Thorax

In this book are discussed topics of particular importance to critical care cardiovascular diagnosis and management in the perioperative period. Chapter topics are the causes for heart failure; the pathophysiology of heart failure; coronary heart disease and ischemic preconditioning; hypertensive urgencies and emergencies; diagnosis of heart failure; preoperative cardiac risk assessment; hemodynamic monitoring in patients with heart failure; electrocardiography of heart failure - features and arrhythmias; pharmacologic management for patients with heart failure; devices for management of heart failure; pacemaker and internal cardioverter-defibrillator therapies; management of cardiopulmonary arrest; circulatory shock - anaphylactic, cardiogenic, haemorrhagic, septic; prevention and management of cardiac dysfunction during and after cardiac surgery; vasodilator therapy - systemic and pulmonary; and, thromboembolism and anticoagulation. This work represents an important update for anaesthesiologists, cardiologists, cardiac surgeons, emergency care physicians and intensivists caring for patients with acute, life-threatening cardiovascular afflictions.

Wenn ein krankes Kinderherz nach erfolgreicher Operation wieder zu schlagen beginnt, ist das kaum weniger als ein Wunder. Selbst für einen renommierten Chirurgen wie Martin Kostelka, der schon über 10 000 Eingriffe durchgeführt hat - zumeist an Babys und Kleinkindern, mit herausragender Erfolgsquote.Es ist ein Privileg, dass Professor Kostelka nun erstmals tiefe Einblicke in seinen immens verantwortungsvollen Berufsalltag gewährt. Eindringlich erzählt der Kinderherzchirurg von Schicksalen voll banger Hoffnung, bewegenden und teils außerordentlich komplizierten Fällen. Er zeigt, wie lang der Weg ist vom jungen Mediziner bis zum anerkannten Spezialisten, dem Eltern das Kostbarste anvertrauen. Und er berichtet faszinierend von der Entwicklung eines Fachgebiets, das zum Wohle der Kleinsten beständig die Grenzen des Machbaren verschiebt.Herzensangelegenheit ist eine Geschichte von unermüdlicher Hingabe - und von der wundervollen Kraft kleiner Patientinnen und Patienten, die widrigsten Umständen zum Trotz ihren Lebensmut nicht verlieren.

Als Christiaan Barnard die erste Herzverpflanzung gelang, schrieb man das Jahr 1967, als Dick Fosbury mit seinem neuen Hochsprungstil Gold gewann, 1968, als Neil Armstrong und Buzz Aldrin auf dem Mond landeten, 1969. Diese drei Ereignisse sind Sternstunden einer Ära, in der alles möglich schien: Sternstunden der 60er-Jahre.Vielleicht weckt dieses Buch bei den Älteren Erinnerungen, die es wert sind, geweckt zu werden, vielleicht bei den Jüngeren Interesse für eine Zeit, die es wert ist, dass man sich für sie interessiert. Und wenn man am Ende alles für übertrieben hält, weil kein Jahrzehnt so besonders sein kann, wie es hier von den 60ern behauptet wird, dann hat es sein Ziel erreicht.

Heart failure is an important and ever-expanding sub-speciality of cardiology. Many professional bodies working in healthcare are now developing specialist expertise in heart failure. With advances in medical therapy, the prognosis of the condition has improved dramatically. Whereas once heart failure was a pre-terminal diagnosis, now for many it is treatable. However, some patients remain symptomatic and at high risk of death despite maximal medical therapy. The new edition of Heart Failure comprehensively covers all aspects necessary to manage a patient with heart failure. It gives simple, clear advice on the diagnosis, investigation, and treatment options available highlighting the current evidence-base. As part of the Oxford Specialist Handbooks in Cardiology, the chapters provide concise and objective information to guide all healthcare professionals involved in the modern day multi-disciplinary management of the syndrome. Set out logically to mirror the patient journey in heart failure, this handbook facilitates the practice of optimal evidence-based management for heart failure patients. Ideal for trainee cardiologists, consultant cardiologists, care of the elderly and general physicians, cardiothoracic surgeons, primary care doctors, pharmacists and specialist nurses.

Offering a unique and helpful approach to this complex field, Khonsari and Sintek’s Cardiac Surgery: Safeguards and Pitfalls in Operative Technique, Sixth Edition, edited by Drs. Abbas Ardehali and Jonathan Chen, details the most important cardiac surgery techniques with a focus on avoiding and managing surgical pitfalls and complications. From general considerations through the surgical correction of acquired and congenital heart conditions, it provides practical, hands-on guidance in a concise, readable, and richly illustrated format. - Helps you avoid and manage technical pitfalls and complications of cardiac surgery—nearly half the text is devoted to pearls and pitfalls, with clear discussions of mechanisms of technical errors and the techniques to prevent and correct these errors - Contains a new content and sections on aortic surgery and transcatheter aortic valve replacement contributed by Drs. Hiroo Takayama and Olcay Aksoy, as well as comprehensive updates throughout the text - Covers the vast majority of procedures you’re likely to encounter, including new and emerging minimally invasive and robotic techniques- Uses easy-to-spot icons to alert you to both pitfalls and helpful tips - Presents nuances of surgical technique with a wealth of step-by-step, full-color illustrations

**Selected for 2026 Doody's Core Titles as an Essential Purchase in Cardiac Surgery**<BR><BR>Offering a state-of-the-art update in this challenging area of surgery, Atlas of Cardiac Surgical Techniques, Third 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- An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Additional digital ancillary content may publish up to 6 weeks following the publication date

Now featuring a new editorial board and new contributors, Cardiopulmonary Bypass and Mechanical Support: Principles and Practice, Fifth Edition, covers core scientific principles as well as practical clinical applications in this challenging area. Drs. Michael Mazzeffi, C. David Mazer, Bryan A. Whitson, and Barry D. Kussman ensure that this unique, multidisciplinary reference brings you fully up to date with every aspect of cardiopulmonary bypass, making it a must-have resource for anesthesiologists cardiothoracic surgeons, and perfusionists—anyone who needs authoritative, current information from the gold standard reference in the field. - Provides comprehensive, reliable information on cardiopulmonary bypass, short and long-term mechanical circulatory support, and perioperative care related to cardiac surgery and cardiogenic shock - Offers full-color guidance on equipment, physiology and pathology, hematology, clinical applications, and neonates, infants, and children - Discusses the many new devices and drugs that have transformed the field of cardiopulmonary bypass and contribute to improved patient outcomes - Contains new content and chapters on rapidly evolving topics, including those related to thoracic transplantation, allograft protection, extracorporeal carbon dioxide removal, and more - Shares the knowledge and expertise of new editors and contributors, including more international, multidisciplinary authors

Kurzlehrbuch über alle Teilgebiete der Chirurgie für Studium und Praxis, berücksichtigt die aktuellen Leitlinien

This version has been thoroughly edited and updated to reflect the most recent equipment's used in Anaesthesia Practice. A must-have for anesthetists, the book is extremely comprehensive, educational and practical with pictorial representations for anesthesia trainees, Contemporary Anaesthetic Equipment's. An Aid for Healthcare Professionals is a priceless resource for all those who work with anaesthetic equipment, including anaesthetic and intensive care nurses and operating department practitioners. The book should appeal to readers since it is well-organized and simple to read.

Selected as a Doody’s Core Title for 2025!<BR><BR> Offering a comprehensive, up-to-date overview of the field, Hensley’s Practical Approach to Cardiothoracic Anesthesia, Seventh Edition, edited by Drs. Karsten Bartels, Amanda A. Fox, Andrew D. Shaw, Kimberly Howard-Quijano, and Robert H. Thiele, is an ideal reference and review tool for fellows, residents, and practicing anesthesiologists. Concisely written and readily accessible, it combines the depth of a reference book with the no-nonsense guidance of a clinically-oriented handbook. This edition has been newly reorganized for current practice patterns and to better align with the ACGME requirements for adult cardiothoracic anesthesiology.<BR><BR> • Presents information in a concise, bulleted format, making it easy to read and absorb key points<BR> • Key points are identified at the beginning of each chapter and in the margins with clinical pearls appearing throughout the text<BR> • Provides up-to-date coverage of cardiac physiology and pharmacology, pre-procedural patient preparation, anesthetic management of specific disorders and procedures, post-procedural management, and more<BR> • Offers the experience and expertise of three new co-editors and nearly 70 contributors from over 35 institutions<BR> • Over 30 echocardiography clips demonstrate assessment of valve disorders, arythmias and more. <BR> • A valuable resource for anesthesia residents, fellows in cardiac anesthesia, anesthesiology practitioners, perfusionists, and CRNAs

Modern Anesthesia: A Concise Guide to The Study And Practice Of Anesthesia is an extremely comprehensive educational and practical textbook for anesthesia trainees, it is a priceless resource for all those who work with anaesthetic equipment, including anaesthetic and intensive care nurses and operating department practitioners. The book should appeal to readers since it is well-organized and simple to read.

Die Gesamtprävalenz angeborener Herzfehler beträgt in Deutschland 1,1%, wovon die angeborenen Herzvitien mit vermindertem Lungenfluss insbesondere die Fallot-Tetralogie (TOF) mit 2,5%, die Pulmonalatresie mit und ohne Ventrikelseptumdefekt (PAVSD) mit 0,6% und der Double Outlet Right Ventricle (DORV) mit 1%, zu den häufigsten zyanotischen Herzvitien gehören. Therapeutisches Ziel der Vitien ist in der Regel die anatomische Korrektur (Lindinger et al., 2010; Romano et al., 2007).Zu Oxygenierung des venösen Blutes muss die rechte Herzhälfte das sauerstoffarme Blut in den Lungenkreislauf pumpen. Da der pulmonalarterielle Druck beim Gesunden mit weniger als 25mmHg niedrig ist (Kovacs et al., 2009), passiert dies im Normalfall ohne größere Kraftanstrengung der rechten Herzkammer (RV). Bei einer Obstruktion des rechtsventrikulären Ausflusstrakts (RVOTO) kann es bereits frühzeitig zu lebensbedrohlichen hypoxämischen Anfällen des Neugeborenen kommen, was unter anderem ein frühzeitiges medikamentöses, interventionelles und/oder chirurgisches Eingreifen erfordert.Ein chirurgisches Eingreifen wird in der Regel innerhalb des 1. Lebensjahres durchgeführt (C. Schmid, 2009). Bei der Korrektur wird der Ventrikelseptumdefekt verschlossen und die stenotische und atretische Verbindung zwischen Rechtem Ventrikel und Pulmonalarterie rekonstruiert: Hier wird zur Erweiterung der pulmonalarteriellen Stenose beziehungsweise des RVOT der Einsatz eines Flickens, auch als Patch bezeichnet, notwendig (Pok & Jacot, 2011). Der Einsatz von biologischen oder künstlichen Patches bringt jedoch auch Nachteile mit sich. So kann es mitunter postoperativ zu Immunreaktionen, insbesondere bei Verwendung von nicht-autologen Materialien, und/oder Restenosen kommen, da die Materialien zum Beispiel kein eigenes Größenwachstum aufweisen. Unterschiedliche Materialien besitzen dabei unterschiedliche physikalisch-chemische Eigenschaften, woraus sich andere Nebenwirkungsprofile, kurz- oder langfristig, ergeben können. Je nach Art und Schweregrad dieser postoperativen Nebenwirkungen werden Revisionen im Verlauf notwendig. Da es zurzeit keine Empfehlungen gibt, wann welches Material am ehesten zum Einsatz kommen sollte, könnte eine Analyse der Reinterventions- oder Reoperationsrate nach Patchaugmentation der RVOT die Auswahl eines geeigneten Materials ¿ basierend auf Daten ¿ in Zukunft vereinfachen.

¿This is the second of a three-volume project aimed at providing unique case reports (20 cases per volume) of supraventricular and ventricular arrhythmias encountered in clinical practice. The book focuses on catheter ablation procedures of paroxysmal and persistent atrial fibrillation of atypical atrial flutters. The cases presented were performed using the CARTO electro-anatomical mapping system, providing a high number of images to better understand arrhythmia features. The cases are built around high-quality figures acquired during the patients' hospitalization and relevant medical images, such as electrocardiograms, Holter ECGs, and MRI/CT scans. Short videoclips with activation maps of the atria or the ventricles during the studied arrhythmia complete the information provided. The chapters include questions and answers and key messages at the end of each case, making it an invaluable tool for cardiologists, clinical cardiac electrophysiologists, and interventionalcardiac electrophysiologists in training, as well as for anyone interested in learning more about the subject.

This book provides a comprehensive overview of the physiology, pathophysiology, diagnosis, medical and surgical management, and future therapies for tricuspid valve disease. It is divided into two sections. The first section covers the basics of the tricuspid valve, including anatomy, epidemiology, and clinical diagnosis with individual chapters focused on hemodynamics, echocardiography, MRI, and CT assessment. The second section examines current treatments for tricuspid valve disease including both surgical and medical management. It discusses special clinical scenarios of tricuspid valve pathology such as tricuspid regurgitation in patients with ICD and pacemaker implants and the role of tricuspid valve disease in patients with heart failure and LVAD therapy. Tricuspid Valve Disease: A Comprehensive Guide to Evaluation and Management is an essential resource for general cardiologists, interventional cardiologists, cardiac surgeons, and innovators in the field of structural heart disease.

This book presents a series of illustrative cases to highlight the decision-making process in pursuing an interventional management strategy and the procedural details of performing catheter-based interventions in patients with adult congenital heart disease (ACHD). Each case provides a brief prior history of the patient, summary of current symptoms, pertinent physical examination findings, key imaging findings used to determine the indication for intervention as well as the technical feasibility of a transcatheter intervention. Potential management options and the rationale for why a transcatheter intervention was the optimal management strategy, and post-procedure management strategies are also discussed. Interventions in Adult Congenital Heart Disease: A Case-Based Approach provides a practical guide to successfully implementing a range of cardiac intervention management strategies, and is valuable resource for all cardiology practitioners and trainees seeking an up-to-date resource on the topic.

Cardiovascular disorder severity analysis in magnetic resonance images (MRI) involves using machine learning techniques to analyze MRI images and assess the severity of cardiovascular disorders. This approach utilizes deep learning algorithms, such as convolutional neural networks (CNN), for image analysis, segmentation, and feature extraction. The severity analysis involves quantifying the extent and location of damaged tissues, narrowing of blood vessels, and other pathological changes related to cardiovascular disorders. This analysis can aid in the diagnosis, prognosis, and treatment planning of patients with cardiovascular disorders. This method has several advantages, including the ability to detect subtle changes in MRI images that may be missed by human observers, the potential to provide more accurate and objective measures of disease severity, and the ability to integrate data from electronic health records and other sources. Overall, this approach has the potential to improve medical decision-making and provide more personalized care for patients with cardiovascular disorders, thus helping to reduce the burden of these conditions on individuals and society.

Le malattie cardiovascolari rappresentano la principale causa di morte in Italia e chi soffre di un disturbo cardiaco abbandona di fatto la prospettiva di una vita ottimale, condannato a confrontarsi con paure, visite, farmaci e esami diagnostici. In questo contesto si inserisce la Fibrillazione Atriale, una delle patologie in più forte crescita. Mentre sul fronte interventistico e farmacologico la Medicina ha fatto passi da gigante, poco o nulla viene proposto alle persone per una vera prevenzione, se non generici appelli a controlli periodici. La visione di queste situazioni cliniche va ampliata, tenendo presente il ruolo dell'infiammazione cronica, dello stress ossidativo, dell'insulino-resistenza e il deleterio impatto di una alimentazione errata. In questo libro, il dottor Antonio Fusco indaga le cause di questa aritmia cardiaca, fornendo spiegazioni scientificamente rigorose, senza abbandonare il lettore all'oscurità dei termini tecnici. Inoltre, alla luce degli ultimi studi dei principali centri di ricerca mondiali, propone un percorso concreto di scelte di vita e nutrizionali da attuare da subito per preservare la salute del nostro cuore e regalarci un autentico benessere. Das Urheberrecht an bibliographischen und produktbeschreibenden Daten und an den bereitgestellten Bildern liegt bei Informazioni Editoriali, I.E. S.r.l., oder beim Herausgeber oder demjenigen, der die Genehmigung erteilt hat. Alle Rechte vorbehalten.

**Selected for 2026 Doody's Core Titles in Anesthesiology & Pain Medicine**<BR><BR>Current, comprehensive, and evidence-based, Kaplan's Cardiac Anesthesia: Perioperative and Critical Care Management, 8th Edition, offers practical guidance from today’s international leaders in cardiac anesthesiology, helping you to optimize perioperative outcomes, avoid complications, and ensure maximum patient safety. Dr. Joel A. Kaplan, along with an expert team of associate editors, guides you through today’s clinical challenges, including expanded coverage of critical care, the newest approaches to perioperative assessment and management, state-of-the art diagnostic techniques, and cardiovascular and coronary physiology.- Covers the full spectrum of contemporary cardiothoracic anesthesia practice, including preoperative assessment, physiology, pharmacology, monitoring, transesophageal echocardiography, coagulation, specific cardiac procedures, extracorporeal circulation, postoperative pain treatment, and management of the complex patient with cardiac disease- Includes expanded coverage of critical care topics, reflecting the increased perioperative care now provided by anesthesiologists in the ICU- Contains new chapters on Structural Heart Disease Procedures; Cardiorespiratory Effects of COVID-19; Critical Care Ultrasound; Intensive Unit Management of Patients on Mechanical Circulatory Support; and Postoperative Care of the Heart and Lung Transplant Patient- Features more than 900 full-color illustrations, decision trees, charts, and graphs (over one-third are new) that aid in visual understanding of complex topics- Provides access to over 120 videos, including a range of echocardiography clips- Contains balanced, dependable, and updated content on all aspects of the anesthetic management of cardiac surgical procedures, as well as cardiology procedures performed in catheterization and electrophysiologic laboratories- Places new emphasis on cardiac devices requiring perioperative care, including cardiac implanted electrical devices and ventricular assist devices- An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud

Seit dem Erscheinen der ersten Auflage dieses Buches haben sich auf dem Gebiet der Heimbeatmung zahlreiche Veränderungen und Neuerungen ergeben. Die Anzahl von Patienten, die in außerklinischen Pflegeeinrichtungen betreut werden, hat sich vervielfacht, rechtliche und ethische Aspekte werden zunehmend diskutiert. Neue Beatmungsgeräte und Beatmungsmodi sowie eine gewachsene Auswahl der Masken haben das Behandlungsspektrum erweitert und ermöglichen eine individuellere Anpassung der Therapie.Die vorliegende, grundlegend überarbeitete 2. Auflage widmet sich all diesen Aspekten und möchte den Lesenden das umfangreiche Themenfeld der Heimbeatmung möglichst umfassend und doch einfach und in einem zu bewältigenden Umfang darstellen. Es richtet sich ausdrücklich nicht nur an Ärztinnen und Ärzte, die mit der Thematik vertraut sind, sondern an alle, die in der Klinik oder ambulant mit beatmeten Menschen Kontakt haben.

This book comprehensively reviews LM revascularization, one of themost technically challenging and prognostically relevant topics forcardiologists. LM carries blood to 70-80% of the normal heart, anddiseases affecting this coronary segment are a common cardiac condition.Beginning in the sixties, management was exclusively within thedomain of cardiac surgeons, and recent dramatic changes in percutaneoustechniques have led to huge improvements but have alsobrought significant surgical challenges. In the book, top cardiac surgeonsdescribe current and future operative techniques, while leadinginterventional cardiologists discuss new bifurcation techniques. This bookalso investigates the recently released European Society of CardiologyGuidelines in detail.Featuring the latest scientific studies with long-term follow up, anddetailed descriptions of the techniques used, thisbook provides comprehensiveguidance for any clinician, and is a valuable resource forcardiologists, interventional cardiologists, cardiac surgeons andinternists.This is an open access book.