New Solutions for the Heart

by Podesser, Bruno K.; Chambers, David J.; Cohn, Lawrence H.

• ISBN13: 9783211855478
• ISBN10: 3211855475
• Edition: 1st
• Format: Hardcover
• Copyright: 2010-12-21
• Publisher: Springer Verlag

Summary

Although cardiac surgery has made an enormous progress during the last decades, the discipline has to cope with essential changes: Patients are increasingly cared for by cardiologists and therefore referred to the surgeon in a later stage of disease. Consequently, they are more often in an increasingly serious state or in advanced age with significant comorbidities. In order to meet the requirements of these different patient groups, cardiosurgical treatments require special protectional strategies for the heart in order to perform the planned operations safely. This book presents the latest knowledge of modern techniques of myocardial protection taking into consideration the different patient groups and current scientific strategies. Furthermore, it discusses present and future scientific approaches in myocardial protection and preservation.

Table of Contents

Contributors	p. xiii
Introduction
The Changing Population: The Surgeon's Challenge	p. 3
Fundamentals
Fundamentals of the Past: Cardioplegia: The First Period Revisited	p. 15
Sites of Injury: Myocyte	p. 41
Sites of Injury: The Endothelium	p. 57
Special Focus
Intraoperative Protection of the Myocardium: Effects of Age and Gender	p. 73
Protection of the Right Heart	p. 93
Protection of the Failing Heart	p. 109
Protection During Heart Transplantation	p. 131
New Approaches and Technologies
The Endothelium As Target for Interventions	p. 145
Vascular Effects of Cardioplegic Arrest and Cardiopulmonary Bypass	p. 167
Oxygen Radical Scavengers	p. 179
New Approaches to Cardioplegia: Alternatives to Hyperkalemia	p. 199
Myocardial Protection Via the Coronary Venous Route	p. 221
Donot Heart Preservation by Continuous Perfusion	p. 249
Visualization of Cardioplegia Delivery	p. 269
Author Index	p. 283
Subject Index	p. 285
About the Editors	p. 287
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