Thoraxkirurgi och hjärtkirurgi

Offering expert, dependable, accurate guidance on every facet of adult and pediatric cardiac surgery, Kirklin/Barratt-Boyes Cardiac Surgery, 5th Edition, remains the gold standard text in this fast-changing field. World-renowned editors and authors from six continents provide meticulously updated information on the major changes and innovations over the past decade, including classical surgical updates, catheter-based procedures, robotics, minimally invasive approaches, and hybrid techniques. This dynamic and indispensable reference thoroughly and systematically covers the full range of new and classic surgical procedures, presenting the up-to-date clinical evidence you need to make effective management decisions for every patient.

»På ena sidan av patienten stod en beduinliknande figur. Bara glasögonen var synliga. Det var professor Clarence Crafoord som hade öppnat hjärtat…« Så berättar författaren Christian Olin om sitt första möte med en av de mest kända hjärtkirurgerna i slutet av 50-talet. En händelse som blev avgörande för Olins egen specialisering som läkare. Vi följer författaren från barndomen på Stora Essingen i Stockholm, somrarna på Åland och medicinstudierna på Karolinska Institutet. Intresset för hjärtkirurgin väcktes under en tid då operationstekniken av hjärt­sjuka utvecklades språng­artat. Olin fick genom studier och praktik utomlands lära känna den tidens stora kirurger. Men med bättre medicin och sundare levnadsvanor används kniven i dag i långt mindre utsträckning än tidigare.

SHORTLISTED FOR THE COSTA BIOGRAPHY PRIZE THE SUNDAY TIMES NO.2 BESTSELLER WINNER OF THE BMA PRESIDENT’S AWARD 2017 An incredible memoir from one of the world’s most eminent heart surgeons, recalling some of the most remarkable and poignant cases he’s worked on.Grim Reaper sits on the heart surgeon’s shoulder. A slip of the hand and life ebbs away.The balance between life and death is so delicate, and the heart surgeon walks that rope between the two. In the operating room there is no time for doubt. It is flesh, blood, rib-retractors and pumping the vital organ with your bare hand to squeeze the life back into it. An off-day can have dire consequences – this job has a steep learning curve, and the cost is measured in human life. Cardiac surgery is not for the faint of heart.Professor Stephen Westaby took chances and pushed the boundaries of heart surgery. He saved hundreds of lives over the course of a thirty-five year career and now, in his astounding memoir, Westaby details some of his most remarkable and poignant cases – such as the baby who had suffered multiple heart attacks by six months old, a woman who lived the nightmare of locked-in syndrome, and a man whose life was powered by a battery for eight years.A powerful, important and incredibly moving book, Fragile Lives offers an exceptional insight into the exhilarating and sometimes tragic world of heart surgery, and how it feels to hold someone’s life in your hands.

SHORTLISTED FOR THE COSTA BIOGRAPHY PRIZE THE SUNDAY TIMES NO.2 BESTSELLER WINNER OF THE BMA PRESIDENT’S AWARD 2017 An incredible memoir from one of the world’s most eminent heart surgeons, recalling some of the most remarkable and poignant cases he’s worked on.Grim Reaper sits on the heart surgeon’s shoulder. A slip of the hand and life ebbs away.The balance between life and death is so delicate, and the heart surgeon walks that rope between the two. In the operating room there is no time for doubt. It is flesh, blood, rib-retractors and pumping the vital organ with your bare hand to squeeze the life back into it. An off-day can have dire consequences – this job has a steep learning curve, and the cost is measured in human life. Cardiac surgery is not for the faint of heart.Professor Stephen Westaby took chances and pushed the boundaries of heart surgery. He saved hundreds of lives over the course of a thirty-five year career and now, in his astounding memoir, Westaby details some of his most remarkable and poignant cases – such as the baby who had suffered multiple heart attacks by six months old, a woman who lived the nightmare of locked-in syndrome, and a man whose life was powered by a battery for eight years.A powerful, important and incredibly moving book, Fragile Lives offers an exceptional insight into the exhilarating and sometimes tragic world of heart surgery, and how it feels to hold someone’s life in your hands.

A TIMES BEST BOOK OF 2019 An intimate and compelling exploration into the unique psyche of the heart surgeon, by one of the profession’s most eminent figures. Although Professor Stephen Westaby was born with the necessary coordination and manual dexterity, it was a head trauma sustained during university that gifted him the qualities of an exceptional heart surgeon: qualities that are frequently associated with psychopathy. His thirty-five-year career has been characterised by fearlessness and ruthless ambition; leaving empathy at the hospital door as thousands of patients put their lives in his hands.For heart surgeons, the inevitable cost of failure is death and in The Knife’s Edge, Westaby reflects on the unique mindset of those who are drawn to this exhilarating and often tragic profession. We discover the pioneers who grasped opportunities and took chances to drive innovation and save lives. Often difficult, uninhibited and fearless, theirs is a field constantly threatened by the risk of public failure.Like those before him, Westaby refuses to draw the line in his search of a lifetime solution to problems of the heart. His determination is unerring – a steadfastness underpinned by his unusual mind. But as we glimpse into the future of cardiac surgery, for all its remarkable scientific advancement, one question remains: within the confines of socialised medical healthcare systems, how can heart surgeons – individuals often hardwired with avoidance of self-doubt, a penchant for glory and a flagrant disregard for authority – truly flourish?

Lung Epithelial Biology in the Pathogenesis of Pulmonary Disease provides a one-stop resource capturing developments in lung epithelial biology related to basic physiology, pathophysiology, and links to human disease. The book provides access to knowledge of molecular and cellular aspects of lung homeostasis and repair, including the molecular basis of lung epithelial intercellular communication and lung epithelial channels and transporters.

Also included is coverage of lung epithelial biology as it relates to fluid balance, basic ion/fluid molecular processes, and human disease. Useful to physician and clinical scientists, the contents of this book compile the important and most current findings about the role of epithelial cells in lung disease. Medical and graduate students, postdoctoral and clinical fellows, as well as clinicians interested in the mechanistic basis for lung disease will benefit from the books examination of principles of lung epithelium functions in physiological condition.

Provides a single source of information on lung epithelial junctions and transporters Discusses of the role of the epithelium in lung homeostasis and disease Includes capsule summaries of main conclusions as well as highlights of future directions in the field Covers the mechanistic basis for lung disease for a range of audiences

Fundamentals of Congenital Minimally Invasive Cardiac Surgery is a first of its kind, fully-illustrated guide that is solely dedicated to the most diffused congenital minimally invasive cardiac surgery procedures. It provides detailed, step-by-step descriptions of surgical maneuvers to underline each aspect of the procedures along with full color drawings and operative pictures to enhance understanding. Each chapter fully describes the preoperative setting, the needed materials and the required technical skills that make specific congenital heart defects amenable to minimally invasive surgical treatment.

This is the perfect go-to reference for pediatric and congenital cardiac surgeons, and is also a must-have guide for residents in cardiac surgery who are looking to review the technical aspects and outcomes of utilizing a minimally invasive approach for cardiac surgery.

Provides an extensive, step-by-step description of the most common minimally invasive pediatric cardiac surgical procedures Uses high quality, full color drawings and operative pictures of the most important steps of the procedures to facilitate understanding Combines information on both the detailed operations of minimally invasive pediatric cardiac surgery and the approach behind them

Principles of Heart Valve Engineering is the first comprehensive resource for heart valve engineering that covers a wide range of topics, including biology, epidemiology, imaging and cardiovascular medicine. It focuses on valves, therapies, and how to develop safer and more durable artificial valves. The book is suitable for an interdisciplinary audience, with contributions from bioengineers and cardiologists that includes coverage of valvular and potential future developments. This book provides an opportunity for bioengineers to study all topics relating to heart valve engineering in a single book as written by subject matter experts.

Covers the depth and breadth of this interdisciplinary area of research Encompasses a wide range of topics, from basic science, to the translational applications of heart valve engineering Contains contributions from leading experts in the field that are heavily illustrated

Aortic Valve Repair provides a comprehensive summary on techniques developed during the first 500 cases of aortic ring annuloplasty. Aortic valve disease is usually surgically managed by aortic valve replacement, and it is well established in published literature regarding the long-term results, survival rate, durability of the protheses and reoperations rates. Over the past two decades, aortic valve repair (AVr) has evolved into a recognized surgical option for selected patients with aortic insufficiency or proximal aorta aneurysm. Studying the first 500 cases of aortic ring annuloplasty, the authors provide the most effective methods of leaflet and aortic root reconstruction to repair pathologies.Including original illustrations and videos, the book serves as an essential reference for cardiac surgeons in practice. Includes original and never published illustrations and videos to facilitate learning Covers etiologies of aortic insufficiency repaired using HAART Devices, with 550 devices implanted to date Dissects over 35 different causes of aortic insufficiency Written by renowned authors in the field

The Handbook of Transradial Interventions—a comprehensive resource for fellows, cardiologists, and veterans alike who are keen to update their knowledge and skills in coronary, peripheral, and carotid interventions using transradial, distal radial (dTRA), and ulnar access—covers the basic and advanced techniques of diagnostic and interventional procedures. It comprises excellent illustrative chapters on challenging anatomy; complex interventions; tips and tricks for transradial interventions (TRI), including transradial primary angioplasty; transradial rotablation; post CABG, chronic total occlusion, peripheral and carotid interventions, and managing and preventing radial and femoral complications. The book covers the practical and technical aspects of the latest developments in the field, including slender transradials, dTRA, and the role of Doppler ultrasound in TRI. To make TRI easier for those involved in the practice of interventional cardiology or starting anew, this up-to-date, practically-oriented book includes illustrated chapters on access; setting up a radial program; radial: right or left; choice of catheters, and techniques of hooking coronaries and grafts. With well-researched chapters and excellent reviews contributed by leading experts in the field from across the globe on acute coronary syndrome; an editorial comment on the SAFARI-STEMI study; radial artery occlusion; radiation and stroke risk, and research round-up, this reference book serves to fill the void for an updated text on this fast-growing discipline and will be an asset for those seeking to learn basic and advanced practices or to update their skills and knowledge.

The sixth edition of Ellestad's classic text on cardiac stress testing has been extensively updated and re-written to communicate contemporary understanding of the classical principles of stress testing to clinicians and researchers, students and seasoned practitioners alike. The current techniques for performing stress tests presented herein reflect major technologic advances in imaging, physiologic monitoring and the assessment of cardiovascular risk, addressing fundamental paradigm shifts in interventional, surgical and medical treatment of heart disease. Moreover, the text addresses the dramatic changes that are occurring in patient demographics and the environmental, socioeconomic, gender and genomic factors that crucially impact heart disease and warrant attention when performing cardiac stress testing.Chapters on the physiology of exercise testing including practical details regarding protocols for conducting the stress test, proper supervision, important parameters to be monitored, and the diagnostic and prognostic information to be gleaned from the electrocardiogram set the stage for expanded chapters on the use of cardiac imaging in conjunction with stress testing. Physiologic and metabolic considerations during stress testing are covered in detail. Application of stress testing to special populations, such as women, children, athletes, and individuals in both high and low risk groups are covered in new chapters. Finally, the authors address the use of stress testing in limited resource environments and discuss global changes in the incidence of atherosclerosis, and suggest how stress testing may evolve.

Mechanical Circulatory Support: Principles and Applications offers innovative approaches to complex clinical scenarios and represents the current state-of-the-art for managing patients on mechanical circulatory support devices. Topics are presented in a concise fashion, making it a practical resource for care givers who need a user's manual in the heat of the moment during patient care as well as a reference for a better understanding of the unique components of every device available for human use.This book provides a comprehensive, up-to-date analysis of the most relevant issues facing health care providers in the management of advanced heart failure. With content that features patient selection strategies, implantation techniques, device specific considerations, and management of clinical challenges in the post-operative setting, this textbook offers evidence-based answers to the complex questions facing nurses, perfusionists, advanced practice providers, and physicians.

Cardiopulmonary Transplantation and Mechanical Circulatory Support provides a comprehensive review of the field. Written for all tiers of healthcare professionals managing such complex patients.The handbook tackles all topics within this field, including heart failure, heart transplantation, lung transplantation, and all tiers of mechanical circulatory support in adults and paediatric patients.The chapters are written by prominent and globally respected experts in Europe and North America, providing their evidence base as well as personal, practical hints and tips for all practitioners.

Heart failure is an important and ever-expanding sub-speciality of cardiology. Many professional bodies working in healthcare are now developing specialist expertise in heart failure. With advances in medical therapy, the prognosis of the condition has improved dramatically. Whereas once heart failure was a pre-terminal diagnosis, now for many it is treatable. However, some patients remain symptomatic and at high risk of death despite maximal medical therapy. The new edition of Heart Failure comprehensively covers all aspects necessary to manage a patient with heart failure. It gives simple, clear advice on the diagnosis, investigation, and treatment options available highlighting the current evidence-base. As part of the Oxford Specialist Handbooks in Cardiology, the chapters provide concise and objective information to guide all healthcare professionals involved in the modern day multi-disciplinary management of the syndrome. Set out logically to mirror the patient journey in heart failure, this handbook facilitates the practice of optimal evidence-based management for heart failure patients. Ideal for trainee cardiologists, consultant cardiologists, care of the elderly and general physicians, cardiothoracic surgeons, primary care doctors, pharmacists and specialist nurses.

The Oxford American Handbook of Surgery is the essential ready reference guide for medical students, residents, and practicing surgeons. By authors from Harvard Medical Schools Department of Surgery, the Handbook covers the entire range of surgical specialties plus principles of surgery, surgical pathology, and anesthesiology. Clinical pearls, highlighted definitions, and checklists aid the student and house officer in understanding and using information integral to the discipline of surgery.

As the practice of thoracic anesthesia becomes increasingly recognized as a major subspecialty of anesthesia, there is a growing need among current practitioners to evolve their neuraxial, regional, and general anesthesia techniques and expand their understanding of the latest evidence. Thoracic Anesthesia Procedures is a timely update in the field, providing a concise, evidence-based, and richly illustrated book ideal for students, trainees, and practicing clinicians. Comprehensive in scope, this book addresses essential topics such as thoracic physiology and pathophysiology, airway devices and other equipment, anesthetic techniques, surgical considerations, ventilation techniques, and postoperative care.

50 Studies every Vascular Surgeon Should Know presents key studies that have shaped the practice of Vascular Surgery. Selected using a rigorous methodology, the studies cover topics including carotid artery disease, aortic aneurysm, peripheral artery disease, trauma, venous disease and vascular access. For each study, a concise summary is presented with an emphasis on the results and limitations of the study, and its implication for practice. An illustrative clinical case concludes each review to highlight the impact of the study on clinical practice. This book is a must read for vascular surgeons, especially those in training and preparing for board exams, as well as anyone who wants to learn more about the data behind clinical practice.

Malignant pleural mesothelioma, a malignancy due largely to asbestos exposure, represents an increasingly common challenge to clinical and medical oncologists, respiratory physicians, and cardiothoracic surgeons, as well as researchers in the field. The disease has yet to reach its peak and is expected to kill over 100,000 people worldwide. As malignant pleural mesothelioma gains in profile, Kenneth O'Byrne and Valerie Rusch present a comprehensive overview of the subject, aimed at all health care professionals who come into contact with patients with the disease.The book includes chapters on epidemiology, diagnosis, histopathology, radiology, surgery, chemotherapy, immune therapy, radiotherapy, and palliative medicine, written by an international team of contributors. A molecular biology section focuses on the carcinogenic effects of asbestos fibres and simian virus 40, angiogenesis and angiogenic growth factors, the immune response, and genetic abnormalities detected in the disease. Future therapies are also covered, as is a perspective on the distinct legal issues related to the disease. This highly-illustrated, full colour book provides the ultimate, timely resource on this devastating disease.

The development of new techniques and the refinement of established procedures make cardiac surgery a fast-moving field. Core concepts in cardiac surgery has been developed to make it an invaluable textbook for the professional cardiac and cardiothoracic surgeon, covering both topical issues and updates in cardiac surgery. This provides the practising cardiac surgeon with current updates in the field, and controversial issues that affect everyday practice. Written by an international team of renowned cardiac surgeons, each topic is split into a review of the current literature and then important technical details. Their wealth of professional experience has been distilled into tips and common pitfalls in practice throughout the book.Extensively illustrated with full-colour photographs and artwork to facilitate understanding of complex procedures, Core concepts in cardiac surgery is also available on a companion website, to allow the authors to update the text regularly to reflect developments in the discipline.

State of the Art Surgical Coronary Revascularization is the most authoritative textbook ever dedicated to the art and science of surgical coronary revascularization, with 71 chapters, organized in 9 sections, and written by over 100 recognized world experts. It covers every aspect of the surgical management of coronary artery pathology and ischaemic heart disease. It provides extensive sections detailing pathophysiology, evaluation and medical and percutaneous management of ischaemic heart disease as well general outcomes and quality assessment for coronary artery bypass grafting (CABG). Pre-, intra- and postoperative management of CABG patients is emphasized in detail as are the core surgical principles in the conduct of CABG, with special focus on the selection of conduits and how to optimize the performance of both on- and off-pump surgery to reduce morbidity and mortality. There are detailed sections on how to improve outcomes with both arterial and venous bypass grafts. This comprehensive textbook also covers in detail less invasive approaches for CABG, CABG in special clinical situations and when CABG is combined with concomitant surgical procedures. In addition to underpinning all chapters with a strong and updated evidence basis, crucial practical surgical techniques are emphasised throughout, making this textbook the indispensable companion of all adult cardiac surgeons and allied health professionals interested in surgical coronary revascularization.

Thoracic anaesthesia is regarded as a post fellowship sub-speciality within anaesthesia, and can be daunting. This handbook provides an easily accessible, informative, and palatable guide to this often complex subject. The text is sub-divided into basic sciences, pre-operative assessment, diagnostic procedures, and an anaesthetist's walk-through of key thoracic surgical procedures. It concludes with an emergency section covering thoracic anaesthesia emergencies, critical care, and the thoracic surgical patient, and ends with essential guidance on the relevant practical procedures necessary to manage cases. The text provides an essential reference for the core curriculum of the Fellowship of the Royal College of Anaesthetists and for the day-to-day practice of post fellowship anaesthetists alike. The discussions of the surgical procedures are simple, highlighting the poignant stages that can affect the anaesthetic management of the patient. The authors use the very latest evidence in order to keep the reader up to speed with developments in the field. Whether on-call, running day-to-day lists or working within critical care, this indispensable guidebook will optimise the preparedness of all staff in dealing with any case, whether simple or complex.

This comprehensive reference provides easy access to information on the fundamental and practical aspects of modern cardiological practice, covering emerging fields and high technology, and dispensing practical clinical wisdom. Written in an approachable style, and using a quick-reference layout, the Oxford Desk Reference is perfect for the busy clinician requiring a diversity of information without the time to search through hundreds of sources. There are tables, summary boxes and algorithms throughout the book, allowing the reader access to key information and the most up-to-date treatment and management guidelines.Edited by leading names in the field from the UK, Australia and Hong Kong, and with contributions from an international panel of sub-speciality experts, this outstanding resource covers all that a 21st century clinician needs to know in the management of patients with cardiac diseases.

This is the only guide you need to pass the MRCS Part B OSCE examination. Written by a team of editors and authors with extensive experience of the exam and all the recent changes, it covers topics that can prove to be difficult, including communication and history taking.Volume 1 covers basic surgical skills, including peri-operative care, as well as patient safety, history-taking, communication skills, applied surgical sciences and critical care. Practice scenarios and model answers show you exactly how the examiners will expect you to approach the exam. It also includes over 130 photographs and illustrations to solidify key areas and events common in surgery.

This is the only guide you need to pass the MRCS Part B OSCE examination. Packed with essential exam tips, and filled with comprehensive revision notes on the areas covered in the exam, the book also features practice scenarios with model answers in the exam format. Written by an editor and author team with extensive experience, it helps the reader through the difficult topics that can often trip up candidates, like communication and history-taking skills. Volume 2 addresses the stations that exam the four speciality areas: Trunk and Torso; Limbs and Spine; Head and Neck, and Neuroscience. It covers the anatomy, physiology and pathology in each of these four speciality areas along with detailed clinical exam scenarios and a bank of likely clinical questions and model answers. The text is complemented by various illustrations and photographs, making it the most complete revision text around.

Cardiothoracic Surgery covers all areas of adult and paediatric, cardiac and thoracic surgery and intensive care. This new edition, with updated cardiac surgery and thoracic sections, provides on-the-spot guidance to common and less common operative procedures.Every chapter is divided into topics presented across two pages to enable easy reference, with pages on intensive care edged in red for immediate access. Completely updated with current evidence and guidelines, the book is practically oriented to provide reliable guidance in intensive care and in theatre. Fully indexed and lavishly illustrated, the book is a must for anyone seeking a comprehensive yet portable guide to all areas of cardiothoracic surgical practice.

Comprehensive, yet practical and concise, the Oxford Specialist Handbook of Pacemakers and ICDs is the ideal training guide on how to implant, follow-up, and troubleshoot pacemakers and ICDs. Fully updated to include new technologies such as subcutaneous ICDs and MRI compatible devices, this new edition provides the latest guidelines and management strategies for the cardiology trainee and cardiac technician. Covering the principles, programming, potential complications, and troubleshooting for pacemakers, ICDs, and cardiac resynchronisation therapy, this title is an invaluable aid for anyone charged with providing or contributing to a pacing, ICD, or implantable loop recorder service. Written in a succinct bullet-point style, the second edition of the Oxford Specialist Handbook of Pacemakers and ICDs delivers key information in an accessible manner, with over 120 figures including x-rays and annotated ECGs to demonstrate pacing techniques and troubleshooting solutions.

This book provides the medical student, the surgeon in training, and the cardiologist with the theoretical foundations and some practical aspects of open heart surgery. An attempt has been made to present the material in a clear way by simplifying various concepts and theories and by employing many schematic illustrations. To present the subject matter in perspective, some chapters include historical notes. Although the book has been primarily designed to provide the theoretical background necessary for the optimal practice of open heart surgery, it also contains basic information on most surgical procedures for ischemic heart disease, acquired valvular disease, congenital heart disease, and various aspects of pre- and post-operative management.