By S. Bert Litwin
Colour Atlas of Congenital center surgical procedure covers the total spectrum of congenital center defects, first depicting the pathology in pre-repair photos after which detailing step by step the operative strategy. Dr. Litwin depicts the commonest systems in addition to the main advanced ones, delivering a number of info important to citizens and fellows in education in addition to clinicians in practice.
One of the foremost facets of the application and practicality of colour Atlas of Congenital middle surgical procedure is the original point of view of the operative pictures. utilizing a unique side-mounted flash, the writer s photos vividly seize the 3 dimensional spatial family of congenital anomalies and surgical anatomy. also, every one representation and photograph is commonly categorized for readability (indicating the sufferer s left, correct, cephalad and caudad positions).
With over a hundred new illustrations and lots of new techniques, the recent version of colour Atlas of Congenital middle surgical procedure is either a textbook and an atlas, offering an fundamental reference for each health care provider, heart specialist, intensivist, or anesthetist who treats sufferers with congenital cardiac anomalies.
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Additional info for Color Atlas of Congenital Heart Surgery
The aortic cross-clamp is then removed, and the heart is allowed to beat in sinus rhythm. The sutures near the His' bundle are then tied so that normal sinus rhythm can be observed during this part of the procedure. If injury to the His' bundle occurs because of these stitches, complete heart block is seen immediately as they are tied. Offending sutures are removed and replaced. A continuous suture is then placed posteriorly and cephalad to secure the patch to the atrial wall during rewarming. interrupted sutures in AV valve common annulus interrupted sutures beneath coronary sinus and His' bundle >L caud 4-3.
A Gore-Tex® patch is stitched over the lower end of the divided superior vena cava, immediately above the anomalous pulmonary veins. Other patch material, such as pericardium or homograft pulmonary artery wall, can be used. FIGURE 2 Secundum Atrial Septal Defect 19 upper segment of superior vena cava Gore-Tex patch lower segment of superior vena cava ceph R««- -•L caud 2-19. The cava above the pulmonary veins is closed with the Gore-Tex® patch, and the caval cannula is seen passing through the tourniquet in the upper superior vena cava.
Atrial Septal Defect with Partial Anomalous Pulmonary Venous Connection When partial anomalous pulmonary venous connection is present, abnormal pulmonary veins from the right upper and middle lobes commonly drain to the superior vena cava or the right atrium near the caval atrial junction. This is usually associated with a sinus venosus ASD located opposite the anomalous pulmonary veins. aorta superior vena cava cava-atrial junction anomalous pulmonary veins ceph R<- ->L caud FIGURE 2-11. Anomalous pulmonary veins are seen entering the high and lateral right atrium and low superior vena cava adjacent to the cava atrial junction.