Introduction Despite remarkable advances in the procedural and clinical outcomes of percutaneous revascularization, chronically occluded coronary arteries represent persistent technical challenges and unresolved clinical dilemmas in interventional cardiology. Although a…
Understanding cardiac anatomy is fundamental to success in cardiac surgery. The following drawings show the cardiac surgeon’s view of the heart from the right side of a supine patient through…
Keywords mitral valve, mitral valve replacement Step 1 Anatomy ◆ The mitral valve is a complex structure comprised of an anterior and posterior leaflet that is connected to the…
Abstract Thoracic endovascular aortic repair (TEVAR) has become an effective treatment for various descending thoracic aortic pathologic processes, including aortic aneurysm and dissection. Although long-term outcome data for this therapy…
SeeVideo 26.1 on ExpertConsult.com . Step 1 Surgical Anatomy ◆ Thoracoabdominal aortic aneurysms (TAAAs) are characterized by dilation of the aorta (to at least 1.5 times its normal diameter) at…
Abstract Left ventricular (LV) aneurysms most frequently occur as a consequence of maladaptive remodeling after a large infarction. Surgical ventricular restoration involves aneurysmectomy and LV volume reduction. Patient selection, appropriate…
Abstract Robotic mitral valve surgery was introduced in 1998 to reproduce excellent conventional sternotomy results with less invasive techniques. This technology is now routinely performed for delivering complete anatomic correction…
Abstract This chapter describes established and emerging percutaneous mitral valve repair techniques. The goal of any percutaneous procedure is to achieve a durable correction of mitral disease with clinical efficacy…
Abstract Degenerative mitral valve disease is a common cause of mitral regurgitation and results in significant morbidity and mortality. Mitral valve repair is preferred over valve replacement given improvements in…
Abstract Chronic thromboembolic pulmonary hypertension is an uncommon but increasingly recognized surgically treatable cause of pulmonary hypertension. Diagnosis is often delayed when patients present with unexplained exertional dyspnea in the…
