Reoperations in Cardiac Surgery
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Nearly a century has passed since Rehn performed the first successful cardiac operation by closing a right ventricular stab wound in a gravely ill patient. Moreover, it has been more than fifty years since Gross successfully corrected the first congenital cardiac malformation in 1938 by suture ligation of a patent ductus arteriosus. The introduction of the Blalock operation for tetralogy of Fallot by Blalock in 1944 greatly advanced the management and prognosis of a critically ill group of cardiac patients, and the success of this procedure further stimulated the development of concepts and…mehr

Produktbeschreibung
Nearly a century has passed since Rehn performed the first successful cardiac operation by closing a right ventricular stab wound in a gravely ill patient. Moreover, it has been more than fifty years since Gross successfully corrected the first congenital cardiac malformation in 1938 by suture ligation of a patent ductus arteriosus. The introduction of the Blalock operation for tetralogy of Fallot by Blalock in 1944 greatly advanced the management and prognosis of a critically ill group of cardiac patients, and the success of this procedure further stimulated the development of concepts and techniques for the surgical management of other severe congenital cardiac defects. Until the successful use of extracorporeal circulation by Gibbon in 1953, it was often necessary to perform cardiac operations which were palliative rather than curative procedures. With the advent of additional new and improved techniques, correction of many hitherto incurable cardiac disorders became possible and reoperation under these circumstances became frequent. Cardiac surgery is very fortunate in having two master surgeons, whose distinctive contributions and clinical proficiency are recognized worldwide, to edit this extraordinary and unique text. They have placed emphasis on a number of specific complications of primary cardiac procedures which lead to the necessity for reoperation. Problems associated with postoperative infections, thrombotic dis orders, stenoses of suture lines, deterioration of prosthetic materials and mechanical valves, rejection of transplanted organs and tissues, and a host of additional complications are described together with their appropriate surgical management.
  • Produktdetails
  • Verlag: Springer, Berlin / Springer, London
  • Softcover reprint of the original 1st ed. 1989
  • Seitenzahl: 420
  • Erscheinungstermin: 20. November 2011
  • Englisch
  • Abmessung: 270mm x 193mm x 22mm
  • Gewicht: 924g
  • ISBN-13: 9781447116905
  • ISBN-10: 1447116909
  • Artikelnr.: 39494198
Inhaltsangabe
Section I: General.- 1 Investigation Before Reoperations for Congenital Heart Disease.- Staged Procedures.- Residual Lesions.- Clinical Considerations.- Non-invasive Investigation.- Invasive Investigation.- Recurrent Lesions.- Changes Resulting from Growth, and Deterioration in Prosthetic Function.- Prognosis After Completion of Intended Management.- Conclusion.- 2 Investigations Before Reoperation for Acquired Heart Disease.- Methods of Investigation.- Non-invasive Investigation.- Invasive Investigation.- Reasons for Failure of Previous Operations.- Wrong Indication or Wrong Operation.- Valve Disease.- After Pericardiectomy.- Special Problems.- The Myocardium.- Marfan's Syndrome.- Myxoma and Other Cardiac Tumours.- Pregnancy.- Traumatic Heart Disease.- Emergencies.- Mechanical Disasters.- Prosthetic Valve Thrombosis "Encapsulation".- Infective Endocarditis.- Reoperation After Previous Coronary Bypass Surgery.- Pericardial Syndromes.- Postoperative Pericardial Collection.- Conclusion.- 3 Anaesthesia for Cardiac Reoperations.- Preoperative Assessment.- Anaesthesia.- Monitoring.- Specific Conditions.- Reoperation for Coronary Artery Bypass Grafts.- Valvar Heart Disease.- Congenital Heart Disease.- Postoperative Complications.- Conclusion.- 4 Approaches to the Heart and Great Vessels at Reoperation.- Sternal Re-entry.- Prevention.- Operative Technique.- Results.- Re-thoracotomy.- Conclusion.- 5 Reoperations in the Presence of Infection.- General Considerations.- Indications for Surgery.- Prosthetic Valve Endocarditis.- Infected Aortocoronary Bypass.- Infected Cardiac Suture Line.- Surgical Technique.- Reoperation in the Presence of Infected Prosthetic or Bioprosthetic Valves.- Surgical Technique for the Infected Cardiac Suture Line.- Surgical Treatment of Infected Coronary Bypass Graft.- Results.- Conclusions and Summary.- 6 Pacing: Indications, Technique of Insertion and Replacement of Leads and Generators.- Description of Generators.- Indications for Permanent Pacemaker Insertion.- Choice of Pacing Systems.- Generator.- Wire.- Pacing.- Temporary.- Permanent.- Generator Implantation.- Pectoral/Axillary Approach.- Subxiphoid Approach.- Suprarenal Approach.- Reoperation.- Pulse Generator Replacement.- Pacemaker Lead Problems.- Pacemaker System Replacement for Infection.- Follow-up.- Restrictions.- Conclusion.- 7 Postoperative Mediastinitis.- Aetiology.- Bacteriology.- History of Management Options.- Sternal Blood Supply.- Reconstructive Options.- Omentum.- Pectoralis Major.- Rectus Abdominis.- Complications.- Mediastinitis in Infants and Children.- Conclusions.- 8 Heart and Lung Retransplantation.- Cardiac Retransplantation.- Indications for Retransplantation.- Technique of Retransplantation.- Postoperative Care.- Results at Stanford University Hospital.- Summary.- Heart-Lung Retransplantation.- Indications for Retransplantation.- Technique of Retransplantation.- Postoperative Care.- Results.- Summary.- Section II: Congenital Heart Disease.- 9 Reoperations After Repair of Coarctation of the Aorta.- Problems Following Repair of Coarctation.- Residual/Recurrent Coarctation (Re-coarctation).- Aneurysm/Pseudoaneurysm.- Chylothorax.- Phrenic Nerve Palsy.- Vocal Cord Palsy.- Systemic Hypertension.- Operative Technique.- Re-coarctation.- Repair of Aneurysm/Pseudoaneurysm.- Results.- Residual/Recurrent Coarctation of the Aorta.- Aneurysm/Pseudoaneurysm.- 10 Reoperations for Interrupted Aortic Arch.- Problems.- Stenosis of the Aortic Anastomosis.- Subvalvar Stenosis.- Valvar Stenosis.- Supravalve Stenosis.- Residual VSD.- Previous Palliation.- Operative Techniques.- Techniques for First Operation.- Technique for Reoperation.- Postoperative Care.- Results.- Conclusion.- 11 Reoperations After Repair of Total Anomalous Pulmonary Venous Connection.- Problems.- Complications Requiring Medical Management.- Complications Requiring Surgical Management.- Surgical Technique.- Original Operation.- Reoperation.- Postoperative Management.- Results.