Minimally Invasive Cardiac Surgery / Edition 1

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Overview

A comprehensive review by renowned authorities of the many exciting developments occurring across the rapidly emerging field of "minimally invasive" or "minimal access" cardiac surgery. The book's distinguished panel of contributors presents the interventional cardiologists perspective, spells out the key factors for success in beating-heart coronary bypass grafting through limited incisions, and surveys the various methods of harvesting the internal thoracic artery. Other topics treated include immobilization of the surgical field, minimal access valve and congenital surgery, alternative methods of anastomosis, and port-access coronary bypass grafting. Minimally Invasive Cardiac Surgery summarizes all the latest findings on the powerful new techniques, as well as the results, of minimally invasive coronary surgery, including valvular heart disease, congenital heart disease, and coronary revascularization.

The book contains black-and-white illustrations.

This book provides the state-of-the-art developments in the field of "minimally invasive" or "minimal access" cardiac surgery. Organized into three major sections, the first section, Physiology of Injury, consists of a basic science review of the pathophysiological mechanisms underlying cardiopulmonary bypass and endothelial injury. The second section, Less Invasive Approaches to Coronary Bypass Grafting, is the most extensive section in the book, and has contributions from the pioneers of the various surgical techniques including videoscopic and thoracoscopic approaches. The final section addresses growing areas of less invasive cardiac surgery including valvular and congenital heart operation.

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Editorial Reviews

Doody's Review Service
Reviewer: Ralph J. Damiano, MD (Washington University School of Medicine)
Description: This book describes the new developments in the field of minimally invasive cardiac surgery (MICS). It is separated into three sections. The first part, "Physiology of Injury," consists of a basic science review of the pathophysiology of cardiopulmonary bypass and vascular injury. The next two sections deal with less invasive approaches to coronary artery bypass grafting and non-coronary MICS.
Purpose: The purpose is to provide the reader with an up-to-date review of MICS and to outline an optimal approach for this rapidly developing new field. The book is both a timely and extremely usable review of this area, and meets the editors' objectives.
Audience: It is written primarily for practicing cardiac surgeons, but is also an excellent review for surgical residents. All the chapters are written by leading practitioners and active investigators in the field who are recognized authorities.
Features: The strength of this book is the excellent quality of the contributors. It is also unique in that it not only covers present minimally invasive techniques, but provides the physiologic justification for their development, with excellent chapters on the pathophysiology of cardiopulmonary bypass and endothelial injury. There is also an excellent chapter comparing minimally invasive coronary artery bypass grafting with percutaneous interventions, providing the reader with a perspective of where these new procedures fit into the overall spectrum of care. There are also chapters looking into the future, particularly into alternative approaches to vascular anastomoses and device-supported myocardial revascularization. The only shortcoming of this book is the generally poor quality of illustrations.
Assessment: This is a superb contribution to the literature and is perhaps the most concise and comprehensive review of the field of MICS to date. It is must reading for surgeons interested in this field.
Texas Heart Institute Journal
Mehmet Oz and Daniel Goldstein have succeeded in providing a timely review of an important new arena in cardiac surgery. . .The book is divided into 3 major sections. The 1st contains an excellent review of the pathophysiologic reactions to cardiac bypass, ischemia and reperfusion, and endothelial cell injury. . .In the 2nd section, the authors present a broad overview of subjects pertaining to less invasive approaches to coronary bypass grafting. . .The final section of the book explores the application of less-invasive approaches to valvular and congenital heart operations by means of limited sternal or thoracic incisions. . .Each contribution is authoritative, well-illustrated, and supported by clinically relevant patient information. . .We are indebted to Drs. Oz and Goldstein for providing this timely resource.
Ralph J. Damiano
This book describes the new developments in the field of minimally invasive cardiac surgery (MICS). It is separated into three sections. The first part, "Physiology of Injury," consists of a basic science review of the pathophysiology of cardiopulmonary bypass and vascular injury. The next two sections deal with less invasive approaches to coronary artery bypass grafting and non-coronary MICS. The purpose is to provide the reader with an up-to-date review of MICS and to outline an optimal approach for this rapidly developing new field. The book is both a timely and extremely usable review of this area, and meets the editors' objectives. It is written primarily for practicing cardiac surgeons, but is also an excellent review for surgical residents. All the chapters are written by leading practitioners and active investigators in the field who are recognized authorities. The strength of this book is the excellent quality of the contributors. It is also unique in that it not only covers present minimally invasive techniques, but provides the physiologic justification for their development, with excellent chapters on the pathophysiology of cardiopulmonary bypass and endothelial injury. There is also an excellent chapter comparing minimally invasive coronary artery bypass grafting with percutaneous interventions, providing the reader with a perspective of where these new procedures fit into the overall spectrum of care. There are also chapters looking into the future, particularly into alternative approaches to vascular anastomoses and device-supported myocardial revascularization. The only shortcoming of this book is the generally poor quality of illustrations. This is a superbcontribution to the literature and is perhaps the most concise and comprehensive review of the field of MICS to date. It is must reading for surgeons interested in this field.
Booknews
A review of the many developments occurring across the rapidly emerging field of minimally invasive cardiac surgery. Eighteen contributions present the interventional cardiologist's perspective, spell out the key factors for success in beating-heart coronary bypass grafting through limited incisions, and survey the various methods of harvesting the internal thoracic artery. Representative topics include visualization techniques for minimally invasive cardiac surgery; device-supported myocardial revascularization; the economic impact of less invasive cardiac operations; and minimally invasive approaches to congenital heart surgery. Annotation c. by Book News, Inc., Portland, Or.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780896036352
  • Publisher: Springer-Verlag New York, LLC
  • Publication date: 10/26/1998
  • Series: Contemporary Cardiology Series
  • Edition description: 1999
  • Edition number: 1
  • Pages: 238
  • Product dimensions: 10.00 (w) x 7.00 (h) x 0.63 (d)

Table of Contents

Preface
Contributors
1 Pathophysiology of Cardiopulmonary Bypass 3
2 Endothelial Injury During Minimally Invasive Bypass Grafting 27
3 Minimally Invasive Bypass Grafting: A Historical Perspective 45
4 Tailoring Minimal Invasive Coronary Bypass to the Patient 53
5 OPCAB: A Primer on Technique 67
6 Mechanical Stabilization: The Medtronic Octopus System 75
7 Mechanical Stabilization Systems: The Genzyme OPCAB Elite System 89
8 Mechanical Stabilization Systems: The Guidant OPCAB System 105
9 The MIDCAB Operation 113
10 Minimally Invasive Coronary Artery Bypass Grafting on the Beating Heart: The European Experience 129
11 Minimally Invasive Coronary Artery Bypass Grafting: The South American Experience 147
12 Reoperative Off-Pump CABG 157
13 Perioperative Evaluation of Graft Patency in OPCAB 179
14 Minimally Invasive Conduit Harvesting 193
15 Hybrid Revascularization 207
16 Neurocognitive Issues in Off-Pump CABG 217
17 Multivessel Off-Pump Revascularization in High-Risk Patients: Severe Left Ventricular Dysfunction 229
18 Multivessel Off-Pump Revascularization in High-Risk Populations: Octogenarians 241
19 Minimally Invasive Mitral Valve Surgery 255
20 Port-Access Mitral Valve Surgery 273
21 Minimally Invasive Aortic Valve Surgery 293
22 Strategies for Reducing Trauma in Congenital Heart Surgery 311
23 Thoracoscopic Pericardial Surgery 327
24 Less Invasive Surgical Treatment of Atrial Fibrillation 343
25 The Economic Impact of Minimally Invasive Cardiac Surgery 361
26 Minimally Invasive Cardiac Surgery: Quality-of-Life Issues 369
27 Experimental Percutaneous Mitral Valve Repair 383
28 Alternative Anastomotic Techniques 393
29 Making Cardiopulmonary Bypass Less Invasive 411
30 Robotics and Telemanipulation: The Zeus System 429
31 Robotics and Telemanipulation: The da Vinci System 445
32 Totally Endoscopic Atrial Septal Defect Repair with Robotic Assistance 461
Index 471
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