In non-fatal cases, cardiovascular diseases are associated with a decreased quality of life as well as a substantial economic burden to society. Most sudden cardiac events are related to the complications of a non-stenosing marginal plaque. For this reason, the ability to properly identify the atherosclerotic plaque with rapid, non-invasive techniques is of utmost clinical interest in diagnostic workup and therapeutic planning of symptomatic patient. Nowadays CT produces high-quality images of the coronary arteries, in addition to defining their location and the extent of the atherosclerotic involvement. This new edition is enriched with two important additions. Firstly, dedicated chapters on intravascular ultrasound (IVUS), catheter angiography, and nuclear imaging have been included, with some discussions on theoretical techniques such as optical coherence tomography (OCT) and magnetic resonance imaging (MRI). Secondly, a completely new section comprising more than 70 clinical cases remarkably expands the horizons reached by the previous edition. This volume provides general practitioners and cardiologists with a basic understanding of the imaging techniques. For radiologists with no direct experience in cardiac imaging, the book serves as an important source of information on coronary pathophysiology and anatomy.

The sixth edition of this acclaimed and established operative atlas continues to provide a unique level of comprehensive detail on operative surgery of the heart and great vessels.With an international list of authors, the chapters have been updated and complemented by the same high quality artwork that has established this operative guide as the gold standard reference for the cardiac surgeon. This new edition retains the format of initial principles and justification for the procedure, followed by preoperative investigations and preparation, the operative procedure, and postoperative management. New chapters have been added on the latest techniques such as minimal invasive surgery, robotic surgery and off-pump bypass surgery.The chapters are arranged in seven sections, with each section emphasising the overall management of patients, tricks of the trade of individual authors and discussion of technical and clinical judgement. With this new and updated edition, Operative Cardiac Surgery remains the pre-eminent operative guide to a full range of cardiac conditions.Video clips of cardiac procedures, both common and rare, are included within the VitalSource edition.

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

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

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

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

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

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

Der Band bietet eine Anleitung zum anasthesiologischen und intensivmedizinischen Management in der Herz-, Thorax- und Gefasschirurgie und bereitet Anasthesisten und Intensivmediziner zugleich auf besondere Situationen vor: Vorbereitung des Patienten, intra- und postoperative UEberwachung des Patienten, Umgang mit der Herz-Lungen-Maschine, Reaktion auf Komplikationen. Die Inhalte sind klar strukturiert, das Nachschlagewerk bietet zahlreiche Tabellen und Abbildungen sowie Tipps und Tricks aus der Praxis. Die 8. Auflage wurde durchgehend aktualisiert.

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

This new edition is an integral source of information on Atherosclerosis. It covers topics such as newer coronary risk factors, high-density lipoprotein metabolism, lipid-lowering drugs, endothelium and thrombosis in atherogenesis, and contributing risk factors. With over 500 exceptional photographs, diagrams, and charts, each chapter illustrates an important facet of diagnosing and treating this common and often fatal disease.

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!

Highly Commended, BMA Medical Book Awards 2015 Since the first edition of this book was published in 2004, the management of congenital heart disease has continued to evolve at a rapid pace. Not only have new operations been developed and expanded, such as the intra/extracardiac conduit Fontan and the double root translocation for corrected transposition, but in addition, diagnostic methods-particularly cardiac CT and MRI-have been dramatically transformed. Understanding of the genetic basis of congenital heart disease and the embryology of cardiac development has progressed even more rapidly. What has not changed is that optimal outcomes for children and adults with congenital heart disease can only be achieved by a collaborative team effort. The team includes not only congenital cardiac surgeons but also pediatric cardiac nurses, pediatric cardiologists, perfusion and respiratory technicians, pediatric cardiac intensivists, pediatric cardiac anesthesiologists, ultrasonographers, and MRI and catheter laboratory technicians. This second edition of Comprehensive Surgical Management of Congenital Heart Disease describes in detail the contemporary practice of Richard A. Jonas and the cardiac team at Children's National Medical Center in Washington, D.C. The book once again includes numerous beautiful illustrations providing comprehensive and detailed information about intra-operative management of the entire spectrum of congenital heart surgery. In addition, the companion VitalSource ebook contains more than 50 operative videos that have been edited and narrated to highlight the key steps in complex surgical procedures. The book incorporates an evidence-based approach, supported throughout by numerous scientific citations, to explain when and why an operation should be done as well as the risks, benefits, and potential complications.

Herzchirurgische Verfahren nehmen weltweit einen festen Platz im Behandlungskonzept von Herzerkrankungen ein und sind inzwischen fest etablierte Verfahren. In Deutschland werden Herzoperationen mit einer Haufigkeit von uber 90.000 Eingriffen pro Jahr in uber 80 Zentren durchgefuhrt. Dieser Band behandelt die haufigsten Operationen in der Erwachsenenherzchirurgie einschliesslich wichtiger Daten zu Spontanverlauf, Komplikationen und Spatergebnissen. Er bietet Hintergrundwissen sowie zahlreiche Tipps und Details zum praktischen Vorgehen. Als Zielgruppe sind sowohl Assistenzarzte, Schwestern und Pfleger auf den Stationen aber auch das medizinische Personal im Operationsbereich angesprochen, deren haufige Fragen bezuglich der Grundbegriffe aber auch spezieller Ablaufe in der Herzchirurgie beantwortet werden sollen."

Expressly created to assist with decision making for surgical treatment of congenital heart defects, this new reference covers all relevant aspects.

The Congenital Heart Defects are presented with each chapter devoted to a single malformation, with incidence, morphology, associated anomalies, pathophysiology, diagnosis (including clinical pattern, electrocardiogram, chest X-ray, echocardiogram, cardiac catheterization with angiography), indications for surgical treatment, details of surgical treatment, potential complications and literature references.

Morphology, pathophysiology and surgical treatment of the defects are explained with schematic drawings, while images taken from morphologic specimens, echocardiographic and angiographic investigations as well as from intra-operative photographs illustrate better than any words the key points of the decision-making process for the surgical treatment of congenital heart defects.

Percutaneous valve technology has received tremendous interest in the last few years from both clinicians and public as a direct result of advancements in endovascular techniques that made this technology a potential option and a promising reality. In this book, the authors review the latest of this rapidly emerging medical technology from all aspects, as it stands at present with the prediction of progress into the near and far future. This is a valuable book for the general public and of special value for the Interventional Cardiologists, Interventional Radiologists, Cardiac Surgeons, Cardiologists and Cardiac Anesthesiologists.

Diese ideale Einfuhrung in die TEE ist mit hervorragenden Originalaufnahmen ausgestattet. Zwei Disketten fur Macintosh zeigen vier Filme, die auch auf der CD-ROM fur Macintosh enthalten sind.

Das vorliegende Buch soll uber Risiken der herzchirurgischen Operation und des Patienten aufklaren und zu deren Optimierung beitragen.

Herzchirurgische Eingriffe werden heute bei adaquater Indikation mit geringerem Risiko durchgefuhrt als grosse Eingriffe in anderen Disziplinen. Gleichzeitig zeigen die weiter hohe Morbiditat und Mortalitat von Herzerkrankungen auf, dass die Kenntnis des Therapieangebots bei vielen, die diese Informationen benotigen um entsprechende Schritte einzuleiten, noch nicht gegeben ist. Stattdessen werden Patienten und Zuweiser von Hypothesen und Annahmen in ihrer Entscheidung beeinflusst.

Die Darstellung der Moglichkeiten transparenter Qualitatssicherung soll helfen, solche Informationsdefizite zu beseitigen und mit Hilfe serioser Bewertung qualitativ hochwertiger Behandlungsergebnisse die oft verzogerte Indikation zur operativen Behandlung zu vermeiden.

Weiter werden Bedeutung wie Begrenzung des Benchmarkings hinsichtlich der Qualitat herzchirurgischer Operationen verdeutlicht."

This clinical casebook is comprised of surgical cases involving the most important cardiovascular diseases in a concise, easy-to-read format (5x8 in trim size, like other titles in this burgeoning, informal product line in the Springer clinical medicine program).Each chapter is a case that opens with a unique clinical presentation, followed by a description of the diagnosis, assessment and management techniques used to treat it, as well as questions and answers (between 8 and 10) about relevant aspects related to the diagnosis and treatment of the addressed disease. The Q&A section will broaden discussion and increase the title's pedagogical value. The casebook features 40 surgical cases in the following thematic areas: Aortic Disease, Arrhythmias, Cardiac Tumors, Coronary Insufficiency, Congenital Heart Disease, Endovascular Therapies, Heart Failure, Heart Transplantation, Mechanical Circulatory Support, Pericardial Disease, Pulmonary Embolism and Valvular Heart Disease. This book will be prepared by the Brazilian Department for Academic Leagues of Cardiovascular Surgery, within the Brazilian Society of Cardiovascular Surgery (BSCVS). This department is the section within BSCVS that consists of the academic leagues of cardiovascular surgery from each university throughout the country. In Brazil, medical academic leagues are organizations that gathers students, interns and residents to discuss a certain topic and promote research and teaching-oriented extra-class activities, supervised by a group of professors. Thus trainees will have involvement in writing the chapters and the senior professor supervisors will edit and finalize the work. Basically, each chapter is written by an intern or resident and, ultimately, his/her supervisor. As the books volume editors, doctors Almeida and Jatene will have final responsibility for the cases and overall manuscript.

What is the evidence? Evidence-based medicine, or EBM which slips off the tongue more readily, seeks to offer proof that what we offer patients whenever we treat them, do a diagnostic test, or recommend anything from an operation to change in life style, is known to be effective. Fifty to 100 years ago, health care was delivered patchily, much less of it was effective, and was based on an image of a kindly doctor treating the sick, who were glad of whatever help could be offered. Now, medicine is effective and whether you look at it as major government expense or big business in private health care insurance, there is no sense in spending money on ineffective treatments, while we do not have enough to spend on what is of proven worth. Individual doctors cannot read everything and cannot possibly synthesise what they do read, so that they are aware of what is proven to be effective and what probably is not. The "The Evidence for ..." series seeks to fill that need. Into "The Evidence for Cardiothoracic Surgery" we have commissioned systematic reviews of the common operations and some innovative treatments, to present the facts to busy doctors. Where is there and where is there not evidence?

Great innovations take place within great institutions. Founded in 1819, Toronto General Hospital (TGH) is one of Canada's oldest hospitals and has created a nurturing environment for early Canadian innovations in heart surgery. The Heartbeat of Innovation tells the story of the brilliant surgeons who worked there and the hospital environment that provided an incubator to the many people - skilled perfusionists, dedicated nurses, and pioneering cardiologists - who participated in the revolution in heart surgery that took place along University Avenue in Toronto. Supported by historical records, hospital archives, personal memoirs, and interviews, this book is an extensive and descriptive account of the seemingly inexorable development of cardiac surgery at this leading academic health science centre. It pursues several themes: the complexity of this surgical specialty, its generally male-dominated nature, the trend toward teamwork in practice, and the evolution and incorporation of original research into this branch of healthcare. These strands are woven together to demonstrate how the TGH has evolved into such a dominant leader in the competitive and demanding field of cardiac surgery. Canadian hearts may beat with pride at the knowledge that one of the major stories in modern medicine took place here - and continues here.

The aim of this book is to identify and shed new light on the main surgical practices involved in acute care and trauma surgery. Adopting an evidence-based approach, a multidisciplinary team of surgeons and intensivists illustrate basic and advanced operative techniques, accompanied by a comprehensive and updated reference collection. Emerging surgical procedures in Acute Care Surgery are also explored step by step with the help of ample illustrations. Further, the book offers an overview of treatment options for acute organ failure, with a focus on peculiar clinical situations that call for special treatment, including: extracorporeal membrane oxygenation (ECMO), circulatory support and urgent liver transplantation. In order to identify the key determinants in decision-making and therapeutic support that can help avoid critical errors, authors not only define and discuss specific surgical techniques, but also present major issues and controversies related to it. In essence, the book can be considered a "What to do guide" that offers easy access to both basic and advanced lifesaving surgical procedures, due in part to text boxes highlighting "Tips, Tricks and Pitfalls" as well as advice on "Complications Management". Many chapters are enriched by providing clinical case scenarios, an important educational resource including self-assessment questionnaires.

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!

This book comprehensively covers the latest advances in cardiovascular medicine. Key diagnostic and treatment points are reviewed across a range of cardiovascular issues, including concurrent cardiac problems, patients with cancer, peri-operative surgical and post-trauma patients, patients in the emergency department, pregnancy in the obstetric units, and the care of critically ill patients in medical and surgical intensive care units. Cardiology Consult Manual provides a detailed and clinically relevant guide for the cardiology practitioner of the potential cardiac issues encountered within the cardiology consult service and also a range of professionals in related disciplines. It therefore provides an important resource for all cardiology trainees, fellows, practitioners and health care providers involved in the management of patients with cardiovascular disease.

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!