Der Leser mage in den folgenden Mitteilungen keine kritiklose Dar- stellung der Methodik und bisherigen Ergebnisse der Registrierung des Herzschalles erwarten. Sie bezwecken vielmehr, ihm ldar und auf- richtig ein zum weitaus graDten Teil eigenes, kritisch gesichtetes Tat- sachenmaterial vorzulegen, nach dessen Studium er selbst imstande sein wird, sich iiber den heutigen Stand der Dinge ein Urteil zu bilden. Ich habe mIT von Anfang an kein Hehl daraus gemacht, daD VOl' allem die skeptische akustische Zergliederung der geschriebenen Kurven den einen Weg, hier voranzukommen, darstellt, zum anderen die Beobachtung auch der kleinsten Vorgange bei del' Aufnahme und die parallele Registrierung des Pulses, insbesondere die Schrift des SpitzenstoDes, eine klarende Methodik bedeutet. Die Mitteilungen ii ber die Schallschrift durch eine Zwischen wand hindurch werden wohl auch die letzten Zweifel an del' Tatsache, daD es heute schon unter giinstigen Umstanden maglich ist, reine Luftschallschwingungen des Herzschalles aufzuzeichnen, beseitigen. lch habe immer mehr die Dberzeugung gewonnen, daD der von mil' benutzte Apparat eine vor- treffliche Einrichtung dazu ist, und werde ihn deshalb, und weil sich die Angaben des zweiten Teiles fast nul' auf ihn beziehen, in erster Reihe hier beriicksichtigen, zumal fUr die anderen Verfahren, wie sich zeigen wird, noch keine evidenten Beweise ihrer Brauchbarkeit vorliegen. Die Methodik ist das Erste bei der Herzschallschrift, die Anwendung und Interpretation, wenn auch die Hauptsache, doch das Zweite. Mediz. -poliklin. Institut der Universitat Berlin, Anfang August 1911. Heinrich Gerhartz. Inhaltsverzeichnis. Seite Einleitung . . . . . . . . . 1 I. Die Schallschreiber . . . . . 2 Die Membranbeschaffenheit .

This issue of Thoracic Surgery Clinics of North America, guest edited by Drs. Inderpal S. Sarkaria and Abbas E. Abbas, is devoted to Paraesophageal Hernia Repair. Drs. Sarkaria and Abbas has assembled expert authors to review the following topics: Management of Complications in Paraesophageal Hernia Repair; Surgical Anatomy of Paraesophageal Hernias; Robotic Paraesophageal Hernia Repair; Management of Paraesophageal Hernia in the Obese Patient; Technical Options and Approaches to Lengthen the Shortened Esophagus; Laparoscopic Paraesophageal Hernia Repair; Short and Long Term Outcomes of Paraesophageal Hernia Repair; Pre-operative Evaluation and Clinical Decision Making for Giant Paraesophageal Hernias: Who Gets an Operation?; Common Tenets in Repair of Primary Paraesophageal Hernias: Reducing Tension and Maximizing Length; Management of Recurrent Paraesophageal Hernia; Transthoracic Paraesophageal Hernia Repair; Anesthetic Management for Paraesophageal Hernia Repair; and more!

This issue of Thoracic Surgery Clinics of North America, guest edited by Dr. Brian E. Louie, is devoted to Innovations in the Management of Foregut Disease. Dr. Louie has assembled expert authors to review the following topics: Endoscopic approaches to cricopharyngeal myotomy and pyloromyotomy; Options for the challenging hiatus during paraesophageal hernia repair; Endoluminal therapies for esophageal perforations and leaks; Extraluminal approaches to GERD; Advanced endoluminal technologies for Barrett's esophagus - focus on OCT and CLE; Mucosal ablation techniques for Barrett's esophagus and early esophageal cancer; Best practices for training, education and introduction of new techniques for foregut disease management into clinical practice; Per Oral Endoscopic Myotomy (POEM) for Achalasia; Endoscopic resection of tumors of the esophagus; The role of the functional probe in esophageal disease; Enhance the detection of Barrett's esophagus; Endoluminal approaches to GERD; The role of functional fluorescence imaging during esophagectomy; and more!

The development of new techniques and the refinement of established procedures make cardiac surgery a fast-moving field. Core concepts in cardiac surgery has been developed to make it an invaluable textbook for the professional cardiac and cardiothoracic surgeon, covering both topical issues and updates in cardiac surgery. This provides the practising cardiac surgeon with current updates in the field, and controversial issues that affect everyday practice. Written by an international team of renowned cardiac surgeons, each topic is split into a review of the current literature and then important technical details. Their wealth of professional experience has been distilled into tips and common pitfalls in practice throughout the book. Extensively illustrated with full-colour photographs and artwork to facilitate understanding of complex procedures, Core concepts in cardiac surgery is also available on a companion website, to allow the authors to update the text regularly to reflect developments in the discipline.

This issue of Thoracic Surgery Clinics of North America, guest edited by Drs. Jean Deslauriers, Farid Shamji, and Bill Nelems, is the second of two devoted to Fundamentals of Airway Surgery. The editors have assembled expert authors to review the following topics: From Open to Bedside Percutaneous Tracheostomy; Anterior Mediastinal Tracheostomy: Past, Present, and Future; Extended Sleeve Resections; Bronchoplasties at the Segmental Level; Challenges of Carinal Resection and Reconstruction; Carinal Pneumonectomy; Management of Post-Pneumonectomy Broncho-Pleural Fistula: From Thoracoplasty to Trans-Sternal Closure; Tracheal Transplantation: State of the Art and Key Role of Blood Supply in its Success; Autologous Tracheal Replacement; Pathophysiology and Predictors of Bronchial Complications After Lung Transplantation; Management of Bronchial Complications After Lung Transplantation and Late Sequelae; Experiences with Prosthetic Airway Replacement: From the Use of Marlex Meshes to Tissue Engineering; Management of Acquired Benign Tracheo-Esophageal Fistulas; Strategies in the Treatment of Malignant Tracheoesophageal Fistulas; Recognition and Management of Life-Threatening Tracheo-Vascular Fistulae and How to Prevent Them; Principles of Urgent Management of Acute Airway Obstruction; Tracheo-Bronchial Injuries Secondary to Blunt Chest Trauma; Cricothyroid Approach for Emergency Access to the Airway; Use of Silicone Tubes in the Management of Complex Airway Problems; Management of the Airway after Tracheal Reconstruction; Importance of a Team Effort in the Success of Airway Surgery; and more!

Advances in surgical technique and broadening indications for complex gastrointestinal procedures, surgical management of thoracic, hepato-pancreato-biliary, and colorectal diseases continues to evolve, but morbidity continues to be a persistent problem. This book provides a comprehensive, state-of-the art, definitive reference for the diagnosis and management of difficult-to-manage complications following advanced gastrointestinal surgery. All chapters are written by experts in their field and include the most up-to-date clinical information from national and world leaders in their respective discipline. The text provides a practical, clinically useful guide that reviews risk factors for these complications and offers key information on how to avoid potentially high morbidity events in the peri-operative period. It also discusses the management of these problems when they do occur. With its helpful guidelines and "tricks of the trade" to avoid potential complications, this book is essential to all medical professions treating such patients. Gastrointestinal Surgery: Management of Complex Perioperative Complications is of great value and utility for general surgeons, thoracic surgeons, upper gastrointestinal surgeons, colorectal surgeons, hepato-pancreato-biliary surgeons, surgical oncology fellows, thoracic surgery fellows and upper level residents in general surgery.

This issue of Thoracic Surgery Clinics, guest edited by Dr. Henning A. Gaissert, is devoted to The Chest Wall. Dr. Gaissert has assembled expert authors to review the following topics: Acute Infections of the Chest Wall; Chronic Infections of the Chest Wall; Thoracoplasty for TB in the 21st Century; Chest Wall Trauma: Conservative Management and Surgical Reconstruction; Minimally Invasive Repair of the Pectus Excavatum/Carinatum; Surgical Implications of the Straight Back Syndrome; Management of Primary Soft Tissue Tumors of the Chest Wall; Management of Lung Cancer Invading the Superior Sulcus; Management of Breast Cancer Invading the Chest Wall; Chest Wall Reconstruction without Prosthetic Material; Surgical Management of the Radiated Chest Wall and its Complications; Surgical Management of Primary Tumors of the Osseous Chest Wall; Surgical Management of Lung Cancer Involving the Chest Wall; Prosthetic Reconstruction of the Chest Wall, and more!

This issue of the Interventional Cardiology Clinics, edited by Dr. Sahil Parikh, is entitled "Coronary and Endovascular Stents" and covers a wide array of topics. Subjects covered include, but are not limited to, a historical review of stent development; the rationale for stenting; principles of stent design; the role of stent composition and surface modification; endovascular drug delivery and drug elution systems; design and clinical considerations for BRS and endovascular stent grafts; the pathology of endovascular stents, and stent failures.

This unique book details a multidisciplinary approach for providers caring for the Mechanical Circulatory Support (MCS) patient. Authors discuss the history of MCS, patient selection, surgical and post-operative care, mobility and nutritional issues for this subgroup of patients, along with outpatient management. They are expert clinicians in the field of MCS and Extracorporeal Membrane Oxygenation (ECMO), who provide direct patient care, conduct research, publish and maintain current leadership positions within the International Society of Heart and Lung Transplant and International Consortium of Circulatory Assist Clinicians.Non-clinical issues including Regulatory, Reimbursement, Administration, Program Development and links to Professional Organizations supporting MCS Clinicians are presented in the book that will be of great value to Nurses first, but also to Advanced Practice Providers (NP/PA), Dieticians, Physical Therapists and Administrators.

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.

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.

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.

Die extrakorporale Zirkulation kommt nicht nur fur Operationen am offenen Herzen zur Anwendung, sondern wird auch zum extrakorporalen Gasaustausch bei Patienten mit ARDS und bei Fruhgeborenen eingesetzt, sowie fur die Exstirpation ausgedehnter herznaher Tumore. Im vorliegenden Buch werden diese Verfahren dargestellt, ausserdem werden aktuelle Aspekte der zerebralen Durchblutung und der Blutkardioplegie behandelt.

Cardiac Surgery: Operative Technique, by Drs. Donald B. Doty and John R. Doty, is your essential source on how to perform today's full range of cardiac surgical techniques. Over 1,000 crisp illustrations and expert, evidence-based discussions guide you step by step, equipping you to perform all of the latest procedures and get the best outcomes. Focus on the practical how-tos you need to perform each operation. Know what to do, what to avoid, and how to manage complications with the authors' discussions of their preferred methods. Benefit from the seasoned expertise of two master cardiac surgeons with decades of experience. Keep your skills current with state-of-the-art coverage of coronary artery surgeries, heart-lung transplantation, lung transplantation, and much more - including the latest evidence for each procedure. Know what to look for and how to proceed with over 1,000 remarkable illustrations and photographs - many new, many in full color - that capture exactly what you will see during surgery. Access the complete contents and illustrations online, fully searchable. Step-by-step surgical guidance for cardiac operations!

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.

"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.

Heart operations today are quite common and relatively low-risk, but in the beginning it was just the opposite. Cardiac operations were reserved for desperately ill patients. The author documents this dramatic transition with profiles of 38 surgeons who were active between 1940 and 1985.

The profiles are edited transcripts of interviews videotaped between 1996 and 2004. They tell of the development of new techniques such as the "blue baby operation," the first heart-lung machine, the first artificial heart valve, and the first coronary bypass operation. They also tell the unusual life stories of the surgeons and allude to professional and institutional rivalries. A particularly valuable part of the book is the author's brief history of cardiac surgery, designed to orient the reader for reading the profiles that follow.

This book highlights the differences, in terms of neoplastic dissemination pathways, between various types of thoracic cancers. It presents and discusses a comprehensive schematic overview of tumors of the lung parenchyma, of the mediastinum, of the pleura, and of the chest wall. For each tumor, it details the local spread and the lymphatic and vascular dissemination, and it describes the challenging staging of lung tumors with mutations. Illustrations and artwork enrich the content and help readers to understand and visualize tumor spread. The book is of great interest to professionals involved in the study, diagnosis and treatment of thoracic pathologies, as well as to residents in radiology, oncology and pulmonology.

The thorax has a fundamental role in the aesthetic of the male body: congenital or acquired alterations are experienced as extremely frustrating clinical situations. Most breast surgery texts briefly mention gynecomastia, but no text comprehensively addresses the male breast and thorax, including reconstructive and cosmetic surgery and surgery in transgender patients. This gap is now thoroughly filled by Plastic and Cosmetic Surgery of the Male Breast: after introducing principles of anatomy and aesthetics for the male thorax, the first part focusses on the main congenital malformations and their treatment; the main benign acquired pathologies and their treatment (including an ample section dedicated to gynecomastia), the carcinoma of the male breast, with reference to familiar forms; the treatment of carcinoma and reconstruction of the thorax. The book closes with a chapter dedicated to breast surgery in transgender patients. While female breast surgery is increasingly practiced in specific Breast Units and highly specialized centers, male breast issues are treated in general and plastic surgeries units. This handy volume is a sound reference for the most complex clinical cases, and the latest reconstruction treatments for the male thorax and will be useful for general and thoracic surgeons, plastic surgeons and senologists.

This extensively revised edition is an essential reference for physicians involved in the diagnosis, referral and treatment of the thoracic outlet syndrome (TOS). TOS is made up of a constellation of problems resulting from pathology at the thoracic outlet in the neck. Busy specialty practice sees multiple affected patients in every clinic, but TOS can often be difficult to diagnosis. Thoracic Outlet Syndrome explores all possible ancillary care issues surrounding this complex condition, including rehabilitation, disability, natural history and medicolegal issues, and aims to stimulate research, discussion and a sense of community between professionals involved in this area. Vascular and thoracic surgeons, neurosurgeons, neurologists, psychiatrists and psychologists, physical therapists, occupational medicine specialists and pain specialists will find this book a must read for successful treatment, referral and diagnosis of TOS in clinical practice.