Atlas of Cardiac Surgical Techniques

 

Offering a state-of-the-art update in this challenging area of surgery, Atlas of Cardiac Surgical Techniques, 3rd Edition, provides expert, easy-to-navigate instruction on a wide variety of both open and interventional surgical techniques. Ideal for both fellows and veteran surgeons, this practical reference shows exactly how established technical masters perform a wide variety of select, often complex, cardiac operations. Pearls and Pitfalls sections at the end of each chapter provide additional clinically important details, allowing you to benefit from years of experience of established experts—many of whom developed the operations they are describing.

Covers the surgical procedures you need to master in adult cardiac surgery, including minimally invasive techniques, robotic surgery, aortic dissection, and much more. A variety of techniques are covered in order to offer multiple options for procedures.

Uses a vividly illustrated format with more than 550 full-color images, line drawings, and intraoperative photographs that clearly depict the step-by-step progression of procedures.

Presents each procedure in a consistent, easy-to-follow bulleted format, guiding you from surgical anatomy and preoperative considerations through operative steps and postoperative care.

Features access to more than 30 surgical technique videos (13 new to this edition) that highlight key states of surgical procedures.

Contains updates and rewritten chapters throughout, as well as brand-new chapters on Technical Considerations in Redo Cardiac Surgery; Left Atrial Appendage Closure; Surgery and Endovascular Techniques for Acute Pulmonary Embolism; Diversity Considerations in the Practice of Adult Cardiac Surgery; and Tips and Tricks in the Acquisition of Technical Skills in Adult Cardiac Surgery.

Provides fresh perspectives from multiple new contributing authors.

Any additional digital ancillary content may publish up to 6 weeks following the publication date.

 

Table of Contents

Any screen, Any time, Anywhere

Copyright

List of Contributors

Preface

Video Contents

Section 1: Basic Techniques

1. Surgical Incisions

Abstract

STERNOTOMY

PARTIAL STERNOTOMY

REDO STERNOTOMY

STERNOTOMY CLOSURE

THORACOTOMY INCISION

POSTEROLATERAL THORACOTOMY

POSITIONAL FIXATION AND HOLDING

MISCELLANEOUS THORACOTOMY INCISIONS

References

2. Cannulation Techniques for Cardiopulmonary Bypass

Abstract

INTRODUCTION

STEP 1: SURGICAL ANATOMY

STEP 2: PREOPERATIVE CONSIDERATIONS

STEP 3: OPERATIVE STEPS

PERCUTANEOUS CLOSURE DEVICE

STEP 4: POSTOPERATIVE CARE

STEP 5: PEARLS AND PITFALLS

References

3. Reoperations in Cardiac Surgery

NON-PRINT ITEMAbstract

INTRODUCTION

PREOPERATIVE CONSIDERATIONS

OPERATIVE STEPS

POSTOPERATIVE CARE

PEARLS

References

Section 2: Operations for Coronary Artery Disease

4. On-Pump Coronary Artery Bypass Grafting

STEP 1. SURGICAL ANATOMY

STEP 2. PREOPERATIVE CONSIDERATIONS

STEP 3. OPERATIVE STEPS

STEP 4. POSTOPERATIVE CARE

STEP 5. PEARLS AND PITFALLS

References

5. Off-Pump Coronary Artery Bypass Grafting

STEP 1. PREOPERATIVE ASSESSMENT AND PLANNING

STEP 2. CONDUIT ASSESSMENT

STEP 3. OPERATIVE STEPS

STEP 4. POSTOPERATIVE CARE

STEP 5. PEARLS AND PITFALLS

References

6. Minimally Invasive Coronary Artery Bypass Grafting

Abstract

MINIMALLY INVASIVE CARDIAC SURGERY-CORONARY ARTERY BYPASS GRAFTING

STEP 1: SURGICAL ANATOMY

STEP 2: PREOPERATIVE CONSIDERATIONS

STEP 3: OPERATIVE TECHNIQUE

STEP 4: POSTOPERATIVE CONSIDERATIONS

STEP 5: PEARLS

References

7. Hybrid Coronary Revascularization

Abstract

DEFINITION AND RATIONALE

INTRODUCTION

HISTORY OF HYBRID CORONARY REVASCULARIZATION

INDICATIONS FOR HYBRID CORONARY REVASCULARIZATION AND PATIENT SELECTION

METHODS AND TECHNIQUES

DIRECT INTERNAL THORACIC ARTERY HARVEST

ENDOSCOPIC/ROBOTIC HARVESTING OF THE LEFT INTERNAL THORACIC ARTERY AND/OR RIGHT INTERNAL THORACIC ARTERY

EVIDENCE TO DATE

Conclusion

References

8. Robotic Totally Endoscopic Coronary Artery Bypass Grafting

Abstract

INTRODUCTORY CONSIDERATIONS

PROCEDURAL STEPS

POSTOPERATIVE CARE

References

9. Postinfarction Ventricular Septal Defect Repair

INTRODUCTION

INFARCTECTOMY TECHNIQUES

INFARCT EXCLUSION TECHNIQUES

References

Section 3: Operations for Valvular Heart Disease

10. Aortic Valve Replacement

Abstract

STEP 1. SURGICAL ANATOMY

STEP 2: PREOPERATIVE CONSIDERATIONS

STEP 3. OPERATIVE STEPS

STEP 4. POSTOPERATIVE CARE

STEP 5. PEARLS AND PITFALLS

References

11. Minimally Invasive, Minithoracotomy Aortic Valve Replacement

STEP 1. INTRODUCTORY CONSIDERATIONS

STEP 2. OPERATIVE STEPS

STEP 3. POSTOPERATIVE MANAGEMENT

STEP 4. SUMMARY

References

12. Aortic Root Enlargement Techniques

Abstract

INTRODUCTION

STEP 1. PREOPERATIVE CONSIDERATIONS

STEP 2. SURGICAL ANATOMY

STEP 3. OPERATIVE STEPS

STEP 4. OTHER CONSIDERATIONS

STEP 5. POSTOPERATIVE CARE

STEP 6. PEARLS AND PITFALLS

References

13. Aortic Valve Repair

Abstract

STEP 1. INTRODUCTORY CONSIDERATIONS

STEP 2. SURGICAL ANATOMY

STEP 3. PREOPERATIVE CONSIDERATIONS

STEP 4. OPERATIVE STEPS

STEP 5. POSTOPERATIVE CONSIDERATIONS

STEP 6. PEARLS

References

14. Aortic Valve-Sparing Operations

Abstract

STEP 1. SURGICAL ANATOMY OF THE AORTIC ROOT

STEP 2. PREOPERATIVE CONSIDERATIONS

STEP 3. OPERATIVE STEPS

STEP 4. POSTOPERATIVE CARE

STEP 5. PEARLS AND PITFALLS

Bibliography

15. Bentall Procedure

Abstract

STEP 1. SURGICAL ANATOMY

STEP 2. PREOPERATIVE CONSIDERATIONS

STEP 3. OPERATIVE STEPS

STEP 4. POSTOPERATIVE CARE

STEP 5. PEARLS AND PITFALLS

References

Bibliography

16. Surgery of the Left Heart Valve Infective Endocarditis

Abstract

STEP 1. PATHOGENESIS, PATHOLOGY, AND MICROBIOLOGY OF LEFT-SIDED INFECTIVE ENDOCARDITIS

STEP 2. DIAGNOSIS OF INFECTIVE ENDOCARDITIS

STEP 3. SPECIAL CONSIDERATIONS RELATED TO SURGERY FOR INFECTIVE ENDOCARDITIS

STEP 4. INDICATIONS FOR SURGERY IN LEFT-SIDED INFECTIVE ENDOCARDITIS

STEP 5. PRINCIPLES OF SURGERY FOR INFECTIVE ENDOCARDITIS

STEP 6. CHOOSING THE VALVE REPLACEMENT DEVICE

STEP 7. SURGICAL PROCEDURES

STEP 8. MITRAL VALVE ENDOCARDITIS

STEP 9. DOUBLE-VALVE ENDOCARDITIS

STEP 10. POSTOPERATIVE COMPLICATIONS AND MANAGEMENT

STEP 11. CLINICAL OUTCOMES

STEP 12. KEY PEARLS FOR INFECTIVE ENDOCARDITIS SURGERY

References

17. Transcatheter Aortic Valve Replacement

Abstract

BACKGROUND

INDICATIONS FOR AORTIC VALVE REPLACEMENT WITH TRANSCATHETER AORTIC VALVE REPLACEMENT OR SURGICAL AORTIC VALVE REPLACEMENT

TRANSCATHETER AORTIC VALVE REPLACEMENT VERSUS SURGICAL AORTIC VALVE REPLACEMENT

COMMONLY USED TRANSCATHETER AORTIC VALVE REPLACEMENT PROSTHESES IN THE UNITED STATES

PREPROCEDURAL CONSIDERATIONS

ANNULAR SIZING

CHOICE OF BALLOON-EXPANDABLE TRANSCATHETER AORTIC VALVE REPLACEMENT VALVE VERSUS SELF-EXPANDING TRANSCATHETER AORTIC VALVE REPLACEMENT VALVE

COMMISSURAL ALIGNMENT

NEUROPROTECTION

OPERATIVE STEPS

Paravalvular Aortic Regurgitation

SURGICAL BAILOUT

ALTERNATIVE-ACCESS TRANSCATHETER AORTIC VALVE REPLACEMENT (Figs. 17.11 and 17.12)

TRANSAPICAL AND TRANSAORTIC TRANSCATHETER AORTIC VALVE REPLACEMENT: OUTCOMES

EXTRATHORACIC APPROACHES: TRANSAXILLARY VERSUS TRANSCAROTID

AXILLARY/SUBCLAVIAN: TECHNIQUE

CAROTID: OUTCOMES AND TECHNIQUE

TRANSCAVAL

ANTEGRADE SEPTAL

TRANSCATHETER AORTIC VALVE REPLACEMENT FOR AORTIC REGURGITATION

TRANSCATHETER AORTIC VALVE REPLACEMENT DURABILITY AND FUTURE DIRECTIONS

References

18. Ross Procedure

Abstract

STEP 1. SURGICAL ANATOMY

STEP 2. PREOPERATIVE CONSIDERATIONS

STEP 3. OPERATIVE STEPS

STEP 4. POSTOPERATIVE CARE

STEP 5. PEARLS AND PITFALLS

References

Bibliography

19. Repairing Degenerative Mitral Valve Disease

Abstract

INTRODUCTION

STEP 1. SURGICAL ANATOMY

STEP 2. PREOPERATIVE CONSIDERATIONS

STEP 3. OPERATIVE CONDUCT

STEP 4. POSTOPERATIVE CARE

STEP 5. PEARLS AND PITFALLS

References

20. Mitral Valve Replacement

STEP 1. ANATOMY

STEP 2. ACCESS TO THE MITRAL VALVE

STEP 3. SUTURE PLACEMENT FOR MITRAL VALVE REPLACEMENT

STEP 4. PROSTHESIS ORIENTATION

STEP 5. CHORDAL PRESERVATION

STEP 6. ANNULAR RECONSTRUCTION

STEP 7. MITRAL ANNULAR CALCIFICATION

STEP 8. MINIMALLY INVASIVE MITRAL VALVE REPLACEMENT

STEP 9. PERCUTANEOUS MITRAL VALVE REPLACEMENT

REFERENCES

21. Minimally Invasive Mitral Valve Surgery Via a Right Minithoracotomy With Direct Visualization

Abstract

MINIMALLY INVASIVE MITRAL VALVE SURGERY

THE DIFFERENT APPROACHES

THE RIGHT CHEST AS THE PREFERRED APPROACH

PATIENT SELECTION

MITRAL VALVE REPAIR, RESPECT OR RESECT

MITRAL VALVE REPLACEMENT

MINIMALLY INVASIVE CONCOMITANT TRICUSPID VALVE REPAIR AND ATRIAL SEPTAL DEFECT CLOSURE

COMPLICATIONS AND HOW TO AVOID THEM

OUTCOMES OF MINIMALLY INVASIVE MITRAL VALVE SURGERY

RESOURCES

REFERENCES

22. Robotic Mitral Valve Surgery

Abstract

STEP 1. SURGICAL ANATOMY

STEP 2. PREOPERATIVE CONSIDERATIONS

STEP 3. OPERATIVE STEPS

STEP 4. POSTOPERATIVE CARE

STEP 5. PEARLS AND PITFALLS

References

23. Percutaneous/Transcatheter Mitral Valve Repair Techniques

Abstract

STEP 1. SURGICAL ANATOMY

STEP 2. PREOPERATIVE CONSIDERATIONS

STEP 3. OPERATIVE STEPS

STEP 4. POSTOPERATIVE CARE

STEP 5. PEARLS AND PITFALLS

References

24. Tricuspid Valve Operations

Abstract

STEP 1. SURGICAL ANATOMY

STEP 2. PREOPERATIVE CONSIDERATIONS

STEP 3. TRICUSPID VALVE ENDOCARDITIS

STEP 4. OPERATIVE STEPS

STEP 5. PROCEDURES

STEP 6. BICUSPIDIZATION

STEP 7. TRICUSPID VALVE REPLACEMENT

STEP 8. SPECIAL SITUATIONS

STEP 9. POSTOPERATIVE CARE

STEP 10. RESULTS OF TRICUSPID VALVE INTERVENTION

STEP 11. PERCUTANEOUS TRICUSPID VALVE INTERVENTIONS

STEP 12. PEARLS AND PITFALLS

References

Section 4: Operations for Aortic Disease

25. Type A Aortic Dissections

STEP 1. SURGICAL ANATOMY

STEP 2. PREOPERATIVE CONSIDERATIONS

STEP 3. OPERATIVE STEPS

STEP 4. POSTOPERATIVE CARE

STEP 5. PEARLS AND PITFALLS

References

26. Aortic Arch Aneurysms

Abstract

SURGICAL ANATOMY

PREOPERATIVE CONSIDERATIONS

STEP 1. PLANNING THE OPERATION

STEP 2. CONDUCT OF THE OPERATION

STEP 3. POSTOPERATIVE CARE

PEARLS, PITFALLS, AND HEMOSTASIS

Bibliography

27. Thoracoabdominal Aneurysms

Abstract

STEP 1. SURGICAL ANATOMY

STEP 2. PREOPERATIVE CONSIDERATIONS

STEP 3. OPERATIVE STEPS

STEP 4. POSTOPERATIVE CARE

STEP 5. PEARLS AND PITFALLS

ACKNOWLEDGMENTS

REFERENCES

28. Thoracic Endovascular Aortic Repair for Descending Thoracic Aortic and Aortic Arch Disease

Abstract

SUMMARY

STEP 1. SURGICAL ANATOMY

STEP 2. PREOPERATIVE CONSIDERATIONS

STEP 3. OPERATIVE STEPS

STEP 4. POSTOPERATIVE CARE

STEP 5. PEARLS AND PITFALLS

Bibliography

Section 5: Miscellaneous Operations and Considerations

29. Surgery for Atrial Fibrillation

Abstract

ATRIAL FIBRILLATION

STEP 1. SURGICAL ANATOMY

STEP 2. PREOPERATIVE CONSIDERATIONS

STEP 3. OPERATIVE STEPS

STEP 4. CHOICE OF LESION SET

STEP 5. POSTOPERATIVE CARE

STEP 6. PEARLS AND PITFALLS

References

30. Surgery for Hypertrophic Cardiomyopathy

Abstract

STEP 1. SURGICAL ANATOMY

STEP 2. PREOPERATIVE CONSIDERATIONS

STEP 3. OPERATIVE STEPS

STEP 4. POSTOPERATIVE MANAGEMENT

STEP 5. PEARLS AND PITFALLS

References

31. Surgery for Left Ventricular Aneurysm and Remodeling

Abstract

INTRODUCTION

STEP 1. ANATOMICAL CONSIDERATIONS

STEP 2. WORKUP AND IMAGING

STEP 3. PREOPERATIVE CONSIDERATIONS

STEP 4. SURGICAL VENTRICULAR RESTORATION: OPERATIVE STEPS

STEP 5. POSTOPERATIVE CONSIDERATIONS

STEP 6. FINAL CONSIDERATIONS

Bibliography

32. Approaches and Techniques for Extracorporeal Membrane Oxygenation

NON-PRINT ITEMAbstract

EXTRACORPOREAL MEMBRANE OXYGENATION BASICS

OPERATIVE TECHNIQUES

Acknowledgments

33. Ventricular Assistance and Support

STEP 1: SURGICAL ANATOMY

STEP 2: PREOPERATIVE CONSIDERATIONS

STEP 3: OPERATIVE STEPS

STEP 4: POSTOPERATIVE CARE

STEP 5: PEARLS AND PITFALLS

References

34. Heart Transplantation

Abstract

STEP 1. PREOPERATIVE CONSIDERATIONS

STEP 2. OPERATIVE STEPS IN CARDIAC ALLOGRAFT PROCUREMENT IN DONATION AFTER BRAIN DEATH DONORS

STEP 3. POSTRETRIEVAL CARE

SPECIAL CONSIDERATIONS IN DONATION AFTER CARDIAC DEATH DONORS

POSTRETRIEVAL CARE IN DONATION AFTER CARDIAC DEATH DONORS

STEP 4. PEARLS AND PITFALLS

ADULT RECIPIENT

STEP 2. PREOPERATIVE CONSIDERATIONS

STEP 3. OPERATIVE STEPS

STEP 4. POSTOPERATIVE CARE

STEP 5. PEARLS AND PITFALLS

References

35. Surgery and Endovascular Techniques for Acute Pulmonary Embolism

Abstract

INTRODUCTION

SURGICAL TECHNIQUE

SURGICAL EMBOLECTOMY

EMBOLECTOMY

RIGHT PULMONARY ARTERY EMBOLECTOMY

TRANSCATHETER PULMONARY EMBOLISM THERAPIES

TRANSCATHETER EXTIRPATIVE PROCEDURES

References

36. Chronic Thromboembolic Pulmonary Hypertension

Abstract

PREOPERATIVE CONSIDERATIONS

INDICATIONS FOR SURGERY

OPERATIVE STEPS

POSTOPERATIVE CARE

RESULTS

PEARLS AND PITFALLS

References

37. Diversity Considerations in the Practice of Adult Cardiac Surgery

Abstract

FEMALE PATIENTS

CORONARY ARTERY BYPASS GRAFTING

VALVE SURGERY

MITRAL VALVE SURGERY

AORTIC SURGERY

NONWHITE PATIENTS

EQUITY, DIVERSITY, AND INCLUSION IN CARDIAC SURGERY

References

38. Tips and Tricks in the Acquisition of Technical Skills in Adult Cardiac Surgery

NON-PRINT ITEMAbstract

STEP 1: PATIENT, SURGEON, AND TEAM PREPARATION

STEP 2: PREOPERATIVE CONSIDERATIONS

STEP 3: INCISIONS

STEP 4: HARVESTING CONDUITS

STEP 5: CANNULATING AND MANAGING CARDIOPULMONARY BYPASS

STEP 6: EXPOSING CARDIAC STRUCTURES

STEP 7: OPERATIVE TECHNICAL TIPS

STEP 8: POSTOPERATIVE CONSIDERATIONS

STEP 9: PERSONAL HEALTH AND CAREER CONSIDERATIONS

REFERENCES

Index

Confidence is ClinicalKey

 

An aparitie	27 feb 2025
Autor	Frank W. Sellke, Marc Ruel
Dimensiuni	216 x 276 mm
Editura	Elsevier
Format	Hardcover
ISBN	9780443118470
Limba	Engleza
Nr pag	608
Versiune digitala	DA