Low Invasive Pediatric Cardiac Surgery

This book demonstrates the significance of minimally invasive extracorporeal circulation and reduced time as two of the most important factors for pediatric cardiac surgery and early postoperative recovery. The content is divided into three major thematic sections: low invasiveness; pitfalls and countermeasures before, during and after operations; and suggestions on time-saving and team building. Abundant figures aid in comprehension, while videos of the surgery offer practical insights for readers at all levels. Advances in extracorporeal circulation devices and management have led to new clinical problems such as decreased perfusion pressure, high pressures in oxygenators, and changes in acid-base equilibrium. The book explains these problems both clinically and experimentally, and describes countermeasures. Low Invasive Pediatric Cardiac Surgery provides valuable evidence and practical suggestions for all surgeons, perfusionists, scrub-nurses, and anesthesiologists who are engaged in pediatric cardiac surgery. It will also appeal to pediatric cardiologists and medical device manufacturers. The book is intended to share the author’s experience and actual data with readers who have clinical experience, and to help prepare beginners.

Fundamentals of Congenital Minimally Invasive Cardiac Surgery is a first of its kind, fully-illustrated guide that is solely dedicated to the most diffused congenital minimally invasive cardiac surgery procedures. It provides detailed, step-by-step descriptions of surgical maneuvers to underline each aspect of the procedures along with full color drawings and operative pictures to enhance understanding. Each chapter fully describes the preoperative setting, the needed materials and the required technical skills that make specific congenital heart defects amenable to minimally invasive surgical treatment. This is the perfect go-to reference for pediatric and congenital cardiac surgeons, and is also a must-have guide for residents in cardiac surgery who are looking to review the technical aspects and outcomes of utilizing a minimally invasive approach for cardiac surgery. Provides an extensive, step-by-step description of the most common minimally invasive pediatric cardiac surgical procedures Uses high quality, full color drawings and operative pictures of the most important steps of the procedures to facilitate understanding Combines information on both the detailed operations of minimally invasive pediatric cardiac surgery and the approach behind them

Der Bereich der pädiatrischen Herz- und Gefäßchirurgie umfasst nicht nur die Herzchirurgie bei Säuglingen und Kindern, sondern auch die Herzchirurgie bei Erwachsenen zur Korrektur von angeborenen Herzfehlern. Da die Kindersterblichkeit aufgrund von Herzfehlern zurückgeht und Patienten mit angeborenen Herzfehlern zunehmend ein langes, gesundes Leben führen, ergeben sich neue Herausforderungen. Somit war der Bedarf an Einführungen in diesen lebensrettenden Bereich noch nie so groß. Pediatric Cardiac Surgery ist ein gut verständliches, umfassendes Lehrbuch, das diesen Bedarf seit über dreißig Jahren erfüllt und von Fachleuten auf allen Ebenen genutzt wird. Das Lehrwerk, das zahlreiche farbige Abbildungen enthält, bietet zunächst eine wissenschaftliche Einführung in die kardiovaskuläre Entwicklung und dann detaillierte Analysen von Defekten in verschiedenen Bereichen des Herzens mit den entsprechenden Verfahren zur Korrektur dieser Defekte. Die aktualisierte fünfte Auflage berücksichtigt die neuesten wissenschaftlichen Erkenntnisse und bleibt damit ein unverzichtbares Werk zu diesem Thema. Die fünfte Auflage von Pediatric Cardiac Surgery enthält unter anderem: * Beiträge von über 75 nationalen und internationalen Experten auf dem Gebiet * Beeindruckende anatomische Illustrationen von Rachid Idriss * Neue Kapitel, in denen der neueste Stand der Forschung dargestellt wird, sowie neue Inhalte in Bezug auf die kardiale Bildgebung und die medizinische Ausbildung Pediactric Cardiac Surgery ist ein wichtiges Nachschlagewerk für Herzchirurgen, die sich auf Kinder und Erwachsene spezialisiert haben, Kardiologen und alle medizinischen Fachkräfte, die mit pädiatrischen oder erwachsenen Herzpatienten arbeiten.

Minimally invasive cardiac surgery(MICS) is an integral component of every future cardiac surgeon’s training. There continues to be a growing global demand towards less invasive surgical techniques. Both cardiologist and cardiac surgeon form "heart teams" to provide patients with novel, minimally invasive procedures, with all their benefits. Less invasive techniques are often complex and require special knowhow and skills. This book offers an innovative approach to learning, utilizing QR code technology, which refers the reader to essential audio-visual material, which, along with the didactic text, focuses on practical aspects of minimally invasive cardiac surgery. In modern Heart Teams, and with the advent of the hybrid era, surgeons will only be able to survive if they have state-of-the-art skills in less invasive technologies, which can be incorporated in the hybrid theatre and/or trans-catheter arena. This text accompanies the surgeon along this path, and provides clinical advice and practical solutions, beyond the necessary basic knowledge. Which courses to visit, which videos to watch, which centres to join for serious training? How best to exploit public and multimedia? How to consent a patient into a MICS procedure? How to set up a MICS program or practice? In the era of value driven outcomes, and a shift towards shorter and better patient journeys, MICS is a skill that no heart surgeon can be without. Minimally Invasive Cardiac Surgery: A Practical Guide is a teaching resource, reference book and manual written by surgeons who both operate and teach the procedures described within. Provides access to online resources via QR codes Includes links to videos and the e-version of the text Acts as a gateway to a huge choice of minimally invasive cardiac surgery materials

The raison d’etre for a new atlas of congenital heart surgery is based on the reality that the specialty has undergone numerous changes in the last few years resulting in improved techniques and new operations. The sheer number of new procedures and the required attendant technical skills to successfully complete an operation has become a challenge to master, especially for residents who are pursuing a career in congenital heart surgery. While the techniques that we are espousing are mostly our own, there is a great deal of similarity amongst international centers owing to the influence of video presentations, manuscript publications, and chapter reviews. We therefore believe that the techniques that are illustrated in this atlas are likely to be similar to the techniques that are taught worldwide to residents and fellows. The atlas is organized generally by diseases and procedures pertaining thereto. Two general sections involve cannulation techniques and palliative procedures, respectively. A special section depicts difficult problems in the form of clinical vignettes that may arise during cardiopulmonary bypass such as: decreased venous return, undiagnosed patent ductus arteriosus, and technical errors leading to hemodynamic complications. The reader is instructed to apply measures that will lead to resolution of these problems. We have chosen procedures, which cover the breadth of congenital heart surgery. While perhaps not totally inclusive, the reader will find the greater majority of congenital heart procedures illustrated and explained in this text.​

In 1962, Thomas Kuhne coined the term “paradigm shift” while arguing that human knowledge advances by quantum leaps with interspersed smaller steps. Preparation for the major advance is generally not a concerted effort by thought leaders. Rather, a few (or one) visionaries gain insights into a process and are able to definitely demonstrate the accuracy of their worldview. Often, the epiphany does not occur during the intellectual lifetime of the discoverers. Medicine has had numerous such “paradigm shifts” including the compelling reworking of Galen’s concepts of the body. Of note, the scientific world of the time explained the new views by arguing that the human body must have changed between the time of ancient Greece and modern Europe. The inauguration of cardiac surgery itself required profound shifts in medicine’s view of physiology. Yet, over the ensuing 40 years, the field was fine tuned so we could provide greater than 95% success rates in elective surgery with low cost and short h- pital stays. In some parts of the world, the procedures were viewed as commodities and prices dropped as providers were unable to differentiate the quality of their work. As patients and their physicians became more demanding, the desire to make the procedures “minimally invasive” grew. In effect, what we were really searching for was a life saving procedure that also preserved quality of life. In short, “minimally invasive” has really been a code phrase for procedures that disrupt our quality of life the least.

Congenital Heart Disease in Pediatric and Adult Patients: Anesthetic and Perioperative Management provides a comprehensive, up-to-date overview of care of the pediatric patient undergoing cardiac surgery and anesthesia. After introductory chapters that encompass pediatric cardiovascular embryology, physiology and pharmacology, diagnostic approaches and preoperative considerations are explained. The intraoperative management of a wide range of specific lesions is then discussed, with full descriptions of anesthesia plans added with descriptions on diagnostic methods and surgical interventions. Postoperative care is also addressed, and a concluding section considers anesthesia outside the cardiac operating room. In the twenty-first century, advances in minimally invasive technology have led to the introduction of a wide array of pediatric cardiac procedures. More traditional surgical procedures have also been transformed by new devices and surgical approaches. The cardiac anesthesiologist is faced with an ever-increasing role in the perioperative care of pediatric patients undergoing cardiologic procedures in operating rooms, as well as less conventional locations. In this book, accomplished experts from around the world in the fields of pediatric anesthesia, cardiology, and cardiac surgery describe the multiple facets of caring for this very unique patient population.

This edited volume Cardiac Surgery Procedures is a collection of reviewed and relevant research chapters, offering a comprehensive overview of recent developments in the field. The book comprises single chapters authored by various researchers and edited by experts active in the research area. All chapters are complete in themselves but united under a common research study topic. This publication aims at providing a thorough overview of the latest research efforts by international authors and opens new possible research paths for further novel developments.