Disease of the heart valves is increasingly common and frequently requires treatment, usually a combination of drug therapy and surgery to repair or replace the valve. The majority of valvular heart disease occurs in older people, and is due to degenerative disease of the valve tissue. Understanding how to diagnose, investigate and manage patients with valvular heart disease is a core skill for a wide range of doctors, including cardiologists, cardiac surgeons, general physicians, general surgeons and anaesthetists. Valvular heart disease can also occur in younger patients and can be particularly challenging to diagnose and treat in pregnant women. New advances in cardiology mean a range of valvular heart disease can be treated with percutaneous procedures avoiding the need for full cardiac surgery. This unique text covers all aspects of valvular heart disease, including normal valve anatomy and physiology, pathophysiology, modes of investigation, assessment and treatment of specific valve lesions, valve surgery (both medical and surgical aspects), treatment in pregnancy or during non-cardiac surgery, and the devastating complication of infective endocarditis, in an easy-to-read, accessible format. It contains over 150 high quality pictures and illustrations, providing contemporary diagnostic imaging (including conventional radiography, echocardiography and magnetic resonance imaging) to demonstrate the importance of imaging in diagnosis and treatment. Individual valve lesions are reviewed in turn with specific indications for intervention in line with current European guidelines. The handbook complements the curriculum for specialist training in the UK, and is relevant to candidtaes in preparation for accreditation with the British Society of Echocardiography.

This book provides up-to-date knowledge on almost all aspects of the multidisciplinary approach to pulmonary rehabilitation. The book advises on how to open a pulmonary rehabilitation program, how to evaluate the chronic lung patients for their fitness level, to prescribe exercises, how to tackle aspects like end-of-life care and provides information about telemedicine rehabilitation in the COVID-19 era. The book also covers subjects of interest like the history and future of pulmonary rehabilitation, smoking cessation, physiology of the skeletal muscle, airways clearing, medication, oxygenotherapy and special consideration for elderly patients with co-morbidities. There are evidence-based explanations regarding all these aspects that will benefit respirologists who have an interest in pulmonary rehabilitation, physiotherapists, occupational therapists, doctors in training, respiratory nurses, and family medicine physicians. Furthermore, the contributors are professionals with experience in pulmonary rehabilitation in major rehabilitation centres around the world who are known for their research, teaching and publishing on the international arena.

The possibilities of surgical treatment of spinal disorders have expanded enormously in recent years. Movement conservation, reduction of access routes, and the use of microscope and endoscope have reduced risks and significantly improved the chances of success. However, only by knowing and mastering the various conservative and minimally invasive surgical techniques can one work on individual treatment for the patient. This book reviews important literature about spinal disorders, describes surgical anatomy of the spine, etiology, pathology, clinical signs, imagine methods of the spinal diseases, and specific techniques of the spinal procedures. The chapter about cervical and lumbar degenerative disc disease will bring new knowledge in the possible therapy, including endoscopic and minimally invasive surgical procedures. The chapter about infections of the spine gives new information about conservative and surgical treatment as well as postoperative complications. The possibilities in surgical treatment in spine tumors will be written in a separate chapter. This chapter provides quite an extensive coverage of tumors related to the spine, and information on their management and treatment, including operative techniques and approaches with spine stabilization. Spinal trauma chapter brings together information on state-of-the-art clinical imaging, including multidetector CT and high-field MRI techniques and the pathophysiology, neurologic evaluation, medical management, surgical treatment, and postoperative assessment of spine trauma and spinal cord injury. Techniques for spinal procedures include the most common types of instrumented procedures such as anterior cervical discectomy and fusion, cervical arthroplasty, occiput C1, and C2 instrumentation, lumbar microdiscectomy, lumbar arthroplasty, posterior, transforaminal and anterior lumbar interbody fusion, and indications and techniques of revision spine surgery.

This book follows the concept of perceiving the entire aorta as one functional organ assuming that all individual pathologies and local interventional procedures affect the up- and downstream segments with consequences for complications and disease progression. Thus any preventive or surgical strategy must recognize the aortic disease in its entirety. The book intends to cover the full spectrum of aortic pathologies, mechanisms and functional interplay. The latest available diagnostic tools and options for surgical treatment are presented by the foremost experts in their field in state-of-the-art reviews. The reader is provided with the most current and comprehensive insight into all fundamental and clinical aspects of aortic disease. All chapters are carefully complemented with figures and illustrations.

The field of structural heart disease interventions is experiencing a stage of rapid growth with the development of percutaneous mitral valve repair therapies and percutaneous aortic valve replacement therapies. The MitraClip represents a new therapeutic frontier for mitral regurgitation and is expected to revolutionize repair of the mitral valve. For the first time in the world, physicians now have the capability to repair the mitral valve percutaneously without the need for a sternotomy or cardiopulmonary bypass. However, as with all new endeavors, there is a steep learning curve, not just for the individual operator but also for the entire field. The MitraClip technology and technique is technically complex and is guided by echocardiography and fluoroscopy. It is an imaging intensive procedure that requires deep 3-dimensional understanding of normal and abnormal cardiac anatomy. Not all mitral regurgitation cases are suitable and not all cases are straightforward. It is therefore crucially important for physicians in this specialty to communicate their experience, successes, failures and complications with each other. Written by the leaders in this breakthrough field, the Atlas of Percutaneous Edge-to-Edge Mitral Valve Repair is the first of its kind for the new percutaneous MitraClip procedure. The Editors have designed the book to be a comprehensive reference manual and to provide cardiologists with true examples of basic and complex cases of percutaneous mitral valve repair using the technology. In addition, this book provides step-by-step guides to the procedure and complications as well as steps to recover from them are discussed. The Atlas is anticipated to be a very valuable reference for both novice and experienced interventional cardiologists and echocardiologists. As percutaneous valve repair becomes more common it will also be of great interest to general cardiologists and surgeons.

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.

Coronary angioplasty is a procedure used to widen blocked or narrowed coronary arteries, the main blood vessels supplying the heart. The term 'angioplasty' means using a balloon to stretch open a narrowed or blocked artery. However, most modern angioplasty procedures also involve inserting a short wire-mesh tube, called a stent, into the artery during the procedure. The stent is left in place permanently to allow blood to flow more freely (NHS Choices). This book is a complete guide to the practice of coronary angioplasty for practising cardiologists and trainees. Beginning with an introduction to the evolution of the technique and the fundamentals of stent design, each of the following chapters provides in depth detail on angioplasty procedures for different disorders. The final sections discuss potential complications, rehabilitation, outcomes, and the future of angioplasty. This comprehensive text is highly illustrated with clinical photographs, diagrams and tables to enhance learning. Key Points Comprehensive guide to coronary angioplasty for clinicians and trainees Describes the complete evolution of the technique, from its beginnings to future developments Covers angioplasty procedures for many different disorders Highly illustrated with clinical photographs, diagrams and tables

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.

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.

The conventional chest x-ray remains the first line in the diagnostic imaging of thoracic disease. In the new edition of this classic, you will get the essential help you need to make preliminary diagnoses of a vast range of pulmonary, cardiovascular, and other thoracic conditions. The differential diagnostic information is provided in extensive tables, organized by classes of findings, and illustrated by hundreds of brilliant radiographs and, where helpful, schematic diagrams. Professionals value the systematic structure of the information in the Burgener series, which aids in making diagnoses confidently and cost-effectively.

The field of vascular surgery is undergoing a rapid and profound transformation - this third volume of Blackwell-Futura's monograph series "Endovascular Intervention: Today and Tomorrow" will help the reader stay ahead of the changes. New therapeutic options and innovative strategies for the management of aortic aneurysms and carotid artery disease are the most obvious examples of recent "revolutionary" advances, while infrainguinal revascularization may be next, as catheter-based femoropopliteal recanalization reemerges at the forefront of a wave of explosive growth in intervention. The availability of new drug-eluting stents is a further catalyst to progress in the field. These subjects and many more are discussed in detail by the expert authors of the book's 14 chapters.

This timely volume will be of considerable interest to practising vascular specialists. Vascular surgeons, interventional cardiologists, interventional radiologists, cardiac surgeons, and general cardiologists will all benefit from this current, insightful review.

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."

Implantable cardioverter-defibrillator therapy has now become a standard antiarrhythmic treatment, with the consequence that ICD technology is advancing apace. The ICD comes in increasingly smaller sizes, performs a greater range of pacing and defibrillation therapies, is supported by a range of diagnostics and telemetry, and very significantly, the ICD is now generally recognised as a more effective therapy for many arrhythmia patients than antiarrhythmic drugs such as amiodarone.

The aim of the "Clinical Approaches to Tachyarryhthmias" series is to update the physician, cardiologist, and all those responsible for the the care of patients with cardiac arrhythmias. In this volume, Martin Fromer reviews the current status of the implantable defibrillator, recent technical developments, and indications for its use.

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?

Das Buch bietet Eltern und Betreuern von "Herzkindern" Aufklarung und Hilfestellung zum Nachschlagen. Der Leitfaden stellt alle relevanten Fragen von Eltern nach der Diagnose "AHF" und beantwortet sie verstandlich und der Reihe nach. Erfahrene Kinderkardiologen und Kinderherzchirurgen erleichtern Ihnen, sich das notwendige Wissen anzueignen, die Antworten der AErzte zu verstehen und mit dem Herzfehler des Kindes richtig umzugehen. Wenn Sie die Funktion des gesunden Herzens kennengelernt haben, verstehen Sie die Fehlbildung - erklart anhand vieler Zeichnungen und Fotos. Lesen Sie die wichtigsten Behandlungsmoeglichkeiten nach und erfahren Sie, wie das Leben mit dem Herzfehler gestaltet werden kann.

This book provides an overview of current and potential applications of artificial intelligence (AI) for cardiothoracic imaging. Most AI systems used in medical imaging are data-driven and based on supervised machine learning. Clinicians and AI specialists can contribute to the development of an AI system in different ways, focusing on their respective strengths. Unfortunately, communication between these two sides is far from fluent and, from time to time, they speak completely different languages. Mutual understanding and collaboration are imperative because the medical system is based on physicians' ability to take well-informed decisions and convey their reasoning to colleagues and patients. This book offers unique insights and informative chapters on the use of AI for cardiothoracic imaging from both the technical and clinical perspective. It is also a single comprehensive source that provides a complete overview of the entire process of the development and use of AI in clinical practice for cardiothoracic imaging. The book contains chapters focused on cardiac and thoracic applications as well more general topics on the potentials and pitfalls of AI in medical imaging. Separate chapters will discuss the valorization, regulations surrounding AI, cost-effectiveness, and future perspective for different countries and continents. This book is an ideal guide for clinicians (radiologists, cardiologists etc.) interested in working with AI, whether in a research setting developing new AI applications or in a clinical setting using AI algorithms in clinical practice. The book also provides clinical insights and overviews for AI specialists who want to develop clinically relevant AI applications.

The first edition of Robotic Surgery was written only a decade after the introduction of robotic technology. It was the first comprehensive robotic surgery reference and represented the early pioneering look ahead to the future of surgery. Building upon its success, this successor edition serves as a complete multi-specialty sourcebook for robotic surgery. It seeks to explore an in-depth look into surgical robotics and remote technologies leading to the goal of achieving the benefits of traditional surgery with the least disruption to the normal functions of the human body. Written by experts in the field, chapters cover the fundamental principles of robotic surgery and provide clear instruction on their clinical application and long term results. Most notably, one chapter on "The Blueprint for the Establishment of a Successful Robotic Surgery Program: Lessons from Admiral Hymen R. Rickover and the Nuclear Navy" outlines the many valuable lessons from the transformative change which was brought about by the introduction of nuclear technology into the conventional navy with Safety as the singular goal of the change process. Robotics represents a monumental triumph of surgical technology. Undoubtedly, the safety of the patient will be the ultimate determinant of its success. The second edition of Robotic Surgery aims to erase the artificial boundaries of specialization based on regional anatomy and serves as a comprehensive multispecialty reference for all robot surgeons. It allows them to contemplate crossing boundaries which are historically defined by traditional open surgery.

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.

This book presents a series of over 50 cases in 3D transesophageal echocardiography. In each case, background information is followed by a step-by-step approach to patient diagnosis and postoperative outcomes. The book's most outstanding highlight consists in over 600 illustrations, which mainly focus on 3D transesophageal echocardiography in combination with 2D transesophageal echocardiography, X-ray fluoroscopy and computed tomography to demonstrate the various cardiovascular pathologies. Since the echo images obtained in clinic practice are moving images, it also includes more than 450 videos, which effectively supplement the static illustrations. The atlas is divided into 11 chapters. Chapters 1 through 3 describe abnormalities affecting mitral, aortic, tricuspid and pulmonary valves, while prosthetic valves are discussed in Chapter 4. Chapter 5 details abnormalities of the aorta. Chapters 6-8 examine coronary artery disease, congenital heart disease and cardiomyopathies, while Chapter 9 explores cases of infective endocarditis. Chapter 10 deals with tumor and mass lesions, and the other cases are collectively addressed in Chapter 11. Offering a valuable new resource, the book will enhance the usefulness of echocardiography during operations as a "third eye" for surgeons.

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.

Exploring the causes, mechanisms, and pathophysiology of cardiac remodeling, this reference offers detailed descriptions of the various components of the remodeling process, as well as new therapeutic interventions and recent and future prospects for the treatment of cardiac remodeling.

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.

Ein Klassiker von zeitlosem Wert auch f r das 21.Jahrhundert!

Die anschauliche Beschreibung des Vorgehens in Wort und Bild, die der 1987 erschienene thoraxchirurgische Band aus der Kirschnerschen Operationslehre bietet, ist f r viele Operationen unver ndert g ltig.

Durch die Sonderausgabe ist der Band allen Chirurgen, die Eingriffe an der Brust und in der Brusth hle vornehmen, wieder zug nglich. Ein neu verfasstes Vorwort der Herausgeber pr zisiert den aktuellen Stellenwert der dargestellten Verfahren.