In Deutschland leben derzeit ca. 180.000-270.000 Erwachsene mit angeborenen Herzfehlern, die entweder gar nicht, nur unvollstAndig oder komplett korrigiert wurden. Diese groAe und stAndig wachsende Zahl ist Ausdruck der Erfolge einer gemeinsamen Versorgung durch Kinderkardiologen und auf angeborene Herzfehler spezialisierte Herzchirurgen. Doch A1/4berblickt auch der betreuende Hausarzt oder der Internist die spAter entstehenden Probleme und FolgezustAnde?

Um diese WissenslA1/4cken zu schlieAen haben die drei kardiologischen Fachgesellschaften, die Deutschen Gesellschaften fA1/4r Kardiologie (DGK), PAdiatrische Kardiologie (DGPK) und Herz-, Thorax- und GefAAchirurgie (DGTHG) eine Task-Force gebildet, die gemeinsam mit Vertretern der Asterreichischen und schweizerischen Fachgesellschaften die a žLeitlinie zur Diagnostik und Therapie in Klinik und Praxis" erarbeitet und in einem formalen Prozess unter externer Moderation konsentiert hat. Erstmalig im deutschsprachigen Raum schildert diese Leitlinie ausschlieAlich Arztlich-wissenschaftliche Aspekte und gibt a" abgesichert durch umfangreiche Literaturrecherche und -bewertung a" den zum Zeitpunkt der Abfassung gA1/4ltigen Stand medizinischen Wissens wieder.

Recent developments in the field of percutaneous coronary intervention and encouraging data relating to feasibility and safety have led to a renewed interest in left main angioplasty. Interventional cardiologists are faced with the challenge represented by this complex subset of lesions.

The first part of this practical handbook specifically deals with the development of the anatomical classification and gives an overview of the frequency of different anatomic phenotypes. The second part provides a comprehensive knowledge on the techniques and approach to left main coronary artery disease and discuss the potential complications. The authors draw on their practical experience to look at expected or potential morbidity from percutaneous coronary intervention.

The aim of this book is to provide interventional cardiologists with useful tips and tricks for percutaneous coronary intervention of the left main coronary artery.

State of the Art Surgical Coronary Revascularization is the most authoritative textbook ever dedicated to the art and science of surgical coronary revascularization, with 71 chapters, organized in 9 sections, and written by over 100 recognized world experts. It covers every aspect of the surgical management of coronary artery pathology and ischaemic heart disease. It provides extensive sections detailing pathophysiology, evaluation and medical and percutaneous management of ischaemic heart disease as well general outcomes and quality assessment for coronary artery bypass grafting (CABG). Pre-, intra- and postoperative management of CABG patients is emphasized in detail as are the core surgical principles in the conduct of CABG, with special focus on the selection of conduits and how to optimize the performance of both on- and off-pump surgery to reduce morbidity and mortality. There are detailed sections on how to improve outcomes with both arterial and venous bypass grafts. This comprehensive textbook also covers in detail less invasive approaches for CABG, CABG in special clinical situations and when CABG is combined with concomitant surgical procedures. In addition to underpinning all chapters with a strong and updated evidence basis, crucial practical surgical techniques are emphasised throughout, making this textbook the indispensable companion of all adult cardiac surgeons and allied health professionals interested in surgical coronary revascularization.

This issue of Thoracic Surgery Clinics, guest edited by Drs. Virginia R. Litle and Robert J. Canelli, is devoted to Peri-operative Management of the Thoracic Patient. Drs. Litle and Canelli have assembled expert authors to review the following topics: Preoperative Evaluation of Patients Undergoing Thoracic Surgery; Prehab of the Thoracic Patient; Enhanced Recovery after Thoracic Surgery; Surgical Approaches for Esophagectomy: Open, Minimally Invasive, Robotic. What is the Approach Algorithm?; Intraoperative Anesthetic Management of the Thoracic Surgery Patient; Intraoperative Surgical and Anesthetic Concerns for Robotic Approach to the Thoracic Surgery Patient; Prevention of Postoperative Prolonged Air-leak after Pulmonary Resection; Intraoperative Pre-emptive Prevention of Esophagectomy Complications: Role of Feeding Tubes, Pyloric Drainage Procedures, Anastomotic Buttressing; Interventional Pulmonology: A Brave New World; Pain Management in Thoracic Surgery; Management of Complications after Lung Resections; Management of complications after esophagectomy; and more!

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 issue of Thoracic Surgery Clinics of North America, guest edited by Dr. Joshua Sonett, is devoted to Thymectomy for Myasthenia Gravis. Dr. Sonett has assembled expert authors to review the following topics: Role of Thymus in the Immune System; A Neurologist's Perspective to Understanding Myasthenia Gravis: Clinical Perspectives of Etiology, Diagnosis and Preoperative Treatment; A Neurologist's Perspective on Thymectomy for Myasthenia Gravis: Current Perspective and Future Trials and Medications; Surgical Approaches to Myasthenia Gravis: Perspective of Anatomy and Radicality in Surgery; Surgical Techniques for Myasthenia Gravis: VATS; Surgical Techniques for Myasthenia Gravis: RATS; Surgical Decision Making: Thymoma and Myasthenia Gravis; Immune Syndromes and the Thymus: Is There a Role of Thymectomy?; Surgical Techniques for Myasthenia Gravis: Transcervical; Surgical Technique for Myasthenia Gravis: Subxyphoid Approach; History of Thymectomy for Myasthenia Gravis; and more!

This issue of Interventional Cardiology Clinics will explore Updates in Percutaneous Coronary Intervention. Curated by the series Editor-in-Chief, Dr. Matthew J. Price, this issue will cover topics and advances in the field that are relevant for practicing clinicians. This issue is one of four selected each year by Dr. Price. The volume will include articles on: Current Concepts in Intraprocedural Pharmacology During PCI; Periprocedural Myocardial Infarction in Contemporary Practice; Newer Generation Metallic Stents: Design, Performance Characteristics, and Outcomes; Distal Transradial Access for Coronary Angiography and Intervention; Clinical Outcomes Data for iFR-guided PCI; Culprit-only or Complete Revascularization During STEMI in Patients with and Without Shock; Technical Approaches to Left Main Coronary Intervention: Contemporary Best Practices; Robotic Assisted Percutaneous Coronary Intervention; Orbital Atherectomy: A Comprehensive Review; and Percutaneous revascularization of spontaneous coronary artery dissection, among others.

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 issue of Thoracic Surgery Clinics of North America, guest edited by Drs. Jean Deslauriers, Farid Shamji, and Bill Nelems, is the first of two devoted to Fundamentals of Airway Surgery. The editors have assembled expert authors to review the following topics: Birth of Airway Surgery and Evolution over the Past Half-Century; Regional and Applied Anatomy of the Tracheo-Bronchial Tree from Larynx to Segmental Bronchus; Advanced Technologies for Imaging and Visualization of the Tracheobronchial Tree; Anesthesia and Gas Exchange during Airway Surgery; The Importance of Good Communications Between Anesthesiologists and Thoracic Surgeons; Tracheal Injuries Complicating Prolonged Intubation and Tracheostomy; Biology of Adenoid Cystic Carcinoma of the Tracheo-Bronchial Tree and Principles of Management; Pathology of Primary Tracheobronchial Malignancies other than Adenoid Cystic Carcinomas; Tuberculosis and Other Granulomatous Diseases of the Airway; Tracheobronchomalacia and Expiratory Collapse of Central Airways; Management of Idiopathic Laryngo-Tracheal Stenosis; Subglottic Tracheal Resection and Synchronous Laryngeal Reconstruction with Preservation of the Recurrent Laryngeal Nerves: The Pearson Operation; Laryngeal Split and Rib Cartilage Interpositional Grafting: Treatment Option for Glottic/Subglottic Stenosis in Adults; Distal Tracheal Resection and Reconstruction; Factors Favoring and Impairing Healing of Tracheal Anastomosis; Prophylaxis and Treatment of Complications After Tracheal Resection; Non-Operative Endoscopic Management of Benign Tracheo-Bronchial Disorders; From Open to Bedside Percutaneous Tracheostomy; Anterior Mediastinal Tracheostomy; and more!

This issue of Thoracic Surgery Clinics of North America, guest edited by Dr. Sharon Ben-Or, is devoted to Thoracic Surgery in the Special Care Patient. Dr. Ben-Or has assembled expert authors to review the following topics: Thoracic surgery in the pregnant patient; Thoracic surgery in early stage small cell lung cancer; Lung cancer in the post transplant / immunosuppressed patient; The postpneumonectomy patient; Thoracic surgery considerations in the obese patient; Thoracic surgery considerations in the pediatric patient; Esophagectomy after weight reduction surgery; Thoracic surgery considerations in the mentally ill or handicapped patient; Lung cancer with concomitant cardiac disease; Malignant pleural effusion and the trapped lung; Empyema from an obstructing lung cancer; Synchronous esophageal and lung cancer; Thoracic surgery considerations in the AIDS patient; and more!

This issue of Thoracic Surgery Clinics, guest edited by Dr. Gaetano Rocco, is devoted to Single-port/Uniportal Video-Assisted Thoracic Surgery. Dr. Rocco has assembled expert authors to review the following topics: The Geometric and Ergonomic Appeal of Uniportal VATS; Management of Intraoperative Difficulties During Uniportal VATS; Hybrid Theatre and Uniportal VATS: the Perfect Match for Lung Nodule Localization; Important Technical Details in Uniportal VATS Standard Major Pulmonary Resections; When Uniportal VATS is Contraindicated; Subxyphoid Uniportal VATS Procedures; Uniportal VATS Segmentectomy; The Case for Non Intubated/Awake Anesthesia for Uniportal VATS Procedures; Uniportal VATS Esophagectomy; Complex Pulmonary Resections Through Uniportal VATS; Training in Uniportal VATS; Fast-tracking Patients Through the Diagnostic and Therapeutic Pathways of Intrathoracic Conditions: the Role of Uniportal VATS; and more!

This issue of Interventional Cardiology Clinics, edited by the series Editor-in-Chief, Dr. Matthew Price, will cover Transcatheter Closure of Patent Foramen Ovale. Some of the topics discussed in this issue include, but are not limited to, PFO and the Interatrial Septum: Clinical-Anatomic Correlations; Current Dataset for PFO Closure in Cryptogenic; Stroke: Randomized Clinical Trials and Observational Studies; PFO closure: Devices and Technique; Identification and quantification of PFO-mediated shunts: echocardiography and transcranial Doppler; PFO closure for Hypoxemia; and Imaging Assessment of the interatrial Septum for ASD and PFO closure, among others.

This issue of Surgical Clinics of North America focuses on Cardiothoracic Surgery, and is edited by Dr. John H. Braxton. Articles will include: Review of ICU Management of the Cardiac and Thoracic Surgery Patient and the Team Approach; Minimally Invasive and Robotically Assisted Cardiac Surgery; Surgical Treatment of Heart Failure; The Changing Face of the Cardiothoracic Surgical Team; Thoracic Trauma and Management; Minimally Invasive and Robotically Assisted Thoracic Surgery; The Impact on Less Invasive Surgery on Esophageal Diseases; Lung Cancer Screening and its Impact of Surgical Volume; The Surgical Treatment of Coronary Artery Occlusive Disease: Modern Treatment Strategies for an Age Old Problem; Transcutaneous Valve Repair and Update; Robotic Lobectomy and Segmentectomy: Technical Details and Results; Diagnostic Imaging and Newer Modalities for Thoracic Diseases: PET Imaging and EBUS for Staging and its Implication for Lung Cancer; Mitral Valve Repair: French Correction vs. American Correction; Cardiac Screening in the Noncardiac Surgery Patient; and more!

This issue of Thoracic Surgery Clinics, guest edited by Dr. Felix Fernandez, is devoted to Quality in Thoracic Surgery. Dr. Fernandez has assembled expert authors to review the following topics: Risk adjustment and performance measurement for lung cancer resection; Risk adjustment and performance measurement for esophageal cancer resection; Oncologic quality indicators in thoracic surgery; National Quality Forum metrics for thoracic surgery; Volume outcome relationships in thoracic surgery; Failure to rescue in thoracic surgery; Quality and cost in thoracic surgery; Patient reported outcomes in thoracic surgery; Database audit in thoracic surgery; European Society of Thoracic Surgeons risk score; International database collaboration in thoracic surgery; Hospital readmissions following thoracic surgery; and more!

This issue of Thoracic Surgery Clinics, guest edited by Dr. Pier Luigi Filosso, is devoted to Clinical Management of Chest Tubes. Dr. Filosso has assembled expert authors to review the following topics: Chest Tubes Throughout the Centuries: An Overview of Pleural Space Drainage Across History; Generalities of Chest Tubes; Chest Tube Placement After Pulmonary Resection; Thoracic Trauma: Which Chest Tube?; Chest Tube Placement in Pleural Effusions and Pneumothorax; Modern Techniques to Insert Chest Tubes; Suction or Non-suction?: How to Manage a Chest Tube After Pulmonary Resection; When to Remove a Chest Tube?; Indwelling Pleural Catheters: A Clinical Option in Trapped Lung; Errors in Chest Tube Placement; and more!

This issue of Thoracic Surgery Clinics of North America, guest edited by Dr. Peter Licht, is devoted to Management of Hyperhidrosis. Dr. Licht has assembled expert authors to review the following topics: History of Sympathetic Surgery; Pathophysiology of Hyperhidrosis; Emerging Nonsurgical Treatments for Hyperhidrosis; Selecting the Right Patient for Surgical Treatment of Hyperhidrosis; Targeting the Sympathetic Chain for Primary Hyperhidrosis: An Evidence-Based Review; Reversibility of Clipping for Primary Hyperhidrosis; Robotic Sympathectomy; Reconstruction of the Sympathetic Chain; Quality of Life Changes Following Surgery for Hyperhidrosis; Management of Compensatory Sweating after Sympathetic Surgery; Less Common Side Effects Following Sympathetic Surgery; Facial Blushing: Patient Selection and Long Term Results; Management of Plantar Hyperhidrosis; and more!

This issue of Surgical Oncology Clinics of North America, guest edited by Dr. Mark Krasna, is devoted to Lung Cancer. Dr. Krasna has assembled expert authors to review the following topics: Epidemiology for Lung Cancer; Screening for Lung Cancer; Pathology for Lung Cancer; Treatment of Patients with Oligometastatic Disease for NSCLC; SBRT/Ablative Therapies for NSCLC; Mediastinal Staging for Lung Cancer; VATS Lobectomy for NSCLC; Robotic Lung Resection for NSCLC; Pneumonectomy for NSCLC; Bronchoscopy-Diagnostic and Therapeutic for NSCLC; Neoadjuvant Therapy for Lung Cancer; Molecular/Targeted Therapy for Lung Cancer; Adjuvant Therapy for Stage 1and 2 NSCLC, and more!

This issue of Thoracic Surgery Clinics of North America, guest edited by Dr. Michael Lanuti, is devoted to Current Controversies in Thoracic Surgery. Dr. Lanuti has assembled expert authors to review the following topics: Management of Stage IIIA Non-Small Cell Lung Cancer; Management of Oligometastatic Non-Small Cell Lung Cancer; Current Treatment of Mesothelioma (Extrapleural Pneumonectomy or Pleurectomy); Stents as Primary Therapy for Esophageal Perforation; Lymph Node Dissection and Pulmonary Metastectomy; Mediastinal Staging: Endobronchial Ultrasound or Mediastinoscopy; Induction Therapy for Esophageal Cancer; Appropriate Surgical Treatment of Stage I Non-Small Cell Lung Cancer; Stereotactic Body Radiotherapy for Stage I Non-Small Cell Lung Cancer; Benefit of Plication for Paralyzed Diaphragm; Video-assisted Thoracoscopic Surgery (VATS) Sympathectomy for Hyperhidrosis; Induction Therapy for Thymoma, and more!

Heart failure is epidemic throughout the world. A growing incidence and prevalence has resulted in a large population of individuals transitioning to advanced stages of the syndrome and requiring uniquely specialised therapies and cardiac transplantation. Oxford Textbook of Advanced Heart Failure and Cardiac Transplantation is a focused and comprehensive work covering this new and rapidly growing cardiovascular subspecialty. Authored by eminent international experts, it is the authoritative text on advanced heart failure and a central resource for clinicians caring for patients with this conditition. By covering a range of characteristics, therapeutic challenges and practical aspects of managing patients this book provides an in-depth source for cardiologists and other related clinicians. A strong focus on the difficult decision making needed to handle advanced heart failure cases, along with specific knowledge of epidemiology, biology and pathophysiology, creates a key tool for optimally managing these complex patients.

This issue of Thoracic Surgery Clinics of North America focuses on Innovations in Thoracic Surgery. Articles will include: Advances in Image Guided Thoracic Surgery; Evolving Applications of Extracorporeal Membrane Oxygenation (ECMO) in Thoracic Surgery; Novel Technologies for Isolated Lung Perfusion - Beyond Lung Transplant; Peroral Endoscopic Myotomy (POEM) for Achalasia; Bioengineered Organs: Dream or a Reality?; Credentialing for New Technology; Endoscopic Resection and Ablation for Early Stage Esophageal Cancer; Novel Technologies in Bronchoscopic Lung Volume Reduction; Advances in Uniportal Video-Assisted Thoracoscopic Surgery: Pushing the Envelope; Guided Bronchoscopy for Peripheral Pulmonary Nodules; Nanotechnology: Applications in Thoracic Surgery?; Present and Future Application of Energy Devices in Thoracic Surgery; and more!

Prevention and Management of Post-Operative Complications is reviewed extensively in this important Thoracic Surgery Clinics of North America issue. Articles include: Cardiovascular complications following thoracic surgery; Pain management following thoracic surgery; Persistent air leak and pleural space management following pulmonary resection; Bronchopleural fistula and empyema after anatomic lung resection; Postoperative respiratory failure; Complications following carinal surgery and bronchial sleeve resection; Anastomotic leak following esophagectomy; Management of conduit necrosis following esophagectomy; Functional conduit disorders complicating esophagectomy; Complications following surgery for achalasia and anti-reflux disease; Complications following tracheal and laryngotracheal resection; Management of thoracic nerve injury; Chest wall resection and reconstruction: management of complications; Management of chylothorax; and more!

Management of Intra-operative Crises is reviewed extensively in this important Thoracic Surgery Clinics of North America issue. Articles include: Massive Airway Hemorrhage; Great Vessel Injury; Endotracheal Tube Management and Obstructed Airway; Perioperative or Operative Pulmonary Embolus; Acute Intraoperative Aspiration; Patent Mammary Disruption During Thoracic Surgery; Immediate Post-lobectomy Crisis Management; Cardiopulmonary Bypass, Rapid Pacing, and ECMO for Emergent Intraoperative Thoracic Situations; Unexplained Intraoperative Hypotension; Coagulopathy & Anticoagulation during Thoracic Surgery; Perioperative Pneumonectomy Management; Pulmonary Artery Bleeding during VATS; Tracheal Repair and Airway Management; and more!

This issue of Thoracic Surgery Clinics is devoted to "Clinical Management of Neuroendocrine Tumors of the Lung" and is edited by Dr. Pier Luigi Filosso. Articles in this outstanding issue include: Pathology of neuroendocrine tumors, Clinical and radiological presentation of neuroendocrine tumors of the lung, Neuroendocrine tumors and endocrine syndromes, The significance of histology: typical and atypical bronchial carcinoids, Surgical management of well-differentiated lung neuroendocrine tumors, Surgical management of large cell neuroendocrine carcinoma (LCNC) of the lung, The role of surgery in small cell carcinoma, Management of thymic neuroendocrine tumors, Medical treatment of advanced thoracic neuroendocrine tumors, Radiometabolic treatment of advanced neuroendocrine tumors, Biological and clinical prognostic factors in thoracic neuroendocrine tumors, and more!

This issue of Thoracic Surgery Clinics is devoted to "Robotic Surgery." Editor Bernard Park, MD of Hackensack University Medical Center brings together the top experts to review this important topic in thoracic surgery. Articles in this issue include: Robotic Thoracic Surgery: Technical Considerations and Learning Curve; VATS-based Approach for Robotic Lobectomy; Total Port Approach for Robotic Lobectomy; Long-term Results for Robotic Lobectomy for Lung Cancer; Robotic Segmentectomy and Pneumonectomy; Robotic Benign Esophageal Procedures; Robotic Esophagectomy (Ivor Lewis and McKeown Approaches); Robotic Thymectomy for Myasthenia Gravis; Robotic Thymectomy for Thymic Neoplasms; and Robotic versus Video-Assisted Thoracic Surgery: Advantages and Disadvantages.