Cardiac Surgery: Recent Advances and Techniques

200 Pages·2013·29.7 MB·English

by  Narain Moorjani

Medicine
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The development of new techniques as well as the refinement of established procedures d
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has led to great progress in cardiac surgery. Providing an ideal synopsis of the a
growth in this area, Cardiac Surgery: Recent Advances and Techniques systematically c

reviews all the new developments in cardiac surgery, from transcatheter aortic valve S
implantation to minimally invasive mitral valve surgery. u
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Recognised leaders and innovators throughout the world describe each technique and
e Cardiac
include up-to-date information regarding current trials relating to each new procedure.
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Each chapter contains images and drawings to illustrate the techniques and the book y

provides ample references to facilitate further study. R
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This volume is designed for anyone involved in the practice of cardiac surgery, from c
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residents at all stages of their training programme to established cardiac surgeons.
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Cardiologists and cardiothoracic intensive care unit specialists will also find this book t

useful to better understand the management of patients undergoing these procedures. A
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All cardiac surgeons are required to keep up to date with current practice for recertifi- v
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cation purposes. Cardiac Surgery: Recent Advances and Techniques is an essential n
reference for this purpose. c
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s Recent Advances
About the editors
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Narain Moorjani, MB ChB, MRCS, MD, FRCS (C-Th), Consultant Cardiothoracic Surgeon

at Papworth Hospital, Cambridge, UK, and Associate Lecturer at the University of T and Techniques
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Cambridge. c
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Sunil K. Ohri, MD, FRCS (Eng, Ed & C-Th), FESC, Consultant Cardiac Surgeon at n
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University Hospital Southampton, UK, and Honorary Senior Lecturer at the University q
u Edited by
of Southampton.
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s Narain Moorjani
Andrew S. Wechsler, MD, FACC, FAHA, Professor of Cardiothoracic Surgery at Drexel

University College of Medicine in Philadelphia, PA, USA and editor emeritus of the
Sunil K. Ohri
Journal of Thoracic and Cardiovascular Surgery.
Andrew S. Wechsler
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chsler lOhri  lorjani l Foreword by Lawrence H. Cohn
K18025
ISBN: 978-1-4441-3756-9
90000
9 781444 137569
K18025_Cover.indd 1 9/23/13 12:56 PM
Cardiac
Surgery
Recent Advances
and Techniques

Cardiac
Surgery
Recent Advances
and Techniques
Edited by
Narain Moorjani
Sunil K. Ohri
Andrew S. Wechsler
Boca Raton London New York
CRC Press is an imprint of the
Taylor & Francis Group, an informa business
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© 2014 by Taylor & Francis Group, LLC
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Version Date: 20130626
International Standard Book Number-13: 978-1-4441-3756-9 (Hardback)
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Contents
Prefacevii
Foreword by Lawrence H. Cohn ix
Editors xi
Contributors xiii
Chapter 1 Minimally Invasive Coronary Artery Bypass Surgery 1
Michael E. Halkos and John D. Puskas
Chapter 2 Minimized Cardiopulmonary Bypass 15
Narain Moorjani and Sunil K. Ohri
Chapter 3 Transcatheter Aortic Valve Implantation 27
Ardawan J. Rastan, Michael A. Borger, Martin Haensig, Jörg Kempfert and Friedrich W. Mohr
Chapter 4 Aortic Valve Repair 45
Joel Price and Gebrine El Khoury
Chapter 5 Minimally Invasive Mitral Valve Surgery 59
Hazaim Alwair, Evelio Rodriguez, W. Randolph Chitwood Jr. and L. Wiley Nifong
Chapter 6 Tricuspid Valve Surgery 67
K. M. John Chan and Gilles D. Dreyfus
Chapter 7 Arrhythmia Surgery 77
Lindsey L. Saint, Jason O. Robertson, Richard B. Schuessler and Ralph J. Damiano Jr.
Chapter 8 Valve-Sparing Aortic Root Replacement 97
Neel R. Sodha, Kaushik Mandal and Duke E. Cameron
Chapter 9 Endovascular Stent Grafting of the Thoracic Aorta 111
Prashanth Vallabhajosyula, Wilson Y. Szeto, G. William Moser, Tyler J. Wallen
and Joseph E. Bavaria
Chapter 10 Cellular Cardiomyoplasty and Stem Cell Therapy 133
Philippe Menasche
v
© 2010 Taylor & Francis Group, LLC
vi Contents
Chapter 11 Left Ventricular Remodelling Surgery 147
Lorenzo Menicanti and Serenella Castelvecchio
Chapter 12 Mechanical Circulatory Support 161
Stephen Westaby
© 2010 Taylor & Francis Group, LLC
Preface
The field of cardiac surgery continues to expand with current trials relating to each new procedure. Each c hapter
the development of new techniques and operations, as contains images and drawings to illustrate the surgical
well as the refinement of established surgical procedures. technique supported with important references for further
In parallel with this, the demand for knowledge regard- reading and greater depth of knowledge. The book is rele-
ing how these new procedures are performed is increas- vant to everyone involved in the practice of cardiac surgery,
ing. Although several large volume textbooks exist to both residents at any stage of their training programme
provide information regarding cardiac surgery in general, and established cardiac surgeons. Adult cardiologists and
there are very few books that specifically cover the latest cardiothoracic intensive care unit specialists will also find
developments in adult cardiac surgery. ‘Cardiac Surgery: this book useful for the surgical management of patients
Recent Advances and Techniques’ provides a current and undergoing these new techniques, as they are integral to
contemporary text that systematically covers all the new the cardiac surgical process. With the modern need for
developments in the field of cardiac surgery. The chapters all cardiac surgeons to keep up-to-date with current prac-
have been written by the recognised leaders and innovators tice for recertification purposes, ‘Cardiac Surgery: Recent
throughout the world with regard to each technique. The Advances and Techniques’ provides an ideal synopsis of
chapters also include up-to-date information regarding the latest developments in the field of cardiac surgery.
vii
© 2010 Taylor & Francis Group, LLC

Foreword
Cardiac Surgery: Recent Advances and Techniques is The newer approaches are excellent and can lead to
an excellent summary of all of the latest techniques and better patient outcomes, but the experience of the opera-
results of minimally invasive cardiac surgery, endovas- tor is critical to the success of these techniques and
cular aortic surgery and new therapies for heart failure, the use of these should be based on skill, not market-
including stem cell therapy, left ventricular remodeling ing by hospitals. The exceptional chapters on surgery
and the indications for the rapidly increasing usage of of the aorta from Johns Hopkins and the University
mechanical circulatory support. The authors are well of Pennsylvania are written by the leaders in the field.
known and are perfectly suited to describing these Dr. Puskas from Emory has put minimally invasive
kinds of advances. Dr. Moorjani (Papworth Hospital, approaches to coronary bypass surgery into proper per-
Cambridge, England), Dr. Ohri (Southampton University spective as well. There are also excellent chapters on the
Hospital, England) and Dr. Wechsler (Drexel University, various catheter-based devices now being used for trans-
Philadelphia, USA) have organized 12 chapters that apical or transarterial valve implantation, a field that is
cover the entire spectrum of minimally invasive heart growing by leaps and bounds. The use of hybrid technol-
surgery, a field that is growing rapidly because of its ogy, as well as hybrid operating rooms, one of the great
improved results in patients who recover faster than tra- advances in hospital organizations, is also summarized
ditional open operations. An important note, however, is throughout this excellent volume.
that all of the techniques beautifully described in this In short, Cardiac Surgery: Recent Advances and
volume, have to be performed by experienced surgeons Techniques does just that by summarizing succinctly and
to obtain the desired results outlined in this book. objectively all of the new and modern techniques used in
All of the authors are experts in the areas they acquired cardiac surgery operations, written by experts
have written about. For example, Chapter 5 entitled in the field promulgating not only their ideas, but pre-
“Minimally Invasive Mitral Valve Surgery” focuses senting the global excellent surgical outcomes as well.
quite a bit of attention on robotic mitral valve surgery,
which in the proper hands is a very effective therapy, but Lawrence H. Cohn, MD
in inexperienced hands this technology is not indicated. Hubbard Professor of Cardiac Surgery
Thus, the message of this book is, in order to be profi- Harvard Medical School
cient in advanced surgical techniques, the surgeon has to Brigham and Women’s Hospital
be very well versed in pathology and conventional sur- Boston, MA
gical approaches before tackling these new innovative USA
techniques.
ix
© 2010 Taylor & Francis Group, LLC