Small animal thoracic surgery

249 Pages·2018·14.593 MB·English

by  Monnet, Eric, Orton, E. Christopher

SmallAnimalThoracicSurgery
Small Animal Thoracic Surgery
E.ChristopherOrton,DVM,PhD
Diplomate,AmericanCollegeofVeterinarySurgeons
Professor
ColoradoStateUniversity
FortCollins,Colorado,U.S.A.
EricMonnet,DVM,PhD
Diplomate,AmericanCollegeofVeterinarySurgeons
Diplomate,EuropeanCollegeofVeterinarySurgeons
Professor
ColoradoStateUniversity
FortCollins,Colorado,U.S.A.
Illustratedby:
MollyBorman,MS
www.mborman.com
ThomasO.McCracken,MS
Thiseditionfirstpublished2018
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LibraryofCongressCataloging-in-PublicationData
Names:Orton,E.Christopher,author.|Monnet,Eric,author.
Title:Smallanimalthoracicsurgery/byE.ChristopherOrton,EricMonnet;
illustratedbyMollyBorman,ThomasO.McCracken.
Description:Hoboken,NJ:Wiley,2017.|Revisedandupdatedversionof:
Smallanimalthoracicsurgery/E.ChristopherOrton;illustratedby
ThomasO.McCracken;contributingauthor,JamesS.Gaynor.1995.|
Includesbibliographicalreferencesandindex.|
Identifiers:LCCN2017030438(print)|LCCN2017031919(ebook)|ISBN
9781118943434(pdf)|ISBN9781118943441(epub)|ISBN9781118943410
(cloth)
Subjects:|MESH:DogDiseases–surgery|CatDiseases–surgery|Thoracic
SurgicalProcedures–veterinary|ThoracicDiseases–veterinary
Classification:LCCSF991(ebook)|LCCSF991(print)|NLMSF992.R47|DDC
636.089/754–dc23
LCrecordavailableathttps://lccn.loc.gov/2017030438
CoverDesign:Wiley
CoverImages:IllustrationsbyMollyBorman
Setin10/12ptWarnockProbyAptaraInc.,NewDelhi,India
10 9 8 7 6 5 4 3 2 1
Thisbookisdedicatedtoourpatients,whohavebeenourgreatestteachers,andtheirfamilies,
whohaveshownusthedepthofthebondbetweenspecies.
ChristopherOrton
EricMonnet
vii
Contents
Preface ix
AbouttheCompanionWebsite xi
SectionI GeneralPrinciples 1
 CardiopulmonaryFunction 3
E.ChristopherOrton
 CardiopulmonaryMonitoringandSupportiveCare 15
E.ChristopherOrton
 Instrumentation 25
E.ChristopherOrton
SectionII ThoracicApproaches 31
 Thoracotomy 33
E.ChristopherOrton
 Sternotomy 39
E.ChristopherOrton
 MinimallyInvasiveThoracicSurgery 43
EricMonnetandE.ChristopherOrton
SectionIII ThoracicWallandPleuralSpace 57
 ThoracostomyandPleuralDrainage 59
EricMonnet
 ThoracicWall 65
EricMonnet
 PleuralEffusions 77
EricMonnet
 Pneumothorax 89
EricMonnet
viii Contents
SectionIV GeneralThoracicSurgery 95
 ThymomaandMediastinalMasses 97
EricMonnet
 Esophagus 101
E.ChristopherOrton
 VascularRingAnomalies 111
EricMonnet
 Trachea 119
EricMonnet
 Lung 129
EricMonnet
 Diaphragm 139
E.ChristopherOrton
SectionV CardiacSurgery 147
 Pericardium 149
EricMonnetandE.ChristopherOrton
 StrategiesforCardiacSurgery 159
E.ChristopherOrton
 PatentDuctusArteriosus 177
E.ChristopherOrton
 PulmonaryandAorticValves 183
E.ChristopherOrton
 TricuspidandMitralValves 197
E.ChristopherOrton
 CongenitalSeptalDefects 211
E.ChristopherOrton
 CorTriatriatumandDouble-ChamberedRightVentricle 225
E.ChristopherOrton
 CardiacNeoplasia 231
E.ChristopherOrton
 EpicardialPacemakerImplantation 237
EricMonnet
Index 245
ix
Preface
Thoracicsurgeryinsmallanimalshasgrowninimpor- Herworkblendsseamlesslywiththeoriginalillustra-
tance and prominence since the earlier publication tions by Thomas McCracken from the first book on
of a book on the same subject. Several important the subject of small animal thoracic surgery. We are
advances in understanding of thoracic diseases and eternallygratefulforthecontributionsofbothofthese
surgicaltechniquehaveoccurred,nonemoreimpor- talentedindividuals.Wherealternatetechniquesand
tantthanthedevelopmentofminimallyinvasivetech- approachesexist,wehavemadeeveryefforttorefer-
niquessuchasvideo-assistedthoracoscopicsurgery. encetheexperienceandtechniquesofothers.
In this first edition of a new and updated book It is our hope that this textbook will prove useful
onsmallanimalthoracicsurgery,emphasishasbeen tothoseseekinginformationfrombasictoadvanced
placed on surgical technique, decision making, and cardiothoracicsurgery.Asalways,wewelcomefeed-
perioperative care. We have endeavored to provide backfromourcolleagueswhoshareourinterestand
detaileddescriptionsoftechniquesthatwehaveexpe- passionforcareofoursmallanimalcompanions.
riencewithandthathaveworkedbestinourhands.To
thisend,severalnewillustrationshavebeenaddedto E.ChristopherOrton
thisnewbook,allbeautifullydrawnbyMollyBorman. EricMonnet
xi
AbouttheCompanionWebsite
Thisbookisaccompaniedbyacompanionwebsite:
www.wiley.com/go/orton/thoracic
Thewebsiteincludes:
(cid:2)
videosoftheproceduresdescribedinthebook.

SectionI
GeneralPrinciples