This book looks at specific vascular surgery questions that have arisen and where careful analysis is given according to the level of supporting evidence available. As new technology is introduced to treat the cardiovascular system, alternative therapies begin to challenge and also complement traditional vascular surgery. All chapters contain the PICO table to summarise specific characteristics relative to the questions posed in each chapter. Difficult Decisions in Vascular Surgery- An Evidence-Based Approach is a current and timely reference source for practicing surgeons, surgeons in training, and educators, that describes the recommended ideal approach, rather than customary care, in selected clinical situations.

The review of clinical scenarios in cardiothoracic surgery was edited by the Thoracic Surgery Residents Association (TSRA) and authored by more than 50 thoracic surgery residents from programs around the country with over 70 chapters. To ensure the highest level of accuracy and clinical relevance, each chapter was meticulously reviewed by an established faculty member, a section editor, and two main editors. The book includes topics on General Thoracic Surgery, Adult Cardiac Surgery, and Congenital Cardiac Surgery. The TSRA is an organization that represents all thoracic surgery residents in the United States.

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!

This book collates all the current knowledge of cardiac CT and presents it in a clinically relevant and practical textbook format appropriate for both cardiologists and radiologists. The images have been supplied by an experienced set of contributing authors and represent the full spectrum of cardiac CT. The field of Cardiovascular CT has experienced continued rapid evolution due to: 1) advances in technology, 2) expanded spectrum of cardiovascular applications and 3) significant growth in published data including large prospective multicenter studies. As increasing numbers have access to cardiac CT scanners, this book provides all the relevant information on this modality. This is an extensive update of the previous edition bringing the reader up-to-date with the immense amount of updated content in the discipline.

This book originated as a senior design research project at the Colorado School of Mines. Michal Schafer took a very active interest in the acute aortic dissection after his surgical rotations, so we set this project up to investigate the biophysical aspects of aortic dissection and possible engineering perspectives to a treatment. This project lead to a number of options for treatment, and Michal's team is currently following up on one of these options with an engineering company. Since this was an undergraduate design course, the first goal of the course was to do a thorough review of the topic and current trends in treatment. This alone took almost a year. The students learned the basic cardiac anatomy, physiology, physics, and biology to be capable of understanding the literature and the science behind the acute aortic dissection. With all this investigation, it was only natural to combine the information into a book format to hand over to others who will work on the project in the future. Our hope is that this will lead to yearly updates of the book.

Advances in CT have enabled us to detect small lung cancers, which has changed the lung cancer surgery from lobectomy to a lesser lobar resection such as a segmentectomy or wedge resection. While wedge resection is a simple procedure, it has a higher risk of local recurrence of cancer than a lobectomy. On the other hand, segmentectomy is a well known curative surgery for small lung cancers. However, it is difficult to perform accurately because of its anatomical complexity, which makes surgeons hesitant to use it. The book "Illustrated Anatomical Segmentectomy for Lung Cancer" provides readers a detailed explanation of segmentectomy with numerous easy-to-understand color illustrations showing the precise segmental anatomies for each pattern of the procedure. To better illustrate an accurate anatomical segmentectomy, the text shows details of anatomy during segmentectomy. This can involve up to 25 patterns, each of which is shown in roughly 10 illustrations.

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 procedures.
Every chapter is divided into topics presented across two pages to enable easy reference, with pages on intensive care edged in red for immediate access. Completely updated with current evidence and guidelines, the book is practically oriented to provide reliable guidance in intensive care and in theatre. Fully indexed and lavishly illustrated, the book is a must for anyone seeking a comprehensive yet portable guide to all areas of cardiothoracic surgical practice.

CT is an accurate technique for assessing cardiac structure and function, but advances in computing power and scanning technology have resulted in increased popularity. It is useful in evaluating the myocardium, coronary arteries, pulmonary veins, thoracic aorta, pericardium, and cardiac masses; because of this and the speed at which scans can be performed, CT is even more attractive as a cost-effective and integral part of patient evaluation. This book collates all the current knowledge of cardiac CT and presents it in a clinically relevant and practical format appropriate for both cardiologists and radiologists. The images have been supplied by an experienced set of contributing authors and represent the full spectrum of cardiac CT. As increasing numbers have access to cardiac CT scanners, this book provides all the relevant information on this modality. This is an extensive update of the previous edition bringing the reader up-to-date with the immense amount of updated content in the discipline.

This book is unique in describing the practical considerations of endoscopic cardiac surgery. It covers this topic from basic concepts such as patient selection to imaging and outlines the different approaches to particular endoscopic cardiac surgical procedures. As there is an increasing acceptance that cardiac surgery needs to be provided to older and sicker patients and more asymptomatic patients, the option of a sternotomy is becoming less appealing. The endoscope has changed the patient pathway in many surgical specialities, but until recently cardiac surgery has been slow to adopt this approach. With improvements in imaging and better imaging technology, there is a steady increase in accepted procedures and trained surgeons offering this approach. Endoscopic Cardiac Surgery: Tips, Tricks and Traps captures the experience of endoscopic cardiac surgeons from around the world and is a concise yet thorough reference book for those starting a program in this discipline. With over 3 hours of associated video material, it will be an essential primer for the discipline, therefore making it a valuable reference for trainees in cardiac surgery and experienced surgeons wishing to add this approach to their armamentarium. Via app: download the SN More Media app for free, scan a link with play button and access MP4 directly on your smartphone or tablet.

"Near Misses in Cardiac Surgery," best-seller in its field when originally published, has been reissued with a new foreword by Denton A. Cooley, M.D., Surgeon-in-Chief, Texas Heart Institute. Now endorsed by contemporary leaders in cardiac surgery, extracorporeal perfusion, and cardiology, "Near Misses in Cardiac Surgery" has stood the test of time and will introduce a new generation of cardiothoracic surgeons and interventionalists to principles, timeless as they are essential, that enable the outcomes of cardiothoracic procedures, once performed only by surgeons in the operating room, to be successful in new hybrid suites during a transitional period in our history.

Historian Daniel Boorstin has said, "Trying to plan for the future without a sense of the past is like trying to plant cut flowers. No matter what the technical advances are, the same principles that facilitate successful outcomes in surgery (teamwork, communication, vigilance, standardization and simplicity of techniques, anticipation of the next step) apply as well to today's hybrid procedures.

Reading like a medical thriller, "Near Misses in Cardiac Surgery" presents synopses of 43 true cases in which the patients survived, in the expectation that the reader, cast as the surgeon, will determine the cause of the problem and solve it before the patient's demise. The next section identifies the problem and how it was actually resolved by the surgical team. Each case concludes with a detailed discussion and references.

"Near Misses in Cardiac Surgery" has become a resource for the Cardiothoracic Surgery Network's safety reporting system (www.CTSNet.org) and was the template used by CTSNet as a teaching tool for theanonymous reporting of near-disasters by cardiac surgeons from around the world.

Written to challenge the reader that the patient's fate depends upon his or her ability to make appropriate decisions quickly and under pressure, this book will continue to provide clinical insight, not only for experienced cardiac surgeons, fellows and residents, but for anesthesiologists, cardiologists, internists, medical students, and nurses, as well.

Providing an easily readable source of information about the current spectrum of anesthesia and critical care management of patients undergoing thoracic surgery, this book forms part of the successful Core Topics brand. The book provides practical assistance to those commencing careers in thoracic anesthesia and will also to be a useful aide-memoire to those already working in the field. The comprehensive content includes discussion of some of the more contentious issues in the management of thoracic patients as well as giving a flavour of the rapid evolution of new techniques that are of increasing importance in the field, such as lung-assist devices, different modes of ventilation and VAT surgery. Both editors are practising cardiothoracic anesthetists/intensivists at an internationally recognized centre for thoracic surgery, particularly lung transplantation. The contributors are chosen for their clinical expertise and to give a spectrum of opinion across the range of thoracic anesthesia.

The book is meant for self revision on topics related to the heart and great vessels as well as the lungs and chest wall. Questions on the basic sciences include developmental abnormalities, normal anatomy and physiology, microbiology and pharmacology. Clinical questions include those related to managing conditions affecting the heart and lungs and mostly relate to the inter phase between medical and surgical management and their definitive surgical management.
The book gives insight into the way diseases of the heart, lung and chest wall are managed from a surgical perspective and may provide useful insight into the surgical management of these conditions to non-surgeon allied professional. It is certainly a useful study companion for the surgeon in training, especially those interested in cardiac or thoracic surgery. Whilst the specialist trainee in cardiothoracic surgery will be great beneficiary general trainees will find useful topics on which revision questions are based. The basic sciences section may even be useful for junior doctors and medical students.
The structure of the questions has been designed as mainly the multiple choice type as the author feels that they are more useful as an aide to revision. The last two chapters are in the form of 'Single Best Answer' type and 'Extended Matching Item' type questions for readers to familiarise themselves with these type of questions.

This comprehensive manual on breast disease deals with all aspects of the surgical management of both benign and malignant disease. The chapters are written by leading experts, clearly illustrated with line drawings, clinical photos and diagnostic radiology images. Breast Surgery is divided into sections following the patterns of patient management from diagnosis through treatment and reconstruction. Part One, "Fundamentals", addresses common aspects of working with breast cancer patients and understanding the members of the breast cancer team. Part Two is an overview of "Biologic Principles". Parts Three, Four, and Five review "The Initial Evaluation", "Common Presenting Problems", and "Diagnostic Techniques". Part Six, an overview of breast cancer treatment, includes chapters on "Breast Cancer Staging", "Introduction to Gene Expression Profiling", and "Psychological Issues". Part's Seven through Twelve deal with important aspects of breast surgery and interdisciplinary care including pathology, medical oncology, and radiation oncology, with several chapters on neoadjuvant therapy and partial breast irradiation. Part Thirteen includes many chapters on followup of the breast cancer survivor, including late changes on physical exam and imaging, local recurrence, and treating metastatic disease. Though not intended to replace a text reference, Breast Surgical Disease and Interdisciplinary Management offers a comprehensive guide to provide practical advice for those seeking concise, expert input that can be quickly accessed on multiple topics associated with the care of the breast cancer patient.

The thoroughly revised, updated Fourth Edition of this classic reference provides authoritative, current guidelines on chest imaging using state-of-the-art technologies, including multidetector CT, MRI, PET, and integrated CT-PET scanning. This edition features a brand-new chapter on cardiac imaging. Extensive descriptions of the use of PET have been added to the chapters on lung cancer, focal lung disease, and the pleura, chest wall, and diaphragm. Also included are recent PIOPED II findings on the role of CT angiography and CT venography in detecting pulmonary embolism. Complementing the text are 2,300 CT, MR, and PET scans made on the latest-generation scanners.

This book will answer the questions frequently asked by newly qualified nurses or nurses entering the specialty of cardiac surgery. It identifies the needs of the adult patient recovering from cardiac surgery, and focuses on the more common procedures of coronary artery bypass graft and valve surgery. The information provided will enable evidence based nursing care to support interventions in the meeting of those needs.

This text will allow nurses in this specialist area to concentrate on a high basic standard of nursing care, ensuring that the needs of the patient are not neglected in the pursuit of technological advancement. It discusses the main complications that may occur and how these can be dealt with.

Die "Gefasschirurgie" aus der renommierten Kirschnerschen Operationslehre - jetzt als Sonderausgabe. - Umfassend: Die gesamte Bandbreite der klassischen, konventionellen Gefasschirurgie - Unubertroffen anschaulich: UEber 600 erstklassige Abbildungen, viele davon als farbige Bilderfolgen zu den Operationsverfahren - Mit einem Vorwort von Prof. van Dongen zum aktuellen Stellenwert der beschriebenen Therapien Ein Klassiker von zeitlosem Wert - auch fur das 21. Jahrhundert!

von Methoden und Resultaten Zu 48 ausgewahlten Fragen um die extrakorporale Zirkulation wurde eine systematische Literatursuche in zwei Datenbanken (PubMed und MedLine), die die letzten zwanzig Jahre umfasste, vorgenommen. Die hierbei von dem jeweiligen Autor verwendeten Suchbegriffe wurden von je zwei unabhangi- gen weiteren Mitarbeitern der Arbeitsgruppe, die insgesamt 38 Autoren umfasst, uberpruft, um ein moeglichst komplettes Resultat zu erzielen. Nach Durchsicht der gefundenen Abstracta wurden alle fur die jeweilige Fragestellung wesentlich erscheinenden Publikationen nach einem zuvor fest- gelegten Schema, das eine UEbersicht uber Zielsetzung, Fragestellung, Metho- dik, Resultate, Schlussfolgerungen gibt, zusammengefasst. Die adaquate An- wendung statistischer Methoden in den einzelnen Originalquellen wurde kri- tisch uberpruft und mit beratenden Statistikern diskutiert. Abschliessend wur- de fur jede Arbeit eine Einschatzung der wissenschaftlichen Evidenz gemass eines modifizierten Klassifizierungsschemas der AHA/ ACC vorgenommen: Klasse 1 Untersuchungen mit einer klaren wissenschaftlichen Evidenz, dass ein Ver- fahren sinnvoll und effektiv ist (grosse randomisierte prospektive Studien mit niedrigem Falsch-Positiven (Alpha) und Falsch-Negativen (Beta) Fehler, Metaanalysen nach Evidence-based -medicine-Kriterien). Klasse 2 Untersuchungen, die keine klare wissenschaftliche Evidenz uber die Effekti- vitat eines Verfahrens zeigen, z. B. aufgrund einer geringen untersuchten Fallzahl oder eines nicht perfekten Studiendesigns. Klasse 3 Untersuchungen, die keine wissenschaftliche Evidenz uber die Effektivitat eines Verfahrens geben koennen (Untersuchungen mit niedrigem WIssen- schaftlichen Impact, Fallreportagen-Einzelbeobachtung). Klasse 4 In-vitro-Studien, tierexperimentelle Studien, Reviews, die nicht Evidence- based-medicine-Kriterien entsprechen.

Die primare Varikose gilt in den westlichen Industriestaaten als eine Volkskrankheit; nur 20-50% der Bevoelkerung sind venengesund. In Deutschland sind die Ausgaben fur Venenleiden in der letzten Dekade auf fast das Doppelte gestiegen. Die Einfuhrung der bildgebenden Verfahren hat die diagnostischen und damit auch therapeutischen Moeglichkeiten grundlegend erweitert. Die Erfolgschancen besonders bei der chirurgischen Therapie lassen sich heute individuell beurteilen. Mit dem theoretischen Konzept der Rezirkulationskreise wurde dafur eine allgemeingultige Basis gefunden. Durch die Einordnung eines bestimmten Krankheitsbildes in den zugehoerigen Rezirkulationskreis sind die Minima und Maxima der operativen Strategie vorgegeben. Die reiche Bebilderung des Texts veranschaulicht das Konzept.

Pathophysiologische Zusammenhange bilden die Grundlage fur das Verstandnis einer Krankheit. Dieses Buch beschreibt erstmalig umfassend die pathophysiologischen Zusammenhange der wichtigsten Erkrankungen des Herz-Kreislauf-Systems. Es werden sowohl die ubergreifenden pathophysiologischen Prinzipien als auch einzelne klinische Krankheitsbilder des Herzens sowie des Koerper- und Lungenkreislaufs von klinischen Kardiologen systematisch abgehandelt. Damit ist gleichzeitig der direkte Bezug zur Praxis und Klinik sichergestellt. Das umfangreiche Abbildungsmaterial, die klare Gliederung und der flussige, pragnante Text ermoeglichen die einpragsame Vermittlung auch schwieriger Zusammenhange. Das Buch ist ein unentbehrliches Nachschlagewerk und gehoert in die Handbibliothek jedes Kardiologen und Herzchirurgen.

Questo libro si propone di impartire i consigli utili sul modo migliore per accompagnare il paziente traumatizzato grave in sala operatoria, organizzare il lavoro tuo e dell'equipe, sudare sette camicie per risolvere una situazione difficile, ma alla fine chiudere l'intervento con il miglior risultato possibile. In poche parole, una guida pratica sulla chirurgia del trauma destinata non solo agli specializzandi e ai tirocinanti, ma anche ai chirurghi generali interessati al trattamento dei pazienti traumatizzati e ai chirurghi che operano in condizioni difficili - ad esempio presso gli ospedali militari, i distretti rurali o nell'ambito di missioni umanitarie. Sull'atlante chirurgico impari a utilizzare le mani, ma certo non a ragionare, prevenire le mosse e improvvisare, mentre grazie ai nostri consigli pratici apprenderai che quando operi un paziente traumatizzato con emorragia massiva devi usare la testa, oltre che le mani. La prima parte illustra alcuni dei principi generali della chirurgia del trauma, soffermandosi non tanto su come si dovrebbe suturare, quanto piuttosto sulla necessita di sviluppare la capacita di pensare e programmare quando si sta davanti al tavolo operatorio. Purtroppo soltanto di rado, per non dire mai, queste capacita si apprendono frequentando le scuole di specializzazione. La seconda parte e dedicata alla chirurgia del trauma vista come uno sport da contatto: insegna come si trattano specifiche lesioni a carico dell'addome, del torace, del collo e dei vasi periferici, mettendo in particolare evidenza come le cose potrebbero non andare per il verso giusto, un aspetto quasi sempre tralasciato dai testi tradizionali. L'esperienza, invece, ci ha insegnato che imparare dove sono le insidie e essenziale se si vuole imparare ad operare. La lezione piu importante che ci auguriamo tu possa trarre da questa guida e di scegliere sempre la soluzione piu semplice, perche nella chirurgia del trauma e l'unica che non riserva mai sorprese e da risultati."

Nach einem Herzeingriff - einer Operation oder dem Aufdehnen der Herzkranzgefasse - stellen sich viele Fragen:

- Was liegt meiner Herzerkrankung zugrunde?

- Wie kann ich behandelt werden? Welche Komplikationen kann es geben?

- Wie verhalte ich mich in der ersten Zeit nach der Operation?

- Wie gestalte ich meinen Alltag nach der Operation? Was darf ich, wo muss ich vorsichtig sein?

- Wie lebe ich, um meine Gesundheit zu erhalten?

Zuverlassige und detaillierte Antworten geben Ihnen drei erfahrene Herzchirurgen des Herzzentrums Lahr in diesem Buch.

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Dieser Ratgeber informiert Patienten mit einem Herzklappenfehler und Leser, die sich fA1/4r das Thema interessieren, in gut verstAndlicher Sprache A1/4ber diese Erkrankung. Er gibt einen Aoeberblick A1/4ber die Ursachen von Herzklappenerkrankungen sowie A1/4ber die TherapiemAglichkeiten, die heutzutage Standard sind. Der Schwerpunkt liegt hierbei auf der chirurgischen Therapie, d. h. der Herzklappenoperation.

Das Buch beantwortet Fragen, wie sie von unseren Patienten an unser Team gestellt werden. Als Begleiter fA1/4r die Zeit in der Klinik und fA1/4r das Leben nach der Herzoperation hilft es den Patienten, besser mit ihrer Erkrankung und den mit ihr verbundenen A"ngsten umzugehen.

Hier lernen Sie zu planen, und wenn notig, zu improvisieren. Wie Sie schwer verletzte Patienten in den Operationssaal bringen, Ihr Team organisieren, mit schlimmsten Verletzungen kampfen und bestmogliche Resultate erzielen. Je schlechter der Zustand Ihres Patienten, desto schneller und einfacher muss Ihre operative Losung sein. Im ersten Teil: allgemeine Prinzipien der Traumachirurgie mit Schwerpunkt auf strategischem Planen und Denken. Im zweiten Teil gehen die erfahrenen Unfallchirurgen auf spezifische Verletzungen und Komplikationen ein. Gelungene Didaktik, lebendige Sprache, klare Struktur: das ideale Buch fur angehende Chirurgen."