New Solutions for the Heart: An Update in Advanced Perioperative Protection
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Description
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. Front Matter....Pages i-xv Front Matter....Pages 1-1 The Changing Population: The Surgeon’s Challenge....Pages 3-12 Front Matter....Pages 13-13 Fundamentals of the Past: Cardioplegia: The First Period Revisited....Pages 15-40 Sites of Injury: Myocyte....Pages 41-55 Sites of Injury: The Endothelium....Pages 57-69 Front Matter....Pages 71-71 Intraoperative Protection of the Myocardium: Effects of Age and Gender....Pages 73-92 Protection of the Right Heart....Pages 93-107 Protection of the Failing Heart....Pages 109-129 Protection During Heart Transplantation....Pages 131-141 Front Matter....Pages 143-143 The Endothelium As Target for Interventions....Pages 145-166 Vascular Effects of Cardioplegic Arrest and Cardiopulmonary Bypass....Pages 167-178 Oxygen Radical Scavengers....Pages 179-197 New Approaches to Cardioplegia: Alternatives to Hyperkalemia....Pages 199-219 Myocardial Protection via the Coronary Venous Route....Pages 221-248 Donor Heart Preservation by Continuous Perfusion....Pages 249-268 Visualization of Cardioplegia Delivery....Pages 269-282 Back Matter....Pages 283-287
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