CARDIAC SURGERY

Mediastinoscopy and Mediastinotomy

Jun 24, 2019 by in CARDIAC SURGERY Comments Off on Mediastinoscopy and Mediastinotomy

TERMINOLOGY ▪ Cervical mediastinoscopy ▪ Extended cervical mediastinoscopy ▪ Anterior mediastinotomy (Chamberlain procedure) DEFINITION Cervical mediastinoscopy is a surgical procedure that allows exploration of the superior mediastinum and allows for…

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Diagnostic Bronchoscopy

Jun 24, 2019 by in CARDIAC SURGERY Comments Off on Diagnostic Bronchoscopy

DEFINITION Bronchoscopy is the examination of the upper and lower airways. Procedures are performed using either a flexible or a rigid bronchoscope. Rigid bronchoscopes are a rigid stainless steel tube…

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Video-Assisted Thoracoscopic Surgery

Jun 24, 2019 by in CARDIAC SURGERY Comments Off on Video-Assisted Thoracoscopic Surgery

INTRODUCTION As with most surgical specialties, thoracic surgery has embraced the use of minimally invasive surgery. Video-assisted thoracic surgery (VATS) is not a specific procedure. It simply means the use…

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Anesthetic Considerations in Thoracic Surgery

Jun 24, 2019 by in CARDIAC SURGERY Comments Off on Anesthetic Considerations in Thoracic Surgery

The anesthetic considerations for thoracic surgery that are required to provide a safe operating room outcome are (1) understanding the patient’s anatomy and pathophysiology, (2) understanding the effects of general…

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Treatment of In-Stent Restenosis

Mar 21, 2019 by in CARDIAC SURGERY Comments Off on Treatment of In-Stent Restenosis

Introduction The development of percutaneous coronary intervention (PCI) with stent implantation has revolutionized the practice of cardiology over the course of the past decades. However, despite considerable technological advancements, in-stent…

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Interventions for Advanced Heart Failure

Mar 21, 2019 by in CARDIAC SURGERY Comments Off on Interventions for Advanced Heart Failure

Dr. Kapur has received preclinical research support from Heartware Inc. and Cardiac­Assist Inc. and has worked as a speaker and consultant for Maquet and Thoratec Inc. Introduction Heart disease remains…

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Congenital Heart Disease

Mar 21, 2019 by in CARDIAC SURGERY Comments Off on Congenital Heart Disease

Introduction Congenital heart disease (CHD) has an incidence of approximately 0.8% or approximately 8 out of every 1000 live births. These defects are derangements secondary to altered embryonic cardiovascular anatomy…

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Transcatheter Mitral Valve Intervention

Mar 21, 2019 by in CARDIAC SURGERY Comments Off on Transcatheter Mitral Valve Intervention

Section I: Mitral Stenosis Introduction Normal Mitral Valve Anatomy To appreciate the complexity of the mitral valve is to understand its intricate anatomical and physiologic properties. The mitral valve can…

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