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 new title in the American Heart Association Clinical Series offers an up-to-date overview of the causes and damage related to dyssynchronopathy - a new pathophysiological entity related to spontaneous or pacing-induced mechanical abnormalities which causes heart failure. It presents the most recent diagnostic non-invasive tools and provides simple, practice-oriented therapeutic proposals for heart failure patients.

Drs. Little and Merrill draw on their expertise in general thoracic and cardiac surgery to review tracheobronchial operations, lung volume reduction operations, lung transplantation, minimally invasive esophagectomy, pleural operations, revascularizations, myocardial operations, and aortic and great vessel operations. For each operation, leading practitioners provide specific advice on what to be aware of to prevent complications -- and how to manage them if they do occur.

This issue of Thoracic Surgery Clinics, guest edited by Drs. Dean Donahue and Hugh G. Auchincloss, is devoted to Thoracic Outlet Syndrome. Drs. Donahue and Auchincloss have assembled expert authors to review the following topics: Embryology and Anatomy of the Thoracic Outlet; Evaluation of Patients with Neurogenic Thoracic Outlet Syndrome; Reoperation for Persistent or Recurrent Neurogenic Thoracic Outlet Syndrome; Surgical Technique: Supraclavicular First Rib Resection; Evaluation and Management of Venous Thoracic Outlet Syndrome; How Common is Thoracic Outlet Syndrome?; Surgical Technique: Minimally Invasive First Rib Resection; Radiographic Evaluation of Thoracic Outlet Syndrome; Evaluation and Management of Arterial Thoracic Outlet Syndrome; and more!

This book provides a comprehensive introduction to artificial hearts, summarizing the latest advances in basic technologies, design, evaluation, and management. Featuring 11 chapters, it discusses the origins of the artificial heart, the mechanisms of heart failure, and the principles of artificial heart technologies. Further, it offers an overview of rotary pumps and volume-displacement pumps, and addresses total artificial hearts. Lastly, the book covers evaluation, selection, therapy management, challenges, and the latest innovations. Given its scope, it is a valuable resource for researchers and technicians in the area of biomedical engineering, as well as surgeons.

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.

From humble beginnings as a `barefoot boy' in a small town in the heart of South Africa, he learned to mix with presidents and prime ministers, with royalty and popes, and quickly embraced the high-life of the jet-set who surrounded him. Throughout life, he was a serial womanizer, bedding famous European film stars (and their secretaries). He survived three tempestuous marriages and divorces, each wife becoming younger than the last until their age difference reached 40 years. This scientifically-trained surgeon called on the services of a `witchdoctor' (a sangoma)-unsuccessfully-to help punish those who had contributed to the break-up of his second marriage. With no experience himself, he trained his daughter to become the second-ranked water skier in the world, though he was disappointed she never became world champion. Perhaps the immense effort he put into driving her to success accounted for the relative neglect of his oldest son, who, as a young doctor, suffered increasing depression until he died of a drug overdose at an early age. The surgeon pursued his goals in heart surgery despite a lifetime of pain from arthritis and a disability from asthma, which might eventually have killed him. Having established the first major heart surgery programme in Africa, he eventually became distracted by other interests until he was a mere shadow in his own department. Yet he remained in the public eye through his gifts for public speaking and as a writer. He travelled the world, published two autobiographies, wrote popular books on health for the public, particularly relating to heart disease and arthritis, and penned books on such varied subjects as the politics of apartheid in his homeland, and euthanasia. He became a well-regarded and popular columnist for several South African newspapers, and collaborated on the writing of four novels. He branched into the business world and expanded the meagre financial rewards earned from his surgical services to the South African health care system by investing in restaurants in Cape Town, establishing a game reserve in the hinterland of South Africa, and causing controversy by his role in advertising a cream that reputedly prevented wrinkling of the skin. He set up a heart research foundation and a foundation that paid for children from all over the world to travel to Cape Town for corrective open heart surgery. This charismatic and controversial man was Chris Barnard who, by the way, also dared to carry out the world's first human heart transplant in December 1967. Can we summarize Chris Barnard? Not very easily. He was a first-class doctor-skilled, knowledgeable, compassionate, conscientious, concerned, decisive, and wise. He was an inquiring and innovative surgeon-though famously irascible in the operating room-with a vision of the future developments in his chosen field, and the ability, judgment, and courage to play a part in contributing to those developments. He was an informative and highly entertaining speaker and raconteur, a gifted writer, farmer, restaurateur, an unofficial ambassador for his country-and a good friend.

This issue of Thoracic Surgery Clinics, guest edited by Drs. Jyoti Patel and Jessica Donington, is devoted to Advances in Systemic Therapy for Non-Small Cell Lung Cancer. Drs. Patel and Donington have assembled expert authors to review the following topics: Adjuvant and Neoadjuvant Immunotherapy; Combining Immunotherapy with Radiation in Lung Cancer; Adjuvant Chemotherapy; ALK Mutations; Molecular Targets Beyond the Big 3; Advances in Systemic Therapy; Liquid Biopsies in NSCLC; Combining Immunotherapy and Chemotherapy for NSCLC; ROS-1 Mutations; EGFR Mutations; and more!

In this issue of Thoracic Surgery Clinics, guest editor Dr. Gita Mody brings her considerable expertise to the topic of Global Thoracic Surgery. An all-new topic to Thoracic Surgery Clinics, global thoracic surgery is an essential component of public and global health. In this issue, top experts provide timely insights on training, anesthesia, pathology, radiology, techniques, and surgical management of common thoracic surgeries throughout low-middle income countries (LMICs). Contains 14 relevant, practice-oriented topics including esophageal cancer treatment globally; lung cancer management in LMICs; endoscopy and bronchoscopy in low-resource settings; surgical capacity building for low-resource settings; training general thoracic surgeons in LMICs; and more. Provides in-depth clinical reviews on global thoracic surgery, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

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.

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.

Trotz der so genannten a ždirekten" und a žbildgebenden" diagnostischen Verfahren, die dazu beigetragen haben, die diagnostische Genauigkeit bei Herzkrankheiten betrAchtlich zu verbessern, ist das EKG weltweit die am hAufigsten verwendete nicht invasive diagnostische Methode geblieben.

Das EKG ist rasch registriert, billig und nicht invasiv und liefert wichtige und unentbehrliche Informationen A1/4ber unsere Patienten, Informationen, die oft mit anderen Methoden nicht zu beschaffen sind.

Neben einer Einleitung in das Thema werden sowohl die klinisch relevanten EKGs, als auch viele interessante, selten auftretende FAlle des normalen und des Belastungs-EKGs dargestellt. Der Text wird durch zahlreiche EKGs und 2-farbige Abbildungen illustriert und anhand von A1/4ber 50 Fallberichten erlAutert.

Zugang zu den Informationen fA1/4r alle wird gewAhrleistet durch die Unterteilung der Kapitel in Abschnitte fA1/4r Leser, die kurze Informationen nachschlagen wollen und fA1/4r Leser, die sich in der Materie weiter vertiefen wollen.

In the last two decades, tremendous strides in the field of mechanical support have extended the lives of countless sufferers of congestive heart failure, who total close to 1% of the US population. This technology has saved the lives of patients with acute heart failure due to heart attacks, dilated cardiomyopathies and post-cardiotomy shock and sustained patients with end stage congestive heart failure until a precious donor organ has become available for transplantation. In an attempt to address the growing imbalance between demand and supply of donor hearts, and armed with great hope and excitement, investigators are now examining these devices as potential alternatives to cardiac transplantation.

This book describes in detail the historical evolution, current knowledge, and future trends in the field of mechanical circulatory support. It will be of greatest interest to cardiologists, circulatory physiologists, cardiac anaesthesiologists, critical care physicians, cardiac surgeons, and other healthcare professionals who are challenged daily with the care of patients with acute and chronic heart failure.

A comprehensive text from the leading transplant centres on the medical management of thoracic organ transplantation, covering the assessment of patients for possible transplantation, through to managing patients after transplantation including any possible complications and shared care aspects of long term management

J. Willis Hurst, MD, a pioneer in the development of cardiology, and his colleague, Douglas C. Morris, M.D., both of Emory University, have edited this book and chose its unusual title for very specific reasons. Patients sometimes have an odd view as to anatomic landmarks that identify the location of the chest, and may assign terms other than pain to their discomfort. Hence the quotation marks around "chest pain." The arrow (-->) after "chest pain" indicates that the physician initially may not know the cause of the symptom, so a differential diagnosis must be established.

This book was written to reintroduce in the modern clinical setting the knowledge and skills needed to analyze symptoms, physical findings, and ECG and x-ray abnormalities in order to accurately diagnose more than 50 different conditions that may bring about a complaint of "chest pain." Experts in the fields of cardiology, pulmonology, dermatology, orthopedics, thoracic surgery, and psychiatry contribute a unique perspective on this common but compelling medical problem. Each chapter concentrates on one causative syndrome or malady, from its initial presentation to its etiology, to differential diagnosis and treatment, while an abundance of well-designed figures serve to illustrate the location of the "chest pain."

Any cardiologist, primary care, or emergency care physician who may encounter a patient complaining of "chest pain" will benefit from this book''s clear, concise and thorough approach to the problem.

In this issue of Thoracic Surgery Clinics, Guest Editor Cherie Erkmen brings considerable expertise to the topic of social disparities in thoracic surgery. Top experts in the field cover key topics such as social disparities in lung cancer, population health, esophageal cancer, benign lung diseases, and more. Provides in-depth, clinical reviews on social disparities in thoracic surgery, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews. Contains 12 relevant, practice-oriented topics including Social Disparities Database and Big Data; Health Disparities in Recruitment and Enrollment in Research; Social Disparities in Lung Cancer Risk and Screening; and more.

This issue of Thoracic Surgery Clinics, guest edited by Drs. Stephen Hazelrigg and Traves Crabtree, is devoted to Surgical Management of Benign Lung Disease. Drs. Hazelrigg and Crabtree have assembled expert authors to review the following topics: Evaluation of the emphysema patient: Best medical treatment and indications for surgical intervention; Life expectancy after lung volume reduction surgery; Analysis of recent literature on lung volume reduction surgery; Present role of endobronchial valves in emphysema treatment; Critical Analysis of the National Emphysema Treatment Trial Results for Lung-Volume-Reduction Surgery; Technical aspects of LVRS including anesthetic management and surgical approaches; Future treatment of emphysema with roles for valves and LVRS; Alpha one antitrypsin disease, treatment and role for lung volume reduction surgery; Postoperative Air-Leaks after Lung Surgery: Predictors, Intraoperative Techniques, and Postoperative Management; Value of a multidisciplinary team approach to treatment of emphysema; Economic considerations with endobronchial valves and lung volume reduction surgery; Outcomes of lung volume reduction surgery in homogenous emphysema; and more!

This issue of the Interventional Cardiology Clinics edited by Jason Rogers covers various approaches, techniques, and therapies for Transcatheter Mitral Value Intervention. Topics include, but are not limited to: Echocardiographic Imaging of the Mitral Valve for Transcatheter Interventions, Use of Computed Tomography to Guide Mitral Interventions, Transseptal Puncture for Mitral Interventions, MitraClip Therapy for Mitral Regurgitation: Primary MR, Coronary Sinus-Based Approach to Mitral Regurgitation, and Transcatheter Mitral Valve Replacement.

This issue of Thoracic Surgery Clinics of North America focuses on Pulmonary Metastasectomy. Articles will include: Biology of Pulmonary Metastases; Preoperative Evaluations and Indications for Metastasectomy; Open Approaches to Pulmonary Metastases: Thoracotomy and Sternotomy; Ablative Approaches for Pulmonary Metastases: RFA, microwave, SBRT; Role of Lymphadenectomy with Pulmonary Metastasectomy; Results of Pulmonary Resection: Colorectal Carcinoma; Results of Pulmonary Resection: Sarcoma and Germ Cell Tumors; Isolated Lung Perfusion; Immunotherapy; Medical Management of Pulmonary Metastases: Is There a Role for Surgery?; Thoracoscopic Management of Pulmonary Metastases; Results of Pulmonary Resection: Other Epithelial Malignancies; Thoracoscopic Lung Suffusion; and more!

Lung Cancer Screening is reviewed extensively in this important Thoracic Surgery Clinics of North America issue. Articles include: CT screening: The Early Lung Cancer Action Program Experience; Lung Cancer Screening: The Mayo Experience; National Lung Screening Trial; Health Risks from CT Lung Cancer Screening; The European Perspective of Lung Cancer Screening; Surgeons and Lung Cancer Screening: Rules of Engagement; The National Comprehensive Cancer Network Recommendations for Lung Cancer Screening; The United States Preventive Services Task Force Recommendations for Lung Cancer Screening; Current Estimate of Costs of Lung Cancer Screening in the US; Refining Strategies to Identify Population to be Screened for Lung Cancer; Long-term Oncologic and Financial Implications of Lung Cancer Screening; and more!

This is the first practice management issue ever published in Thoracic Surgery Clnics.? The purpose of the issue is to help thoracic surgeons with the day-to-day concerns involved in managing a surgical practice, including setting up and building a practice; billing, coding, and credentialing; administrative responsibilities; and retirement planning.

This is the only guide you need to pass the MRCS Part B OSCE examination. This unique two-volume set includes comprehensive revision notes on all the areas covered in the exam; numerous practice scenarios with model answers in the format they would be encountered in the exam; and essential exam technique tips. Written by a team of editors and authors with extensive experience of the exam and all the recent changes, it broaches topics that can often trip up the candidate, including communication and history-taking skills. Revision is aided by over 130 images and illustrations, as well as boxes highlighting clinical tips and exam hints.
Volume 2 addresses the stations that exam the four specialty areas: Trunk and Torso; Limbs and Spine; Head and Neck, and Neuroscience. It covers the anatomy, physiology and pathology in each of these four speciality areas along with detailed clinical exam scenarios and a bank of likely clinical questions and model answers.

Cardiothoracic nursing has undergone great change over the last decade. With the continuing improvement of surgical techniques, pharmacology and pre- and post-operative care, there have been many new initiatives and innovations in the nature and practice of this specialised sector of nursing. Rehabilitation and patient education are to name but a few of the areas where exciting new challenges and opportunities for cardiothoracic nurses have opened up.

This book is a definitive and accessible text for cardiothoracic nurses. Written for nurses from a nursing perspective, it offers practical advice and information on all aspects of cardiothoracic surgical nursing and pays particular attention to the continuing developments cardiothoracic nurses must face.
An essential reference book for all those practising or studying in this area
Offers advice and information to help ensure the best quality of care is offered to patients undergoing cardiothoracic surgery
Explores new models of nursing practice
Detailed references and further reading

This book comprehensively covers aortic dissection and acute aortic syndromes. Topics covered include the pathology, genetics, diagnosis, medical treatment and surgical management of uncomplicated and complicated aortic dissection, including endovascular stenting. In addition, imaging and follow-up procedures after initial surgical treatment are reviewed along with acute and chronic type A and type B dissection. Potential complications that can be encountered at various treatment stages and management strategies are also detailed. Aortic Dissection and Acute Aortic Syndromes comprehensively reviews aortic dissection in an easy to read, illustration-rich book. It is therefore an essential resource for both trainee and experienced cardiologist, cardiac surgeon and any other medical professionals involved in the management of these patients.

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!