In this updated and expanded edition of Goldstein and Oz's much-praised classic survey, world experts comprehensively review the many innovations and changes that have occurred in the practice of minimally invasive cardiac surgery (MICS). The authors summarize the latest findings and results regarding such novel techniques as robotic surgery, hybrid revascularization, the use of off-pump coronary artery bypass grafting (OPCABG) in high-risk populations, and new less invasive surgical approaches to the treatment of atrial fibrillation. They also provide a medium-term update on the current status of MICS in dealing with valvular and congenital heart disease and offer a more comprehensive understanding of procedures like mid-CABGs with longer-term followup and randomized data to help tease out real benefits and limitations. In addition, the book addresses the economic impact of MICS and quality-of-life issues, and shows how surgeons are not only performing the old operations with new tools, but are also creating new procedures precisely adapted to the new tools.
With its state-of-the-art descriptions of each of the relevant procedures, Minimally Invasive Cardiac Surgery, Second Edition should be in the libraries of all cardiac surgery residency program directors, as well as in the pockets of all their training and graduating surgery residents.

Klappentext

In 1962, Thomas Kuhne coined the term "paradigm shift" while arguing that human knowledge advances by quantum leaps with interspersed smaller steps. Preparation for the major advance is generally not a concerted effort by thought leaders. Rather, a few (or one) visionaries gain insights into a process and are able to definitely demonstrate the accuracy of their worldview. Often, the epiphany does not occur during the intellectual lifetime of the discoverers. Medicine has had numerous such "paradigm shifts" including the compelling reworking of Galen's concepts of the body. Of note, the scientific world of the time explained the new views by arguing that the human body must have changed between the time of ancient Greece and modern Europe. The inauguration of cardiac surgery itself required profound shifts in medicine's view of physiology. Yet, over the ensuing 40 years, the field was fine tuned so we could provide greater than 95% success rates in elective surgery with low cost and short h- pital stays. In some parts of the world, the procedures were viewed as commodities and prices dropped as providers were unable to differentiate the quality of their work. As patients and their physicians became more demanding, the desire to make the procedures "minimally invasive" grew. In effect, what we were really searching for was a life saving procedure that also preserved quality of life. In short, "minimally invasive" has really been a code phrase for procedures that disrupt our quality of life the least.

Inhalt

Part I. Physiology of Coronary Bypass Grafting With and Without Cardiopulmonary Bypass Pathophysiology of Cardiopulmonary Bypass Ron G. H. Speekenbrink, Wim van Oeveren, Charles R. H. Wildevuur, and León Eijsman Endothelial Injury During Minimally Invasive Bypass Grafting Robert J. Dabal, Craig R. Hampton, and Edward D. Verrier Part II. Minimally Invasive Coronary Bypass Grafting Minimally Invasive Bypass Grafting: A Historical Perspective Enio Buffolo and Luís Roberto Gerola Tailoring Minimal Invasive Coronary Bypass to the Patient Michael A. Borger and M. Anno Diegeler OPCAB: A Primer on Technique John D. Puskas Mechanical Stabilization: The Medtronic Octopus System Michael Gibson, Robert B. Beauford, and Daniel J. Goldstein Mechanical Stabilization Systems: The Genzyme-OPCAB Elite System William E. Cohn and Marc Ruel Mechanical Stabilization Systems: The Guidant OPCAB System Marc W. Connolly and Valavanur A. Subramanian The MIDCAB Operation Mercedes K. C. Dullum and Albert J. Pfister Minimally Invasive Coronary Artery Bypass Grafting on the Beating Heart: The European Experience Antonio M. Calafiore, Michele Di Mauro, Alessandro Pardini, Antonio Bivona, and Stefano D'Alessandro Minimally Invasive Coronary Artery Bypass Grafting: The South American Experience Federico J. Benetti and Maximo Guida Reoperative Off-Pump CABG Valavanur A. Subramanian, James D. Fonger, and Nilesh U. Patel Perioperative Evaluation of Graft Patency in OPCAB Vinod H. Thourani and John D. Puskas Minimally Invasive Conduit Harvesting Kevin D. Accola, Mike Butkus, and Brenda Dickey Hybrid Revascularization Uwe Klima and Axel Haverich Neurocognitive Issues in Off-Pump CABG Ronald M. Lazar and Daniel F.Heitjan Multivessel Off-Pump Revascularization in High-Risk Patients: Severe Left Ventricular Dysfunction Daniel J. Goldstein, Robert B. Beauford, Patricia Garland, and Craig R. Saunders Multivessel Off-Pump Revascularization in High-Risk Populations: Octogenarians Frederic Sardari, Robert B. Beauford, and Daniel J. Goldstein Part III. Minimally Invasive Valvular Surgery Minimally Invasive Mitral Valve Surgery Victor F. Chu, L. Wiley Nifong, and W. Randolph Chitwood, Jr. Port-Access Mitral Valve Surgery Ashish S. Shah and Donald D. Glower Minimally Invasive Aortic Valve Surgery Jerome Sepic and Lawrence H. Cohn Part IV. Minimally Invasive Congenital, Pericardial, and Arrhythmia Surgery Strategies for Reducing Trauma in Congenital Heart Surgery Redmond P. Burke and Robert L. Hannan Thoracoscopic Pericardial Surgery P. Michael McFadden Less Invasive Surgical Treatment of Atrial Fibrillation Mathew R. Williams and Michael Argenziano Part V. Miscellaneous Aspects of Minimally Invasive Cardiac Surgery The Economic Impact of Minimally Invasive Cardiac Surgery Aftab R. Kherani, Elizabeth H. Burton, and Mehmet C. Oz Minimally Invasive Cardiac Surgery: Quality-of-Life Issues Giulio Pompilio, Francesco Alamanni, and Paolo Biglioli Experimental Percutaneous Mitral Valve Repair Juan P. Umaña and Peter Fitzgerald Alternative Anastomotic Techniques David A. D'Alessandro and Mehmet C. Oz Making Cardiopulmonary Bypass Less Invasive James R. Beck, Linda B. Mongero, and A. Kenneth Litzie Part VI. Robotic Surgery Robotics and Telemanipulation: The Zeus(TM) System Hersh S. Maniar, Sunil M. Prasad, and Ralph J. Damiano, Jr. Robotics and Telemanipulation: The da Vinci(TM) System Volkmar Falk, Thomas Walther,