Color Atlas of Congenital Heart SurgeryThe last three decades have witnessed enormous progress in the care of patients with congenital heart disease. Treatment of congenital heart disease is highly dependent on technology and much of the progress we have witnessed is attrib utable to technological advances we take almost for granted today. It would be difficult to overestimate the impact of these advances; noteworthy examples include the development of 2-D Doppler echocardiography resulting in increased diagnostic accuracy, improvements in preoperative management including the use of prostaglandins for maintaining ductal patency, better intraoperative support such as the development of cardiopulmonary bypass circuits specifically designed for neonates and infants and improvements in postoperative care too numerous to delineate. As the spectrum of congenital heart disease we can treat successfully has broadened and the results have improved much of the focus has shifted, properly, to long-term issues such as neurodevelopmental outcome and quality of life. Despite the current focus on long-term outcomes we must not forget that surgery is central to our treatment strategy. The word technology is derived from the Greek word "techne" meaning craft and before any late out comes can be measured the "craft" of surgery must be performed with excellence. Dr. Litwin's career has spanned these last three decades and he has witnessed and participated in the evolution of congenital heart surgery. The second edition of a "Color Atlas of Congenital Heart Surgery" is an outstanding contribution to the field by a master of the craft of congenital heart surgery. |
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anastomosis aneurysm aortic clamping aortic valve aortotomy ascending aorta atrial septal defect bundle cannula cardioplegia cardiopulmonary bypass caud ant ceph caudad caval tunnel ceph caud ceph ceph post ceph R caud cephalad closure commissure conduit continuous suture coronary sinus Dacron dissected ductus arteriosus excised felted mattress sutures fibrous flap Gore-Tex graft heart homograft incision left atrium left coronary artery left pulmonary artery left subclavian artery main pulmonary artery mitral leaflet mitral valve monary artery neoaorta obstruction orifice patch FIGURE patch is stitched patient pericardial patch post ceph proximal main pulmonary pulmonary artery FIGURE pulmonary valve pulmonary vein repair resected right atriotomy right atrium right coronary artery right pulmonary artery right ventricle right ventricular outflow right ventriculotomy septal defect FIGURE septum shunt stenosis stitches are placed superior vena cava surgery suture sutures are placed tissue tricuspid valve upper valve FIGURE ventricular outflow tract ventricular septal defect vessel wall
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Page viii - Professor and Chief Division of Cardiothoracic Surgery Department of Surgery Medical College of Wisconsin...