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By Lawrence H. Cohn, David H. Adams

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The vintage modern advisor to center surgical procedure in adults -- thoroughly up to date via leaders within the field
A Doody's middle name crucial PURCHASE!
5 superstar DOODY'S REVIEW
"Each bankruptcy reviews the state of the art and displays the latest reviews within the overseas literature. The DVD is principally priceless. With sleek surgical textbooks turning into extra like multimedia instruments than dry stacks of unreadable pages, readers can expect visible depictions of latest suggestions. The booklet achieves its aim of laying off new mild on all of the wanted parts. this can be a nice source for doctors fascinated by the care of sufferers with cardiac surgical ailments. It definitely is a 'must have' for trainees in cardiothoracic surgical procedure in addition to for more matured practitioners who want a trustworthy replace from global well known leaders within the field."--Doody's assessment Service
In this relied on reference, well known cardiac healthcare professional and Harvard professor Dr. Lawrence H. Cohn takes you thru all elements of middle surgical procedure in adults. The text's acclaimed insurance starts with a superb evaluation of cardiac surgical procedure basics, then progresses to optimum perioperative and interoperative care ahead of overlaying the entire variety of person procedures.
Inside, you will discover over 1,000 step by step illustrations that make clear each one process, in addition to vital information on all the discipline's basic operations and operative innovations. With up-to-date and revised content material, the hot variation of this forward-thinking, landmark textual content is definitely the main up to date source of its style to be had anywhere.
Features:
All the most recent surgical views and strategies in ischemic and valvular center illness, illness of significant vessels, cardiac arrhythmias, and extra Expert authorship via one of many world's most useful cardiac surgeons, with contributions from an across the world well-known staff of authors Cutting-edge assessment of cardiothoracic transplantations, circulatory aid, and nontransplant innovations for middle failure fresh, well timed chapters on cardiac imaging, minimally invasive systems, and stem cellphone treatment Reworked representation application, that includes newly commissioned two-color drawings, with vintage art from the former variations colorized Two-color layout in the course of the textual content, which is helping you successfully navigate bankruptcy fabric, offering easy access to key info Complimentary DVD with movies that support simplify complicated methods (20081118)

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Extra resources for Cardiac Surgery in the Adult

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In a 1978 publication by Follette and colleagues,121 the technique of blood cardioplegia was reintroduced. In experimental and clinical studies, these authors demonstrated that hypothermic, intermittent blood cardioplegia provided better myocardial protection than normothermic, continuous coronary perfusion and/or hypothermic, intermittent blood perfusion without cardioplegia solution. The composition of the best cardioplegia solution remains controversial, and new formulations, methods of delivery, and recommended temperatures continue to evolve.

35,36 After presenting this first model of a mechanical prosthesis at the American College of Surgeons meeting in 1949, Hufnagel applied this concept clinically for the treatment of aortic valvular insufficiency. In his first clinical paper published in Surgery in 1954,37 Hufnagel reported a series of 23 patients starting September 1952 who had this operation for aortic insufficiency. There were four deaths among the first 10 patients and two deaths among the next 13. Hufnagel’s caged-ball valve, which used multiple-point fixation rings to secure the apparatus to the aorta, was the only surgical treatment for aortic valvular incompetence until the advent of cardiopulmonary bypass and the development of heart valves that could be sewn into the aortic annulus position.

Blueprints by General Motors engineers of the Dodrill-GMR mechanical heart. 74 During the operation, the patient developed hypotension and cyanosis. He therefore was placed on partial bypass at 1 L/min for 20 minutes. Although the mass was resected successfully, the Italian machine was never used for open-heart surgery in humans. Forest Dodrill and colleagues used the mechanical blood pump they developed with General Motors on a 41year-old man76 (Fig. 1-3). The machine was used to substitute for the left ventricle for 50 minutes while a surgical procedure was carried out to repair the mitral valve; the patient’s own lungs were used to oxygenate the blood.

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