Cardiac Reconstructions with Allograft Tissues

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Springer Science & Business Media, Dec 7, 2004 - Medical - 656 pages
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Cryopreserved allograft tissues are now standard materials for the reconstructive cardiac surgeon. Since publication of the first edition ("Cardiac Reconstructions with Allograft Valves") in 1989, the field has progressed dramatically with increased clinical use of cardiovascular allograft tissues, with the development of new surgical techniques, and with advances in the understanding of the fundamentals of valve transplantation biology and cryopreservation. As a result, over two-thirds of the present volume represents new material. Fifty-six authors bring their expertise to thirteen comprehensive, lavishly illustrated sections which discuss the principles of the use of homograft valves, major clinical series of homograft valves for both left and right ventricular outflow tracts, cryopreserved allograft tissue for cardiac reconstruction, cell biology of heart valve leaflets, cryobiology of heart valve preservation, morphological, biochemical, and explant pathology studies of allograft heart valves, allograft valve banking, as well as detailed explanation of surgical techniques for valve and root methods for left and right ventricular outflow tract reconstructions, the Ross operation and variants, and complex reconstructions. A final section presents potential future directions for the field. Over 400 illustrations, created expressly for this book, depict the surgical techniques from the perspective of the surgeon standing at the operating table. All surgeons performing pediatric and/or adult valve replacements and reconstructive cardiac surgeries will benefit from the described methods. Cardiothoracic residents and cardiologists will also find the text useful. It will provide the surgeon with an enhanced understanding of the biological and material properties of allografts and increased familiarity with the range of surgical techniques applicable for the use of these valves, particularly in the successful management of challenging cardiac reconstructions.>

 

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Contents

Historical Perspective
3
Major Clinical Series of Homograft Valve
15
Section HI Major Clinical Series of Homograft Valve
41
Initial Experiences
77
Surgery for Infections
85
Clinical Results
95
Leaflet Endothelium
107
Leaflet Interstitial Cells
114
Aortoventriculoplasty with Aortic Allograft
327
Miniroot Replacement Techniques
338
Stentless Xenograft Valves
354
Ross Operation
373
Ross Operation
381
The Role of Transesophageal Echocardiography During
396
Guidelines for Use of Aprotinin with the Ross Procedure
402
RossKonno Procedure
408

Activation of the Immune System by Cardiac
123
Application of Cryopreservation to Heart Valves
133
Cell Viability and Problems with Its Quantification
161
Cell Origins and Fates Following Transplantation
175
Resolution of the Conflicting Theories of Prolonged
184
Allograft Heart Valves
200
Effects of Preimplantation Processing
213
Implications of Explant Pathology Studies
231
Dissection Examination
244
Storage Transportation
259
Freehand Aortic Valve Replacement with Aortic
275
Surgical Techniques
300
Aortoplastic Techniques for Problematic Aortic
306
Aortic Root Replacement with Aortic
318
Methods for Avoiding Technical Errors in Performing
415
Management of Transposition with Complex Systemic
429
Homograft Variant of the Nikaidoh Procedure
438
Application of the Principle of Creation of Double Outlet
444
Right Ventricle to Pulmonary Artery Aortic Allograft
458
Corrected Transposition
474
Truncus Arteriosus Repair
530
Staged
544
Reoperative Right Ventricular Outflow
558
Extracardiac Fontan Operation
585
FDA Regulatory Policy
595
The Next Challenge
612
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