Advances in cardiac and aortic surgery:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, PA
Saunders
2009
|
| Schriftenreihe: | Surgical clinics of North America
89,4 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Includes bibliographical references and index Cardiac screening before noncardiac surgery / Freddie M. Williams and James D. Bergin -- Noninvasive imaging of the heart and coronary arteries / Amy M. West and Christopher M. Kramer -- Cardiopulmonary bypass/extracorporeal membrane oxygenation/left heart bypass: indication, techniques, and complications / Gorav Ailawadi and Richard K. Zacour -- Great vessel and cardiac trauma / Christ C. Cook and Thomas G. Gleason -- Surgical treatment of great vessel occlusive disease / Margaret C. Tracci and Kenneth J. Cherry -- Valve-sparing aortic root-reconstruction / Robert L. Smith and Irving L. Kron -- Indications for the treatment of thoracic aortic aneurysms / John A. Elefteriades and Donald M Botta, Jr -- Approach to the treatment of aortic dissection / Marc R. Moon -- Endovascular repair of the thoracic aorta / Joshua D. Adams, Lleowell M. Garcia, and John A. Kern -- Off-pump versus on-pump coronary artery bypass grafting / Michael E. Halkos and John D. Puskas -- Minimally invasive valve surgery / Y. Joseph Woo -- Transcatheter cardiac valve interventions / William T. Brinkman and Michael J. Mack -- Surgical treatments for advanced heart failure / Mani A. Daneshmand and Carmelo A. Milano -- The surgical treatment of atrial fibrillation / Anson M. Lee, Spencer J. Melby, and Ralph J. Damiano, Jr -- Congenital heart disease surgery in the adult / Bret A. Mettler and Benjamin B. Peeler |
| Beschreibung: | XV S., S. 747 - 1045 zahlr. Ill., graph. Darst. 24 cm |
| ISBN: | 1437713874 9781437713879 |
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Datensatz im Suchindex
| _version_ | 1804140772474224640 |
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| adam_text | Titel: Advances in cardiac and aortic surgery
Autor: Kern, John A.
Jahr: 2009
/Advances in Cardiac and Aortic Surgery
Contents
Foreword xiii
Ronald F. Martin
Preface xv
John A. Kern and Irving L Kron
Cardiac Screening Before Noncardiac Surgery 747
Freddie M. Williams and James D. Bergin
Cardiovascular complications are infrequent but can result in significant
morbidity following noncardiac surgery, especially in patients with peripheral
vascular disease or increased age. All patients require some level of preop-
erative screening to identify and minimize immediate and future risk, with
a careful focus on known coronary artery disease or risks for coronary artery
disease and functional capacity. The 2007 American College of Cardiology/
American Heart Association Guidelines are clear that noninvasive and inva¬
sive testing should be limited to circumstances in which results will clearly
affect patient management or in which testing would otherwise be indicated.
P-Blocker therapy has become controversial in light of recent publications
but should be continued in patients already on therapy, and started in pa¬
tients with high cardiac risk undergoing intermediate- or high-risk surgery.
Noninvasive Imaging of the Heart and Coronary Arteries 763
Amy M. West and Christopher M. Kramer
There are multiple imaging modalities currently available to noninvasively
evaluate the heart and coronary arteries. Choosing the most appropriate
modality depends on the pertinent clinical question and the underlying
patient characteristics. This article provides an overview of the fields of
echocardiography, myocardial perfusion imaging, cardiac computed
tomography, and cardiac magnetic resonance imaging, with particular
attention to specific clinical applications for cardiac surgery patients.
Cardiopulmonary Bypass/Extracorporeal Membrane Oxygenation/Left Heart
Bypass: Indications,Techniques, and Complications 781
Gorav Ailawadi and Richard K. Zacour
Cardiopulmonary bypass has revolutionized the ability to provide cardiore-
spiratory support and has advanced the field of cardiac surgery. This
invention has given surgeons the ability to perform many procedures
that were not possible previously. The concept and development of car¬
diopulmonary bypass has been pioneered by numerous legendary
surgeons. Cardiopulmonary bypass, extracorporeal membrane oxygena-
tion, and left heart bypass have revolutionized our ability to operate on
Hi Contents
the heart, great vessels, and aorta in addition to providing means of short-
term support for reversible causes of cardiac and/or respiratory failure.
The success of these approaches is dependent upon excellent communi¬
cation between the surgeon, perfusionist, and anesthesiologist as well as
constant vigilance and troubleshooting by the caregivers.
Great Vessel and Cardiac Trauma 797
Chris C. Cook and Thomas G. Gleason
Thoracic great vessel and cardiac trauma are characterized by anatomic
location and mechanism of injury: blunt or penetrating. Management strat¬
egies are also directed by the extent and mechanism of injury. Advances in
imaging and catheter-based technologies have allowed easier and more
accurate diagnosis and less-invasive treatments. Although the advantages
of endovascular techniques are attractive, open surgical repair remains the
definitive treatment for many of these thoracic injuries. Given the increas¬
ing sophistication of these technologies and the demonstrated usefulness
of a disease-oriented approach toward patient management, trauma
centers have adopted a multidisciplinary team model for management
of multitrauma victims. In this review, the authors detail the diagnosis
and management of blunt aortic, nonaortic great vessel, blunt cardiac,
and penetrating cardiac injuries.
Surgical Treatment of Great Vessel Occlusive Disease 821
Margaret C. Tracci and Kenneth J. Cherry
Occlusive disease of the supra-aortic trunks remains a diagnostic and
therapeutic challenge to the surgeon. Although most cases in Western
series are attributable to atherosclerotic disease, other entities such as
Takayasu arteritis and radiation arteritis account for a substantial subset
of patients in whom choice of therapy and clinical response may be signif¬
icantly affected by the peculiarities of the disease process involved. This
article reviews the anatomy, causes, and diagnosis of occlusive disease
of the supra-aortic trunks. The indications, techniques, and outcomes of
reconstruction are also discussed.
Valve-Sparing Aortic Root Reconstruction 837
Robert L. Smith and Irving L. Kron
The aortic valve-sparing root reconstruction procedure remains an ideal
concept, but it has not yet become an ideal operation. There is still great
variation and evolution in techniques, which mirrors the increasing under¬
standing of the aortic root s functional anatomy and the disease processes
that affect it. These operations remain complex, and the surgeons who per¬
form them well are often times best armed with an experienced eye for what
looks right more than a mathematical model that can predetermine who will
do well, with what repair type and with what percentage chance of long-
term success. Because of this, it will likely still be a while before these
operations are more routinely used by a broader group of surgeons, as
compared with the very reproducible Bentall and De Bono repair.
Contents ix
Indications for the Treatment of Thoracic Aortic Aneurysms 845
John A. Elefteriades and Donald M. Botta, Jr
In an era of increasingly common and detailed imaging of the thorax, thoracic
aortic aneurysms are being discovered in their precomplicated state with in¬
creasing frequency. At the same time, the list of potential treatments for tho¬
racic aneurysms is beginning to expand. Deciding which treatment method to
employ and which aneurysm to treat is often difficult. The risk of aneurysm
complications must be balanced against the risks of the treatment. This
work explores the behavior of thoracic aneurysms, the state-of-the-art in
treatment, and a rational approach to the treatment decision is proposed.
Approach to the Treatment of Aortic Dissection 869
Marc R. Moon
Acute aortic dissection is a fatal disease if early diagnosis and institution of
appropriate therapy are delayed. Unfortunately, the presentation of a dis¬
section can be diabolical, leading to an initial misdiagnosis in more than
25% of patients. For type A dissections, surgical repair is essential be¬
cause mortality rates approach 50% at 48 hours with expectant therapy
alone. For type B dissections, medical management is successful in
most patients, although a subset with complications or early dilation
may benefit from newer endovascular techniques. The goal of this review
is to summarize the diagnostic algorithm, initial therapeutic options, and
long-term management regimen that offer patients with an acute aortic
dissection the best chance for short-term and long-term survival. There
is an emphasis on the specific practical approach that is applied at Wash¬
ington University to patients who present with an aortic dissection.
Endovascular Repair of the Thoracic Aorta 895
Joshua D. Adams, Lleowell M. Garcia, and John A. Kern
The use of endovascular stent grafts for treatment of the descending thoracic
aorta is reviewed. Currently, 3 devices have been approved by the US Food
and Drug Administration for the treatment of descending thoracic aneu¬
rysms, and multiple studies are ongoing to investigate the efficacy of endo¬
vascular treatment in such pathologies as traumatic aortic injury and
Stanford type B dissection. Outcomes are highly dependent on good case
planning and patient selection and will likely continue to improve as newer-
generation devices and delivery systems are designed and made available.
Off-Pump Versus On-Pump Coronary Artery Bypass Grafting 913
Michael E. Halkos and John D. Puskas
Off-pump coronary artery bypass is a safe and effective method of coro¬
nary revascularization that avoids the use of cardiopulmonary bypass.
Randomized trials, typically enrolling low-risk patients, have shown
comparable mortality and reduced morbidity between off-pump and
on-pump coronary artery bypass. Larger retrospective analyses suggest
improved mortality and a lower incidence of adverse events in patients
undergoing off-pump coronary artery bypass. This article reviews the
available literature comparing outcomes of patients undergoing on- and
off-pump coronary artery bypass surgery.
Contents
Minimally Invasive Valve Surgery 923
Y. Joseph Woo
Traditional cardiac valve replacement surgery is being rapidly supplanted
by innovative, minimally invasive approaches toward the repair of these
valves. Patients are experiencing benefits ranging from less bleeding
and pain to faster recovery and greater satisfaction. These operations
are proving to be safe, highly effective, and durable, and their use will likely
continue to increase and become even more widely applicable.
Transcatheter Cardiac Valve Interventions 951
William T. Brinkman and Michael J. Mack
Currently aortic valve replacement is performed for patients with severe
aortic stenosis and symptoms or objective pathophysiologic conse¬
quences such as left ventricular dysfunction. For transcatheter mitral valve
interventions, the complex pathophysiology of mitral regurgitation with
varying causes along with challenging imaging and delivery issues has
led to slower than anticipated clinical introduction. Transcatheter pulmo¬
nary valve intervention was primarily designed to treat the difficult problem
of right ventricular to pulmonary artery conduit stenosis in the congenital
population. These techniques are reviewed in this article.
Surgical Treatments for Advanced Heart Failure 967
Mani A. Daneshmand and Carmelo A. Milano
Patients with heart failure represent a significantly ill cohort, and the sur¬
vival of the most advanced heart failure patients is dismal with medical
management alone. This cohort of advanced heart-failure patients benefits
from several surgical treatments. Although several techniques for surgical
ventricular restoration in the setting of left ventricular aneurysms have
been described, the broader application of these techniques to patients
with ischemic cardiomyopathy has occurred during the last decade. This
review focuses on left ventricular aneurysm (LVA) repair and surgical ven¬
tricular restoration, ventricular assist devices, and cardiac allograft trans¬
plantation for the treatment of advanced heart failure. Indications for
these procedures are addressed, as well as intraoperative technical fea¬
tures and postoperative management strategies.
The Surgical Treatment of Atrial Fibrillation 1001
Anson M. Lee, Spencer J. Melby, and Ralph J. Damiano, Jr
Atrial fibrillation is a complex disease affecting a significant portion of the
general population. Although medical therapy is the mainstay of treatment,
intervention plays an important role in selected patients. The Cox-Maze
procedure is the gold standard for the surgical treatment of atrial fibrillation
and has more than 90% success in eliminating atrial fibrillation. Ablation
technologies have played a key role in simplifying this technically demand¬
ing procedure and making it available to more patients. A myriad of new
Contents xi
lesion sets and approaches were introduced over the last decade which
has made the operative treatment of atrial fibrillation less invasive and
more confusing.
Congenital Heart Disease Surgery in the Adult 1021
Bret A. Mettler and Benjamin B. Peeler
As a result of improved treatment of congenital heart disease (CHD) over
the last half century, the number of patients reaching adulthood continues
to grow. With increased success a challenging group of adults with unique
anatomy and physiology, in addition to the usual effects of aging, has been
created. All of these patients present unique and fascinating challenges,
and their best care requires bridging pediatric and adult medical and sur¬
gical care. This review is a discussion of some of the more common surgi¬
cal issues that arise in this evolving group of patients.
Index 1033
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| spelling | Advances in cardiac and aortic surgery guest ed. John A. Kern ; Irving L. Kron Philadelphia, PA Saunders 2009 XV S., S. 747 - 1045 zahlr. Ill., graph. Darst. 24 cm txt rdacontent n rdamedia nc rdacarrier Surgical clinics of North America 89,4 Includes bibliographical references and index Cardiac screening before noncardiac surgery / Freddie M. Williams and James D. Bergin -- Noninvasive imaging of the heart and coronary arteries / Amy M. West and Christopher M. Kramer -- Cardiopulmonary bypass/extracorporeal membrane oxygenation/left heart bypass: indication, techniques, and complications / Gorav Ailawadi and Richard K. Zacour -- Great vessel and cardiac trauma / Christ C. Cook and Thomas G. Gleason -- Surgical treatment of great vessel occlusive disease / Margaret C. Tracci and Kenneth J. Cherry -- Valve-sparing aortic root-reconstruction / Robert L. Smith and Irving L. Kron -- Indications for the treatment of thoracic aortic aneurysms / John A. Elefteriades and Donald M Botta, Jr -- Approach to the treatment of aortic dissection / Marc R. Moon -- Endovascular repair of the thoracic aorta / Joshua D. Adams, Lleowell M. Garcia, and John A. Kern -- Off-pump versus on-pump coronary artery bypass grafting / Michael E. Halkos and John D. Puskas -- Minimally invasive valve surgery / Y. Joseph Woo -- Transcatheter cardiac valve interventions / William T. Brinkman and Michael J. Mack -- Surgical treatments for advanced heart failure / Mani A. Daneshmand and Carmelo A. Milano -- The surgical treatment of atrial fibrillation / Anson M. Lee, Spencer J. Melby, and Ralph J. Damiano, Jr -- Congenital heart disease surgery in the adult / Bret A. Mettler and Benjamin B. Peeler Heart / Surgery Aorta / Surgery Thoracic Surgery Cardiac Surgical Procedures Aorta / surgery Aorta Surgery Aorta surgery Heart Surgery Kern, John A. Sonstige (DE-588)139754148 oth Surgical clinics of North America 89,4 (DE-604)BV000003239 89,4 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=018676616&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Advances in cardiac and aortic surgery Surgical clinics of North America Heart / Surgery Aorta / Surgery Thoracic Surgery Cardiac Surgical Procedures Aorta / surgery Aorta Surgery Aorta surgery Heart Surgery |
| title | Advances in cardiac and aortic surgery |
| title_auth | Advances in cardiac and aortic surgery |
| title_exact_search | Advances in cardiac and aortic surgery |
| title_full | Advances in cardiac and aortic surgery guest ed. John A. Kern ; Irving L. Kron |
| title_fullStr | Advances in cardiac and aortic surgery guest ed. John A. Kern ; Irving L. Kron |
| title_full_unstemmed | Advances in cardiac and aortic surgery guest ed. John A. Kern ; Irving L. Kron |
| title_short | Advances in cardiac and aortic surgery |
| title_sort | advances in cardiac and aortic surgery |
| topic | Heart / Surgery Aorta / Surgery Thoracic Surgery Cardiac Surgical Procedures Aorta / surgery Aorta Surgery Aorta surgery Heart Surgery |
| topic_facet | Heart / Surgery Aorta / Surgery Thoracic Surgery Cardiac Surgical Procedures Aorta / surgery Aorta Surgery Aorta surgery Heart Surgery |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=018676616&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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