The Current Status of Cardiac Surgery

1 Cardiac Transplantation.- 1. Introduction.- 2. Transplantation of other organs.- 3. Logistics of organ acquisition.- 4. The significance of tissue typing and matching in cardiac transplantation.- 5. Vascular lesions in experimental transplantation.- 6. Cardiac transplantation today.- 7. The place of transplantation.- 2 Fallot’s Tetralogy.- 8. The surgical anatomy of Fallot’s tetralogy.- 9. Angiographic aspects of Fallot’s tetralogy in infants.- 10. The present indications of palliation in Fallot’s tetralogy.- 11. Total correction after previous Blalock-Taussig shunt.- 12. Total correction after the Brock procedure.- 13. Radical corrective surgery after Waterston shunts.- 14. Current concepts in the management of Fallot’s tetralogy.- 15. Primary total correction of Fallot’s tetralogy under the age of two years.- 16. Correction of tetralogy of Fallot.- 17. Revaluation after total correction of Fallot’s tetralogy.- 18. The need for homograft reconstruction of the right ventricular outflow tract in Fallot’s tetralogy.- 3 Prosthetic Valves.- 19. The design characteristics of heart valves.- 20. Echocardiographic studies following mitral valve replacement.- 21. Myocardial preservation during aortic valve replacement.- 22. The cage ball prosthesis.- 23. Five years experience with the Björk-Shiley disc valve in aortic, mitral and tricuspid valvular disease.- 24. The Australian experience with prosthetic valves.- 25. The use of Starr-Edwards composite seat valves (models 2320 and 6320) in the aortic and mitral positions.- 26. Mitral valve replacement.- 27. The use of Starr-Edwards valves (model 1260).- 28. The use of Braunwald Cutter valves: Part 1.- 29. Experience with the Björk-Shiley prosthesis: Part I.- 30. Experience with the Björk-Shiley prosthesis:Part II.- 31. The use of the Braunwald Cutter valve: Part II.- 4 Tissue Valve Replacement and Repair.- 32. Viability of homografts and problems of long-term storage.- 33. Problems of sterilisation in homograft preparation.- 34 Tissue valve preparation.- 35. Mechanical characteristics of vena cava and a technique for its use, unsupported, for mitral valve replacement.- 36. Homograft and autograft replacement of the aortic valve.- 37. Experience with heterografts.- 38. Homograft replacement of the mitral valve.- 39. Experience with tissue heart valves.- 40. Late results of cardiac valve replacement with autologous fascia lata.- 41. Reconstructive valve surgery.- 5 Open-Heart Surgery under One Year of Age.- 42. Open-heart surgery in the first year of life.- 43. Experience with infant perfusions.- 44. Management of ventricular septal defects in infants.- 45. Total surgical correction of total anomalous pulmonary venous drainage in infants.- 46. Operative treatment of patients with transposition of the great arteries in infancy.- 47. Treatment of valvar stenosis.- 6 Post-Operative Care following Cardio-thoracic Surgery.- 48. Osmolar balance after open-intracardiac operations in children.- 49. Peripheral temperature measurement as an aid to postoperative care.- 50. Atrial pressure measurement after open-heart surgery.- 51. Assessment of left ventricular function and simultaneous measurements of pressure and dimension.- 52. Measurement of cardiac output in infants and young children using thermodilution.- 53. Cardiac output and its derivatives using an implantable electromagnetic flow probe and intra-cardiac manometers.- 54. The place of the computer and automation in postoperative care.- 7 Ischaemic Heart Disease.- 55. Selection of patients for coronary artery surgery.- 56.Pre and postoperative investigation.- 57. Problems of technique in aorto-coronary bypass operations.- 58. The coronary bypass operation.- 59. Coronary endarterectomy.- 60. Postoperative blood flow in auto-coronary saphenous vein bypass grafts.- 61. Pathological aspects of ischaemic heart disease.- 62. The intra-aortic balloon pump.- 63. Infarctectomy.- 64. Surgical treatment of left ventricular aneurysm.- 65. Management of postinfarction mitral regurgitation.- 66. The treatment of postinfarction VSD.- 8 Results of Surgery in Rare Congenital Heart Disease.- 67. Results of surgery in rare congenital heart disease.- 9 Discussion.