Thoracic Key

Fig. 9.1 Anatomy – anterior and posterior leaflets of the mitral valve The mitral annulus represents the junction that joins the left atrium and ventricle and consists of fibrous and…

Fig. 4.1 Hypothetical depiction of survival benefit margin for a stable recipient in good condition (Recipient A) and a seriously ill recipient with multiple risk factors (Recipient B) (Kirklin et…

Characteristic Incidence (percent) Median age 75 years Female More than 50 % Coronary artery disease 60 % Hypertension 70 % Diabetes 40 % Atrial fibrillation 30 % Renal insufficiency 30…

Fig. 8.1 An artist rendition of the polyester implant, a concept of the Acorn cardiac support device Fig. 8.2 Operative photograph of one of the first implants of the Acorn…

Fig. 5.1 Schematic showing a left internal mammary artery (LIMA) being readied for anastomoses to the left anterior descending (LAD) artery. The myocardium is being stabilized by a suction based…

Fig. 14.1 Early endocardial lesion set – proposed by Melo, based on bilateral isolation of pulmonary veins with LAA closure Radiofrequency Unipolar, unipolar with irrigated cooling, and bipolar systems with…

Fig. 7.1 Schematic of the principles of Left ventricular reconstruction (As proposed by Dor in 1985) Despite all this intuitive work on preserving left ventricular geometry, there was little interest…

Fig. 11.1 HeartMate XVE left ventricular assist device (Permission from Thoratec Corporation) The Thoratec VAD (Thoratec Corp) is a pneumatically powered device that is available in paracorporeal (PVAD) and intracorporeal…

1. General issues Medical history: previous problems with anesthesia including allergies and current medications; presence of conditions that might affect surgical risk (chronic lung disease, renal disease, liver disease, arrhythmias,…

Fig. 15.1 Echocardiographic appearances of the heart before (pre-PTE; top) and after (post-PTE; bottom) operation. Note the shift of the intraventricular septum toward the left in systole before the operation…