Fundamentals of Congenital Minimally Invasive Cardiac Surgery

Author： Vida Vladimiro;Stellin Giovanni

Publisher： Elsevier Science‎

Publication year： 2018

E-ISBN: 9780128113561

P-ISBN(Paperback): 9780128113554

Subject： R654.2 heart

Keyword：心脏、血管（循环系）疾病,医药、卫生

Language： ENG

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Description

Fundamentals of Congenital Minimally Invasive Cardiac Surgery is a first of its kind, fully-illustrated guide that is solely dedicated to the most diffused congenital minimally invasive cardiac surgery procedures. It provides detailed, step-by-step descriptions of surgical maneuvers to underline each aspect of the procedures along with full color drawings and operative pictures to enhance understanding. Each chapter fully describes the preoperative setting, the needed materials and the required technical skills that make specific congenital heart defects amenable to minimally invasive surgical treatment.

This is the perfect go-to reference for pediatric and congenital cardiac surgeons, and is also a must-have guide for residents in cardiac surgery who are looking to review the technical aspects and outcomes of utilizing a minimally invasive approach for cardiac surgery.

Provides an extensive, step-by-step description of the most common minimally invasive pediatric cardiac surgical procedures
Uses high quality, full color drawings and operative pictures of the most important steps of the procedures to facilitate understanding
Combines information on both the detailed operations of minimally invasive pediatric cardiac surgery and the approach behind them

Chapter

Preface

Introduction

Chapter 1 - The Evolution of Minimally Invasive Cardiac Surgery for Patients With CHDs in our Institution

References

Chapter 2 - Anesthesia for Minimally Invasive Cardiac Surgery

Early Extubation and Fast-Track-Management

Institutional Management After Minimally-Invasive Cardiac Surgery

Management After Video-Assisted Thoracoscopic Surgery

Postextubation Management

References

Chapter 3 - Cardiopulmonary Bypass Strategies: Vacuum Assisted Venous Drainage

Vacuum Assisted Venous Drainage

Safety Considerations and Warnings

References

Further Reading

Chapter 4 - Surgical Instruments and Materials

Surgical Instruments and Material for Minimally Invasive Surgical Approaches

Further Reading

Chapter 5 - Operative Echocardiography

Introduction

Epicardial Echocardiography

Probes and Views

Safety

Indications

Contraindications

Pre-CPB Utility of TEE

Post-CPB Utility of TEE

3D Visualization

Conclusions

References

Further Reading

Chapter 6 - Peripheral Cardiopulmonary Bypass—The Percutaneous Cannulation of the Internal Jugular Vein

Preoperative Evaluation

Patient Preparation

PCIJV Procedure

On and Off Pump Conduct

IJV Decannulation

Patient’s Safety: Near-Infrared Spectroscopy (NIRS) Monitoring

References

Further Reading

Chapter 7 - Peripheral Cardiopulmonary Bypass—The Surgical Isolation and Cannulation of Femoral Vessels

Introduction

Central Versus Peripheral Cardiopulmonary Bypass

Surgical Isolation and Cannulation of Femoral Vessels

Orientation

Surgical Preparation and Incision

Femoral Vein and Artery Isolation and Preparation for Cannulation

Femoral Arterial Cannulation

Femoral Vein Cannulation

Femoral Vein and Artery Decannulation

References

Chapter 8 - Midline Lower Mini-Sternotomy (MS)

Surgical Technique

Orientation

Patient Preparation and Midline Mini-Sternotomy

Sternal Retraction

Thymectomy

Pericardial Patch Harvesting

Purse String and Cannulation

Postoperative Cosmetic Result

References

Chapter 9 - Right Anterior Mini-Thoracotomy (RAMT)

Introduction

Surgical Technique

Orientation

Patient Preparation and Right Anterior Mini-Thoracotomy

Chest Retraction

Pericardial Patch Harvesting and Suspension

Central Aortic Cannulation (When Necessary)

Induced Ventricular Fibrillation

Atriotomy and Intracardiac Repair

Postoperative Cosmetic Result

References

Chapter 10 - Right Lateral Mini-Thoracotomy (RLMT)

Surgical Technique

Orientation

Patient Preparation and RLMT

Right Atriotomy and Intracardiac Correction

Postoperative Cosmetic Result

Further Reading

Chapter 11 - Other Less Commonly Used Minimally Invasive Surgical Approaches

(A) Upper Mini-Sternotomy

Surgical Technique

Orientation

References

(B) Left-Lateral “Axillary” Mini-Thoracotomy

Introduction

Surgical Technique

Orientation

Operative Images

Postoperative Image

Chapter 12 - Surgical Results: A Single-Centre 20-year Experience

Mid-Line Mini-Sternotomy

Right Anterior Mini-Thoracotomy

Right Lateral (Axillary) Mini-Thoracotomy

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