The Use of Isolated Heart Models and Anatomical Specimens as Means to Enhance the Design and Testing of Cardiac Devices

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on The Use of Isolated Heart Models and Anatomical Specimens as Means to Enhance the Design and Testing of Cardiac Devices

Fig. 41.1 Images from perfusion-fixed hearts from the Visible Heart® laboratory’s library : (1) calcified aortic valve (upper left panel), (2) pulmonary valve (upper right panel), (3) subvalvular apparatus of…

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Cardiac Resynchronization Therapy

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Cardiac Resynchronization Therapy

Fig. 31.1 Illustration of an implanted CRT system with right atrial, right ventricular, and left ventricular leads. Courtesy of Medtronic plc 31.4 Implantation of CRT Implantation of a CRT system…

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Autonomic Nervous System

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Autonomic Nervous System

Fig. 14.1 General afferent and efferent pathways/connections of the hypothalamus (medial and lateral), the pituitary gland (adeno- and neurohypophysis), the limbic system, the thalamus, and the mesencephalon. Note the medial…

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Reversible and Irreversible Damage of the Myocardium: Ischemia/Reperfusion Injury and Cardioprotection

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Reversible and Irreversible Damage of the Myocardium: Ischemia/Reperfusion Injury and Cardioprotection

Secondary determinants influencing MVO2 include (1) the relative heart rate, (2) myocardial stroke work, (3) imposed afterloads, and/or (4) the inotropic state of the myocardium. Importantly, associated with cardiac surgery,…

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Cardiac and Vascular Receptors and Signal Transduction

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Cardiac and Vascular Receptors and Signal Transduction

By location By receptor types Cardiac receptors • Myocardial • Conduction system • Others G protein-coupled receptors Tyrosine kinase-linked receptors Guanylyl cyclase-linked receptors Vascular receptors • Endothelial • Vascular smooth muscle • Others Other receptors (low-sensitivity…

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Current Status of Development and Regulatory Approval of Cardiac Devices

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Current Status of Development and Regulatory Approval of Cardiac Devices

•Adverse local tissue interactions:   – Inflammation   – Toxicity   – Carcinogenic response   – Calcification   – Embolization or lymphatic spread of material fragments •Induced device migrations: encapsulation or foreign body response •Inappropriate…

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Congenital Cardiac Anatomy and Operative Correction

Jul 10, 2016 by in CARDIAC SURGERY Comments Off on Congenital Cardiac Anatomy and Operative Correction

Acyanotic  • Left-to-right shunts Atrial septal defects Ventricular septal defects Atrioventricular septal defects Aortopulmonary window  • Left-sided obstructive lesions Aortic coarctation Congenital aortic stenosis Interrupted aortic arch  Cyanotic  • Right-to-left…

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