A powerful, important and incredibly moving book, Fragile Lives offers an exceptional insight into the exhilarating and sometimes tragic world of heart surgery, and how it feels to hold someone's life in your hands.

Preface. Part One: Pathophysiology of ischemia and reperfusion. 1. Moderate ischemic injury and myocardial stunning; M.E. Zughaib, P.B. McCay, M.O. Jeroudi, C. Hartley, Jian-Zhong Sun, S. Seikili, Xiao-Ying Li, R. Bolli. 2. Severe ischemic injury and the oxygen paradox; H.M. Piper, B. Siegmund, K.-D. Schluter. 3. Role of leukocytes in reperfusion injury; S.L. Hale, R.A. Kloner. 4. Ischemia of the neonatal heart; F.M. Lupinetti. Part Two: Concepts of cardioplegia. 5. Cardioplegia with an intracellular formulation; C.J. Preusse. 6. Cardioplegia with an extracellular formulation; D.J. Chambers, M.V. Braimbridge. 7. Blood cardioplegic strategies during adult cardiac operations; G.D. Buckberg, B.S. Allen, F. Beyersdorf. Part Three: Clinical application of cardioplegia. 8. High volume perfusion; I.B. Krukenkamp, C.A. Caldarone, P. Burns, S. Levitsky. 9. Intermittent coronary perfusion; H.D. Schulte. 10. Retrograde perfusion; P. Menasche. 11. Cardiac arrest by ventricular fibrillation; C.W. Akins. 12. Myocardial preservation in the immature heart; J.E. Mayer, Jr. Part Four: Evaluation of cardioplegic methodology. 13. High-energy phosphates and their catabolites; J.W. de Jong, T. Huizer, M. Janssen, R. Krams, M. Tavenier, P.D. Verdouw. 14. Lactate monitoring during and after cardiopulmonary bypass: an approach implicating a perioperative measure for cardiac energy metabolism; E.-G. Krause, D. Pfeiffer, U. Wollenberger, H.-G. Wollert. 15. Myocardialtissue pH in the assessment of the extent of myocardial ischemia and the adequacy of myocardial protection; M.B. Tantillo, S.F. Khuri. 16. Morphology of the acute and chronic ischemic myocardium in man; M. Borgers, W. Flameng. 17. Muscle birefringence; S. Darracott-Cankovic. 18. How to measure cardiac energy expenditure; M.Takaki, T. Namba, J. Araki, K. Ishioka, H. Ito, T. Akashi, Ling Yun Zhao, Dan Dan Zhao, Miao Liu, W. Fujii, M. Takaki, H. Suga. 19. Cardioplegia and cardiac function; D. Baumgart, R. Schulz, T. Ehring, G. Heusch. Index.

Transmediastinal gunshot injuries present the risk of immediately life threatening injuries. Stable patients have been evaluated by a combination of esophageal swallow and endoscopy, aortography and bronchoscopy. There is an increasing trend favoring CT scan. Unstable patients require immediate exploration, being prepared to enter both hemi-thoraces. Selected References: * Bergsland J, Karamanoukian HL, Soltoski PR, Salerno TA. Single suture forcircumflex exposure in coronary artery bypass grafting. Ann Thorac Surg.1999;68: 1428-1430. * Fedalen PA, Bard MR, Piacentino V, et al. Intraluminal shunt placement and off- pump coronary revascularization for coronary artery stab wound. J Trauma 200 1;50: 133-135 * Hanpeter DE, Demetriades D, Asensio JA, Berne TV, Velmahos G, Murraygunshot wounds. J Trauma 2000;49(4):689-695. * MacPherson D. Bullet Penetration: Modeling the dynamics and the incapacitation resulting from wound trauma. Ballistics Publications, EI Segundo, CA, 1994 * Wall MJ, Soltero E. Damage control for thoracic injuries, Surg Clin North AmI997;77(4):863-878. * Rozycki GS, Feliciano DV, Oschner MG, Knudson MM, Hoyt DB, Davis F, Hammerman D, Figueredo V, Harviel JD, Han DC, Schmidt JA. The role ofUltrasound in patients with possible penetrating cardiac wounds: aProspective multicenter study. J Trauma 1999; 46(4):543-552. * Roussseau H, Soula P, Bui B, D'Othee BJ, Massabuau P, Meites G, Concina P,Mazzerolles M, Joffre F, Otal P. Delayed treatment of traumatic ruptureof the thoracic aorta with endoluminal covered stent. Circulation 1999 Feb2; 99(4): 498-504.

This text provides a comprehensive, state-of-the-art review of catheter based approaches to valve and aortic diseases. The scope encompasses involve all the current and upcoming transcatheter aortic valve technologies as well as mitral, pulmonary and tricuspid valve technologies. Aortic diseases including transcatheter repair of descending aneurysms are included and the upcoming technologies designed to repair aortic dissections, traumatic injury, and ascending arch stent repair are highlighted. Catheter Based Valve and Aortic Surgery will be a useful tool for cardiac and vascular surgeons, interventional cardiologists, general cardiologists, and clinicians and researchers with an interest in these exciting new developments in structural heart and vascular diseases.

This book covers aspects of new developments in the field of basic electrophysiology, cardiac pacing, implantable defibrillators and addresses socioeconomic aspects related to thse topics. The section on electrophysiology provides a comprehensive overview of basic hardware equipment, sudden death, heart rate variability, signal averaged ECG, RF catheter ablation and clinical decision making. The section on pacing includes overviews on new lead developments, pacing in cardiomyopathy, as well as VVIR & DDIR pacing and automatic mode switching. Finally the section on implantable defibrillator provides a detailed view of clinical and technical aspects of third generation devices. All chapters have been written by world experts in their fields and each chapter is fully illustrated with tables, ECG recordings and black and white photographs. The book should be of use to nurses, technicians, bioengineers, cardiologists, cardiovascular surgeons, health authorities and for all who are involved in the field of pacing and electrophysiology.

Following the recent publication of new guidelines by the European Society of Cardiology, this fully up-to-date work provides cardiologists and cardiac surgeons with the first comprehensive guide to post-operative management of patients who have undergone heart valve surgery. An international team of contributors, all recognized authorities in their field, and themselves contributors to the new guidelines, present evidence-based recommendations for managing a range of clinical problems in both adults and children, extending from immediate care in the hospital setting, through to long-term considerations for the primary care physician. Topics covered include:* rehabilitation * management of thrombosis* hemolysis* rheumatic fever* endocarditis* special considerations such as care of the patient undergoing non-cardiac surgery. Illustrated with numerous graphics, checklists and flow charts to enable readers to locate information rapidly and easily, Heart Valve Disease provides practical guidance on a range of common clinical scenarios, encompassing immediate post-operative care in the hospital as well as long-term management in the primary care settings.

This authoritative guide on reconstructive techniques for degenerative mitral valve disease presents step-by-step instructions for each procedure pioneered by Alain Carpentier, MD, PhD. More than 200 detailed anatomic drawings provide clear depictions so that you can effectively apply the techniques of a master. Apply the techniques and procedures of Dr. Alain Carpentier-pioneer of mitral valve reconstruction-to your practice. View more than 200 detailed anatomic drawings that depict reconstruction procedures clearly. Master each procedure using step-by-step instructions and a consistent chapter format. Grasp the nuances of procedures thanks to "tips from the Master" and a section of questions and answers. Tap into the knowledge and experience of leaders in the field of mitral valve repair and reconstruction.

This text, published in the profession's centenary year, traces the history of cardiac surgery from ancient times to the present, detailing clinical developments with facsimilies of the original articles, consent forms from the first heart transplant, newspaper articles, and correspondence. The text follows a set pattern, describing the historical background to each new procedure, facsimilies of the original articles, bibliography of the main clinicians, and a commentary putting each development into its historical context.

The recent widespread application of minimally invasive techniques has had a profound impact on the diagnosis and therapy of thoracic disorders, including in the pediatric age group. This book is intended as a practical guide to the current approaches in pediatric thoracic surgery. Up-to-date information is provided on the surgical techniques employed for diagnosis and therapy in a wide range of congenital and acquired thoracic pathologies from the prenatal age to adolescence. Among the disorders considered in detail are cystic malformations of the lung, chest wall deformities, diaphragmatic hernias, esophageal anomalies, mediastinal tumors, laryngeal anomalies, and thoracic infections. The authors are distinguished experts in the field from across the world. "Pediatric Thoracic Surgery" will be of value not only for pediatric thoracic surgeons but also for adult thoracic surgeons, pediatric anesthetists, and pediatric respiratory physicians.

Although cardiac surgery has made an enormous progress during the last decades, the discipline has to cope with essential changes: Patients are increasingly cared for by cardiologists and therefore referred to the surgeon in a later stage of disease. Consequently, they are more often in an increasingly serious state or in advanced age with significant comorbidities.

In order to meet the requirements of these different patient groups, cardiosurgical treatments require special protectional strategies for the heart in order to perform the planned operations safely. This book presents the latest knowledge of modern techniques of myocardial protection taking into consideration the different patient groups and current scientific strategies. Furthermore, it discusses present and future scientific approaches in myocardial protection and preservation.

This extensively revised new edition comprehensively reviews the medical and surgical management of the acutely-ill child with congenital and acquired cardiac disease. It enables the reader to gain a thorough understanding of basic and practical concepts of anatomy, pathophysiology, surgical techniques and peri-operative management in this group of patients. Extensively revised chapters cover the management of cardiac patients on extracorporeal membrane oxygenation, hemofiltration, and plasma exchange. New topics covered include the use of pharmaceuticals in cardiac intensive care, the implications of interventional cardiology in pediatric intensive care and ventricular assist devices. Practically relevant guidelines are also included for cardiovascular nurses. Critical Care of Children with Heart Disease presents a thorough review of the practical concepts, available treatment techniques, and the challenges associated with managing these patients in the critical care unit. It represents a timely and valuable textbook reference for students and practising healthcare professionals alike seeking to learn or further their understanding of the latest advances in this discipline.

Cardiac Surgery: Operative Technique, by Drs. Donald B. Doty and John R. Doty, is your essential source on how to perform today's full range of cardiac surgical techniques. Over 1,000 crisp illustrations and expert, evidence-based discussions guide you step by step, equipping you to perform all of the latest procedures and get the best outcomes. Focus on the practical how-tos you need to perform each operation. Know what to do, what to avoid, and how to manage complications with the authors' discussions of their preferred methods. Benefit from the seasoned expertise of two master cardiac surgeons with decades of experience. Keep your skills current with state-of-the-art coverage of coronary artery surgeries, heart-lung transplantation, lung transplantation, and much more - including the latest evidence for each procedure. Know what to look for and how to proceed with over 1,000 remarkable illustrations and photographs - many new, many in full color - that capture exactly what you will see during surgery. Access the complete contents and illustrations online, fully searchable. Step-by-step surgical guidance for cardiac operations!

50 Studies every Vascular Surgeon Should Know presents key studies that have shaped the practice of Vascular Surgery. Selected using a rigorous methodology, the studies cover topics including carotid artery disease, aortic aneurysm, peripheral artery disease, trauma, venous disease and vascular access. For each study, a concise summary is presented with an emphasis on the results and limitations of the study, and its implication for practice. An illustrative clinical case concludes each review to highlight the impact of the study on clinical practice. This book is a must read for vascular surgeons, especially those in training and preparing for board exams, as well as anyone who wants to learn more about the data behind clinical practice.

This comprehensive resource brings together the most current theories, evidence and best practice parameters for the use of nocturnal non-invasive ventilation (nNIV). Chapters focus on the application of acute and chronic nNIV in patients with cardio-respiratory disorders over a range of major medical settings. Updates on past and recent research in this field are highlighted. Authored by leading clinicians and investigators, Nocturnal Non-Invasive Ventilation provides practical and cutting-edge knowledge to physicians, researchers and allied health professionals on the front lines of treating cardio-respiratory and sleep disorders.

With an emphasis on the "how and why" of contemporary surgery, Operative Techniques in Surgery, Second Edition, features concise, bulleted text, full-color illustrations, and intraoperative photographs to clarify exactly what to look for and how to proceed. Meticulously edited by Drs. Mary T. Hawn, Aurora D. Pryor, Steven J. Hughes, Michael S. Sabel, Kellie R. Brown and Amy J. Goldberg, this comprehensive, two-volume surgical atlas focuses on the steps of each technique, rapidly directing you to the information you need to choose the right approach for each patient, perform it successfully, and achieve the best possible results. Coverage includes open as well as laparoscopic, robotic, endoscopic, and endovascular procedures in gastrointestinal, thoracic, esophageal, colorectal, hepatobiliary, breast, endocrine, dermatologic, vascular, and trauma surgery New, comprehensive section on trauma surgery, helmed by trauma expert Dr. Amy J. Goldberg New section editors for esophageal and foregut surgery and vascular surgery, Dr. Aurora D. Pryor minimally invasive surgery leader and Kellie R. Brown, expert in vascular surgery. New videos, personally selected by contributing authors and editors, accompany numerous chapters throughout the book Extensive updates throughout, including new coverage of the American Board of Surgery's SCORE Curricula for General Surgery and for Complex General Surgical Oncology Each procedure follows the same format: differential diagnosis, patient history and physical findings, imaging and other diagnostic studies, surgical management, techniques, pearls and pitfalls, postoperative care, outcomes, and complications Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

Key Clinical Topics in Cardiology presents a brand new addition to the Key Clinical Topics series. The book provides a comprehensive overview of the subject, comprising over 60 carefully selected topics in alpha order that together provide an extensive understanding of the management of cardiovascular disorders. This collection of highly practical guides systematically addresses management techniques for a large number of clinical settings. Edited by experienced specialists, with contributions from consultants who have recognised expertise in their field, this book provides an authoritative and up-to-date guide on cardiovascular medicine. Designed to enable rapid access to core information, KCT Cardiology offers effective exam revision and the ideal quick reference for day-to-day practice. Key points Over 60 topics presented in alpha order, from acute advanced life support to tumours Effective exam revision for postgraduate trainees in cardiology preparing for certification Succinct coverage of cardiac treatment modalities and complications Includes clinical photos and diagrams to improve understanding of concepts Contributions from experienced specialists to ensure authoritative, accurate content

This book presents the most recent developments in oncologic breast surgery and takes full account of diagnostic, pathologic, and radiologic inputs. It is divided into three parts, the first of which discusses the premises underlying the modern surgical approach to breast cancer. The second part is devoted to what might be termed the conservative program, i.e., breast conservation and oncoplastic surgery, conservative mastectomy, and sentinel node biopsy and axillary dissection. The final part of the book covers different forms of surgery and other treatments in particular settings. Topics include plastic and reconstructive surgery, DCIS surgery, radio-guided surgery, adjuvant systemic therapy, intraoperative radiotherapy, and the role of surgery in locally advanced and metastatic disease. The detailed descriptions of techniques are accompanied by numerous high-quality illustrations. This book will be of value to both experienced practitioners and surgical trainees.    ​