This issue of Thoracic Surgery Clinics, guest edited by Drs. Virginia R. Litle and Robert J. Canelli, is devoted to Peri-operative Management of the Thoracic Patient. Drs. Litle and Canelli have assembled expert authors to review the following topics: Preoperative Evaluation of Patients Undergoing Thoracic Surgery; Prehab of the Thoracic Patient; Enhanced Recovery after Thoracic Surgery; Surgical Approaches for Esophagectomy: Open, Minimally Invasive, Robotic. What is the Approach Algorithm?; Intraoperative Anesthetic Management of the Thoracic Surgery Patient; Intraoperative Surgical and Anesthetic Concerns for Robotic Approach to the Thoracic Surgery Patient; Prevention of Postoperative Prolonged Air-leak after Pulmonary Resection; Intraoperative Pre-emptive Prevention of Esophagectomy Complications: Role of Feeding Tubes, Pyloric Drainage Procedures, Anastomotic Buttressing; Interventional Pulmonology: A Brave New World; Pain Management in Thoracic Surgery; Management of Complications after Lung Resections; Management of complications after esophagectomy; and more!

This book analyses and describes the whole spectrum of technical elements related with non-invasive mechanical ventilators technologies, ventilator modes and complementary technologies for correct interpretation and clinical indications. With the aim of addressing different topics, authors have presented in each chapter and section a rigorous summary of non-invasive mechanical ventilators principles and technologies, as well as clinical indications in order to understand lung function. Moreover, this book also offers a comprehensive examination of how mechanical ventilators interact, for example, in case of asynchrony (diagnosis/treatment), and other tools. The patient-mechanical ventilator interactions sections have been planned from a physiological basis, as they include physical description of the ventilator elements and the non-invasive algorithms that allow adequate patient-ventilator interaction. We describe the correct interpretation and monitoring of positive pressure, airflow and volume waveforms, leakages impact and analysis and interface options and technology (facial mask, nasal mask and other new interface). From a practical point of view, authors describe non-invasive mechanical ventilators device selection, indications and evaluation in different clinical conditions, acute and chronic setting from hospital (emergency/critical care/anesthesiology/pneumology) and from home non-invasive mechanical ventilation. We consider this to be an original and exhaustive book crucial and practical for the correct understanding of mechanical ventilators principles of technology and science of non-invasive mechanical ventilation.

This issue of Thoracic Surgery Clinics, guest edited by Drs. Jyoti Patel and Jessica Donington, is devoted to Advances in Systemic Therapy for Non-Small Cell Lung Cancer. Drs. Patel and Donington have assembled expert authors to review the following topics: Adjuvant and Neoadjuvant Immunotherapy; Combining Immunotherapy with Radiation in Lung Cancer; Adjuvant Chemotherapy; ALK Mutations; Molecular Targets Beyond the Big 3; Advances in Systemic Therapy; Liquid Biopsies in NSCLC; Combining Immunotherapy and Chemotherapy for NSCLC; ROS-1 Mutations; EGFR Mutations; and more!

This issue of Thoracic Surgery Clinics, guest edited by Drs. Vincenzo Ambrogi and Tommaso Mineo, is devoted to Nonintubated Thoracic Surgery. Drs. Ambrogi and Mineo have assembled expert authors to review the following topics: Technical issues and patient safety in nonintubated thoracic anesthesia; Management of primary and secondary pneumothorax in nonintubated VATS; Treatment of pleural effusions with nonintubated VATS; Nonintubated VATS for chest infections; Nonintubated VATS lung biopsy for interstitial lung disease; Nonintubated VATS wedge resection of peripheral early lung cancer; Anatomical segmentectomy in nonintubated VATS; VATS lobectomy for lung cancer in nonintubated anesthesia; Nonintubated VATS tracheal and bronchial sleeve resection for lung cancer; Nonintubated tracheal surgery; Management of intraoperative crisis during nonintubated thoracic surgery; Team training for nonintubated thoracic surgery; and more!

This issue of Thoracic Surgery Clinics of North America, guest edited by Dr. Joshua Sonett, is devoted to Thymectomy for Myasthenia Gravis. Dr. Sonett has assembled expert authors to review the following topics: Role of Thymus in the Immune System; A Neurologist's Perspective to Understanding Myasthenia Gravis: Clinical Perspectives of Etiology, Diagnosis and Preoperative Treatment; A Neurologist's Perspective on Thymectomy for Myasthenia Gravis: Current Perspective and Future Trials and Medications; Surgical Approaches to Myasthenia Gravis: Perspective of Anatomy and Radicality in Surgery; Surgical Techniques for Myasthenia Gravis: VATS; Surgical Techniques for Myasthenia Gravis: RATS; Surgical Decision Making: Thymoma and Myasthenia Gravis; Immune Syndromes and the Thymus: Is There a Role of Thymectomy?; Surgical Techniques for Myasthenia Gravis: Transcervical; Surgical Technique for Myasthenia Gravis: Subxyphoid Approach; History of Thymectomy for Myasthenia Gravis; and more!

This book spans topics in both congenital and acquired right heart disease providing readers with detailed information on the physiology, anatomy and myocardial mechanics of the right ventricle (RV), while describing the use of echo and MRI imaging to diagnose, and new developments in surgery and cardiac catheterization to treat. Right Ventricular Physiology, Adaptation and Failure in Congenital and Acquired Heart Disease includes extensive discussion of RV-pulmonary interactions, pulmonary hypertension and ventricular-ventricular interactions, including specific topics in embryology, fetal RV function, RV mechanics, pathophysiology of RV adaptation/ failure, molecular aspects of RV dysfunction, congenital heart disease, pulmonary arterial hypertension, pulmonary valve replacement, stem cell and future therapies. It is thus important reading for all cardiovascular medicine professionals, but especially pediatric cardiologists and surgeons, those who manage t hese patients in the cardiac care unit and investigators studying the RV.

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.

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.

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!

Featuring a combination of easily digestible sections, clinical images, and a text layout that assists rapid fact acquisition, this book highlights the core topics in congenital cardiac surgery. The text covers all the commonly encountered anomalies, with simple explanations of the underlying anatomy and management options. Readers are provided with strong support from the outset; including guidance on diagnosis, operative technique, and post-operative management. Aimed at trainees preparing for professional examination and newly appointed consultants, this invaluable handbook is a go-to resource for the busy practitioner. It will also be an ideal reference for cardiologists, intensivists, perfusionists, and cardiac nurses, requiring a concise and accessible summary of the surgical aspects of diagnosis and treatment. The book includes sections on transplantation, ECMO, hybrid procedures and adult congenital heart disease.

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 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, 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!

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 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.