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Endoscopic Mitral Valve Surgery : Handbook of Minimal-Invasive Cardiac Surgery.
The book describes first all practical steps necessary in a clinic from the idea of the introduction of the minimally-invasive mitral valve surgery up to practical realization of the operation program. An extensive and detailed representation of the reconstruction technologies possible today as well...
| Clasificación: | Libro Electrónico |
|---|---|
| Autor principal: | |
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
Berlin :
De Gruyter,
2011.
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| Temas: | |
| Acceso en línea: | Texto completo |
Tabla de Contenidos:
- Preface; 1 Introduction; 1.1 General thoughts on endoscopic surgery; 1.1.1 The philosophy; The ideas behind it; Complexity; Experience; Valve repair
- frequency of valve replacements; 1.1.2 The team; 1.1.3 Holding out; 1.2 How to start an endoscopic program; 1.2.1 Starting conditions for endoscopic mitral valve surgery; 1.2.2 Patient-related arguments; Prognosis; Need for blood transfusion; Wound-healing disturbances; Cosmetic reason; 1.2.3 Hospital-related arguments; Marketing; Economic reasons; 1.2.4 Patient selection; 1.2.5 Teaching course.
- 1.2.6 Starter kit for endoscopic mitral valve surgery1.2.7 Overview; 2 Anesthesiology and pain management; 2.1 Intubation and ventilation; 2.2 Pain management; 3 Technical prerequisites; 3.1 Cannulas and extracorporeal circulation; 3.1.1 Arterial cannulas (retrograde perfusion); 3.1.2 Arterial cannulas (antegrade perfusion); 3.1.3 Venous cannulas; 3.1.4 Extracorporeal circulation; 3.2 Accessories; 3.2.1 Soft-tissue retractor; 3.2.2 Arms for videoscopic camera and atrial retractor; 3.3 Instruments; 3.3.1 Atrial hook; 3.4 Sutures; 4 Preparations; 4.1 Arterial and venous cannulation.
- 4.1.1 Femoral vessel cannulation after preparation4.1.2 Direct cannulation of the ascending aorta; 4.2 Mini-thoracotomy; 4.3 Ports; 4.4 Videoscopy; 4.4.1 The wrinkle; 4.4.2 The diameter; 4.4.3 The monitor picture; 4.4.4 Additional helpful details; 4.5 Cardioplegia; 4.5.1 Use of cardioplegia; 4.5.2 Operations under fibrillation; 4.6 Aortic clamping; 4.6.1 Endoclamping; 4.6.2 The Chitwood technique; 4.6.3 Complications; 5 Valve repair techniques; 5.1 Quadrangular resection; 5.1.1 Pathological anatomy; 5.1.2 Theoretical remarks; 5.1.3 Practical realization; Identifying the prolapse.
- Cutting out of the prolapseNarrowing of the annulus; Closure of the gap; 5.2 Triangular resection; 5.2.1 Pathological anatomy; 5.2.2 Theoretical remarks; 5.2.3 Practical realization; Identifying the prolapse; Cutting out the prolapse; Narrowing of the annulus; Closure of the gap; 5.3 Sliding technique; 5.3.1 Pathological anatomy; 5.3.2 Theoretical remarks; 5.3.3 Practical realization; Identifying the diseased parts; Cutting out of diseased part(s); Retiring the leaflet; Narrowing of the annulus; Sliding and refixation; 5.4 Neochords
- preformed loops; 5.4.1 Pathological anatomy.
- 5.4.2 Theoretical remarks5.4.3 Practical realization; Identifying the diseased parts; Measurement of the chordae length; Implantation of preformed loops; 5.5 Neochords
- flexible length; 5.5.1 Pathological anatomy; 5.5.2 Theoretical remarks; 5.5.3 Practical realization; Identifying the diseased parts; Measurement of the chorda length; Implantation of flexible chords; 5.6 Artificial rings; 5.6.1 Theoretical remarks; 5.6.2 Implantation technique; 5.6.3 Complications; 5.7 Emergency exit; 5.7.1 Theoretical remarks; 5.7.2 Practical performing; 6 Tips and tricks; 6.1 Perfusion's challenge.