Comprehensive Surgical Management of Congenital Heart Disease

Description

Since the first edition of this book was published in 2004, the management of congenital heart disease has continued to evolve at a rapid pace. Not only have new operations been developed and expanded, such as the intra/extracardiac conduit Fontan and the double root translocation for corrected transposition, but in addition, diagnostic methods—particularly cardiac CT and MRI—have been dramatically transformed.

Understanding of the genetic basis of congenital heart disease and the embryology of cardiac development has progressed even more rapidly. What has not changed is that optimal outcomes for children and adults with congenital heart disease can only be achieved by a collaborative team effort. The team includes not only congenital cardiac surgeons but also pediatric cardiac nurses, pediatric cardiologists, perfusion and respiratory technicians, pediatric cardiac intensivists, pediatric cardiac anesthesiologists, ultrasonographers, and MRI and catheter laboratory technicians.

This second edition of Comprehensive Surgical Management of Congenital Heart Diseasedescribes in detail the contemporary practice of Richard A. Jonas and the cardiac team at Children’s National Medical Center in Washington, D.C. The book once again includes numerous beautiful illustrations providing comprehensive and detailed information about intra-operative management of the entire spectrum of congenital heart surgery. In addition, the companion VitalSource ebook contains more than 50 operative videos that have been edited and narrated to highlight the key steps in complex surgical procedures.

The book incorporates an evidence-based approach, supported throughout by numerous scientific citations, to explain when and why an operation should be done as well as the risks, benefits, and potential complications.

Table of contents

Background
Why early primary repair
Surgical technique
Biomaterials for congenital cardiac surgery
Anesthesia for congenital heart surgery
Pediatric cardiac intensive care

Cardiopulmonary Bypass
The bypass circuit: hardware options
Prime constituents and hemodilution
Carbon dioxide, pH and oxygen management
Hypothermia, reduced flow and circulatory arrest
Myocardial protection

Specific congenital cardiac anomalies
Patent ductus arteriosus, aortopulmonary window, sinus of Valsalva fistula, aortoventricular tunnel
Coarctation of the aorta
Atrial septal defect
Ventricular septal defect
Transposition of the great arteries
Tetralogy of Fallot with pulmonary stenosis
Valve surgery for congenital heart disease
Left ventricular outflow tract obstruction: aortic valve stenosis, subaortic stenosis, supravalvar aortic stenosis
Hypoplastic left heart syndrome
Single ventricle
Complete atrioventricular canal
Anomalies of the pulmonary veins
Double outlet right ventricle
Truncus arteriosus
Tetralogy of Fallot with pulmonary atresia
Pulmonary atresia with intact ventricular septum
Interrupted aortic arch
Congenitally corrected transposition of the great arteries
Vascular rings, slings, and tracheal anomalies
Anomalies of the coronary arteries