Comprehensive Surgical Management of Congenital Heart Disease

Summary:
The management of congenital heart disease has changed dramatically over the
last 15 years and continues to evolve at a rapid pace. More than ever before
contemporary practice requires a collaborative effort by a large healthcare
team comprised not only of congenital cardiac surgeons but also pediatric
cardiac nurses, pediatric cardiologists, perfusion and respiratory technicians,
pediatric cardiac intensivists, pediatric cardiac anesthesiologists,
ultrasonographers, and MRI and catheter laboratory technicians. All of these
individuals need to have a clear understanding of the morphology and
pathophysiology of congenital heart disease as well as the surgical
manipulations that take place in the operating room.

This textbook describes in detail the current practice in congenital heart
surgery of Richard A Jonas and the team from Harvard Medical School in Boston
that has worked closely together for many years. The book includes numerous
beautiful illustrations providing comprehensive and detailed information about
intra-operative management of the entire spectrum of congenital heart surgery.
However, this is much more than an operative atlas that illustrates how an
operation should be done; it also incorporates an evidence-based approach,
supported throughout by numerous scientific citations, to explain when and why
an operation should be done as well as the risks, benefits and potential
complications.


exceptional illustrations by a single artist


uniformity of approach provided by a single surgical author


the latest information regarding the rapidly evolving area of cardiopulmonary
bypass for the neonate and infant


an evidence-based approach, including comprehensive support for the procedures
recommended



Table of contents:

Section 1: Background
Why early primary repair
Surgical technique
Biomaterials for congenital cardiac surgery
Anesthesia for congenital heart surgery (James A. DiNardo)
Pediatric cardiac intensive care (Pater C. Laussen)
Section 2: Cardiopulmonary Bypass
The bypass circuit: hardware options (Robert Howe, Robert LaPierre and Gregory
Matte)
Prime constituents and hemodilution
Carbon dioxide, pH and oxygen management
Hypothermia, reduced flow and circulatory arrest
Myocardial protection
Section 3: Specific congenital cardiac anomalies
Patent ductus arteriosus, aortopulmonary window, sinus of Valsalva fistula,
aortoventricular tunnel
Coarctation of the aorta
Atrial septal defect
Ventricular septal defect
Transposition of the great arteries
Tetralogy of Fallot with pulmonary stenosis
Valve surgery for congenital heart disease
Left ventricular outflow tract obstruction: aortic valve stenosis, subaortic
stenosis, supravalvar aortic stenosis
Hypoplastic left heart syndrome
Single ventricle
Complete atrioventricular canal
Anomalies of the pulmonary veins
Double outlet right ventricle
Truncus arteriosus
Tetralogy of Fallot with pulmonary atresia
Pulmonary atresia with intact ventricular septum
Interrupted aortic arch
Congenitally corrected transposition of the great arteries
Vascular rings, slings, and tracheal anomalies
Anomalies of the coronary arteries

About the Author:
Richard A Jonas MD has been the William E Ladd Professor