Heart Transplantation
Abstract As we celebrate the 50th anniversary of the first human heart transplant in December 1967, we marvel at the tremendous medical advances that have taken place. Surprisingly few modifications…
Ventricular Assistance and Support
Keywords LVAD, left ventricular assist device, RVAD, right ventricular assist device, Centrimag, impella, ventricular assist, heart failure See Video 32.1 on ExpertConsult.com . ◆ Since the first implantation of…
Aortic Arch Aneurysms
Keywords aortic arch aneurysm Step 1 Surgical Anatomy ◆ Academic anatomists refer to the aortic arch as that part of the aorta that begins and ends with a line…
Approaches and Techniques for Extracorporeal Membrane Oxygenation
Keywords extracorporeal membrane oxygenation ◆ Extracorporeal membrane oxygenation (ECMO) pertains to prolonged extracorporeal cardiopulmonary bypass using intrathoracic or extrathoracic vascular cannulation. The bypass circuit includes a distensible venous blood…
Minimally Invasive Mitral Valve Surgery: Partial Sternotomy Approach
Keywords minimally invasive cardiac surgery, minimally invasive mitral valve replacement ◆ Mitral valve dysfunction is a common pathologic process. The process may involve any component of the valve or…
Ross Procedure
Abstract The Ross procedure uses the pulmonary autograft to replace the diseased aortic valve and root. With appropriate patient selection and technical modifications, the durability of the autograft can be…
Tricuspid Valve Operations
Abstract Tricuspid valve surgery has evolved from an almost ignored valve in the past to an important valve that is critical to address at the time of left valve intervention….
Surgery for Atrial Fibrillation
Abstract Untreated atrial fibrillation is associated with increased morbidity and decreased early and late survival. Biatrial lesion set of the Cox-Maze procedures, including wide pulmonary vein isolation, a mitral isthmus…
Type A Aortic Dissections
Keywords aortic dissection, surgical techniques Step 1 Surgical Anatomy ◆ Type A dissection is defined by the presence of a septum creating two lumens within the ascending aorta. The…
Transcatheter Aortic Valve Replacement
Keywords Transcatheter aortic valve replacement ◆ Transcatheter aortic valve replacement (TAVR) is a relatively new technique that has been clinically applied mostly in higher risk older patients in the…
