Das Herz-Kreislauf-Zentrum Freiburg hat in Zusammenarbeit mit der Deutschen Gesellschaft fur Thorax-, Herz- und Gefasschirurgie (DGTHG) ein neues Weiterbildungskonzept fur angehende Herzchirurgen entwickelt. Das alte Prinzip des Learning by Doing, bei dem hochsensible Operationstechniken direkt am Patienten erlernt werden, wird abgeloest durch eine Kombination aus theoretischen und praktischen Lerneinheiten, die die Assistenten in Weiterbildung Schritt fur Schritt durch den Operationsalltag begleiten. Das vorliegende Manual, das exakt auf das Fachgebiet zugeschnitten ist, vermittelt die dafur notwendigen Kenntnisse, und das dazugehoerige Logbuch ermoeglicht die Prufung der Lerninhalte und die Dokumentation des Lernerfolgs. Assistenten in Weiterbildung erhalten dank dieses Konzepts nicht nur eine klar strukturierte Ausbildung, sondern sie erwerben uber die kontinuierlich zu sammelnden Leistungsbelege auch einen eindeutigen Nachweis ihrer Fahigkeiten und Kompetenzen auf dem Weg zur Facharztreife. Der jeweilige Ausbildungsstand kann objektiv gepruft und Defizite koennen rasch erkannt und behoben werden. Nicht nur Lernende und Lehrende sondern alle in der Herz- und Gefasschirurgie tatigen AErzte profitieren von diesem Konzept. Zusatzlich werden auf der Karger Homepage kurze Videosequenzen zu finden sein, die viele der im Buch beschriebenen Techniken veranschaulichen. QR-Codes in den einzelnen Kapiteln werden den entsprechenden Zugang direkt ermoeglichen.

The treatment of end-stage heart failure with advanced surgical therapies has evolved significantly over the last several years and is a dynamic subspecialty within cardiac surgery. "Surgical Treatmentfor Advanced Heart Failure "describes the surgical management of advanced heart failure, including coronary artery revascularization, mitral valve repair, aortic valve replacement, ventricular remodeling, cardiac resynchronization, mechanical circulatory support with short-term devices for acute stabilization, long-term mechanical support as a bridge to transplant and for destination therapy, left ventricular assist devices, complete cardiac replacement with the total artificial heart, and cardiac transplantation. With contributions from a distinguished group of heart failure cardiologists and transplant surgeons, it is an authoritative resource for cardiac surgeons, cardiologists, and surgeons.

This book is intended as a comprehensive, practically oriented reference on pulmonary hypertension within the context of adult congenital heart disease (ACHD). After an introductory chapter on pathophysiology, the various types of pulmonary hypertension that may be encountered in ACHD are discussed, highlighting the specifics observed within different patient categories. The diagnostic approach is then addressed in detail, and the last section of the book is devoted to management options, from conservative approaches to interventional treatment and the concept of treat and repair. Management in specific patient subjects, such as pregnant women, Fontan patients, and Down syndrome patients with Eisenmenger syndrome, is fully discussed, and guidance is also provided on palliative care. Pulmonary arterial hypertension related to congenital heart disease (PAH-CHD), despite significant similarities in lung pathohysiology, differs significantly from other types of PAH in terms of mechanism of onset, natural history and management. Mistakes and pitfalls in the management of patients with PAH-CHD are often related to a lack of knowledge or expertise in this condition. Pulmonary Hypertension in Adult Congenital Heart Disease will be a valuable resource and learning tool for all who care for patients with ACHD, both in tertiary practice and general cardiology.

Preoperative and intraoperative echocardiography has become an indispensable tool for guiding mitral valve surgery and has fostered the development of many innovative surgical techniques. Mitral valvuloplasty is now an established surgical method for the treatment of mitral insufficiency but the success is largely dependent on the extent of the underlying disease of the mitral valve. The book by Dr. Ng and coauthors is an extraordinary presentation of the relation between echocardiographic display of mitral valve pathology and reconstructive mitral valve surgery. The atlas provides an excellent illustrative guide to teach echocardiographic-anatomic correlations and educates the reader on the techniques of mitral valve repair. The quality of the illustrations, particularly the surgical photographs is exquisite. The book will be helpful for cardiologists and cardiac surgeons.

Cardiac surgery has developed dramatically since the first open-he art operations were performed in the mid 1950s. Although the improvement of surgical technique, extracorporeal circulation, and postoperative management has contributed to a marked reduction of morbidity and mortality, the development of cardiac surgery to its present state would not have been possible without blood substitution by homologous donor blood. Only 20 years ago, open-heart operations required an average of 8 units of blood preserves. The excessive need of donor blood in those early days was mainly due to premature surgical technique, insecure control of anticoagulation, severe blood trauma by extracorporeal circulation, and the lack of retransfusion technologies that would have allowed the reuse of shed mediastinal blood. The introduction of new technologies, such as normovolemic hemodilution, in traoperative autotransfusion, postoperative return of shed mediastinal blood, and predonation of autologous blood has greatly reduced donor blood requirements. At present the majority of routine coronary artery surgical procedures can be performed without any blood transfusion. Blood loss, however, may be considerable in patients undergoing complex valve surgery or reoperations, as they often require several units of transfused blood. Blood conservation has now become an area of major interest for the cardiac surgeon. This increased concern is caused by infectious complications of blood transfusion, in particular hepatitis and, more recently, AIDS."

The aim of this book is to identify and shed new light on the main surgical practices involved in acute care and trauma surgery. Adopting an evidence-based approach, a multidisciplinary team of surgeons and intensivists illustrate basic and advanced operative techniques, accompanied by a comprehensive and updated reference collection. Emerging surgical procedures in Acute Care Surgery are also explored step by step with the help of ample illustrations. Further, the book offers an overview of treatment options for acute organ failure, with a focus on peculiar clinical situations that call for special treatment, including: extracorporeal membrane oxygenation (ECMO), circulatory support and urgent liver transplantation. In order to identify the key determinants in decision-making and therapeutic support that can help avoid critical errors, authors not only define and discuss specific surgical techniques, but also present major issues and controversies related to it. In essence, the book can be considered a "What to do guide" that offers easy access to both basic and advanced lifesaving surgical procedures, due in part to text boxes highlighting "Tips, Tricks and Pitfalls" as well as advice on "Complications Management". Many chapters are enriched by providing clinical case scenarios, an important educational resource including self-assessment questionnaires.

Liposuction began as a contouring procedure but has evolved into the treatment of obese patients, gynecomastia, ptosis, macromastia, and even patients who have complications from heart disease or diabetes. Other disorders such as axillary sweat hypersecretion, lipomas, and angiomas are also potential disorders that may be treated with liposuction.

Physicians performing liposuction must be adequately trained and experienced in the potential and actual complications before attempting to perform liposuction. Patient safety is the most important aspect of all surgeries, but especially of cosmetic surgery, which is an elective procedure.

New technology helps improve results but experience, care, and skill of the cosmetic surgeon is necessary to obtain optimal results that satisfy the patient.

The contributors to this book have spent time and effort presenting the cosmetic and plastic surgeon as much information as possible on the techniques and uses of liposuction for cosmetic and non-cosmetic surgery purposes.

In today's healthcare environment, the real driver is value. Maximizing outcomes and minimizing costs or providing similar outcomes with lower cost in terms of actual numbers or recovery time will dominate our healthcare delivery system. An excellent example of this evolution is in the ?eld of cardiovascular intervention. Dr. Jacques Kpodonu's Manual of Thoracic Endo-Aortic Surgery is a most timely and descriptive work in this burgeoning ?eld. It provides an excellent overview of current technology and techniques, plus the endovascular expert can drill down into the details of the devices and technologies described and signi?cantly enhance their knowledge and perspective. Procedural detail, excellent graphics, pertinent imaging studies, and relevant instruction are the mainstays of this text. The ?rst chapter comprises the key overview and very comprehensively covers the platform - the hybrid OR, the tools, the accessories, and the medium - superb, state-of-the-art imaging modalities required to perform these advanced procedures. The text then moves into more technical details including options and instruction regarding access approaches and potential pitfalls of such. This is followed in en- ing chapters by dissemination of precise information, techniques, and indications for the most popular and utilized grafts including Boston Relay Stent Graft, Cook TX2 Zenith Stent Grafts, as well as the Gore and Medtronic Aortic Stent Grafts.

The surgical treatment of the aortic valve and root disease, organic and ischemic mitral regurgitation, and endocarditis has made great strides. Still, there is the well-known dilemma: on the one hand the need for anticoagulation in patients with mechanical valves that otherwise guarantee long-term functioning and, on the other, the unpredictable durability of biological substitutes and of valve repair procedures which, per se, do not require anticoagulation. The choice of procedure is determined by factors such as patients' age, metabolic and bleeding disorders, and bleeding preconditions, as well as such critical issues as the desire to bear children in young women. The book contains a collection of proceedings of The Berlin Heart Valve Symposium 2008 and The Berlin Mitral Valve Repair Symposium at the joint meeting of the Society for Heart Valve Disease and the Heart Valve Society of America in June 2009. It will be attended by internationally renowned experts who will focus on current surgical approaches to and evolving trends in aortic and mitral valve repair, aortic root and valve replacement with pulmonary autograft, aortic allograft, stentless and stented bioprostheses. Further contributions will deal with recent advances in catheter-based percutaneous and transapical techniques, ablation techniques for atrial fibrillation, tissue engineering of heart valves, multi-modality imaging, and anticoagulation.

Written by renowned experts from Australia, Canada, the United States, Asia, and Europe, Telesurgery explains technical issues, digital information processing, and provides collective experiences from practitioners in different parts of the world who perform a wide range of telesurgery applications. This includes transatlantic telesurgery and telesurgery for urology, brachytherapy, Heller myotomy, etc. There are numerous graphics and clinical photographs throughout, which illustrate and illuminate the text well, providing high-quality visual reference material.

Telesurgery lays the foundation for the globalization of surgical procedures, making possible the ability of a surgeon located in one part of the world to operate on a patient located in another.

This book concerns the treatment of cardiac disease in chronic renal failure patients who represent a specific group of patients that almost universally will develop coronary artery disease and frequently valvular problems all secondary to their renal failure. Unfortunately, this same group is at increased risk for surgical/percutaneous intervention. Many physicians will struggle with patient management issues due to the inherent difficulties and increased risk of many treatment options. The book will summarize the current technology and treatment plans for these patients that will optimize their long-term outcomes. It will become the bible on current treatment that many physicians and other health care professionals will want to reference every time they are consulted on a ppatient with renal failure and significant heart disease.. This book concerns the treatment of cardiac disease in chronic renal failure patients who represent a specific group of patients that almost universally will develop coronary artery disease and frequently valvular problems all secondary to their renal failure. Unfortunately, this same group is at increased risk for surgical/percutaneous intervention. Many physicians will struggle with patient management issues due to the inherent difficulties and increased risk of many treatment options. The book will summarize the current technology and treatment plans for these patients that will optimize their long-term outcomes. It will become the bible on current treatment that many physicians and other health care professionals will want to reference every time they are consulted on a patient with renal failure and significant heart disease. This text outlines treatment plans for chronic renal failure patients with cardiac disease and has a strong clinical focus. This is an invaluable reference source for physicians and other health care professionals managing patients with renal failure and significant heart disease

This title is a comprehensive resource of aortic regurgitation suitable for both the novice and experienced practitioner. Detailed attention is given to the recently growing field of aortic valve-sparing surgery and aortic valve repair. Guidelines are also provided for general practitioners on how to treat patients after various aortic procedures. Also included are many operative photos, original medical illustrations and schematics. Aortic Regurgitation synthesizes current knowledge of aortic valve repair into an easy-to-follow, illustration-rich text. It is therefore an indispensable guide suitable for use by cardiologists and trainees in cardiology, cardiac surgeons, echocardiographers, general practitioners and radiologists.

Central venous access devices (CVADs) are used within a variety of areas in both hospital and community health care settings to administer blood or fluids, to provide long term access for repeat transfusion of blood or blood products, chemotherapy, parenteral nutrition and antibiotic therapy, and to provide immediate access in emergency situations.
Central venous access devices is a practical guide to the care and management of CVADs aimed at student nurses, newly qualified nurses and more experienced nurses who are unfamiliar in dealing with these devices.
Central venous access devices addresses patient assessment and education, relevant anatomy and physiology, appropriate device selection, and guidelines on insertion, follow-up care and management of CVADs. Each category of CVAD - including peripherally inserted central catheters, non tunnelled central venous catheters, skin tunnelled catheters and implanted ports - is explored in turn. Concluding chapters explore hazards of insertion, prevention and management of complications, and patient perspectives on living with a CVAD

The field of vascular surgery is undergoing a rapid and profound transformation - this third volume of Blackwell-Futura's monograph series "Endovascular Intervention: Today and Tomorrow" will help the reader stay ahead of the changes. New therapeutic options and innovative strategies for the management of aortic aneurysms and carotid artery disease are the most obvious examples of recent "revolutionary" advances, while infrainguinal revascularization may be next, as catheter-based femoropopliteal recanalization reemerges at the forefront of a wave of explosive growth in intervention. The availability of new drug-eluting stents is a further catalyst to progress in the field. These subjects and many more are discussed in detail by the expert authors of the book's 14 chapters.

This timely volume will be of considerable interest to practising vascular specialists. Vascular surgeons, interventional cardiologists, interventional radiologists, cardiac surgeons, and general cardiologists will all benefit from this current, insightful review.

This issue of Thoracic Surgery Clinics, guest edited by Drs. Vincenzo Ambrogi and Tommaso Mineo, is devoted to Nonintubated Thoracic Surgery. Drs. Ambrogi and Mineo have assembled expert authors to review the following topics: Technical issues and patient safety in nonintubated thoracic anesthesia; Management of primary and secondary pneumothorax in nonintubated VATS; Treatment of pleural effusions with nonintubated VATS; Nonintubated VATS for chest infections; Nonintubated VATS lung biopsy for interstitial lung disease; Nonintubated VATS wedge resection of peripheral early lung cancer; Anatomical segmentectomy in nonintubated VATS; VATS lobectomy for lung cancer in nonintubated anesthesia; Nonintubated VATS tracheal and bronchial sleeve resection for lung cancer; Nonintubated tracheal surgery; Management of intraoperative crisis during nonintubated thoracic surgery; Team training for nonintubated thoracic surgery; and more!

This book is part of the Monographs in Cardiac Surgery Series - introducing 'basic science into the cardiac operating room'. It offers fast systematic review of small areas of cardiac surgery including up-to-date information. This will allow more rapid publication than the alternative cardiac surgery 'tomes'. This entry into the series will provide readers with a complete review of the current understanding in brain injury and the methods used to avoid or limit its effects on patient morbidity and mortality.

This large format book is the definitive text on vascular surgery written by expert editors and contributors. It is well supported by exceptional illustrative material. The book is invaluable to all those who work in vascular laboratories as wel.l as internists, cardiologists, vascular laboratory directors and staff, general surgeons involved in vascular surgery and the vascular surgery community in general Noninvasive Vascular Diagnosis comprehensively covers all aspects of noninvasive evaluation of the circulatory system in the extremities. The increasing popularity of noninvasive techniques is not reflected in the number of comprehensive works on the topic and it is clear from the success of the first edition that the demand for an updated volume is increasing.

In Thoracic Surgery: 50 Challenging Cases, editor Wickii T. Vigneswaran has selected 50 challenging cases presented by leading thoracic surgeons. Each case highlights a unique situation from which other surgeons can learn. The selection of Cases includes patients with diagnostic challenges, unconventional and innovative solutions, unexpected findings, and new techniques to treat old problems. The discussions after each case provide a useful starting point for further inquiry. Amply illustrated, this book reflects the wisdom and experience of world leaders in thoracic surgery and teaches junior surgeons how to approach the key thoracic surgical procedures, and how to manage in unexpected and difficult situations. This is a Masterclass in thoracic surgery. Editor Bio Wickii T. Vigneswaran is the Professor and Chief of Thoracic Surgery for the Department of Thoracic and Cardiovascular Surgery at Loyola University Health System.

With a large volume of ultrasound images and teaching videos, Pleural Ultrasound for Clinicians: A Text and E-book is a print and interactive digital resource that provides practical guidance for all those undertaking pleural ultrasound investigations and procedures. With clear, precise instructions for clinical practice, it will help clinicians: Recognise normal anatomy as well as common pleural pathologies Perfect techniques for ultrasound-guided pleural procedures Learn how to choose the correct ultrasound equipment for their department Test their knowledge through the self-assessment and revision sections

Offering patients a higher safety profile and less discomfort than radio-frequency ablation, catheter cryoablation is a safe, effective and efficient alternative for clinicians treating atrial fibrillation and other arrhythmias. In The Practice of Catheter Cryoablation for Cardiac Arrhythmias, cardiac electrophysiologists, cardiologists and cardiology fellows will be able to gain an in-depth update in this rapidly advancing field. Those who wish to offer their patients this treatment option will learn how to master various procedural techniques related to catheter cryoablation. Edited by the pioneer of cryoablation therapy in Asia, with chapters written by expert cardiac electrophysiologists from centers in Asia, Europe and the US who have extensive experience using cryoablation to treat patients, this new book: * Provides comprehensive, clinically-focused guidance on all applications of catheter cryoablation for the treatment of arrhythmias * Focuses on catheter-based techniques that can be performed in the EP laboratory * Reflects global best practices form centers with extensive experience in cryoablation techniques * Covers the use of catheter cryoablation in both adult and pediatric arrhythmias To further enhance reader's understanding of the emergent techniques covered in the text, the book's companion website features video clips of live cryoablation procedures, plus case-based self-assessment questions for selected chapters.

This clinical casebook is comprised of surgical cases involving the most important cardiovascular diseases in a concise, easy-to-read format (5x8 in trim size, like other titles in this burgeoning, informal product line in the Springer clinical medicine program).Each chapter is a case that opens with a unique clinical presentation, followed by a description of the diagnosis, assessment and management techniques used to treat it, as well as questions and answers (between 8 and 10) about relevant aspects related to the diagnosis and treatment of the addressed disease. The Q&A section will broaden discussion and increase the title's pedagogical value. The casebook features 40 surgical cases in the following thematic areas: Aortic Disease, Arrhythmias, Cardiac Tumors, Coronary Insufficiency, Congenital Heart Disease, Endovascular Therapies, Heart Failure, Heart Transplantation, Mechanical Circulatory Support, Pericardial Disease, Pulmonary Embolism and Valvular Heart Disease. This book will be prepared by the Brazilian Department for Academic Leagues of Cardiovascular Surgery, within the Brazilian Society of Cardiovascular Surgery (BSCVS). This department is the section within BSCVS that consists of the academic leagues of cardiovascular surgery from each university throughout the country. In Brazil, medical academic leagues are organizations that gathers students, interns and residents to discuss a certain topic and promote research and teaching-oriented extra-class activities, supervised by a group of professors. Thus trainees will have involvement in writing the chapters and the senior professor supervisors will edit and finalize the work. Basically, each chapter is written by an intern or resident and, ultimately, his/her supervisor. As the books volume editors, doctors Almeida and Jatene will have final responsibility for the cases and overall manuscript.

This issue of Thoracic Surgery Clinics of North America, guest edited by Drs. Inderpal S. Sarkaria and Abbas E. Abbas, is devoted to Paraesophageal Hernia Repair. Drs. Sarkaria and Abbas has assembled expert authors to review the following topics: Management of Complications in Paraesophageal Hernia Repair; Surgical Anatomy of Paraesophageal Hernias; Robotic Paraesophageal Hernia Repair; Management of Paraesophageal Hernia in the Obese Patient; Technical Options and Approaches to Lengthen the Shortened Esophagus; Laparoscopic Paraesophageal Hernia Repair; Short and Long Term Outcomes of Paraesophageal Hernia Repair; Pre-operative Evaluation and Clinical Decision Making for Giant Paraesophageal Hernias: Who Gets an Operation?; Common Tenets in Repair of Primary Paraesophageal Hernias: Reducing Tension and Maximizing Length; Management of Recurrent Paraesophageal Hernia; Transthoracic Paraesophageal Hernia Repair; Anesthetic Management for Paraesophageal Hernia Repair; and more!