Redo Cardiac Surgery in Adults [electronic resource] /
Machiraju, V.R.editor.
Schaff, Hartzell V.editor.
Svensson, Lars G.editor.
Redo cardiac surgeries are challenging cases with a myriad of influential factors, ranging from the patient's pathology to the whimsy of the previous surgeon. Redo Cardiac Surgery in Adults, 2nd Edition clearly outlines practical approaches, surgical techniques, and management of associated conditions such as perioperative stroke and acute kidney function. It covers the spectrum of redo cardiac operations, including coronary artery bypass, mitral valve repair, reoperation for prosthetic mitral valve endocarditis, aortic arch reoperation, descending and thoracoabdominal aortic reoperation, and reoperations following endovascular aortic repair. All redo cardiac surgeries present a complex array of challenges beyond what the original procedure demands. This book, written by an outstanding group of prominent physicians, will give the reader the knowledge and tools to approach these cases with confidence.
Description based upon print version of record.
Redo Cardiac Surgeryin Adults; Preface to the Second Edition; Contents; Contributors; 1: Problems Related to Redo Cardiac Surgery; Introduction; Redo Sternotomy and Institution of Cardiopulmonary Bypass; Calcified Ascending Aorta; Coronary Sinus Perfusion; Limited Surgical Dissection; Exposure of the Mitral Valve While Limiting Dissection; De-airing of the Heart; Low Cardiac Output Syndrome; Vasoplegic Syndrome; Emergency Redo Cardiac Surgery; Conclusion; References; 2: Practical Approaches to the Current "On-Pump" Redo Coronary Artery Bypass Surgery; Introduction; Technical Demands
Redo SternotomyPatent ITA Grafts; Institution of Cardiopulmonary Bypass; Myocardial Protection During Redo Cardiac Surgery; Vein Graft Failure and Prevention of Vein Graft Atheroembolism; Management of Perioperative Hemorrhage; Conduits for Bypass Surgery; Internal Thoracic Artery; Preparation of Venous Conduits; Radial Artery; Alternative Conduits; Indications for Redo Coronary Artery Bypass Surgery; Identifying Coronary Artery Branches; Combined Surgical Procedures; Conclusions; References; 3: Off-Pump Coronary Artery Bypass Grafting for Repeat Coronary Revascularization; Patient Selection
Operative StrategyDistal Anastomosis; Proximal Anastomosis; Alternative Approaches; Outcomes; References; 4: Management of Perioperative Stroke; Introduction; Perioperative Stroke Risk; Coexistent Coronary and Carotid Disease; Stroke Prevention in Cardiac Surgery; Treatment of Perioperative Stroke; Summary; References; 5: Acute Kidney Injury Associated with Cardiac Surgery; Introduction; Incidence and Prognosis of ARF After Bypass Surgery; Risk Factors Associated with ARF; Predictive Scoring Systems; Pathogenesis of ARF; Preoperative Events; Intraoperative Events; Hemodynamic Effects
InflammationOther Events Associated with CPB; Postoperative Events; General Measures to Prevent AKI After Cardiac Surgery; Identification of High-Risk Patients; Optimization Renal Perfusion and Avoidance of Nephrotoxins; Pharmacological Interventions to Prevent AKI Following Cardiac Surgery; Drugs That Increase Renal Blood Flow; Drugs That Induce Natriuresis; Drugs That Block Inflammation; Other Strategies; Summary; References; 6: Pulmonary Factors in Redo Open Heart Surgery; References; 7: Transfusion Therapy in Reoperative Cardiac Surgery; Management of Bleeding
Red Cell Component SelectionRecombinant VIIa; Conclusions; References; 8: Anesthesia for Redo Cardiac Surgery; References; 9: Options for Advanced Mechanical Support for Cardiogenic Shock Complicating Cardiac Reoperations; Intra-Aortic Balloon Pump; Extracorporeal Membrane Oxygenation; Thoratec Paracorporeal Ventricular Assist Device; Abiomed BVS 5000 and AB 5000 Assist Devices; Levitronix CentriMag; Considerations for Biventricular Support; TandemHeart; The Abiomed Impella 5.0 and LD; Summary; References; 10: Reoperations for Mitral Valve Disease: Surgical Approaches and Techniques
Introduction
Includes bibliographical references and index.
Redo cardiac surgeries are challenging cases with a myriad of influential factors, ranging from the patient's pathology to the whimsy of the previous surgeon. Redo Cardiac Surgery in Adults, 2nd Edition clearly outlines practical approaches, surgical techniques, and management of associated conditions such as perioperative stroke and acute kidney function. It covers the spectrum of redo cardiac operations, including coronary artery bypass, mitral valve repair, reoperation for prosthetic mitral valve endocarditis, aortic arch reoperation, descending and thoracoabdominal aortic reoperation, and reoperations following endovascular aortic repair. All redo cardiac surgeries present a complex array of challenges beyond what the original procedure demands. This book, written by an outstanding group of prominent physicians, will give the reader the knowledge and tools to approach these cases with confidence.
Cardiac surgery.
Thoracic surgery.
Surgery.
Cardiac Surgery.
Thoracic Surgery.
Surgery.