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.

In 1962, Thomas Kuhne coined the term “paradigm shift” while arguing that human knowledge advances by quantum leaps with interspersed smaller steps. Preparation for the major advance is generally not a concerted effort by thought leaders. Rather, a few (or one) visionaries gain insights into a process and are able to definitely demonstrate the accuracy of their worldview. Often, the epiphany does not occur during the intellectual lifetime of the discoverers. Medicine has had numerous such “paradigm shifts” including the compelling reworking of Galen’s concepts of the body. Of note, the scientific world of the time explained the new views by arguing that the human body must have changed between the time of ancient Greece and modern Europe. The inauguration of cardiac surgery itself required profound shifts in medicine’s view of physiology. Yet, over the ensuing 40 years, the field was fine tuned so we could provide greater than 95% success rates in elective surgery with low cost and short h- pital stays. In some parts of the world, the procedures were viewed as commodities and prices dropped as providers were unable to differentiate the quality of their work. As patients and their physicians became more demanding, the desire to make the procedures “minimally invasive” grew. In effect, what we were really searching for was a life saving procedure that also preserved quality of life. In short, “minimally invasive” has really been a code phrase for procedures that disrupt our quality of life the least.

Minimally invasive cardiac surgery(MICS) is an integral component of every future cardiac surgeon’s training. There continues to be a growing global demand towards less invasive surgical techniques. Both cardiologist and cardiac surgeon form "heart teams" to provide patients with novel, minimally invasive procedures, with all their benefits. Less invasive techniques are often complex and require special knowhow and skills. This book offers an innovative approach to learning, utilizing QR code technology, which refers the reader to essential audio-visual material, which, along with the didactic text, focuses on practical aspects of minimally invasive cardiac surgery. In modern Heart Teams, and with the advent of the hybrid era, surgeons will only be able to survive if they have state-of-the-art skills in less invasive technologies, which can be incorporated in the hybrid theatre and/or trans-catheter arena. This text accompanies the surgeon along this path, and provides clinical advice and practical solutions, beyond the necessary basic knowledge. Which courses to visit, which videos to watch, which centres to join for serious training? How best to exploit public and multimedia? How to consent a patient into a MICS procedure? How to set up a MICS program or practice? In the era of value driven outcomes, and a shift towards shorter and better patient journeys, MICS is a skill that no heart surgeon can be without. Minimally Invasive Cardiac Surgery: A Practical Guide is a teaching resource, reference book and manual written by surgeons who both operate and teach the procedures described within. Provides access to online resources via QR codes Includes links to videos and the e-version of the text Acts as a gateway to a huge choice of minimally invasive cardiac surgery materials

Fundamentals of Congenital Minimally Invasive Cardiac Surgery is a first of its kind, fully-illustrated guide that is solely dedicated to the most diffused congenital minimally invasive cardiac surgery procedures. It provides detailed, step-by-step descriptions of surgical maneuvers to underline each aspect of the procedures along with full color drawings and operative pictures to enhance understanding. Each chapter fully describes the preoperative setting, the needed materials and the required technical skills that make specific congenital heart defects amenable to minimally invasive surgical treatment. This is the perfect go-to reference for pediatric and congenital cardiac surgeons, and is also a must-have guide for residents in cardiac surgery who are looking to review the technical aspects and outcomes of utilizing a minimally invasive approach for cardiac surgery. - Provides an extensive, step-by-step description of the most common minimally invasive pediatric cardiac surgical procedures - Uses high quality, full color drawings and operative pictures of the most important steps of the procedures to facilitate understanding - Combines information on both the detailed operations of minimally invasive pediatric cardiac surgery and the approach behind them

As a result of the significant progress in the development of emerging technologies and improved surgical techniques in the cardiovascular field, Minimally Invasive Cardiac Surgery (MICS) has undergone a rapid evolution over the past two decades. Currently, nearly half of all cardiac surgeries are performed through small skin incisions (minithoracotomy and ministernotomy), or involve other less-invasive approaches (no involvement of cardiopulmonary bypass, valve-sparing operations, etc.). This trend continues to evolve, notably with the development of increasingly efficient endoscopic, robotic and transcatheter procedures.

The thoroughly updated Second Edition of this highly acclaimed text provides a concise yet comprehensive reference on the clinical and scientific principles of cardiovascular and thoracic anesthesia. The foremost authorities in cardiac anesthesia cover topics particular to this specialized field, such as extracorporeal circulation, transesophageal echocardiography, the physiology and pharmacology of anticoagulation, cardiac catheterization, invasive cardiology, and congenital heart disease. Ideal for residents, fellows, and practicing anesthesiologists, this important text provides comprehensive, practical guidance for all aspects of cardiac anesthesia.

It is now 20 years since thoracoscopic surgery first entered everyday hospital practice, revolutionizing surgery and offering major benefits to patients. The intervening years have witnessed rapid progress, with the development of a variety of specialized techniques and equipment. This superbly illustrated book provides authoritative and comprehensive descriptions of the various minimally invasive techniques that are currently employed in thoracic and cardiac surgery. A wide range of thoracoscopic procedures are explained and discussed, and detailed attention is also paid to robotic and robot-assisted surgical techniques. Throughout, the emphasis is on clear description of procedures and identification of practical aspects of relevance in surgical practice. The authors are some of the world’s most experienced thoracic and cardiac surgeons, and many of them have contributed greatly to the exploration and development of the field.

Advanced Therapy in Cardiac Surgery - Second Edition This second edition of Advanced Therapy in Cardiac Surgery presents state-of-the-art techniques and an in-depth review of cardiac surgery from the leading authorities. Each of the 62 succinct chapters represents the personal treatment protocols of the experts. The Advanced ......

Delivers the “big picture” from pre-op through extended recovery in quick-access format This concise clinical guide provides nurses who care for cardiac patients with speedy access to information and guidelines they need to know and use daily. Heavily updated with the newest clinical practice information, the third edition emphasizes postoperative complications and the nursing interventions designed to prevent and treat them. It includes updated coverage of risk factors for stroke and congenital heart disease and discusses new antithrombotics and antiplatelet medications. Bulleted information, brief paragraphs, boxed indicators highlighting key information, and Fast Facts boxes are included in each chapter. The book’s consistent organization facilitates quick access to information on equipment, procedures, and pre- and post-op specialty care. Ideal for new graduates and nurses considering a switch to cardiac care and critical care, this resource reinforces existing knowledge and provides a foundation for developing additional skills. New to the Third Edition: Encompasses the latest research and guidelines Emphasizes postoperative complications and care Discusses diagnostic testing, preparing a patient for cardiac surgery, initial post-op complications, extended recovery complications, and stroke care Updated rehabilitation chapter includes important patient education content Educates readers about new antithrombotics and antiplatelet medications Offers new guidelines for use of ventricular assist devices Focuses on patient safety throughout Key Features: Delivers a handy pocket reference for new and experienced cardiac care nurses Provides bulleted information, brief paragraphs, and boxed indicators highlighting critical information Organized for easy access to equipment, procedures, and pre- and post-op specialty care

This handy clinical guide provides speedy access to information and guidelines cardiac surgery nurses need to know and use daily. It covers all aspects of care from preoperative to recovery, with an emphasis on prevention and management of postoperative complications—an area where nurses can really make a difference and improve care. The second edition is completely revised and updated, with such highlights as new coverage of risk factors for stroke, thoracic aortic aneurysms, and congenital heart disease, and updates on new surgical techniques and devices. New illustrations help to clarify crucial information and tables are reorganized to emphasize commonly used medications. The second edition retains all of the expedient features of the Fast Facts guides, including Fast Facts in a Nutshell boxes delineating especially important content, chapter introductions and objectives, short, easy-to-read chapters, and a convenient pocket size. The heart of the book focuses on post-op complications and nursing interventions to prevent and treat them. The book’s five sections are comprised of the Preoperative Period, the Intraoperative Period, the Immediate Postoperative Period, the Extended Postoperative Period, and the Recovery Period, including discharge and long-term rehabilitation. Each section includes nursing considerations and patient education topics. Nurse-sensitive indicators and strategies for improving nursing care are featured throughout. The resource will be highly valuable to new graduates and nurses who are considering a switch to cardiac care, and will reinforce the knowledge of seasoned practitioners. New to the Second Edition: Updates including new surgical techniques and devices Additional graphics to increase reader comprehension Modifications to tables for ease of access to information New sections on thoracic aortic aneurysms and congenital heart disease New chapter on stroke with a focus on postoperative treatment options Key Features: Delivers a handy pocket reference for new and experienced cardiac care nurses Organized for easy access to equipment, procedures, and pre- and post-op specialty care Includes Fast Facts in a Nutshell delivery of timely content Formatted in short paragraphs packed with timely and accessible information