By Lawrence H. Cohn, David H. Adams

In Cardiac surgical procedure within the grownup, Fourth Edition, the world’s ideal cardiovascular surgeons and physicians bring thorough, up to date insurance of operative approach, choice making, procedure, and pre- and post-operative administration for treating the grownup cardiac patient.

Editor Lawrence H. Cohn takes you thru the optimum therapy of congenital, received, infectious, and irritating ailments of the center and nice vessels. The publication starts with a heritage of cardiac surgical procedure and simple cardiac technological know-how, then strikes into every kind of cardiac surgical procedure, delivering either working towards surgeons and citizens perception into the very newest surgical protocols.

Presented in complete colour for the 1st time, the fourth version of Cardiac surgical procedure within the Adult is aligned with up to date advancements within the box together with contemporary surgical traits in minimally invasive cardiac surgical procedure. unprecedented in either scope and medical rigor, the fourth version comprises 70 chapters that spotlight each very important subject in cardiovascular surgical procedure.

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D) Close-up of the patient’s heart, showing the vena caval catheter positioned to draw venous blood from both the superior and inferior venae cavae during the cardiac bypass interval. The arterial blood from the donor circulated to the patient’s body through the catheter that was inserted into the left subclavian artery. (Reproduced with permission from Lillehei CW, Cohen M, Warden HE, et al: The results of direct vision closure of ventricular septal defects in eight patients by means of controlled cross circulation.

1-3). The machine was used to substitute for the left ventricle for 50 minutes while a surgical procedure was carried out to repair the mitral valve; the patient’s own lungs were used to oxygenate the blood. This, the first clinically successful total left-sided heart bypass in a human, was performed on July 3, 1952, and followed from Dodrill’s experimental work with a mechanical pump for univentricular, biventricular, or cardiopulmonary bypass. Although Dodrill and colleagues had used their pump with an oxygenator for total heart bypass in animals,53 they felt that left-sided heart bypass was the most practical method for their first clinical case.

MYOCARDIAL PROTECTION Melrose and colleagues62 in 1955 presented the first experimental study describing induced arrest by potassium-based cardioplegia. ” Unfortunately, the Melrose solution proved to be toxic to the myocardium, and as a result cardioplegia was not used widely for several years. Gay and Ebert63 and Tyres and colleagues64 demonstrated that cardioplegia with lower potassium concentrations was safe. Studies by Kirsch and colleagues,65 Bretschneider and colleagues,66 and Hearse and colleagues67 demonstrated the effectiveness of cardioplegia with other constituents and renewed interest in this technique.

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