Cardiothoracic surgery Books

Book SynopsisSHORTLISTED FOR THE COSTA BIOGRAPHY PRIZETHE SUNDAY TIMES NO.2 BESTSELLERWINNER OF THE BMA PRESIDENT'S AWARD 2017An incredible memoir from one of the world's most eminent heart surgeons, recalling some of the most remarkable and poignant cases he's worked on.Grim Reaper sits on the heart surgeon's shoulder. A slip of the hand and life ebbs away.The balance between life and death is so delicate, and the heart surgeon walks that rope between the two. In the operating room there is no time for doubt. It is flesh, blood, rib-retractors and pumping the vital organ with your bare hand to squeeze the life back into it. An off-day can have dire consequences this job has a steep learning curve, and the cost is measured in human life. Cardiac surgery is not for the faint of heart.Professor Stephen Westaby took chances and pushed the boundaries of heart surgery. He saved hundreds of lives over the course of a thirty-five year career and now, in his astounding memoir, Westaby details some of his Trade Review‘Raw and moving… the writing is thrilling. Fragile Lives is a frank and absorbing memoir by a man who has done about as much good to his fellow human beings as it is possible to do in one lifetime.’ – The Times, Book of the Week ‘With his battle cry of “bugger protocol” and his renaming of medical directors as “the Stasi”, Westaby comes across as the bloke you’d want on your side in the fight to stay alive.’ Guardian Books of the Year ‘The stakes could not be higher in this bloody, muscular and adrenaline-charged memoir from a pioneering heart surgeon… at points it made my own heart race dangerously. ‘Surgeons are meant to be objective,’ Westaby tells himself, ‘not human’. What makes this book so fascinating, and so moving, is the terrible tension between these necessary qualities.’ – Sunday Times ‘A full-frontal and thrilling portrayal. Each story in this fascinating book brings a new nail-biting surgical adventure… A gifted surgeon, Westaby is also a natural writer… Fragile Lives succeeds on many levels: political battle cry, chronicle of bloody feats, history of modern cardiology, tribute to patients and paean to surgery.’ – Daily Telegraph ‘Westaby is everything you would hope from a maverick surgical genius: authoritative, engaged, passionate and opinionated. His book, annoyingly well written for someone who has penned only medical papers and handbooks, reads like a thriller, except with rather more corpses. You race to each chapter’s end to see if his certain-to-die patient survives.’ – The Times ‘The book is a cracking example of a thriving sub-genre of autobiography, the medical memoir. Anyone who enjoyed the 2014 bestseller Do No Harm by the brain surgeon Henry Marsh, a friend of Westaby’s, will relish Fragile Lives, too. Each story is gripping, written in a vivid, almost brutal way that matches the blood and gore of cardiac surgery.’ – Financial Times

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Book SynopsisThis book explores the unique aspects involved in the management of ECMO patients such as physiopathology and indications, setting up the device, monitoring ECMO and the patient, troubleshooting, ethical aspects and rehabilitation. For the past eight years, management of acute heart failure and Acute Respiratory Distress Syndrome (ARDS) patients has been improved by the development of short-term assistance devices, with ECMO as a first line treatment. This highly informative book provides essential insights for ICU nurses at ECMO centers around the world, who face the substantial challenges involved in the management of ECMO patients. Above all, it meets their training needs with regard to bedside monitoring for these patients, which has become a major issue. The editors and most of the contributors serve at La Pitié-Salpétrière ICU, France, which, in terms of the number of admissions and major publications produced, is one of the world’s leading authorities on ECMO.Table of ContentsI. Medical Aspects.- ECMO definition and principles.- Indications and physiopathology.- II. Nursing care.- Preparing the patient and the ECMO device.- Monitoring the ECMO.- Monitoring the patient preventing complications and accidents.- Mobilizing the patient.- Transport under ECMO.- Weaning process.- How to manage incidents.- Psychological approach of the patient and its family.- Training of nurses: initial and continuous education.

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Book SynopsisThis is the 2nd edition of Key Questions in Cardiac Surgery, which has become the must-read book for all cardiac surgical practitioners and is part of the revolutionary 'Key Questions' series of cardiothoracic surgical textbooks, including Key Questions in Thoracic Surgery and Key Questions in Congenital Cardiac Surgery. The 1st edition was an international bestselling cardiac surgical textbook, for many years being the most popular cardiac surgical book on amazon, with amazing feedback and reviews. It also received a Highly Commended Award at the British Medical Association (BMA) Medical Book Awards and has been placed on the US Thoracic Surgery Directors Association (TSDA) recommended reading list for American cardiothoracic surgery residents and fellows. Key Questions in Cardiac Surgery provides a systematic overview of the important topics in contemporary adult cardiac surgical practice. The text is evidence-based, incorporating current literature and has been updated from the 1st edition with the most recent American Heart Association and European Society of Cardiology guidelines. This illustrated concise text is a practical and clinically focused book that covers all the key questions in cardiac surgery. Additional chapters on statistics and pulmonary embolism have been included, with the main chapters having been updated describing contemporary surgical techniques and management philosophies. Whilst being an ideal reference for cardiac surgical trainees and residents, especially when undertaking their cardiothoracic surgery board examinations, this book is also of great value to other specialties involved in the care of cardiac surgical patients, including cardiologists, cardiothoracic intensivists, nurses and physiotherapists.Trade Review"The title of this book Key Questions in Cardiac Surgery is appropriate since it covers systematically all questions asked in examinations or during the ward round. It is written in a question-answer format which makes it interesting to read. The illustrations are very good. The diagrams have been made in such a way that they provide a surgeons view. This book is based on the guidelines issued by the American Heart Association and European Society of Cardiology, and incorporates facts based on current scientific literature. Each chapter has a list of key scientific references for further reading. We would recommend this book as a companion for all cardiac surgery and cardiology trainees, perfusionists and cardiac anaesthesiologists. Overall, this book provides a practical and new approach to understand adult cardiac surgery." -- Professor of Cardiac Surgery & Editor-in-Chief on behalf of the Indian Journal of Thoracic and Cardiovascular Surgery"A wonderful book. I have been looking for such a book for a very long time. It gives a global view on all aspects of adult cardiac surgery with emphasis on the important points. It is written in a very smooth and easy way. Its size is perfect so it can be carried everywhere. In my opinion, it is a must-have book if one is preparing for the speciality exam. Junior and senior trainees will also find it helpful during their career." -- Waterstones reviewI recommend this book for cardiac surgery trainees, fullfledged surgeons, and also for other medical practitioners wanting a brief and precise overview into our speciality, without having to pick up heavy textbooks and spend precious time searching for information. -- Professor of Cardiac Surgery, University Hospital Zurich, Switzerland on behalf of the European Society of Cardiology

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Book SynopsisPart of the acclaimed Mastery Series, Mastery of Cardiothoracic Surgery, Fourth Edition, prepares you for any surgical challenge with comprehensive coverage of thoracic, adult cardiac, and congenital cardiac procedures. Drs. Larry R. Kaiser, Irving L. Kron, Joseph B. Shrager, Gorav Ailawadi, and Stephanie M. Fuller lead a team of expert contributing authors and provide editorial commentary following each chapter. This fully revised edition is an invaluable reference for cardiothoracic fellows, as well as thoracic and cardiac surgeons. Follows the Mastery series style—with Editor’s Comments at the end of each chapter to help hone technique, improve results, and minimize error Addresses key details of each procedure, from indications and preoperative assessment to surgical technique, postsurgical follow-up, and management of complications Includes new and expanded content that addresses key disorders and surgical interventions, with chapters on Right-sided Video-assisted Thoracic Surgery (VATS) Lobectomy, Left-sided VATS Lobectomy, Right-sided Robotic Lobectomy, Left-sided Robotic Lobectomy, Segmentectomy, Lung Volume Reduction and Tracheobronchoplasty, VATS/Robotic Thymectomy, Advanced Endoscopic Esophageal Procedures, Diaphragmatic Paralysis and Pacing, Multiarterial Grafting, Minimally Invasive Multivessel Coronary Artery Bypass Grafting, Degenerative Mitral Valve Repair: Respecting the Leaflets, Chordal Sparing Mitral Replacement, Surgery for Mitral Endocarditis, Novel Transcatheter Mitral Repair Devices, Transcatheter Mitral Replacement, Minimally Invasive Tricuspid Valve Surgery, Transcatheter Tricuspid Valve Repair, Transcatheter Tricuspid Valve Replacement, Aortic Annular Enlargement, Minimally Invasive Aortic Valve Replacement, Transcatheter Aortic Valve Replacement, Bentall Procedure, Descending Thoracic and Thoracoabdominal Aneurysm and Dissection, Minimally Invasive Maze Procedures, Left Atrial Appendage Occlusion Techniques, Minimally Invasive Left Ventricular Assist Devices, Right Ventricular Assist Devices, Adult Congenital Heart Disease, and more Features a full-color design and artwork to facilitate visual learning Shares the knowledge and experience of three new associate editors: Drs. Joseph B. Shrager Gorav Ailawadi, and Stephanie M. Fuller new associate editors Enrich your eBook reading experience Read directly on your preferred device(s),such as computer, tablet, or smartphone. Easily convert to audiobook,powering your content with natural language text-to-speech.

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Book SynopsisFollowing on from the success of the international best-seller "Key Questions in Cardiac Surgery", the long-awaited KEY QUESTIONS IN CONGENITAL CARDIAC SURGERY will be the latest book in the Key Questions series to be released. Key Questions in Congenital Cardiac Surgery will systematically cover all the main topics involved in the current practice of a congenital cardiac surgeon. It will incorporate current guidelines for practice (such as from the American College of Cardiology, American Heart Association, British Paediatric Cardiac Association and European Society of Cardiology) and up-to-date information based on current literature. Each chapter will be structured to include the aetiology, pathophysiology, clinical features, indications for surgery, peri-operative management, surgical options and postoperative care. Possible complications will be discussed and the results of current practice presented. Importantly, there will be a section on basic sciences related to the practising congenital cardiac surgeon and a further section on congenital cardiac investigations with many images illustrating the variety of pathologies. Each chapter will also contain important references for further reading and greater depth of knowledge. The data and body of knowledge presented in this book is strictly evidence-based and is relevant to all congenital cardiac surgical trainees, at any stage of their training programme. It will provide residents, fellows and specialist registrars the necessary information to carry out their daily duties. Congenital cardiologists and paediatric cardiac intensive care unit specialists will also find the book useful in terms of the indications and surgical management of these patients, as they are integral to the congenital cardiac surgical process. Another important group is the nursing staff, physiotherapists and other professions allied to medicine working with patients with congenital cardiac disease either pre-operatively or postoperatively, as it will help to give a detailed understanding of the principles surrounding congenital cardiac surgical disease. Most importantly, the book is ideal as a revision aid for residents/registrars undertaking their Cardiothoracic Surgery Board examinations around the world. Although these examinations vary in format in different countries, this book is applicable to all cardiothoracic surgical trainees. Its concise, yet complete coverage of the important topics, make it the ideal guide to answer the key questions in congenital cardiac surgery that are asked within the confines of an examination.Table of ContentsContents include: Segmental Cardiac Anatomy / Embryology; Cardiac Physiology; Cardiac Pharmacology; Congenital Echocardiography; Cardiac Imaging; Congenital Angiography & Intervention; Cardiac Anesthesia; Cardiothoracic Intensive Care Management; Cardiopulmonary Bypass & Adjuncts; Extra-Corporeal Life Support; Hybrid Procedures; Consent & Data Analysis; Anomalous Systemic & Pulmonary Venous Connections; Atrial Septal Defects; Atrio-Ventricular Septal Defects; Ventricular Septal Defects; Ebstein's Anomaly; Tricuspid Atresia; Hypoplastic Right Heart; Pulmonary Stenosis & Right Ventricular Outflow Tract Obstruction; Tetralogy of Fallot; Pulmonary Atresia With Ventricular Septal Defect; Transposition of the Great Arteries; Congenitally Corrected Transposition of the Great Arteries; Double Outlet Ventricles; Hypoplastic Left Heart Syndrome; Congenital Anomalies of the Mitral Valve; Aortic Stenosis & Left Ventricular Outflow Tract Obstruction; Truncus Arteriosus; Anomalies of Coronary Arteries & Coronary Fistulas; Aortopulmonary Window; Vascular Rings & Slings; Patent Ductus Arteriosus; Coarctation of the Aorta; Interrupted Aortic Arch; Univentricular Heart; Surgical Palliation In Congenital Heart Disease; Surgery For Cardiac Failure; Cardiac & Pulmonary Transplantation; Surgery For Cardiac Arrhythmias; Cardiac Tumors; Infective Endocarditis; Index.

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Book SynopsisSelected as a Doody’s Core Title for 2023! With an emphasis on the “how and why” of contemporary surgery, Operative Techniques in Surgery, Second Edition, features concise, bulleted text, full-color illustrations, and intraoperative photographs to clarify exactly what to look for and how to proceed. Meticulously edited by Drs. Mary T. Hawn, Aurora D. Pryor, Steven J. Hughes, Daniel Albo, Michael S. Sabel, Kellie R. Brown and Amy J. Goldberg, this comprehensive, two-volume surgical atlas focuses on the steps of each technique, rapidly directing you to the information you need to choose the right approach for each patient, perform it successfully, and achieve the best possible results. Coverage includes open as well as laparoscopic, robotic, endoscopic, and endovascular procedures in gastrointestinal, thoracic, esophageal, colorectal, hepatobiliary, breast, endocrine, dermatologic, vascular, and trauma surgery New, comprehensive section on trauma surgery, helmed by trauma expert Dr. Amy J. Goldberg New section editors for esophageal and foregut surgery and vascular surgery, Dr. Aurora D. Pryor minimally invasive surgery leader and Kellie R. Brown, expert in vascular surgery. New videos, personally selected by contributing authors and editors, accompany numerous chapters throughout the book Extensive updates throughout, including new coverage of the American Board of Surgery’s SCORE Curricula for General Surgery and for Complex General Surgical Oncology Each procedure follows the same format: differential diagnosis, patient history and physical findings, imaging and other diagnostic studies, surgical management, techniques, pearls and pitfalls, postoperative care, outcomes, and complications Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

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Book SynopsisFollowing on from the success of the international best-seller "Key Questions in Cardiac Surgery", the long-awaited "Key Questions in Thoracic Surgery" will be the next book in the Key Questions series to be released. This book will systematically cover all the main topics involved in the current practice of a thoracic surgeon. It will incorporate current guidelines for practice (such as from the American College of Chest Physicians, British Thoracic Society and European Respiratory Society) and up-to-date information based on current literature. Each chapter will be structured to include aetiology, pathophysiology, clinical features, indications for surgery, perioperative management, surgical options and postoperative care. Possible complications will be discussed and the results of current practice presented. Importantly, there will be a section on basic sciences related to the practising thoracic surgeon and a further section on thoracic investigations with many images illustrating the variety of pathologies. Each chapter will also contain important references for further reading and greater depth of knowledge. The data and body of knowledge presented in this book is strictly evidence-based and is relevant to all thoracic surgical trainees, at any stage of their training programme. It will provide residents, fellows and specialist registrars the necessary information to carry out their daily duties. Respiratory physicians and thoracic intensive care unit specialists will also find the book useful in terms of the indications and surgical management of these patients, as they are integral to the thoracic surgical process. Another important group is the nursing staff, physiotherapists and other professions allied to medicine working with patients with adult thoracic disease either pre-operatively or post-operatively, as it will help to give a detailed understanding of the principles surrounding thoracic surgical disease. Most importantly, the book is ideal as a revision aid for residents/registrars undertaking their Cardiothoracic Surgery Board examinations around the world. Although these examinations vary in format in different countries, this book is applicable to all cardiothoracic surgical trainees. Its concise, yet complete coverage of the important topics, make it the ideal guide to answer the key questions in thoracic surgery that are asked within the confines of an examination.Table of ContentsContents include: Thoracic Anatomy; Thoracic Physiology; Thoracic Pharmacology; Thoracic Imaging; Pulmonary Function Tests; Esophageal Function Tests; Pre‐Operative Assessment; Thoracic Anesthesia; Common Thoracic Surgical Procedures, Including Video‐Assisted Thoracoscopic Surgery (VATS); Thoracic Surgical Complications; Non‐Small‐Cell Lung Cancer; Small‐Cell Lung Cancer; Chemotherapy; Radiotherapy; Carcinoid & Benign Pulmonary Tumors; Pulmonary Metastases; Solitary Pulmonary Nodule; Bullous Disease, Emphysema & Lung Volume Reduction Surgery (LVRS); Pulmonary Infections (Including Tuberculosis, Bronchiectasis, Cystic Fibrosis); Interstitial Lung Disease; Pulmonary Transplantation; Hemoptysis; Tracheal Lesions; Mesothelioma; Pleural Effusion; Pneumothorax & Pneumomediastinum; Hemothorax; Chylothorax; Empyema; Pectus Deformities; Chest Wall Tumors; Esophageal Cancer (Including Barretts Esophagus); Gastro‐Esophageal Reflux Disease & Hiatus Hernia; Achalasia, Esophageal Motility Disorders & Esophago‐Phayngeal Diverticula; Mediastinal Lesions; Thymus (Thymoma, Myastenia Gravis); Diaphragmatic Lesions; SVC Syndrome, Thoracic Outlet Syndrome & Hyperhidrosis; Thoracic Trauma; Index.

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Book Synopsis'Thrilling... The “dizzying” story of heart surgery is every bit as important as that of the nuclear, computer or rocket ages. And now it has been given the history it deserves' James McConnachie, Sunday TimesFor thousands of years the human heart remained the deepest of mysteries; both home to the soul and an organ too complex to touch, let alone operate on. Then, in the late nineteenth century, medics began going where no one had dared go before. In eleven landmark operations, Thomas Morris tells us stories of triumph, reckless bravery, swaggering arrogance, jealousy and rivalry, and incredible ingenuity, from the trail-blazing ‘blue baby’ procedure to the first human heart transplant. The Matter of the Heart gives us a view over the surgeon’s shoulder, showing us the heart’s inner workings and failings. It describes both a human story and a history of risk-taking that has ultimately saved millions of lives.Trade ReviewThrilling ... Significant and often immersive… The “dizzying” story of heart surgery is every bit as important as that of the nuclear, computer or rocket ages. And now it has been given the history it deserves -- James McConnachie * Sunday Times *The research that has gone into this book is simply staggering, and Morris has achieved much more than a history of heart operations… It is a study of human beings driven by Olympian ambition and bottomless curiosity. It is, in the end, a book about wonder. And a wonderful book. -- Frances Wilson * Daily Telegraph, 5 stars ***** *Gripping... The Matter of the Heart details the breathtaking advances that have been made in the past 100 years. -- John Crace * Guardian *Thomas Morris has written not a history of medical ideas about the heart, but a history of heart surgery... The stories come quickly: fluent, wry, admiring ... Morris has made something unique: a history less of people than of procedures, but lively, enthusiastic and brimming with detail ... anything but boring. -- Gavin Francis * New Statesman *I recommend the book to all who are fascinated by the medical world...a thoroughly engaging history. * Wall Street Journal *Fascinating and compelling... There are also remarkable tales of survival against the odds perseverance, ingenuity and awe-inspiring feats... Morris deftly constructs an engaging narrative that covers a vast range of material -- Manjit Kumar * Literary Review *With the cut and thrust of cardiac surgery now demystified, we forget that venturing into the thoracic cavity once seemed as daunting as polar exploration. Or more so: as Thomas Morris reveals in this stirring chronicle, even touching a beating heart was long viewed as impossible… Told through 11 pivotal operations, it's a tale of ingenuity... It's rich, too, in alarming details — not least, the injections of strychnine and whisky that featured in early surgery -- Barbara Kiser * Nature *Thomas Morris does for the history of cardiac surgery what The Right Stuff and Hidden Figures did for the space race... The book is - appropriately - pulse-thumpingly gripping and will be enjoyed by anyone who, in any sense of the phrase, has a heart. -- Mark LawsonTremendous. An exhilarating sweep through ancient history and contemporary practice in surgery of the heart. It’s rich in extraordinary detail and stories that will amaze you. A wonderful book. -- Melvyn BraggStanding outside this precious and pressured world, Morris provides an even-handed and honest survey of the pioneers and their breakthroughs… intelligent -- Wendy Moore * The Times *

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Book SynopsisThe second edition of this bestseller provides a practical, user-friendly manual guiding the theory and practice of cardiac electrophysiology. The handbook provides the specialist in training with a thorough grounding procedures, and clinical findings for clinicians. It provides a review of the main kinds of arrhythmia with illustrations of typical ECG findings supported where appropriate by correlative imaging. It also details the principal diagnostic and therapeutic procedures include implantation of pacemakers, resynchronization therapy, and ablation techniques. Key Features Provides concise, user friendly guide to the equipment, procedures and clinical findings with which EPs need to be familiar Delivers alternatives resource to the flagship titles available in this field - idea for those beginning training or seeking an update Presents extensively updated material to enhance comprehension Trade ReviewThis expanded second edition of a comprehensive overview of the complex subject of electrophysiology focusing on the intricate clinical aspects of diagnosis and treatment. It addresses the updated aspects of pacemaker and ICD technology as well as the advances in ablation therapy. The objectives laid out by the editors are adequately met and the use of detailed graphics, ECGs, charts, and graphs provides excellent visual aids to guide physicians in understanding the objectives. It builds a framework for the understanding of complex concepts by starting with the diagnosis of specific arrhythmias and incrementally adding more complexity to the treatment. The use of numerous ECG examples with arrows and detailed explanations helps to conceptualize sophisticated electrophysiology. The use of other figures, charts, and graphics significantly helps readers solidify their understanding of the text. This book is a valuable resource for cardiology fellows in training interested in electrophysiology, electrophysiology fellows, and electrophysiologists. The quality of ECGs and the content of the book is excellent. Matthew Alan Colna, MD(East Tennessee State University Quillen College of Medicine) Table of ContentsBASIC EP LABORATORY SETUP AND EQUIPMENT. Device Lab Set-Up. Organization of The Arrhythmia Lab. Holter and Event Monitor Laboratory Setup. BRADYARRHYTHMIA. Bradycardia. Indications For Permanent Pacing and Cardiac Resynchronization Therapy. SUPRAVENTRICULAR TACHYARRHYTHMIA. Atrial Flutter. Atrial Fibrillation. VENTRICULAR TACHYARRHYTHMIA. Genetically Determined Ventricular Arrhythmias. Idiopathic Ventricular Tachycardia. SYNCOPE. Syncope Events, Definitions, Causes, and Features. Syncope Management Facilities. Syncope Management and Diagnostic Testing. DEVICE PROCEDURES. Implantation of Pacemakers and ICDs. Left Ventricular Lead Implantation For Cardiac Resynchronization Therapy. Extraction of Devices. PERFORMING BASIC EP STUDIES. Venous and Arterial Access, EP Catheters, Positioning of Catheters. Basic Intracardiac Intervals. Basics of Electrophysiology Study. Head-Up Tilt (HUT) Table Testing. CATHETER ABLATION TECHNIQUES. Ablation of SVT (AVNRT and AVRT). Management and Ablation of Atrial Flutter. Radiofrequency Ablation of Atrial Fibrillation. Ventricular Arrhythmias in the Structurally Normal Heart. Catheter Ablation of Ventricular Fibrillation and Polymorphic Ventricular Tachycardia. Mapping and Catheter Ablation of Postmyocardial Infarction Ventricular Tachycardia (VT): A Substrate-Based Approach. Arrhythmogenic Right Ventricular Cardiomyopathy. Non-Ischemic Cardiomyopathy And Ventricular Arrhythmias. Ultrasound in the Electrophysiology Lab. Left Atrial Appendage Closure. ECG Features of Normal Heart PVCs. Epicardial Access and Indications. ECG-Based Origin of Atrial Flutter.

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Book SynopsisTHE AHA CLINICAL SERIES ELLIOTT ANTMAN, MD, SERIES EDITOR The strategic driving force behind the American Heart Association's mission of healthier lives free of cardiovascular disease and stroke is to change practice by providing information and solutions to healthcare professionals.Table of ContentsContributors. Preface. Foreword. 1. Integrated Heart Failure Management: Marco Metra, Valerio Zacà, Savina Nodari and Livio Dei Cas. 2. Pathobiology of Left Ventricular Dussynchrony and Resynchronization: Robert H. Helm, David D. Spragg, Khalid Chakir and David A. Kass. 3. Electrical Assessment of the Failing Heart: Dan Blendea and Jagmeet P. Singh. 4. Mechanical Assessment of the Failing Heart: Przemyslaw P. Borek and Richard A. Grimm. Color Plate Section. 5. Clinical Trials and Response to CRT: Kenneth M. Stein. 6. Implantation of CRT Device: Christian Sticherling. 7. Programming CRT Devices: Bengt Herweg, Arzu Ilercil and S. Serge Barold. 8. Troubleshootig CRT Devices and Clinical Outcomes: Dusan Kocovic. 9. Non-CRT Pacing in the Failing Heart: Limiting Ventricular Pacing and Searching for Alternate Pacing Sites: C. W. Israel. 10. Non-CRT Pacing in the Failing Heart: Cardiac Contractility Modulation (CCM): Daniel Burkhoff, Martin Borggrefe and Christian Butter. 11. Clinical Outcome and Chronic Management of Device Patients: Patrick W. Fisher, A. G. Kfoury and Dale G. Renlund. 12. Future Directions in Pacing to Support the Failing Heart: Angelo Auricchio and Kennth A. Ellenbogen. Index. COI Table

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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Book SynopsisCore Topics in Thoracic Surgery provides accessible and concise coverage of the topics most often encountered in thoracic surgery practice. This handbook will guide the reader through revision of the topics covered in the FRCS(CTh) examination, and also covers more specialist topics in detail. In-depth technical sections offer guidance for difficult procedures, with useful commentaries from leading surgeons. A broad range of thoracic surgery issues are examined, with the latest evidence and information relevant to the speciality presented in a clear fashion. Combining an easy-to-use revision guide for trainees and a comprehensive reference text for cardiothoracic surgeons and recently appointed consultants, this is a one-stop guide to thoracic surgery. Authored by leading experts in the field, this resource will be invaluable to cardiothoracic surgeons, respiratory physicians and specialist nurses seeking to refresh or expand their knowledge of this field.Table of ContentsPart I. Diagnostic Work-Up of the Thoracic Surgery Patient: 1. Lung function assessment John E. Pilling; 2. Endobronchial and endoscopic ultrasound for mediastinal staging Robert C. Rintoul and Nicholas R. Carroll; 3. Staging of lung cancer: mediastinoscopy and VATS Gaetano Rocco and Giuseppe De Luca; 4. Access to the chest cavity: safeguards and pitfalls Laura Socci and Antonio E. Martin-Ucar; Part II. Upper Airway: 5. Therapeutic bronchoscopy Keyvan Moghissi; 6. Tracheal stenosis, masses and tracheoesophageal fistula Timothy M. Millington and Douglas J. Mathisen; Part III. Benign Conditions of the Lung: 7. Congenital and developmental lung malformations Naziha Khen-Dunlop, Guillaume Lezmi, Christophe Delacourt and Yann Revillon; 8. Lung volume reduction surgery for the treatment of advanced emphysema Nathaniel Marchetti and Gerard J. Criner; 9. Surgical aspects of infectious conditions of the lung Elaine Teh and Elizabeth Belcher; 10. Treatment of hemoptisis Odiri Eneje and Katharine Hurt; Part IV. Malignant Conditions of the Lung: 11. Evaluation of solitary pulmonary nodule Dustin M. Walters and David R. Jones; 12. Lung cancer staging Bilal H. Kirmani and Aman S. Coonar; 13. Pathologic consideration in lung malignancy Doris M. Rassl; 14. Medical treatment of lung cancer (neo and adjuvant chemoradiotherapy) Athanasios G. Pallis and Mary E. R. O'Brien; 15. Superior vena cava obstruction: etiology, clinical presentation and principles of treatment Federico Venuta, Marco Anile, Miriam Patella and Erino A. Rendina; 16. Robotics in thoracic surgery Marlies Keijzers, Peyman Sardari Nia and Jos G. Maessen; 17. Pulmonary metastasectomy Michel Gonzalez, Jean Yannis Perentes and Thorsten Krueger; Part V. Diseases of the Pleura: 18. Tube thoracostomy: evidence-based management of chest drains following pulmonary surgery Alessandro Brunelli; 19. Primary spontaneous pneumothorax Giuseppe Cardillo, Gerard Ngome Enang, Francesco Carleo, Bernardo Ciamberlano, Pasquale Ialongo, Aldo Morrone and Massimo Martelli; 20. Bronchopleural fistula management Steven M. Woolley and Susannah M. Love; Part VI. Diseases of the Chest Wall and Diaphragm: 21. Surgery for pectus and other congenital chest wall disorders Jakub Kadlec, Jean-Marie Wihlm and Aman S. Coonar; 22. Eventration, central bilateral diaphragmatic paralysis, and congenital hernia in adults Françoise Le Pimpec-Barthes, Pierre Mordant, Alex Arame, Alain Badia, Ciprian Pricopi, Anne Hernigou and Marc Riquet; Part VII. Disorders of the Esophagus: 23. Benign esophageal disease Donn H. Spight and Mithran S. Sukumar; 24. Esophageal cancer Gail Darling; 25. Esophageal perforation Michael J. Shackcloth and George John; Part VIII. Other Topics: 26. Thoracic trauma Gregor J. Kocher and Ralph A. Schmid; 27. Thoracic sympathectomy in the treatment of hyperhidrosis John Agzarian and Yaron Shargall.

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Book SynopsisIdiopatic pulmonary fibrosis (IPF) represents one of the most important devastating diseases that affects the lungs. Traditionally, the development of acute or chronic respiratory failure in disiorepresents an important dilemma for pulmonologists, intensivists, internists and anesthesiologists, due to the limited respiratory and functional reserve of these patients. In the last decade, we have witnessed a novel development of non-invasive mechanical ventilation and high flow oxygenation systems, representing an attractive option for patients compared to those patients with well-known poor results of invasive mechanical ventilation. In this book, we analyze all the options of non-invasive mechanical ventilation, indications, ventilatory modes, protocols, technology, equipment and applications in acute and chronic phase of patients with IPF, in addition to an exhaustive approach of all complementary techniques that optimize the application of these procedures. There are no previous descriptions or updates that incorporate this comprehensive analysis. This book, thus, serves as an updated scientific and practical reference for the knowledge of all spectrum respiratory failure presentations in idiopatic pulmonary fibrosis.Table of ContentsPreface; Introduction: Classification of Interstitial Lung Diseases; Epidemiology of Idiopathic Pulmonary Fibrosis; Basic Key Aspects of Physiology of Idiopathic Pulmonary Fibrosis; Immunity, Inflammation and Lung Fibrosis; Extrapulmonary Alterations in Idiopatic Pulmonary Fibrosis; Epithelial Damage and Remodeling in Idiopathic Pulmonary Fibrosis; Pulmonary Hypertension in Idiopathic Pulmonary Fibrosis; Biomarkers Idiopathic Pulmonary Fibrosis and Lung Function; Gastroesophageal Reflux and Chronic Lung Disease; Idiopathic Pulmonary Fibrosis Complications; Functional Capacity Assessment in Idiopatic Pulmonary Fibrosis; Acute Respiratory Failure in Chronic Interstitial Lung Disease; Chronic Respiratory Failure; The Diagnosis and Treatment of Obstructive Sleep Apnea in Patients with Idiopathic Pulmonary Fibrosis; Initial Evaluation of Respiratory Failure Severity for Idiopathic Pulmonary Fibrosis: Disease Severity Staging System for Idiopathic Pulmonary Fibrosis; Diagnostic Procedures to Perform; Diagnostic Procedures in Idiopathic Pulmonary Fibrosis: Bronchoscopy and Other Procedures; Oxygen Therapy in Patients With Fibrotic Interstitial Lung Disease; Oxygen Therapy and High-Flow Nasal Cannula; Non-Invasive Ventilation: Continuous Positive Air Pressure Ventilation (CPAP) and Pressure Support Ventilation (PSV); Idiopathic Pulmonary Fibrosis during Invasive Mechanical Ventilation; Idiopatic Pulmonary Fibrosis and Mechanical Ventilation Interaction Patient Ventilator Asynchrony; Weaning from Mechanical Ventilation: How to Approach; How Pulmonary Hypertension Influences Weaning from Mechanical Ventilation; Preoperative Evaluation of Patients with Idiopathic Pulmonary Fibrosis; Idiopathic Pulmonary Fibrosis in Postoperative Conditions; Extracorporeal Life Support and Unconventional Mode of Respiratory Management; Do-Not-Intubate (DNI) Order in Acute Respiratory Management; Management of Idiopathic Pulmonary Fibrosis in Pneumology Department; Idiopathic Pulmonary Fibrosis: Clinical Behavior and Aging; Pharmacological Management of Progressive-Fibrosing Interstitial Lung Diseases; Long Term Management of Idiopathic Pulmonary Fibrosis Using Non-Invasive and CPAP Oxygen Therapy; Chronic Monitoring and Respiratory Management in Idiopathic Pulmonary Fibrosis; Homecare Platform for Remote Monitoring of Patients with Idiopathic Pulmonary Fibrosis; Mortality in Acute and Chronic Management of Idiopathic Pulmonary Fibrosis; Rehabilitation in Patients after Lung Transplantation; Pulmonary Rehabilitation in Idiopatic Pulmonary Fibrosis: Key Practical Aspects; Pulmonary Rehabilitation in Idiopathic Pulmonary Fibrosis: Evidence-Based Guidelines; Psychiatric and Psychological Disorders in Idiopathic Pulmonary Fibrosis; Idiopathic Pulmonary Fibrosis (IPF) and Evidence-Based Guidelines; Index.

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Book SynopsisThe Fundamentals of Spine Surgery first aims to investigate the efficacy of several therapeutic modalities in the modern treatment of spinal pathologies. Following this, the authors aim to estimate fusion by 3D CT scan in XLIFs applied in adult lumbar deformities, evaluating the clinical results related to fusion. The safety and effectiveness of minimally invasive-transforaminal lumbar interbody fusion in the treatment of lumbar degenerative spondylolisthesis is evaluated, highlighting the steps and technical procedures of this operation as well as its short and long-term outcomes. In the closing study, the authors compare the effectiveness of spino-pelvic parameters in minimally invasive posterior lumbar interbody fusion and traditional posterior open approach in the treatment of a prospective randomized series of high-grade adult isthmic spondylolisthesis.

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Book SynopsisPulmonary vascular disorders are a complex and fascinating group of diseases. The aim of this book is to exhaustively review the genetics, physiology, diagnosis, management, and treatment of pulmonary vascular disorders with the purpose of helping general physicians and specialists in internal medicine, cardiology, pneumology, immunology, rheumatology, and haematology to identify and assess patients with vascular pulmonary disorders. Special emphasis has been placed upon pulmonary hypertension, pulmonary fibrosis, and pulmonary embolism as well as on pulmonary vascular involvement in immune-mediated diseases, chronic obstructive and advanced pulmonary disease, and sleep apnea. Additional topics that are covered in this book include pulmonary vascular injury occurring in alpha-1 antitrypsin deficiency, congenital heart disease and pregnancy. The text is supported by figures and tables to help the reader understand mechanisms of pulmonary vascular disorders in different clinical settings.

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Book SynopsisLeaving a life marked by crippling setbacks and his father's doubt, in 1967 a twenty-something doctor from India arrived in America with only five dollars and the desire to claim his American dream. The journey still awaiting Dr. Arun K. Singh would be unparalleled. Faced with an entirely new culture, racism, and the lasting effects of disabling childhood injuries, through hard work and perseverance he overcame all odds. Now having performed over 15,000 open heart surgeries, more than nearly every surgeon in history, Dr. Singh reflects on his most memorable patients and his incredible personal life. Shared for the first time, these intimate and uplifting accounts, along with photos, will have you cheering for the underdog and appreciating the enduring determination of the human spirit.

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Book SynopsisCardiovascular disease has evolved into an epidemic health concern. During the past decades, considerable effort has been made to develop novel and safer therapeutic options. Gene therapy has offered much renewed hope and instigated the present book. For the treatment of cardiovascular disease gene therapy has risen to an interesting and important point of view of curing disease. Although most of the studies are still experimental beneath a well defined number of clinical studies, more and more studies are designed to be carried out in humans. Based on a rich compilation of scientific as well as clinical studies around the world, this book gives insights into the general principles of gene transfer as well as therapeutic strategies including stem cell therapy as an alternative approach to gene therapy.

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Book SynopsisWhat 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?

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Book SynopsisThis book will systematically cover all the main topics involved in the current practice of a cardiac surgeon. It will incorporate current guidelines for practice (such as from the American Heart Association and European Society of Cardiology) and up-to-date information based on current literature. All the chapters have been written by cardiac surgeons who have recently undertaken their Cardiothoracic Board / Specialty Exit examinations and reviewed by a cardiothoracic examiner of the Royal College of Surgeons of England. Each chapter will be structured to include aetiology, pathophysiology, clinical features, indications for surgery, peri-operative management, surgical options and postoperative care. Possible complications will be discussed and the results of current practice presented. Importantly there will be a section on basic sciences related to the practising cardiac surgeon and a further section on cardiac investigations with many images illustrating the variety of pathologies. Each chapter will also contain important references for further reading and greater depth of knowledge. The data and body of knowledge presented in this book is strictly evidence-based and is relevant to all cardiac surgical trainees, at any stage of their training programme. It will provide interns, residents and specialist registrars the necessary information to carry out their daily duties. Adult cardiologists and cardiothoracic intensive care unit specialists will also find the book useful in terms of the indications and surgical management of these patients, as they are integral to the cardiac surgical process. Another important group is the nursing staff, physiotherapists and other professions allied to medicine, both surgical and cardiological, working with patients with adult cardiac disease either pre-operatively or postoperatively, as it will help to give a detailed understanding of the principles surrounding adult cardiac surgical disease. Most importantly, the book is ideal as a revision aid for residents/registrars undertaking their Cardiothoracic Surgery Board examinations around the world. Although these examinations vary in format in different countries, this book is applicable to all cardiothoracic surgical trainees. Its concise, yet complete coverage of the important topics, make it the ideal guide to answer the key questions in cardiac surgery that are asked within the confines of an examination.Table of ContentsPartial contents: Cardiac anatomy; Cardiac physiology; Cardiac pharmacology; Electrocardiography; Echocardiography; Cardiac radiological imaging; Coronary angiography; Cardiopulmonary bypass; Adjuncts to cardiopulmonary bypass; extra-corporeal membrane oxygenator; deep hypothermic circulatory arrest; retrograde and antegrade cerebral perfusion; blood conservation; Myocardial protection; Aortic valve disease; Mitral valve disease; Infective endocarditis and tricuspid valve disease; Thoracic aortic disease; Coronary artery disease; Heart failure surgery; cardiac transplantation; ventricular assist devices; surgical ventricular restoration; Miscellaneous; cardiac trauma; arrhythmia surgery; pericardial diseases; cardiac tumours; 18. Adult congenital heart disease; atrial septal defects; ventricular septal defects; coarctation of the aorta; tetralogy of Fallot; Postoperative management; Cardiothoracic intensive care management.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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Book SynopsisAssessment of the Patient with Ischemic Cardiac Disease.- Evaluating the Right Ventricle.- Cardiovascular physiology of Congenital Heart Disease.- Myocardial Lymphatics and Cardiac Function.- Pathophysiology of the Coronary Circulation.- The Aging Heart.- Hypertension: Is It Really Important?.- Perioperative Myocardial Ischemia: Diagnosis and Treatment.- Beta-Adrenergic Blocking Drugs.- Aging, Autonomic Function and Cardiovascular Homeostasis.- The Cardiac Patient and Atrial Natriuretic Hormone.- Preoperative Hypokalemia and the Cardiac Patient.- Calcium Channel Blocking Drugs.- Cardiovascular Pharmacology: What's New (And Useful)!.- Anesthetic Management of the Child with Congenital Heart Disease for Noncardiac Surgery.- Anesthesia and the Renin-Angiotensin System.- Controversies in Cardiac Monitoring.- Nitrous Oxide and the Compromised Heart.- Inhalation Anesthetics in Patients with Cardiac Disease.- Opioids in Patients with Cardiac Disease.- Is Isoflurane Contraindicated in Patients with Coronary Artery Disease?.- Cardiovascular Effects of Local Anesthetics.- Pulmonary Edema: Is Your Fluid Management Breathtaking?.- Should We All Have A Sympathectomy at Birth? Or At Least Preoperatively?.- Cardiopulmonary Bypass.- Anesthesia for Carotid Artery Surgery.- Regional Anesthesia for Patients with Cardiac Disease.- Anesthesia for Vascular Surgery.Table of ContentsAssessment of the Patient with Ischemic Cardiac Disease.- Evaluating the Right Ventricle.- Cardiovascular physiology of Congenital Heart Disease.- Myocardial Lymphatics and Cardiac Function.- Pathophysiology of the Coronary Circulation.- The Aging Heart.- Hypertension: Is It Really Important?.- Perioperative Myocardial Ischemia: Diagnosis and Treatment.- Beta-Adrenergic Blocking Drugs.- Aging, Autonomic Function and Cardiovascular Homeostasis.- The Cardiac Patient and Atrial Natriuretic Hormone.- Preoperative Hypokalemia and the Cardiac Patient.- Calcium Channel Blocking Drugs.- Cardiovascular Pharmacology: What’s New (And Useful)!.- Anesthetic Management of the Child with Congenital Heart Disease for Noncardiac Surgery.- Anesthesia and the Renin-Angiotensin System.- Controversies in Cardiac Monitoring.- Nitrous Oxide and the Compromised Heart.- Inhalation Anesthetics in Patients with Cardiac Disease.- Opioids in Patients with Cardiac Disease.- Is Isoflurane Contraindicated in Patients with Coronary Artery Disease?.- Cardiovascular Effects of Local Anesthetics.- Pulmonary Edema: Is Your Fluid Management Breathtaking?.- Should We All Have A Sympathectomy at Birth? Or At Least Preoperatively?.- Cardiopulmonary Bypass.- Anesthesia for Carotid Artery Surgery.- Regional Anesthesia for Patients with Cardiac Disease.- Anesthesia for Vascular Surgery.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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Book SynopsisThere are many excellent textbooks that exist in the area of implantable devices for arrhythmia control. Few textbooks, however, provide a case study approach. Collectively, these workbooks provide an approach to problem solving an electrocardiographic interpretation for patients with permanent pacemakers and defibrillators. Volume 1 addresses patients with permanent pacemakers Volume 2 examines interactions between pacemakers and implantable defibrillators Volume 3 provides case studies of transtelephonic pacemakers electrocardiography Volume 4 provides more pacemaker and implantable defibrillator troubleshooting cases This volume takes a case-orientated approach, providing a diverse series of problems on a broad range of topics related to implantable defibrillators. The cases are divided into easy, moderate and complex according to their level of difficulty, allowing the reader to gauge their progress. This workbook is suitable for physicians, nurses, tecTrade Review"This volume (2) throughly covers the potential problems with implantable defibrillators with provocative problems combined with clear solutions." Doody's Review Service "In summary, these workbooks provide a case-oriented approach to identifying and managing both simple and more complex problems frequently encountered in patients with implantable defibrillators. These workbooks are best suited to individuals new in the fields of pacing and electrophysiology." Canadian Journal of CardiologyTable of ContentsVolume 1: Cardiac Pacing: A Case Approach. Volume 2: Implantable Defibrillators: A Case Approach. Volume 3: Transtelephonic, Electrocardiography and Troubleshooting: A Case Approach. Volume 4: ICDs and Pacemakers

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Book SynopsisDie Entwicklung neuer Materialien und Techniken ftir die Gefäß­ chirurgie hat den Horizont der gesamten Chirurgie in ungeahnter Weise erweitert und befruchtet. Stand früher im wesentlichen die sachgemäße Versorgung von Gefäßen im Vordergrund, so bieten sich heute zahllose Möglichkeiten einer Rekonstruktion der Blut­ strombahn und darüber hinaus der Schaffung neuer Blutwege bis hin zum Anschluß transplantierter oder künstlicher Organe. Kein Zweig unseres Faches ist hiervon ausgeschlossen. Wenn sich auch besondere Schwerpunkte der Gefäßchirurgie entwickelt haben, so muß doch jeder Operateur zumindest die sein eigenes Interessen­ gebiet betreffenden Gefäßeingriffe beherrschen. Insofern mutet der hier und da geäußerte Alleinvertretungsanspruch ftir die gesamte Gefäßchirurgie kurios an. Viele Chirurgen sind von dieser stürmischen Entwicklung über­ holt worden, während andere mangels Weiterbildungsmöglichkei­ ten oder eines geeigneten Krankengutes Mühe haben, diesen Fort­ schritt mitzuvollziehen. Diese Hemmnisse zu überwinden, hat sich der Autor ausdrücklich zum Ziel gesetzt. Die Gefäßchirurgie -wie jede andere operative Tätigkeit -steht auf drei Säulen. Einmal muß der gegenwärtige Stand des Wissens über die Möglichkeiten und Grenzen der Gefäßchirurgie vorhan­ den sein. Dann gilt es, die im Grunde einfachen, wenn auch durch besondere Sorgfaltspflicht gezeichneten Methoden der atraumati­ schen Handhabung von Gefäßen und deren Naht zu erlernen und schließlich muß der Zugriff zum Gefäßsystem "sitzen", das heißt, eindeutig, zweckmäßig und schonend sein. Diesem letzteren Ziel dient dieses Werk.Table of Contents1 Zugang zur Aorta thoracica.- 1.1 Zur Aorta ascendens.- 1.2 Zum Arcus aortae.- 1.2.1 Bilaterale transsternale Thorakotomie.- 1.2.2 Türflügelincision.- 1.3 Zur Aorta descendens.- 2 Zugang zum Truncus brachiocephalicus.- 3 Zugang zu den Carotiden.- 3.1 Zur Carotisgabel.- 3.2 Zur linken A. carotis communis.- 3.3 Zur rechten A. carotis communis.- 4 Zugang zur linken A. subclavia und linken A. vertebralis.- 4.1 Zum thorakalen Teil der linken A. subclavia.- 4.2 Supraclaviculärer Zugang zur linken A. subclavia und linken A. vertebralis.- 4.3 Darstellung der gesamten linken A. subclavia.- 5 Zugang zur rechten A. subclavia und rechten A. vertebralis.- 5.1 Supraclaviculärer Zugang.- 6 Zugang zur V. cava superior.- 7 Zugang zur A. pulmonalis.- 8 Zugang zur A. axillaris.- 8.1 Infraclaviculärer Zugang.- 8.2 Deltopectoraler Zugang.- 8.3 Axillärer Zugang.- 9 Zugang zur A. brachialis.- 9.1 Im proximalen Oberarm.- 9.2 Im distalen Oberarm.- 10 Zugang zu den Unterarmarterien.- 10.1 Zur A. radialis.- 10.2 Zur A. ulnaris.- 11 Zugang zur Aorta abdominalis.- 11.1 Zur infrarenalen Aorta.- 11.2 Variationen zum Standardverfahren.- 11.3 Zur gesamten suprarenalen Aorta.- 11.4 Zum oberen Abschnitt der suprarenalen Aorta.- 12 Zugang zur A. coeliaca.- 12.1 Rechter Zugang durch das kleine Netz.- 12.2 Linker Zugang durch das Ligamentum gastrocolicum.- 13 Zugang zur A. mesenterica superior.- 13.1 Infraduodenaler Zugang.- 13.2 Infrapankreatischer Zugang.- 14 Zugang zu den Aa. renales.- 14.1 Infracolischer Zugang zum renalen Aortensegment.- 14.2 Supracolischer Zugang zur linken A. renalis.- 14.3 Supracolischer Zugang zur rechten A. renalis.- 15 Zugang zur V. cava inferior.- 15.1 Retroperitonealer Zugang.- 15.2 Transperitonealer Zugang.- 15.3 Zugang zur suprarenalen V. cava inferior.- 16 Zugang zur V. portae.- 17 Zugang zu den Beckengefäßen.- 17.1 Transperitonealer Zugang zur rechten A. iliaca.- 17.2 Transperitonealer Zugang zur linken A. iliaca.- 17.3 Retroperitonealer Zugang zu den Beckengefäßen.- 17.4 Zugang zu den Glutealarterien.- 17.5 Vorgehen beim Obturatorbypass.- 18 Zugang zu den Oberschenkelgefäßen.- 18.1 Zur Femoralisgabel.- 18.2 Zur A. femoralis superficialis im Oberschenkelbereich.- 18.3 Zur A. femoralis superficialis in Höhe des Adduktorenkanals.- 18.4 Zur A. profunda femoris.- 19 Zugang zur A. poplitea.- 19.1 Medialer Zugang.- 19.1.1 Zum 1. Popliteasegment.- 19.1.2 Zum 3. Popliteasegment und der Trifurkation.- 19.1.3 Zu allen Popliteasegmenten.- 19.2 Dorsaler Zugang.- 19.2.1 Zum 1. Popliteasegment.- 19.2.2 Zum 2. und 3. Popliteasegment von hinten.- 19.3 Lateraler Zugang zum 3. Popliteasegment und der Trifurkation.- 20 Zugang zu den Unterschenkelarterien.- 20.1 Zur A. tibialis anterior.- 20.2 Zur A. tibialis posterior.- 20.3 Zur A. peronea.- 21 Zugang zu den oberflächlichen Extremitätenvenen.- 21.1 Zur V. saphena magna.- 21.1.1 Zum Mündungsabschnitt.- 21.1.2 Darstellung am Innenknöchel.- 21.2 Zur V. saphena parva.- 21.2.1 Zum Mündungsgebiet.- 21.2.2 Darstellung am Außenknöchel.- 21.3 Zur V. cephalica und V. basilica.- Literatur.

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Book SynopsisIt is a great pleasure for me to contribute a brief introduction to this volume, to which so many of my colleagues at Groote Schuur Hospital and the University of Cape Town Medical School have contributed. Though considerable advances have been made in preventing or treating the complications of heart transplantation, even today a transplant pro­ gramme remains a major undertaking for a hospital team. The acquisition of a sufficient number of donor hearts, the maintenance of viability of those hearts, and the prevention, diagnosis and treatment of acute and chronic rejection and infection remain major challenges to those caring for patients undergoing this operation. A transplant programme draws into it medical, surgical, nursing and paramedical staff from all quarters of the hospital and medical school, and requires sustained interest and dedication if patients are to be brought successfully through the procedure. If relevant experimental research is also to be carried out at such a centre, which in my opinion is essential, then an even greater number of highly skilled and creative people is required. A few of the authors of this book have been involved with the Groote Schuur heart transplant programme since its inception in December 1967 with the operation on Louis Washkansky. I am sure that none of them (nor I) had any idea of the public interest this operation would attract.Trade Review`The contributors to this book are to be congratulated in bringing together such a wealth of information on this topic and presenting it in such a balanced and readable way. I believe this book will be essential reading for those considering initiating a heart transplant programme and, indeed, for any interested in progress in this field.' Professor Christiaan N. Barnard (Extract from foreword) Table of Contents1 Experimental development and early clinical experience.- 2 Selection and management of the recipient.- 3 Selection and management of the donor.- 4 Medico-legal aspects.- 5 Donor heart storage.- 6 Immunological aspects.- 7 Anaesthesia and intraoperative care, including cardiopulmonary bypass.- 8 Surgical techniques of orthotopic and heterotopic heart transplantation.- 9 Immediate postoperative care and maintenance immunosuppressive therapy.- 10 Physiology and pharmacology of the transplanted heart.- 11 Pathology of acute rejection.- 12 Diagnosis and management of acute rejection.- 13 Infectious complications.- 14 Malignant neoplasia in the immunocompromised patient.- 15 Psychiatric aspects.- 16 Pathology of chronic rejection.- 17 The management of chronic rejection: retransplantation.- 18 Other complications of transplantation and immunosuppression.- 19 Results of cardiac transplantation and factors influencing survival.- 20 Advantages and disadvantages of heterotopic transplantation.- 21 Transplantation of the heart and both lungs.- 22 The future of heart replacement.- Appendix: Heart transplantation at the University of Cape Town—an overview.

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