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This book examines various aspects of the aorta, both healthy and diseased states, in 40 chapters of in-depth research by experts in cardiovascular disease. It begins with chapters on the embryology, anatomy, genetics, and physiology of the aorta along with imaging studies used to visualize its structure. The bulk of the book focuses on acute and chronic disorders such as coarctation of the aorta, inflammatory and connective tissue disorders, acute aortic thrombosis, infections, tumors, related ocular diseases, and various aneurysms and fistulas. In addition, it explores aortic disease in pregnancy, fetal aortic disorders, and aortic trauma in children. The book highlights the epidemiology and natural history as well as medical, endovascular, and surgical treatments for each disease. It also discusses valve repair, 3D printing applications, and the role of multidisciplinary aortic centers. Diseases of the Aorta is an indispensable and authoritative resource for cardiologists, cardiovascular surgeons, interventional radiologists, radiologists, and vascular medicine specialists.
This book is especially focused on the surgical aspect on Gender Dysphoria. Male to female surgery is widely discussed as well as the female to male conversion. Full information on hormone administration and surgical procedures are provided. Mental health issues are also described, as well as ethics, the law and psychosocial issues. The text is extensively referenced and includes numerous photos, tables and figures to clearly illustrate information. Based on collaboration between international experts in transgender health, this book is an essential guide for health care professionals, educators, students, patients and patients' families concerning the psychological, hormonal, surgical and social support of transgender individuals.
Advances in technology and human skill have made possible percutaneous catheter-based procedures for a wide spectrum of structural heart disease. A growing number of structural heart diseases that over the past two decades would have required open heart surgery can be safely treated using percutaneous catheter-based procedures.Traditionally, guidance of catheter-based procedures is done using fluoroscopy and two-dimensional transesophageal echocardiography (2D TEE). The recent introduction in the clinical practice of RT 3D TEE has overcome most of limitations of 2D TEE. The purpose of this book is to describe the use of this imaging modality in percutaneous interventional procedures underlying its growing role and acceptance among the interventional cardiologists but also emphasizing areas of weakness. Because today interventional cardiology ranges from closure of atrial and ventricular septal defects, to repair of mitral regurgitation and aortic stenosis, from the closure of left atrial appendage and prosthesis dehiscence, to the recent use in electrophysiological procedure, this book targets not only specialists in echocardiography and interventional cardiology but also general cardiologists. General cardiologists will find in any chapter anatomy of the structure treated (i.e. atrial septum, mitral valve...), a description of the morphopathology as seen with RT 3D TEE (degenerative or ischemic mitral regurgitation) the up-to-date indications to the specific percutaneous treatment and typical and unusual clinical cases.
Thoracic surgery is a high-risk speciality and requires attention to detail. This book, compiled by expert surgeons from around the world, offers pearls of wisdom on how to improve the surgical outcome and how to reduce unnecessary complications. The book is designed so that it covers all common thoracic operations in both adults and children as well as dealing with much rarer indications. It includes a discussion on the complications of surgery and provides specific tips on how to avoid intra-operative and postoperative complications. Tips and Tricks in Thoracic Surgery is a fully illustrated, comprehensive text aimed at qualified and trainee thoracic surgeons.
The mediastinum is a hollow space within the thoracic cavity that may give rise to a wide spectrum of tumoral conditions from the benign to the intermediate to the highly malignant neoplasms. In addition, other inflammatory and infectious conditions may also arise in this space, which renders the practice of mediastinal pathology, almost a general surgical pathology practice. However, there are numerous mediastinal conditions that are important not only for diagnosis but also for treatment and clinical outcome. Due to the unusual location and because of the complexity of the tumors occurring in the mediastinum, there are only a few experts in this particular anatomic area. In fact, there are no more than 3-4 individuals worldwide with enough experience to properly diagnose, classify, and make treatment suggestions when these tumors arise in the mediastinum. More recent developments in tumor diagnosis and classification have created a vacuum in the general pathologist who often is confronted with this pathology and becomes uneasy about the specifics. For instance, recent developments in tumor pathology have led to the classification and staging of mediastinal tumors in more innovative ways that are in need of proper highlighting. Needless to say, even though there are a few publications on mediastinal pathology, the books are either obsolete or incomplete, in addition of providing superficial knowledge. Unfortunately and with all due respect to the authors of those publications, neither of those books is written by experts in the area. Rather the books were written out of the lack of information in mediastinal pathology. Even the World Health Organization (WHO) publication, which is truly more on lung and pleural neoplasms, has inserted in its contents a portion of mediastinal tumors, such portion not only is superficial and incomplete but also at least highly controversial if not flat out incorrect. . This text's goal is to present comprehensive and up to date information of the diverse pathology that can be encountered in the mediastinal compartment. The book will be divided in 11 different chapters based on the lineage of the diverse tumors that occur in the mediastinum, i.e. epithelial, neuroendocrine, lymphoid, etc (see table of contents). In addition, two separate chapters will be included -one on the radiological aspects and the others on the surgical approach to the different mediastinal tumors., bringing a total of 13 chapters. In the pathology section, the book will include current staging and classification systems of the different tumors. In addition, it will address the most current criteria for diagnosis and the differential diagnosis. Although the emphasis of the book is on diagnostic surgical pathology, every chapter will include the use of immunohistochemical techniques, electron microscopy, and molecular biology when necessary. The book will be extensively illustrated so that the reader will benefit of the different histomorphology of mediastinal tumors. Because of the nature of this specific anatomic area and the need to develop a standard text, Mediastinal Pathology should be of high interest to general surgical pathologists, thoracic pathologists in particular as well as thoracic surgeons, oncologists, and radiologists. Needless to say, this book will be of interest to pathology residents and fellows as well as to those seeking more in depth knowledge of thoracic - mediastinal pathology.
This book outlines the state of the art in transradial intervention and illustrates case-based learning for the transradial access (TR access) technique, especially in complex lesions. Offering a practical guide, it includes essential tips and tricks on how to overcome anatomical complexities, how to avoid radial complications, multiple case-based learning for very complex PCI, etc. It also discusses the advantages of the TR intervention, such as reduced vascular access site complications and immediate patient mobilization. The authors, who work at respected transradial centers, share their extensive experience with TR intervention, providing a comprehensive review of current percutaneous interventions for cardiac surgeons and cardiothoracic surgical residents. Editor Yujie Zhou is a Professor at the department of Cardiology, Anzhen Hospital, Beijing, China. Editor Wei Liu is a physician at the same department. Editor Ferdinand Kiemeneij is an interventional cardiologist at Department of Cardiology, Tergooi Hospital, Blaricum, the Netherlands. Editor Shigeru Saito, FACC, FSCAI, FJCC, is the director of cardiology and Catheterization Laboratories, Shonan Kamakura General Hospital, Kamakura, Japan.
Comprehensive, yet practical and concise, the Oxford Specialist Handbook of Pacemakers and ICDs is the ideal training guide on how to implant, follow-up, and troubleshoot pacemakers and ICDs. Fully updated to include new technologies such as subcutaneous ICDs and MRI compatible devices, this new edition provides the latest guidelines and management strategies for the cardiology trainee and cardiac technician. Covering the principles, programming, potential complications, and troubleshooting for pacemakers, ICDs, and cardiac resynchronisation therapy, this title is an invaluable aid for anyone charged with providing or contributing to a pacing, ICD, or implantable loop recorder service. Written in a succinct bullet-point style, the second edition of the Oxford Specialist Handbook of Pacemakers and ICDs delivers key information in an accessible manner, with over 120 figures including x-rays and annotated ECGs to demonstrate pacing techniques and troubleshooting solutions.
Tetralogy of Fallot is the most common form of cyanotic congenital heart disease, and one of the first to be successfully repaired by congenital heart surgeons. Although "fixed", patients born with tetralogy of Fallot cannot be considered "cured". Improving survival and quality of life for this ever-increasing adult population will continue to challenge the current and future generations of cardiologists. Adult patients with tetralogy of Fallot should be seen by a cardiologist specializing in the care of adults with congenital heart disease, to be monitored for late complications. They need to be checked regularly for any subsequent complications or disturbances of heart rhythm. This monograph is intended as both an introduction to the subject and a timely, comprehensive review, and will be welcomed by adult cardiologists, pediatric cardiologists, internists, surgeons, obstetricians, and intensivists who wish to learn about the most recent discoveries and advances concerning tetralogy of Fallot in adults. It will also be of interest to advanced undergraduates wanting to learn more about the subject.
For complete, authoritative coverage of every aspect of thoracic and cardiac surgery, turn to the unparalleled guidance found in Sabiston and Spencer Surgery of the Chest, 9th Edition. Now in full-color for the first time, Drs. Frank W. Sellke, Pedro J. del Nido, and Scott J. Swanson's standard-setting two-volume set is meticulously organized so that you can quickly find expert information on open and endoscopic surgical techniques performed in the operating room. With its comprehensive coverage of thoracic as well as adult and pediatric cardiac surgery, this 9th Edition is an essential resource not only for all thoracic surgeons, but also for physicians, residents, and students concerned with diseases of the chest. Find what you need quickly with short, focused chapters divided into three major sections: Adult Cardiac Surgery, Pediatric Cardiac Surgery, and Thoracic Surgery. Benefit from the knowledge and expertise of global experts who provide a comprehensive view of the entire specialty. Master all of the most important current knowledge and techniques in cardiac and thoracic surgery-whether for specialty board review or day-to-day surgical practice. Visualize challenging surgical techniques and procedures and navigate the text more efficiently thanks to an all-new, full-color design. Stay up to date with revised or all-new chapters including Critical Care for War-related Thoracic Surgery; Neuromonitoring and Neurodevelopment Outcomes in Congenital Heart Surgery; and Quality Improvement: Surgical Performance. Keep abreast of cutting-edge topics such as endovascular stenting and cell-based therapies, as well as the latest innovations in imaging and diagnosis, minimally invasive cardiothoracic surgery, and percutaneous devices. Sharpen your surgical skills with access to 21 procedural videos online, including 3 new videos covering Surgical Technique-VATS Sympathetic Block; Open pneumothorax; and Extent II repair of thoracoabdominal aortic aneurysm. Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should access to the web site be discontinued.
Modern biological understanding is the basis for a multimodality treatment of a tumor. 'Anatomic Basis of Tumor Surgery' is the only book that provides an anatomic basis and description of tumor surgery based on an understanding of both the anatomy and biology of tumor progression. It presents the regional anatomy to allow tailoring of the operation as demanded.
Coronary artery bypass surgery has been developed since 1960s to overcome proximal coronary artery disease. Worldwide, the number of patients that are undergoing coronary artery bypass surgery is steadily increasing. Depending on diverse risk factors, one fifth of grafts are occluded at 1 year. For the remaining, graft patency last usually 8-15 years. This book brings together the main specialists in the field to review the current evidence on epidemiology, pathophysiology, diagnostic, new imaging techniques and specific therapeutic modalities. This volume aims to update a complex subject represented by coronary graft failure. The authors of this monograph are interventional cardiologists, cardiovascular surgeons and research scientists, who will be creating four parts and 71 chapters that are divided in order to give a uniform interpretation of this condition including all aspects of coronary graft failure This book not only provides the most up-to-dated scientific evidence in the field but in a two-step manner. Each chapter is divided into a at a glance part that reflects the basic evidence on the topic, and a "full picture" part that brings all what the advanced reader should be brought with.
Following on from the success of the international best-seller "Key Questions in Cardiac Surgery", the long-awaited "Key Questions in Thoracic Surgery" will be the next book in the Key Questions series to be released. This book will systematically cover all the main topics involved in the current practice of a thoracic surgeon. It will incorporate current guidelines for practice (such as from the American College of Chest Physicians, British Thoracic Society and European Respiratory Society) and up-to-date information based on current literature. Each chapter will be structured to include aetiology, pathophysiology, clinical features, indications for surgery, perioperative management, surgical options and postoperative care. Possible complications will be discussed and the results of current practice presented. Importantly, there will be a section on basic sciences related to the practising thoracic surgeon and a further section on thoracic investigations with many images illustrating the variety of pathologies. Each chapter will also contain important references for further reading and greater depth of knowledge. The data and body of knowledge presented in this book is strictly evidence-based and is relevant to all thoracic surgical trainees, at any stage of their training programme. It will provide residents, fellows and specialist registrars the necessary information to carry out their daily duties. Respiratory physicians and thoracic intensive care unit specialists will also find the book useful in terms of the indications and surgical management of these patients, as they are integral to the thoracic surgical process. Another important group is the nursing staff, physiotherapists and other professions allied to medicine working with patients with adult thoracic disease either pre-operatively or post-operatively, as it will help to give a detailed understanding of the principles surrounding thoracic surgical disease. Most importantly, the book is ideal as a revision aid for residents/registrars undertaking their Cardiothoracic Surgery Board examinations around the world. Although these examinations vary in format in different countries, this book is applicable to all cardiothoracic surgical trainees. Its concise, yet complete coverage of the important topics, make it the ideal guide to answer the key questions in thoracic surgery that are asked within the confines of an examination.
This book reviews the surgical management of the mitral and tricuspid valves. It provides a detailed examination of the recent exponential improvements in the understanding of the pathophysiology of the disease processes affecting these valves, which has resulted in significant changes in the strategies that can be applied. Chapters include analysis of the basic sciences related to the anatomy and physiology of the mitral and tricuspid valves, pre-operative imaging of these valves, illustrating the variety of pathologies encountered, and critically a comprehensive step-by-step approach to the peri-operative management and surgical techniques pertaining to each pathological process. Operative Mitral and Tricuspid Valve Surgery systematically covers all major topics involved in the current practice of an adult cardiac surgeon who performs operations on the mitral and tricuspid valves. It is therefore suitable for the cardiac intensive care unit specialist interested in improving their knowledge of cardiac patient management. It is an essential resource for all adult cardiac surgeons and cardiac intervention specialists at any stage of their career.
Artificial hearts are seductive devices. Their promissory nature as a cure for heart failure aligned neatly with the twentieth-century American medical community's view of the body as an entity of replacement parts. In Artificial Hearts, Shelley McKellar traces the controversial history of this imperfect technology beginning in the 1950s and leading up to the present day. McKellar profiles generations of researchers and devices as she traces the heart's development and clinical use. She situates the events of Dr. Michael DeBakey and Dr. Denton Cooley's professional fall-out after the first artificial heart implant case in 1969, as well as the 1982-83 Jarvik-7 heart implant case of Barney Clark, within a larger historical trajectory. She explores how some individuals-like former US Vice President Dick Cheney-affected the public profile of this technology by choosing to be implanted with artificial hearts. Finally, she explains the varied physical experiences, both negative and positive, of numerous artificial heart recipients. McKellar argues that desirability-rather than the feasibility or practicality of artificial hearts-drove the invention of the device. Technical challenges and unsettling clinical experiences produced an ambivalence toward its continued development by many researchers, clinicians, politicians, bioethicists, and the public. But the potential and promise of the artificial heart offset this ambivalence, influencing how success was characterized and by whom. Packed with larger-than-life characters-from dedicated and ardent scientists to feuding Texas surgeons and brave patients-this book is a fascinating case study that speaks to questions of expectations, limitations, and uncertainty in a high-technology medical world.
This is the first book to focus entirely on the role of pathology in cardiac transplantation, linked to the clinical perspective through clinical-pathological correlation, multidisciplinary team working, and collaborative research. It provides a scientific framework with up-to-date pathological protocols and classification schemes and guides the reader through the chronological phases of the transplant process in a step-by-step approach. Topics include end-stage heart failure with pathologies encountered in the native heart, current issues surrounding donor selection, the multiple faces of rejection pathology correlated with clinical management and immunology, other post-transplant complications, details of pediatric and combined heart/other organ transplantation, and a useful practical appendix. Many high-quality images and illustrative cases are presented, along with learning points and ample references. Transplantation medicine today is continuously changing as collaborative research into novel diagnostic techniques and immunosuppressive therapies translates into improved recipient management and survival. This book is aimed at practicing transplant pathologists and specialist trainees. It will also appeal to general pathologists and to physicians and surgeons involved in cardiac transplantation who need to understand the role of pathology in the clinical management of transplant recipients.
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!
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 thorough revision of Color Atlas of Congenital Heart Surgery features 700 vividly reproduced intraoperative images taken with a special side-mounted flash. They convey exquisite perception of depth in the operative field in full color. The atlas presents surgical techniques for the full spectrum of cardiac congenital anomalies. This includes revised and updated text on many topics such as repair of straddling tricuspid valve associated with the posterior ventricular septal defect. Throughout the text, the carefully labeled photographs provide vivid representation of three-dimensional spatial relations of congenital anomalies and surgical anatomy.
Written by world-renowned leaders in the fields of clinical electrophysiology and arrhythmology, the volume has represented since many years a biannual update on the most recent advances in the diagnosis, prognosis and treatment of cardiac arrhythmias. The main chapters deal with atrial fibrillation and other supraventricular tachyarrhythmias, diagnosis and management of ventricular arrhythmias, risk stratification and prevention of sudden death in post-MI patients. The systematic and didactic approach to each topic makes the book a very useful tool for physicians working in the field.
This book describes the most recent insights into heart failure and the role played by autonomic nervous system pathophysiology in it, discussing the therapeutic implications. While current therapeutic approaches are able to control the effects of excessive adrenergic activation in heart failure syndrome, the underlying abnormalities of adrenergic control remain unaltered and can still cause progression to unmanageable end-stage heart failure. New therapeutic pathways are therefore being explored with a view to developing interventions that can directly modulate adrenergic over-activity and restore a more appropriate balance in neural control of the cardiovascular system. The book opens by examining current heart failure therapies. Advances in our understanding of autonomic regulation/dysregulation in heart failure are then discussed in detail, in the context of the search for more effective therapies. A concluding section addresses the role of autonomic nervous system denervation in heart failure. The authors are top scientists from leading research centers.
This book is a practical guide to the differential diagnosis and treatment of patients presenting in the Emergency Department with syncope or arrhythmias, including bradyarrhythmias, atrial fibrillation, narrow and wide QRS tachycardias. In addition, clear advice is provided on the management of patients with cardiac devices and possible dysfunction, electrical storm, or a requirement for urgent surgery. For each topic, a literature review of epidemiology, physiopathology, differential diagnosis, and treatment is conducted. Furthermore, practical suggestions are offered for short-term management, e.g., regarding the decision on when and where to hospitalize the patient; these proposals do not replace but rather summarize or integrate the current guidelines. The book is designed both for emergency physicians and cardiologists, who will be the first to evaluate and treat patients with arrhythmias or potentially arrhythmic problems in the emergency setting. It will also be a useful textbook for students and residents in Cardiology and Emergency Medicine.
There is no standard textbook at this time on endovascular management of thoracic aortic pathologies. Atlas of Thoracic Aortic Endografting contains clinical case scenarios as well as controversies to highlight the use of this new technology. The various aortic pathologies are discussed, combining etiology, diagnostic tools like intravascular ultrasound (IVUS) and 64 slice CT scans which are all state of the art technologies, endovascular treatment, management of endoleaks, reinterventions combined with techniques of trouble shooting. This book highlights the new changes in the management of thoracic aortic diseases.
The book provides a clear overview of the various research stages of cardiac surgery, interventional cardiology, and cardiac anesthesia. It also deals with recent advances in minimally invasive surgery, robotic surgery, and many other innovations introduced in this field. However, aim of this volume is not only to describe the evolution of the discipline, but also to give the occasion of revisiting old and forgotten ideas that could be used successfully also nowadays if supported by modern technologies. With contributions by renowned international experts, the volume will be a very useful tool for students, residents, cardiac surgery and anesthesia professionals, cardiologists, biomedical engineers, and researchers.
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.
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