Color Atlas of Congenital Heart Surgery (eBook)

eBook Download: PDF
2007 | 2. Auflage
XVI, 479 Seiten
Springer New York (Verlag)
978-0-387-49925-3 (ISBN)

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Color Atlas of Congenital Heart Surgery -  S. Bert Litwin
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This thorough revision of Color Atlas of Congenital Heart Surgery features 700 vividly reproduced intraoperative images taken with a special side-mounted flash. They convey exquisite perception of depth in the operative field in full color. The atlas presents surgical techniques for the full spectrum of cardiac congenital anomalies. This includes revised and updated text on many topics such as repair of straddling tricuspid valve associated with the posterior ventricular septal defect. Throughout the text, the carefully labeled photographs provide vivid representation of three-dimensional spatial relations of congenital anomalies and surgical anatomy.


The last three decades have witnessed enormous progress in the care of patients with congenital heart disease. Treatment of congenital heart disease is highly dependent on technology and much of the progress we have witnessed is attrib- utable to technological advances we take almost for granted today. It would be difficult to overestimate the impact of these advances; noteworthy examples include the development of 2-D Doppler echocardiography resulting in increased diagnostic accuracy, improvements in preoperative management including the use of prostaglandins for maintaining ductal patency, better intraoperative support such as the development of cardiopulmonary bypass circuits specifically designed for neonates and infants and improvements in postoperative care too numerous to delineate. As the spectrum of congenital heart disease we can treat successfully has broadened and the results have improved much of the focus has shifted, properly, to long-term issues such as neurodevelopmental outcome and quality of life. Despite the current focus on long-term outcomes we must not forget that surgery is central to our treatment strategy. The word technology is derived from the Greek word "e;techne"e; meaning craft and before any late out- comes can be measured the "e;craft"e; of surgery must be performed with excellence. Dr. Litwin's career has spanned these last three decades and he has witnessed and participated in the evolution of congenital heart surgery. The second edition of a "e;Color Atlas of Congenital Heart Surgery"e; is an outstanding contribution to the field by a master of the craft of congenital heart surgery.

Foreword 6
Preface 8
Acknowledgments 10
Contents 12
1 Anomalous Systemic Venous Return 16
1- 1. Left Superior Vena Cava Draining to Roof of Left Atrium 17
1- 2. Right Superior Vena Cava Draining to Roof of Left Atrium 19
2 Secundum Atrial Septal Defect 24
2-1. Isolated Secundum Atrial Septal Defect 25
2-2. Atrial Septal Defect with Partial Anomalous Pulmonary Venous Connection 30
3 Tricuspid Valve Anomalies 44
3-1. Tricuspid Insufficiency - DeVega Annuloplasty 44
3-2. Ebstein's Anomaly 45
4 Endocardial Cushion Defects 52
4-1. Primum Atrial Septal Defect 53
4-2. Common Atrium 56
4-3. Inlet Ventricular Septal Defect 58
4-4. Complete Atrioventricularis Communis or Atrio- Ventricular Canal 60
4- 5. Complete Atrio- Ventricular Canal and Tetralogy of Fallot 80
5 Ventricular Septal Defects 89
5-1. Perimembranous Ventricular Septal Defect 89
5-2. Subpulmonary Ventricular Septal Defect 94
5-3. Inlet Ventricular Septal Defect 102
5- 4. Muscular Ventricular Septal Defect 106
5- 5. Pulmonary Artery Banding and Band Removal at Subsequent Total Repair 111
6 Fontan Operation 116
6-1. First- Stage Fontan Procedure 116
6- 2. Obstruction of Bulboventricular Foramen 139
7 Pulmonary Stenosis 144
7-1. Valvular Pulmonary Stenosis 144
7- 2. Infundibular Stenosis and Double Chamber Right Ventricle 146
8 Pulmonary Atresia and Intact Ventricular Septum 150
9 Tetralogy of Fallot 153
9-1. Palliative Shunts and Outflow Tract Reconstruction 153
9-2. Total Repair of Simple Tetralogy of Fallot - Transventricular 161
9-3. Repair of Hypoplastic Right Ventricular Outflow Tract 172
9-4. Repair with Conus Left Anterior Descending Coronary Artery 178
9- 5. Repair of Shunts 180
9- 6. Late Pulmonary Valve Placement after Tetralogy Repair with a Transannular Patch 188
9- 7. Palliation and Repair of Tetralogy of Fallot with Absent Pulmonary Valve Syndrome 192
10 Double Outlet Ventricles 203
10-1. Double Outlet Right Ventricle 203
10-2. Double Outlet Left Ventricle 208
11 Pulmonary Atresia with Ventricular Septal Defect 213
11-1. Total Repair 213
11-2. Recruitment of Multiple Anomalous Collateral Arteries 224
12 Pulmonary Venous Anomalies 229
12-1. Total Anomalous Pulmonary Venous Connection 229
12-2. Pulmonary Vein Stenosis 246
13 Left Atrial Obstructive Lesions 252
13-1. Cor Triatriatum 252
13-2. Supramitral Ring 256
14 Valvular Stenosis 260
14-1. Valvular Stenosis 260
14-2. Subaortic Stenosis: Fibromuscular Obstruction 262
14-3. Modified Konno Procedure 270
14- 4. Supravalvar Stenosis 274
14-5. Aortic Root Enlargement Procedures 283
14- 6. Apical Left Ventricle to Ascending Aorta Conduit 297
15 d-Transposition of the Great Arteries 300
15-1. Arterial Switch: Jatene Operation 300
15-2. Rastelli Operation 322
15-3. Kawashima Operation 331
16 1- Transposition of the Great Arteries 334
16-1. With a Ventricular Septal Defect and Pulmonic Stenosis 334
16-2. Double-Switch Operation 341
17 Truncus Arteriosus 358
17-1. Valved Conduit Repair 358
17-2. Valveless Patch Repair 370
17-3. Late Replacement of Obstructed Conduit 374
17- 4. Palliation with Plication 379
17- 5. Truncal Valve Stenosis 382
18 Aortic Root Anomalies 384
18-1. Anomalous Origin of the Left Coronary Artery 384
18-2. Anomalous Ostium and Intramural Coronary Artery 397
18-4. Aortopulmonary (A-P) Window 408
18-5. Aortic Origin of Pulmonary Artery 410
18- 6. Left Ventricle to Aorta Tunnel 412
18- 7. Sinus of Valsalva Aneurysm 415
18-8. Aortic Atresia and Hypoplastic Left Heart Syndrome 417
19 Interrupted Aortic Arch 430
19-1. Type A Interruption 430
19-2. Type B Interruption 431
20 Coarctation of the Aorta 440
20-1. Resection and Primary Anastomosis 440
20-2. Subclavian Artery Flap Angioplasty 443
20-3. Subclavian Artery Translocation Angioplasty 452
20-4. Dacron® Patch Angioplasty 454
21 Patent Ductus Arteriosus 459
22 Vascular Ring and Vascular Sling 466
22-1. Double Aortic Arch 466
22-2. Right Arch with Left Ligamentum 470
23 Miscellaneous 478
23-1. Ectopia Cortis 478
23-2. Permanent Cardiac Pacemaker 486
Index 488

Erscheint lt. Verlag 24.9.2007
Zusatzinfo XVI, 479 p.
Verlagsort New York
Sprache englisch
Themenwelt Schulbuch / Wörterbuch Lexikon / Chroniken
Medizinische Fachgebiete Chirurgie Herz- / Thorax- / Gefäßchirurgie
Medizin / Pharmazie Medizinische Fachgebiete Innere Medizin
Medizin / Pharmazie Medizinische Fachgebiete Pädiatrie
Schlagworte anatomy • Cardiology • cardiothoracic • heart • heart defect • Pediatrics • Surgery
ISBN-10 0-387-49925-3 / 0387499253
ISBN-13 978-0-387-49925-3 / 9780387499253
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