Cardiochirurgia

The thoroughly updated Seventh Edition of this popular and widely used handbook presents the most current protocols and recommendations for care of patients undergoing cardiac surgery. This edition reflects current ACLS guidelines and the latest developments in cardiac surgery. The transplantation chapter has been entirely rewritten by a new author. Experts from leading hospitals offer detailed, practical guidelines on preoperative evaluation and preparation, intraoperative management, and postoperative care for all current cardiac surgical procedures. Perspectives valuable for cardiac surgeons, cardiac nurses, and anesthesiologists are included throughout. Coverage includes a chapter on infants and children. Appendices list drug dosages for adults and for infants and children.

Surgical options for the treatment of degenerative, ischemic, inflammatory, and functional mitral valve diseases have expanded greatly in recent decades. Still, a dilemma exists with employing prosthetic mitral valves - in that mechanical valves exhibit good durability but require anticoagulation versus the unpredictable durability of biological valve prostheses. Over the past few years, it has become clear that reconstruction of the mitral valve with autologous tissues effectively addresses this dilemma, with no need for anticoagulation and excellent durability, combining the best qualities of both prosthetic options without the disadvantages. Moreover, newer repair strategies, such as autologous pericardial leaflet augmentation and artificial choral replacement have expanded reparative approaches into virtually all pathologies, with excellent long-term results as compared to prosthetic valve replacement. At present, mitral repair is becoming the dominant procedure for treatment of virtually all patients with mitral valve disease. This book is designed to illustrate contemporary and sometimes diverse surgical techniques for various types of mitral valve repair with contributions from many of the leaders in the field. Mitral Valve Repair and the recently published Aortic Root Surgery are book publications arising from the Berlin Heart Valve Symposium 2008 entitled " The Biological Solution". The Mitral Valve Repair session was postponed to June 2009 and was featured as the Berlin Mitral Valve Symposium at the joint meeting of the Society for Heart Valve Diseases and the Heart Valve Society of America in Berlin. The book contains a collection of proceedings on current techniques and outcomes of mitral valve repair by many of the experts in this field which provide an authoritative reference source for cardiac surgeons, family practitioners and clinicians.

This comprehensive, state of the art overview of pediatric and adult cardiac anesthesia brings together all the latest developments in this rapidly developing field. This text is intended both as a reference and for daily use by practicing and prospective anesthesiologists. Thoroughly updated for its third edition, Anesthesia for Cardiac Surgery fills the gap between encyclopaedic references and brief outlines, presenting just the right amount of information to guide trainees and practitioners who care for cardiac surgical patients. This edition features:* The introduction of Dr Zvara as co-editor* A new chapter on Special Considerations* Practical clinical information coupled with comprehensive descriptions of physiology* Key facts and tables summarized for convenient access This essential resource will prove invaluable for residents, fellows, and practicing anesthesiologists.

Now in its updated Sixth Edition, this highly popular book provides a practical introduction to the basic principles of cardiac pacing. It explains when and how to place temporary and permanent pacemakers, how to set rates and make adjustments, and how to monitor patients to ensure that the pacemaker is functioning properly. The complexities of cardiac electrophysiology are discussed in clinically relevant terms. This edition includes current AHA/ACC guidelines on indications for pacing. The updated coverage reflects changes in biventricular pacing and telemetry and special concerns for patients with implantable cardioverter defibrillators. A glossary and a conversion chart appendix are included.

The most up-to-date, comprehensives single-volume guide to adult, congenital, and general cardiothoracic surgery -- from many of the foremost experts in the field Developed by authorities from leading-edge cardiothoracic surgical training programs, this much-needed reference succinctly reviews a wide-range of important topics in cardiothoracic surgery. The Johns Hopkins Manual of Cardiothoracic Surgery is especially timely given the recent development of many new scientific findings and emerging technologies. You'll find it filled with precise information on surgical techniques and pre-and postoperative strategies for managing cardiothoracic disease. In this time-saving sourcebook, you'll get an in-depth look at the full spectrum of disorders and their surgical (and medical) management options, including congenital, acquired, and neoplastic diseases. Supporting this detailed coverage is an easy-to-navigate format featuring focused tables and outline-formatted bullets, along with step-by-step explanations of the most complex operations. Features: Thorough coverage of all major areas of cardiothoracic surgery-perfect for cardiothoracic surgery fellows getting ready for Board review exams (oral and written), and cardiothoracic surgeons preparing for Board certification or recertification Skill-building perspectives on open, minimally invasive, and endovascular surgical procedures-complete with relevant surgical anatomy Indications and techniques for heart and lung transplantation Balanced, detailed presentation of both pediatric and adult patient care issues Innovative chapters on surgical ventricular remodeling, endovascular repair of thoracic aortic pathologies, correction of complex congenital defects, and thoracic oncology that reflect the most promising new surgical technologies "Key Concepts" boxes throughout focus on important "take-home" messages of chapter topics Expert authorship, with most chapters written by current or past faculty and trainees from The John Hopkins Hospital

Finally, there is a dependable guide to transmyocardial laser revasculariztion (TMR). In this groundbreaking volume, clinicians who pioneered the use of this innovative treatment share their insights on the indications, results, mechanisms, and limitations of the technique. Under the careful editorial guidance of Drs. Bridges, Horvath, and Chiu, contributing authors explain: * the evolution, science, rationale, and limitations for TMR * how to select suitable candidates * anesthetic considerations and the role of transesophageal echo * TMR as a sole or combination therapy Whether you are already practicing TMR or contemplating its addition to your therapeutic armamentarium, this concise reference will answer all your questions about this important new procedure.

The second edition of this book provides updated knowledge about the biological characteristics and clinical use of arterial grafts for coronary artery bypass surgery. The reader will find first-hand information on arterial grafts as well as vein grafts with regard to biological characteristics, clinical use including off-pump coronary bypass grafting surgery, results, and future developments. Written by world-renowned cardiac surgeons and cardiovascular research scientists working in this area, the book will be invaluable both as a practical guide and as a stimulus for further improvement of arterial grafting techniques and technology.

Updated to include the newest devices and procedures, this practical reference is a clinically oriented guide to interventional cardiology. Chapters by the foremost experts present step-by-step approaches to specific clinical problems and offer guidelines for selecting the most appropriate device and technique. The authors' recommendations are backed by their extensive experience and by evidence-based clinical trials. This Third Edition describes the latest stents and stenting procedures--including local drug delivery with coated stents--and provides state-of-the-art information on local myocyte injection, distal protection devices, peripheral vascular intervention, and new adjunctive therapies. The concluding chapter previews future developments in the field.

In this book, well-known physicians, Bocker, Eckardt and Breithardt have put together a succinct and focused book that compliments the "CATA Series" well. Implantation of defibrillators has evolved dramatically since its introduction by Mirowski in 1980. Technological improvements in devices and leads included a gradual reduction in the size of the device, the introduction of the endocardial approach in 1988, the biphasic waveform and antitachycardia pacing in 1991, pectoral implantation in 1995, inclusion of DDD pacing in 1996 and the delivery of atrial therapies in 1998. Since the first implantation, a huge body of information on the impact of implantable cardioverter defibrillators (ICD) on prognosis has become available, first as observational studies and later as prospective randomized trials. At the present time, there is a large evidence base from the several ICD trials, although it was not always certain that such a large body of ICD evidence would accumulate.

Extracorporeal circulation has become firmly established as an invaluable and routine adjunct to cardiac and vascular surgery. Since its introduction in 1953, the technique has evolved rapidly with advancing technology leading to improvements in and simplification of the equipment involved. Developments in the understanding and application of basic science have also had a huge impact as our understanding of the complex anatomy, biochemistry, pharmacology and pathophysiology of the heart continues to grow. It is these advances in both technology and science that form the basis of this fourth edition of "Techniques in Extracorporeal Circulation". The book continues to provide a comprehensive overview of the field, covering both established techniques for those new to the field of extracorporeal circulation, and current and future developments. It attempts to answer some of the innumerable practical problems associated with the routine use of artificial circulation and oxygenation, and hopes to stimulate thought and debate among its readers regarding more complex or controversial issues. Topics new to the fourth edition include robotic surgery and off-pump surgery, while other chapters have been thoroughly revised and updated to take into account developments and changes in the field. With its multidisciplinary approach, the book will remain an essential reference for all health care professionals working in the cardiac surgical operating room, in particular cardiothoracic surgeons, anaesthetists and perfusionists.