Comprehensive Surgical Management of Congenital Heart Disease

The management of congenital heart disease has changed dramatically over the last decade and continues to evolve at a rapid pace. More than ever before contemporary practice requires a collaborative effort by a large healthcare team comprised not only of 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. All of these individuals need to have a clear understanding of the morphology and pathophysiology of congenital heart disease as well as the surgical manipulations that take place in the operating room. This new edition of Comprehensive Surgical Management of Congenital Heart Disease has been fully updated to incorporate all the recent developments in the current practice of congenital heart surgery. The book includes numerous anatomical illustrations providing comprehensive and detailed information about intra-operative management of the entire spectrum of congenital heart surgery. As well as providing an operative atlas that illustrates how an operation should be performed, it also incorporates an evidence-based approach to explain when and why an operation should be done as well as the risks, benefits and potential complications. Features Fully updated with uniformity of approach provided by a single surgical author Uses an evidence-based approach including comprehensive support for the recommended procedures Features exceptional illustrations by a single artist An accompanying DVD providing full motion video clips of common and rare procedures 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