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Cardiac Pacement has undergone a rapid development in technique and application in the last years. Methods of cardiac pacement have become more successful but also more complicated. This book is written for internists in their practice and also for the specialists in cardiology to improve their therapeutic measures being informed about specific problems in cardiac pacement. Apart from the basics of cardiac pacement also indications, selection of pacers, implantation methods and complications are described. A special focus is on postoperative monitoring of the patient. A vast amount of illustrations is combined with very instructive text. This book is for daily practice and desk reference for practicioners and clinicians.
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.
Interventional cardiology is a creative, innovative, and rapidly advancing frontier of cardiology. There has been mind-boggling proliferation of tech nology in this field, the use of which requires extraordinary skills and know how. In order to keep pace with the innovative genius of interventional cardiologists, it is indeed desirable to have specialty issues updating us on technology-orientated therapeutic procedures. Contemporary interventional cardiology care is a highly specialized art, dependent on critical decision making, selection of the most appropriate inter ventional procedure, and the operator possessing extraordinary skills and compassion. This first volume of the new series, Supported Complex and High Risk Cor onary Angioplasty, attests to the preceding statement. Dr. Fayaz Shawl has mastered the procedure and has been very thoughtful and innovative in the clinical application of the percutaneous cardiopulmonary bypass support tech nique. This book provides to an interventionist the basic principles of car diopulmonary bypass, identification of the high risk coronary angioplasty patient, and other alternate support devices for myocardial protection. Dr. Shawl and his team of talented contributors are to be complimented for providing us with this impressive volume on high technology. There will be ongoing specialty issues in this series highlighting the devel opments, complications, and advances in interventional cardiology.
This book is the first available practical manual on the open abdomen. Practicing physicians, surgeons, anesthesiologists, nurses, and physiotherapists will find in it a ready source of information on all aspects of open abdomen management in a wide variety of settings. The coverage includes, for example, the open abdomen in trauma, intra-abdominal sepsis, and acute pancreatitis, step-by-step descriptions of different techniques with the aid of high-quality color figures, guidance on potential complications and their management, and features of management in different age groups. The book contents illustrate the most recent innovations and drawing upon a thorough and up-to-date literature review. Useful tips and tricks are highlighted, and the book is designed to support in daily decision making. The authors include worldwide opinion leaders in the field, guaranteeing the high scientific value of the content.
An interdisciplinary panel of pioneers and opinion leaders review the basic, preclinical, clinical, and developmental pathways to new treatment strategies, such as therapeutic angiogenesis and myogenesis. The authors take advantage of new biological understanding, novel therapeutic targets, multiple available and well-studied therapeutic strategies, and the necessary imaging techniques to measure outcomes. Their in-depth discussions cover the identification of new therapeutic targets and pathways, the investigation of transcriptional factors, master switch molecules, cell-based approaches, chemokines, a better understanding of the effects of aging, endothelial dysfunction, and hypercholesterolemia in response to angiogenic stimuli. Highlights include examination of drug delivery problems, outcomes measure, stem therapy, high-risk interventions, development pathways, and future possibilities.
Principles of Heart Valve Engineering is the first comprehensive resource for heart valve engineering that covers a wide range of topics, including biology, epidemiology, imaging and cardiovascular medicine. It focuses on valves, therapies, and how to develop safer and more durable artificial valves. The book is suitable for an interdisciplinary audience, with contributions from bioengineers and cardiologists that includes coverage of valvular and potential future developments. This book provides an opportunity for bioengineers to study all topics relating to heart valve engineering in a single book as written by subject matter experts.
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.
The complexity of decision making in thoracic surgery is growing exponentially. As new technology is introduced, physicians from nonsurgical specialties offer alternative and competing therapies for what was once the exclusive province of the thoracic surgeon. In addition, there is increasing knowledge regarding the efficacy of traditional thoracic surgical therapies. How to select among these varied and complex approaches is becoming increasingly difficult. The first two editions of this book have found wide acceptance among practicing surgeons, trainees, and educators. Chapters from them are regularly cited by the Thoracic Surgery Directors Association as valuable resources for their weekly curriculum exercises. As in the first two editions, chapters adhere to a specific format (updated for the third edition). This approach provides uniformity to the presentations, making it possible to identify useful material at a glance.
This book consists of an edited report of the proceedings of the Fifth Cardiac Surgical Course run by the Royal Post-Graduate Medical School, The Institute of Cardiology, The Institute of Diseases of the Chest, The Institute of Child Health, The National Heart Hospital, The Brompton Hospital, The Hammersmith Hospital and Great Ormond Street Children's Hospital. These organisations encompass most of the major London hospitals associated with cardiac surgery. The course has been run annually, its aim being to help young men and women who are training in the specialised field of cardiac surgery. Thus this book consists of the proceedings of a teaching course rather than of a symposium, the 60 authors having been charged with the task of teaching rather than displaying their results or discussing their latest ideas and the proceedings reflect an interesting appraisal of the current status of cardiac surgery. The speakers were chosen from all over the world, because they were leaders in their field or because they have access to up to date and reliable information, and I am grateful to all the lecturers for their cooperation in the production of this volume. Ten thousand surgical cases are reported. These figures are drawn from experience in the United Kingdom, France, Germany, Switzerland, the United States of America, Australia and New Zealand. The reader may be surprised to find that only a handful of experiments are described.
During the past three decades, Vascular Surgery has emerged as a specialty within general surgery. Fellowships are now available to equip surgeons with specialized skills for managing various vascular problems. Nev ertheless, the vascular surgical emergency, one of the greatest challenges in surgical management, may occur suddenly and at a time and place remote from the highly qualified vascular surgeon or a specialized center where complex vascular treatment is routine. The initial evaluation and treatment must be undertaken by a general surgeon who determines the extent, sever ity, and urgency of the problem at hand, and hopefully will arrange appro priate transfer to a specialized center if the patient's condition permits. Urgent problems, on the other hand, demand immediate surgical interven tion by the general surgeon if any hope for salvage is to occur. It is in this set ting that this volume offered by Professor Staudacher may be of assistance to the general surgeon whose experience in this type of emergency may be limited. This concise, well illustrated volume should serve as a guide to manage the peripheral vascular emergency involving either the arte rial or venous system."
It is a great pleasure for me to contribute a few words as an achieved by many heart transplant centers and the ever improving results of lung transplantation and the functioning of mechanical introduction to the second edition of this volume, first published in 1990 when it was edited by David Cooper and Dimitri cardiac assist devices. Novitzky. The first edition was, in fact, a greatly expanded The current editors bring a wealth of expertise and experience version of an even earlier volume Heart Transplantation, edited to their task, and have blended together absolutely superb con by David Cooper and Robert Lanza and published in 1984. This tributions by many of the world's experts in their fields. This first work, authored by members of the medical staff of Groote comprehensive and highly readable volume documents the Schuur Hospital and the University of Cape Town Medical present 'state of the art' in the field of transplantation and School, was, I believe, the first volume reviewing this relatively replacement of thoracic organs. It provides an invaluable and un new field of medicine. paralleled source of information for those concerned with heart and lung medicine or surgery, and is essential reading for all who The present volume, therefore, continues the documentation of wish to keep abreast of developments in this field.
Valvular heart medicine revolves around the need to accurately identify locations of pathological structures and/or the interventional tools needed to manage that pathology. The imaging of the valves is developing at an enormous pace and the clinician must be aware of the advantages of each modality and how it compares to the others available. There is a need for a practical, clinical atlas designed to work the reader through cases and assessing the gold standard choices available to physicians. This atlas will represent the full multimodality imaging decisions needed when assessing mitral valvular disorders. Within this atlas the authors will be presenting a comprehensive pictorial overview of the highly complex pathology/treatment techniques and management in this diverse group of patients with varied mitral valvular pathologies. Imaging modalities move fast representing challenge to practitioners. This atlas will enable them to learn the choices available and be well versed in techniques. It will therefore be essential reading for all cardiac imagers, surgeons, interventionalists, anesthetists and trainees in these disciplines.
Part of the Monographs in Cardiac Surgery Series - Introducing 'basic science into the cardiac operating room'. Fast systematic review of small areas of cardiac surgery including up-to-date information. This will allow more rapid publication than the alternative cardiac surgery 'tomes'. This entry into the series will provide readers with a complete review of the current understanding in mitral valve surgery and include extensive details on the diagnosis and surgical management of patients with mitral valve disease.
Since the publication of the first edition of Core Topics in Cardiac Anesthesia, the clinical landscape has undergone significant change. Recent developments include the increased use of electrophysiology, the resurgence of primary percutaneous intervention in acute coronary syndromes, the use of percutaneous devices in patients previously considered inoperable, and the withdrawal of aprotinin. Against this landscape, this invaluable resource has been fully updated. New chapters are dedicated to right heart valves, pulmonary vascular disease, cardiac tumours and cardiac trauma. All other chapters have been updated according to the latest international guidelines. Written and edited by an international author team with a wealth of expertise in all aspects of the perioperative care of cardiac patients, topics are presented in an easy to digest and a readily accessible manner. Core Topics in Cardiac Anesthesia, Second Edition is essential reading for residents and fellows in anesthesia and cardiac surgery and clinical perfusionists.
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!
Recent reforms in medical education have prompted the replacement of subjective examination methods with Multiple Choice Questions (MCQs) and Single Best Answer (SBA) questions at all levels. In fact single best answer questions are fast becoming the sole method of assessment in undergraduate as well as postgraduate examinations. This book provides a comprehensive revision aid for residents/registrars undertaking their Cardiothoracic Surgery Board examinations around the world, including the FRCS Cardiothoracic Surgery examination, the American Board of Thoracic Surgery examination and the Royal Australasian College of Surgeons Board of Cardiothoracic Surgery examination. Although these examinations vary in format in different countries, this book is applicable to all cardiothoracic surgical trainees. The book comprises over 300 single best answer practice questions with each question carefully formulated to cover an important topic in cardiothoracic surgery. A considerable number of these questions have been drawn from past examinations. This book contains a substantial number of patient-based questions or clinical vignettes that will enable prospective candidates to test their ability to integrate key basic science concepts with relevant clinical problems. In addition, factual recall questions have been included that probe for basic recall of facts. Detailed and comprehensive explanations, rather than just brief answers, have been provided so that candidates do not have to consult textbooks for clarification as is the case with many other MCQs books currently available in the market. A list of relevant references is provided at the end of each answer to enable candidates to read the most up-to-date journal articles on the subject.
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.
The second volume of Operative Manual of Endoscopic Surgery covers some of the operative endoscopic procedures which have been introduced into clinical practice since the publication of VoI. 1. In the general section, we have included an updated chapter on instrumentation and new chapters on anaesthetic manage ment of patients undergoing endoscopic surgery and on video image and record ing. Both topics are of importance to the practice of endoscopic surgery and have not been adequately covered in the reported literature. Volume 2 deals with endoscopic procedures)nthechest and abdomen. There have been significant advances in thoracoscopic surgery duririg the past 2 years; particular reference rs made to anatomical pulmonary resections and oesophageal resections. As far as the gastrointestinal trad is concerned, we have included gastric and allied operations but have not covered the colorectal region as we believe that more evaluation is needed before definitive accounts can be written on endoscopic colorectal resections, especially for cancer. For this reason, we have decided to defer this important topic to VoI. 3, which is in preparation. The same applies to laparoscopic repair of abdominal hernias. The same layout has been adopted as in VoI. 1 of the series, with heavy em phasis on illustrative representation of the operative steps and techniques. In the diagrams on sites of trocar/cannulae, we have indicated not only the site and size but also the functional role of each port.
Cardiac performance is regulated not only by cardiac muscle properties but also by several other factors, including those associated with the neurohumoral system and the mechanical characteristics of the peripheral circulation. New information con cerning these regulatory factors has furthered our understanding of the pathophysi ology of cardiac dysfunction. However, controversy remains, along with a need to integrate these multidisciplinary findings. It was with this in mind, together with my continuing interest in the response of the normal and diseased heart to variations in loading conditions, that the satellite symposium entitled "Interactions Between Car diac Function and Vascular Dynamics" was organized and dedicated to my mentor, Dr. T. Takishima. The symposium was held in Fukushima, Japan, in 1992 following the Tenth Inter national Conference of the Cardiovascular Systems Dynamics Society in Kobe, Japan, which was organized by the then president of the society, Dr. Masatsugu Hori. The Fukushima symposium and the Kobe conference were stimulating and informative. To commemorate these events, Dr. Hori, Dr. Janicki, and I decided to publish this book. It covers topics that were presented then as well as pertinent new material. As a result, the book includes not only updated reviews but also up-to-date findings that were not considered at the two scientific sessions. The high level attained in this book is due to the outstanding contributions from internationally renowned scientists. This final product of their efforts should prove to be a valuable source of information to the reader."
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 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 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!
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.
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
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