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This book provides a comprehensive surgical atlas of functional single ventricle and hypoplastic left heart syndrome, based on theoretical insights and a wealth of clinical practice. It offers anatomical morphology and descriptive texts, while also highlighting key aspects of each procedure. The book is divided into three major parts, the first two of which illustrate the procedures for the palliation of functional single ventricle and hypoplastic left heart syndrome respectively, including the fundamental concepts, derivatives, evolutionary process, and criterion for the staged Fontan procedure. In turn, part three highlights advances in computational simulation for cardiological applications. Featuring well-illustrated, clearly structured instructions, the book offers a valuable guide to functional single ventricle and hypoplastic left heart syndrome for cardiologists around the globe.
Success is not reserved for the smartest or most talented-it's earned by those who want it the most. Heart conquers all and the triumphant always go all in, never settling for anything less than their best effort. As a leading heart transplant surgeon, Dr. Brian Lima's life story is a testament to that mantra. He's living proof that slow and steady still wins the race, and that the American Dream is alive and well. He persevered through countless challenges growing up in a Cuban immigrant family and defied the odds every step of the way. To fulfill his impossible dream, Dr. Lima opted for the road less traveled, enduring nearly twenty years of rigorous education and surgical training at some of the most prestigious institutions in the world. In Heart to Beat, Dr. Lima shares the lessons learned throughout his improbable rise to the pinnacle of success in the medical field. He breaks down the keys to advancing well beyond your comfort zone and perceived limitations, regardless of your field of interest. No dream is too far-fetched and his Heart Way approach to life will help unleash your full potential and surpass your wildest expectations!
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.
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.
This book addresses the most technically demanding but life-changing techniques in the treatment of conotruncal heart defects, as many repairs are performed on small infants. Each chapter reviews surgical anatomy (the anatomical classification that the surgeon is using), preoperative evaluation (the surgeon's check list before doing the surgery), and surgical techniques (clear drawings and videos, minimal text). It is an essential reference book for newly qualified surgeons when performing these complex cases. Conotruncal heart defects (CTHDs) are a group of complex congenital anomalies of the cardiovascular system that are a major cause of symptomatic cardiac disease at birth. They may account for up to 30% of all congenital cardiac anomalies. In many instances, patients with CTHD are symptomatic in the first days or weeks of life, with severe cyanosis or heart failure, requiring surgery in the neonatal period or in infancy. Most CHTD are today diagnosed in utero by fetal ultrasound. CHTDs are usually defined as malformations of the cardiac outflow tracts and presumably result in disturbance in the development of the cono-truncal apparatus of the embryonic heart, as well as of the primitive aortic arches. CTHDs include the following: truncus arteriosus, tetralogy of Fallot, double outlet right (or left) ventricle, transposition of the arteries, corrected transposition of the great arteries, interrupted aortic arch. The outcomes of CHTD surgery has considerably improved in the past 20 years, with quite fascinating innovations.
This book discusses predominantly pectus excavatum and pectus carinatum, its variation and the treatment modalities available, including minimally invasive surgery. This will help to increase awareness of the available treatment options to doctors and healthcare workers but will also help trainee cardiac and thoracic surgeons. It is also an essential reference book for those already practicing. Chest wall deformities are a common occurrence, the commonest being pectus excavatum and pectus carinatum. The treatment for these is provided by very few centers and there is a decline in expertise especially in the UK due to rationing. When patients approach their GP they are mostly turned away and asked to live with it due to a lack of awareness and treatment modalities. The Editors have extensive experience in this field and will invite authors from other specialties, i.e. chest physicians, cardiologist, pediatric surgeons, anesthesiologists, pain management team, plastic surgeons and prosthetic departments, to contribute their views and solutions to the book.
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.
Cardiac Pacing: An Illustrated Introduction willprovide an introduction to all those who have or who are developing an interest in cardiac pacing. At a time in the UK when pacing is being devolved from specialist tertiary cardiac centres to smaller district general hospitals and in the USA where pacemaker implantation is no longer the responsibility of the surgeon and in the domain of cardiologists, there is a need for a text which offers a guide to pacing issues to be used alongside a comprehensive practical training programme in an experienced pacing centre"
A Daviss Notes book. PTF Notes is intended to provide a quick reference for all aspects of pulmonary function testing including tests/studies, indications for the test/studies, techniques, American Thoracic Society recommendations and standards, normal values, and quality assurance. Currently chronic obstructive disease (COPD) afflicts approximately 30 million people in the US, and is the fourth leading cause of death in this county. Pulmonary function testing is the primary means of identifying these patients, and PFT labs are becoming more common in physicians offices and are already well established in hospitals and out-patient clinics. Pulmonary function testing is performed by respiratory care practitioners, nurses and medical assistants. The primary market for this title is Respiratory Therapy students and practitioners, and the secondary market might include some RNs, Pas, exercise physiologists, and possibly MAs.
A significantly expanded third edition, this book provides a comprehensive and concise overview of cardiac arrhythmias and their ECG/telemetry manifestations, including the principles of cardiac electrophysiology, current concepts of pharmacology, clinical features, diagnoses, and state-of-the-art treatments. Additionally, the book emphasizes decision-making strategies in approaching each individual patient and the application of technical innovations in specific clinical situations. Organized into eight parts, beginning chapters introduce the concepts and principles of cardiac electrophysiology, unique rhythms, and ECG waves/signs. These chapters are designed to integrate emerging knowledge in basic science and clinical medicine. Subsequent chapters focus on the diagnosis of a variety of cardiac arrhythmias using non-invasive methodology. Throughout the book, chapters continue to analyze pharmacological and other approaches to therapy of specific arrhythmias, including supraventricular tachycardias, atrial fibrillation and flutter, ventricular arrhythmias, and bradyarrhythmias. Finally, the book closes with coverage on inherited cardiac arrhythmia syndromes including the long, short QT, and J-wave syndromes, catecholaminergic polymorphic ventricular tachycardia, and arrhythmogenic right ventricular cardiomyopathy. The third edition of Management of Cardiac Arrhythmias, is an essential resource for physicians, residents, fellows, and medical students in cardiology, cardiac surgery, vascular surgery, cardiac electrophysiology, and cardiac radiology.
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.
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.
The development of new techniques and the refinement of established procedures make cardiac surgery a fast-moving field. Core concepts in cardiac surgery has been developed to make it an invaluable textbook for the professional cardiac and cardiothoracic surgeon, covering both topical issues and updates in cardiac surgery. This provides the practising cardiac surgeon with current updates in the field, and controversial issues that affect everyday practice. Written by an international team of renowned cardiac surgeons, each topic is split into a review of the current literature and then important technical details. Their wealth of professional experience has been distilled into tips and common pitfalls in practice throughout the book. Extensively illustrated with full-colour photographs and artwork to facilitate understanding of complex procedures, Core concepts in cardiac surgery is also available on a companion website, to allow the authors to update the text regularly to reflect developments in the discipline.
The new Oxford Textbook of Cardiothoracic Anaesthesia provides a comprehensive overview of and a thorough grounding in this challenging subspecialty. Both cardiac and thoracic anaesthesia demand high levels of knowledge and skill, as minimally invasive surgical techniques demand a sounder understanding of the specialties and as more patients with co-morbidities present for surgery. Part of the Oxford Textbooks in Anaesthesia series, this volume covers the anatomy and physiology, pharmacology, post-operative complications, critical care, and all clinical aspects of cardiac and thoracic anaesthesia. Practical aspects, such as team working, and designing and equipping cardiothoracic theatre and critical care, are also included. The expert and international author team use their experience to ensure this textbook reflects current world-wide practice across the globe. This volume is published with a concurrent online version, which features access to the full content of the textbook, contains links from the references to primary research journal articles, allows full text searches, and provides access to figures and tables that can be downloaded to PowerPoint (R). Designed for consultants and trainees in cardiac and thoracic anaesthesia, this is the definitive source of expert knowledge for anaesthetists in this subspecialty. This print edition of Oxford Textbook of Cardiothoracic Anaesthesia comes with a year's access to the online version on Oxford Medicine Online. By activating your unique access code, you can read and annotate the full text online, follow links from the references to primary research materials, and view, enlarge and download all the figures and tables. Oxford Medicine Online is mobile optimized for access when and where you need it.
This book focuses specifically on the management of cardiovascular disease in elderly patients with particular frailties and in the "oldest old". It is clearly explained how treatment in these patients differs from that in patients in their seventies who respond well to therapies and do not present frailties or organ failures. Although not young, the latter patients can be treated almost like any other patient, according to established guidelines. In contrast, the frail, compromised elderly and the oldest old require specific measures that target their needs, including with respect to underlying renal conditions. The book considers all those pathologies that have a high prevalence in the general population, explaining advanced treatment concepts and all aspects of assessment. Key clinical points are highlighted, and the text is supplemented with numerous informative figures and tables. The authors are respected experts, for the most part geriatric physicians, and the book is especially addressed to cardiologists, who may lack the described targeted information and treatment tools.
Since publication of the First Edition, advances in the diagnosis and prevention and treatment strategies of the vulnerable plaque have necessitated this greatly expanded second edition. With several new chapters covering mainly diagnostic and treatment options, The Handbook of the Vulnerable Plaque will remain the benchmark text for all interventional cardiologists treating vulnerable patients by providing the physician with comprehensive insight into the world of the vulnerable plaque.
This is the second edition of the book, covering a wide spectrum of the latest information relevant to diagnosis and treatment of esophageal squamous cell carcinoma (ESCC). In recent years the incidence rate of esophageal cancer has been increasing; however, the background characteristics of the cancer treatment are significantly different between Asian and Western countries. In tumor histology, ESCC associated with smoking and alcohol consumption is overwhelmingly prevalent in Asia, whereas adenocarcinoma associated with Barrett's metaplasia is remarkably prevalent in the West. In Asia, especially in Japan, surgeons play a significant role in the management of esophageal cancer patients, while medical and radiation oncologists as well as surgeons are important in the West. Considering these East-West differences in management of esophageal cancer, evidence originating in Asia should be more widely disseminated globally. The contributing authors, who have great expertise in their areas of specialization, discuss details in terms of treatment of ESCC, including basic science, diagnosis, surgery, other treatment modalities, Japanese guidelines, and also valuable experiences from other Asian countries. Accordingly, this excellent collection of texts benefits not only oncologists, but all medical and biological researchers involved in the latest ESCC research.
This book describes the multimodality imaging of cardiac, lung, liver, kidney, pancreas, and small bowel transplants in donors and recipients. The volume of transplantation of solid organs has increased substantially and has become common practice in medicine. Radiological evaluation of transplanted organs such as the heart, lungs, liver, pancreas, and kidneys is critical, both in potential donors (as is the case in liver and kidney transplantation) and in preoperative and postoperative evaluations of recipients. Understanding the often complex surgical anastomoses and unique pathology is necessary to inform radiologic interpretation. This book provides radiologists with the knowledge of the normal appearance of a transplanted organ, an understanding of imaging modalities that are best suited to answering clinical questions, an overview of the pathologies related to such organs and their appearance on various modalities, vascular and nonvascular complications, and techniques related to image-guided transplant interventions.
This book fulfills the need for practical guidance among all professionals involved in the management of these patients, from residents and fellows of cardiology and internal medicine, surgical teams, physiotherapy professionals, critical care physicians and family medicine practitioners. The thoroughly updated content takes into account recent developments in cardiac rehabilitation, and incorporates practical advice on how to use guidelines in clinical practice. There will be one new chapter on patients with cardiac resynchronization therapy and all the others will be updated to keep up-to-date with the guidelines and current practice. Cardiac rehabilitation is of key importance to ameliorate long-term morbidity and mortality resulting from cardiac diseases and events. However, much of the current literature is dense, unwelcoming and academic in style and format. For those physicians understanding the scope of cardiac rehabilitation there is a need to distill the guidelines and various management options available to them into a concise practical manual. Up until now, all references have looked at the general options, but there is definite need to investigate the practicalities of individual patient groups.
This book will systematically cover all the main topics involved in the current practice of a cardiac surgeon. It will incorporate current guidelines for practice (such as from the American Heart Association and European Society of Cardiology) and up-to-date information based on current literature. All the chapters have been written by cardiac surgeons who have recently undertaken their Cardiothoracic Board / Specialty Exit examinations and reviewed by a cardiothoracic examiner of the Royal College of Surgeons of England. Each chapter will be structured to include aetiology, pathophysiology, clinical features, indications for surgery, peri-operative 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 cardiac surgeon and a further section on cardiac 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 cardiac surgical trainees, at any stage of their training programme. It will provide interns, residents and specialist registrars the necessary information to carry out their daily duties. Adult cardiologists and cardiothoracic 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 cardiac surgical process. Another important group is the nursing staff, physiotherapists and other professions allied to medicine, both surgical and cardiological, working with patients with adult cardiac disease either pre-operatively or postoperatively, as it will help to give a detailed understanding of the principles surrounding adult cardiac 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 cardiac surgery that are asked within the confines of an examination.
This book explores the unique aspects involved in the management of ECMO patients such as physiopathology and indications, setting up the device, monitoring ECMO and the patient, troubleshooting, ethical aspects and rehabilitation. For the past eight years, management of acute heart failure and Acute Respiratory Distress Syndrome (ARDS) patients has been improved by the development of short-term assistance devices, with ECMO as a first line treatment. This highly informative book provides essential insights for ICU nurses at ECMO centers around the world, who face the substantial challenges involved in the management of ECMO patients. Above all, it meets their training needs with regard to bedside monitoring for these patients, which has become a major issue. The editors and most of the contributors serve at La Pitie-Salpetriere ICU, France, which, in terms of the number of admissions and major publications produced, is one of the world's leading authorities on ECMO.
Thoracic Outlet Syndrome is an essential reference for physicians involved in the diagnosis, referral and treatment of the condition. Thoracic outlet syndrome (TOS) is made up of a constellation of problems resulting from pathology at the thoracic outlet in the neck. Busy specialty practice see multiple affected patients in every clinic, however TOS can often be difficult to diagnosis. This book explores all possible ancillary care issues surrounding this complex condition, including rehabilitation, disability, natural history, and medicolegal issues, and aims to stimulate research, discussion, and a sense of community between professionals involved in this area. Vascular, thoracic, and neurosurgeons, neurologists, psychiatrists and psychologists, physical therapists, occupational medicine specialists, and pain specialists alike, will find this book to be a must have for successfully treating, referring and diagnosing TOS in clinical practice.
Clinical Cardiology: Current Practice Guidelines Updated Edition is an essential tool for the busy clinician, offering succinct yet detailed access to the most recent trial and guideline data supporting practice and patient management in cardiology. ESC and ACC/AHA guidelines are continually updated and often overlap in their advice, making it difficult for the cardiologist to obtain a clear picture of the right way to diagnose and treat disease according to the latest evidence base. Written by leading authorities in the field, this book, together with its regularly-updated online version, provides a unique solution. The authors have scrutinized all available guidelines and research from both ACC/AHA and ESC on every clinical issue. The result is a rigorous examination of the implications of published guidance, illustrated by more than 600 easy-to-follow tables and 200 full-colour images, which reinforce key points and clarify difficult concepts. 87 comprehensive chapters explore the definition, epidemiology, pathophysiology, diagnosis and management of cardiac disease. Two new chapters examine the univentricular heart and venous thrombembolism. Each chapter encompasses the latest published research, followed by discussions of possible presentations and investigations, offering detailed insights for clinicians into best practice for diagnosis and treatment. Providing at-a-glance access to the best guidance in cardiology, this book offers a diagnosis and management toolkit which no practising cardiologist can afford to be without.
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.
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