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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.
Management of Heart Failure: Surgical will provide the full spectrum of surgical options, ICU management and rehabilitation, while also referencing heavily the companion volume of Management of Heart Failure: Medical by introducing the medical options in heart failure . The contributing authors are all key opinion leaders in the medical management of heart failure. This volume is designed to integrate with its sister medical title, but also alone be the definitive guide to the surgical management of heart failure.
This thorough revision of Color Atlas of Congenital Heart Surgery features 700 vividly reproduced intraoperative images taken with a special side-mounted flash. They convey exquisite perception of depth in the operative field in full color. The atlas presents surgical techniques for the full spectrum of cardiac congenital anomalies. This includes revised and updated text on many topics such as repair of straddling tricuspid valve associated with the posterior ventricular septal defect. Throughout the text, the carefully labeled photographs provide vivid representation of three-dimensional spatial relations of congenital anomalies and surgical anatomy.
Written by world-renowned leaders in the fields of clinical electrophysiology and arrhythmology, the volume has represented since many years a biannual update on the most recent advances in the diagnosis, prognosis and treatment of cardiac arrhythmias. The main chapters deal with atrial fibrillation and other supraventricular tachyarrhythmias, diagnosis and management of ventricular arrhythmias, risk stratification and prevention of sudden death in post-MI patients. The systematic and didactic approach to each topic makes the book a very useful tool for physicians working in the field.
This book examines various aspects of the aorta, both healthy and diseased states, in 40 chapters of in-depth research by experts in cardiovascular disease. It begins with chapters on the embryology, anatomy, genetics, and physiology of the aorta along with imaging studies used to visualize its structure. The bulk of the book focuses on acute and chronic disorders such as coarctation of the aorta, inflammatory and connective tissue disorders, acute aortic thrombosis, infections, tumors, related ocular diseases, and various aneurysms and fistulas. In addition, it explores aortic disease in pregnancy, fetal aortic disorders, and aortic trauma in children. The book highlights the epidemiology and natural history as well as medical, endovascular, and surgical treatments for each disease. It also discusses valve repair, 3D printing applications, and the role of multidisciplinary aortic centers. Diseases of the Aorta is an indispensable and authoritative resource for cardiologists, cardiovascular surgeons, interventional radiologists, radiologists, and vascular medicine specialists.
Systematically solve tough diagnostic challenges in pulmonary pathology with this new title in the Differential Diagnoses in Surgical Pathology series. This practical reference uses select images of clinical and pathological findings, together with succinct, expert instructions, to guide you through the decision-making process by distinguishing between commonly confused pulmonary lesions. By presenting material according to the way pathologists actually work, this user-friendly volume helps you quickly differentiate entities that have overlapping morphologic features in both neoplastic and non-neoplastic lung pathology. Key Features: Presents more than 90 differential diagnoses in pulmonary pathology side by side for easy comparison, including the most common entities as well as selected rarer diseases. Provides concise, bulleted summaries of clinical and pathological findings and relevant pictorial examples on the corresponding pages. Features high-quality images of similar-looking lesions side by side for easy comparison. Helps you accurately and efficiently answer many everyday questions such as, "Is this UIP or NSIP?" and "Is this malignant mesothelioma or reactive mesothelial hyperplasia?" Ideal for practicing pathologists, pathologists in training, residents, and medical students. Now with the print edition, enjoy the bundled interactive eBook edition, which can be downloaded to your tablet and smartphone or accessed online and includes features like: Complete content with enhanced navigation Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web Cross-linked pages, references, and more for easy navigation Highlighting tool for easier reference of key content throughout the text Ability to take and share notes with friends and colleagues Quick reference tabbing to save your favorite content for future use
Cardiothoracic Surgery covers all areas of adult and pediatric,
cardiac and thoracic surgery and intensive care. This new edition,
with updated cardiac surgery and thoracic sections, provides
on-the-spot guidance to common and less common operative
The mediastinum is a hollow space within the thoracic cavity that may give rise to a wide spectrum of tumoral conditions from the benign to the intermediate to the highly malignant neoplasms. In addition, other inflammatory and infectious conditions may also arise in this space, which renders the practice of mediastinal pathology, almost a general surgical pathology practice. However, there are numerous mediastinal conditions that are important not only for diagnosis but also for treatment and clinical outcome. Due to the unusual location and because of the complexity of the tumors occurring in the mediastinum, there are only a few experts in this particular anatomic area. In fact, there are no more than 3-4 individuals worldwide with enough experience to properly diagnose, classify, and make treatment suggestions when these tumors arise in the mediastinum. More recent developments in tumor diagnosis and classification have created a vacuum in the general pathologist who often is confronted with this pathology and becomes uneasy about the specifics. For instance, recent developments in tumor pathology have led to the classification and staging of mediastinal tumors in more innovative ways that are in need of proper highlighting. Needless to say, even though there are a few publications on mediastinal pathology, the books are either obsolete or incomplete, in addition of providing superficial knowledge. Unfortunately and with all due respect to the authors of those publications, neither of those books is written by experts in the area. Rather the books were written out of the lack of information in mediastinal pathology. Even the World Health Organization (WHO) publication, which is truly more on lung and pleural neoplasms, has inserted in its contents a portion of mediastinal tumors, such portion not only is superficial and incomplete but also at least highly controversial if not flat out incorrect. . This text's goal is to present comprehensive and up to date information of the diverse pathology that can be encountered in the mediastinal compartment. The book will be divided in 11 different chapters based on the lineage of the diverse tumors that occur in the mediastinum, i.e. epithelial, neuroendocrine, lymphoid, etc (see table of contents). In addition, two separate chapters will be included -one on the radiological aspects and the others on the surgical approach to the different mediastinal tumors., bringing a total of 13 chapters. In the pathology section, the book will include current staging and classification systems of the different tumors. In addition, it will address the most current criteria for diagnosis and the differential diagnosis. Although the emphasis of the book is on diagnostic surgical pathology, every chapter will include the use of immunohistochemical techniques, electron microscopy, and molecular biology when necessary. The book will be extensively illustrated so that the reader will benefit of the different histomorphology of mediastinal tumors. Because of the nature of this specific anatomic area and the need to develop a standard text, Mediastinal Pathology should be of high interest to general surgical pathologists, thoracic pathologists in particular as well as thoracic surgeons, oncologists, and radiologists. Needless to say, this book will be of interest to pathology residents and fellows as well as to those seeking more in depth knowledge of thoracic - mediastinal pathology.
This book addresses an urgent need, offering an updated, detailed and multidisciplinary review of surgery of the inferior vena cava (IVC). Over the past two decades, tremendous advances have been made in this field and related specialties. Many journals and/or textbooks on different surgical or medical specialties have reported on individual aspects, so it is high time to gather all of them in a single resource. To date, surgery of the IVC remains a major challenge, not only in terms of technical difficulties, but also in terms of perioperative management. The book sheds new light on cutting-edge developments, including: Innovations in imaging; Neoadjuvant and adjuvant treatments for tumors of or involving the IVC; Intraoperative anesthetic management; and Technical and technological advances in surgery. As such, it will be of a great interest to surgeons (cardiac, vascular and digestive) and urologists, as well as radiologists and anesthesiologists.
This book considers paradigmatic clinical cases in order to cast light on key issues relating to elective or emergency stent implantation and the use of oral anticoagulation (OAC) in patients with atrial fibrillation. The topics addressed include the optimal periprocedural antithrombotic treatment (uninterrupted vs interrupted OAC, intraprocedural use of heparin and glycoprotein IIb/IIIa inhibitors, etc.), the most appropriate type of stent (bare metal vs drug eluting vs "bioactive"), the optimal regimen (e.g., triple therapy of OAC, aspirin, and clopidogrel vs the combination of OAC and a single antiplatelet agent), and the most suitable duration of the antithrombotic treatment prescribed at discharge (1 vs 6-12 months). The case-based management recommendations will be of wide practical value in the current health care context, where percutaneous coronary intervention is available even to patients with relevant co-morbidities, such as those warranting long-term OAC, and the indications for OAC are much broader than in the past. The book will appeal especially to clinical and interventional cardiologists, internal medicine specialists, hematologists, and family physicians and will also be of interest to cardiology and internal medicine residents and fellows.
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.
This Atlas is illustrated with rich pictures of cardiac surgical specimens. It not only contains normal heart specimens but also dissects those specimens, taking pictures from various angles to create a three-dimensional representation. It also includes reviews of the specimens' pathological reviews. Chapter 1 through 10 introduce the normal anatomy of the cardiac chambers and surgical approaches to the heart, while chapter 11 through 28 describe 18 kinds of congenital heart defects. There are a total of over 1,000 images and illustrations in this book, which will be of great interest not only to the surgeons, but also to the cardiologists, anaesthesiologists and surgical pathologists.
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.
Minimal extracorporeal circulation (MECC) systems have been designed in order to reduce dramatically the side-effects of conventional extracorporeal circulation while serving as a safe perfusion technique for open heart surgery with cardiopulmonary bypass. The book aims to provide an up-to-date and comprehensive overview covering practical advice on how to use MECC systems for those new to the field as well as tips, pitfalls, results, and latest developments. It also offers a systematic review of all published studies on a variety of MECC systems. The book will enable physicians to gain a better understanding of these new systems as well as to understand the rationale for their use in cardiac surgery. MECC requires a multidisciplinary approach, and this book will serve as an essential reference for all health care professionals working in the cardiac surgical operating room, in particular cardiothoracic surgeons, anesthesiologists, and perfusionists
This introduces the history, development and current status of uniportal VATS by pioneers and authorities of this technique. The highly illustrated content in the chapters enhances readers to rapidly understand the techniques of uniportal VAT. The use of video clips adds value to the learning experience and applicability of the techniques. The contents will be of great interest to thoracic surgeons who are already practicing video-assisted thoracic surgery, as well as those who are starting training. It will also serve as authoritative reference text for doctors, students and allied health professionals who would like to learn more about the new technique of uniportal VATS.
This book describes the different aspects of aortic valve and root diseases including comprehensive discussion of the state-of-the-art diagnostic imaging options, disease risk stratification, selection of candidates for valve repair or percutaneous intervention, and most recent therapeutic options. The growing prevalence of valvular heart disease represents a major challenge in terms of short- and long-term management and surveillance. Aortic valve diseases, including aortic stenosis and regurgitation, are among the most frequent of these, while the number of cases of aortic root disease is also on the rise. Aortic valve disease treatment options include valve surgery, valve repair, minimally invasive valve surgery, and percutaneous approaches and all are covered in this volume. Advances in Treatments for Aortic Valve and Root Diseases is a highly illustrated, case oriented reference aimed at cardiology fellows in training, while also helpful to surgeons, cardiologists, imagers, interventionalists, as well as other clinicians and students involved in the diagnosis and treatment of aortic valve and root diseases.
This comprehensive handbook delivers "bottom line," evidence-based guidance in the practice of thoracic anesthesia. Chapters are short and practical and include actionable technical pearls not available elsewhere. The editor and contributors are academic faculty who work at one of the busiest thoracic surgical programs in North America, and their aim has been to integrate essential concepts with practical decision-making. * Detailed guidance for performing more than 30 thoracic surgical procedures * Relevant surgical insights from a senior thoracic surgeon included for each procedure * Full range of modern thoracic anesthetic challenges covered * Essential foundation concepts digested and simplified * Technical aspects sufficiently detailed to be useful * An efficient resource for skilled generalists and trainees
The objective of this Atlas is to contribute to the knowledge of morphological findings of the main cardiovascular diseases among the various specialists who deal with people affected of heart diseases: cardiologists and cardiovascular surgeons, clinical and forensic pathologists, coroners, sports medicine doctors. The interest in cardiovascular pathology, neglected for years in many countries, is increasing worldwide and we are witnessing the revitalization of a discipline, which, in collaboration with clinicians, is making great contributions to the fight against heart diseases and sudden-unexpected deaths. This atlas of cardiovascular diseases is the result of close collaboration between Spanish specialists in cardiology and in cardiovascular pathology and describes the clinical and pathologic features (gross and histopathologial) of major cardiovascular diseases in adults, especially those acquired, but also treat relevant congenital anomalies. This book contains 635 images, 78 tables and graphics distributed in 12 chapters across the spectrum of diseases that can be found in each of the structures of the cardiovascular system (aorta, pulmonary vessels, coronaries, valves, myocardium, pericardium and conduction system). The coordinated work of forensic pathologists from different cities in Spain and cardiologists (primarily from the Hospital Universitario Puerta de Hierro de Madrid) has assembled in all chapters their two worlds (forensic pathology and cardiology) to achieve a practical work with the aim to serve as a practical tool for multiple specialists.
This book is a detailed practical guide to the use of ventricular assist devices and total artificial hearts to provide mechanical circulatory support (MCS) in patients with end-stage heart failure. It explains why MCS may be indicated, which patients require MCS, when and how to implant ventricular assist devices or a total artificial heart, and how to avoid potential complications of MCS. Management throughout the period of care is described, from preimplantation to follow-up, and both typical and atypical cases are discussed. The text features numerous helpful tips and tricks relating to surgical and nonsurgical management and is supported by a wealth of high-quality illustrations that document the preoperative evaluation and implantation techniques. Heart transplantation remains the gold standard for the treatment of patients suffering from end-stage heart failure, but the shortage of donors has led to an increase in the use of MCS. This book will assist all physicians, and especially cardiologists and anesthesiologists, who are involved in the care of these patients.
This atlas depicts and describes catheter-based interventions across the entire pediatric age range, from fetal life through to early adulthood, with the aim of providing an illustrated step-by-step guide that will help the reader to master these techniques and apply them in everyday practice. Clear instruction is offered on a wide range of procedures, including vascular access, fetal interventions, valve dilatation, angioplasty, stent implantation, defect closure, defect creation, valve implantation, hybrid approaches, and other miscellaneous procedures. The atlas complements the previously published handbook, Cardiac Catheterization for Congenital Heart Disease, by presenting a wealth of photographs, images, and drawings selected or designed to facilitate the planning, performance, and evaluation of diagnostic and interventional procedures in the field of congenital heart disease. It will assist in the safe, efficient performance of these procedures, in decision making, and in the recognition and treatment of complications.
Updated and expanded, this comprehensive new edition captures the considerable evolution in the anesthetic management of patients requiring anesthesia for non-cardiac intrathoracic diagnostic and therapeutic procedures. Major advances addressed include the expanded role of ultrasound beyond trans-esophageal echocardiography, the role of extra-corporeal membrane oxygenation in thoracic anesthesia, and postoperative pain management for thoracic surgery. Chapters are authored by prominent anesthesiologists and feature cases commonly encountered in clinical practice. Authoritative and the leading text in the field, this book will serve as an indispensible guide to practitioners of thoracic anesthesia at all levels.
This book provides comprehensive, state-of-the art insights into aortic valvuloplasty. Aortic valve repair is a relatively new procedure. Since first being successfully performed in the 1990s was objectively assessed in the 2000s, this procedure has now become standardized, reproducible, and popular around the globe. Written by experts in surgery and cardiology and richly illustrated, it discusses the aspects of anatomy, pathophysiology, diagnosis and surgical procedure that are essential for successful repair. Contributing to the popularization and development of aortic repair, it is a valuable resource for surgeons, cardiologists, cardio-anesthetists and paramedical staff interested in the field and will be good resource for popularizing and developing aortic valve repair.
This is the first book to focus entirely on the role of pathology in cardiac transplantation, linked to the clinical perspective through clinical-pathological correlation, multidisciplinary team working, and collaborative research. It provides a scientific framework with up-to-date pathological protocols and classification schemes and guides the reader through the chronological phases of the transplant process in a step-by-step approach. Topics include end-stage heart failure with pathologies encountered in the native heart, current issues surrounding donor selection, the multiple faces of rejection pathology correlated with clinical management and immunology, other post-transplant complications, details of pediatric and combined heart/other organ transplantation, and a useful practical appendix. Many high-quality images and illustrative cases are presented, along with learning points and ample references. Transplantation medicine today is continuously changing as collaborative research into novel diagnostic techniques and immunosuppressive therapies translates into improved recipient management and survival. This book is aimed at practicing transplant pathologists and specialist trainees. It will also appeal to general pathologists and to physicians and surgeons involved in cardiac transplantation who need to understand the role of pathology in the clinical management of transplant recipients.
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