Open Access Medical Books



Edited by Michael S. Firstenberg .

422 pages .
Open Access .
ISBN 978-953-51-1156-6 .

The field of thoracic and cardiovascular surgery continues to evolve at a pace in which almost by definition any idea that is published is instantly out-of-date. Ideas are in constant evolution and new, exciting, and innovative technologies are often featured not only in mainstream Journals, but the lay-press media as well. While such progress is exciting– particularly for those at the forefront of such developments–unfortunately, it often takes years for some of these technologies to mature to the point in which they are safely and readily available to our patients. Many of these developments sometimes become restricted to specialized centers and occasionally only available to those patients with access to referrals and resources. Furthermore, it is also unclear the extent in which such advances may actually benefit patients as some of the most significant, exciting, and expensive therapies are indicated for potentially only a small number of patients. Nevertheless, there are still numerous problems–beyond some of the basics - in which the management continues to challenge all of those who are involved in the care of the cardiothoracic patient.
As more and more of these problems require the management of multi-disciplinary Teams, the ability to speak a common language and understand complex problems becomes even more important. Furthermore, as patients–for many reasons–present in various stages of their diseases, some very early and some very late–combined with the challenges of dealing with more complex co-morbidities, unusual problems are becoming more common and common problems are presenting in more unusual ways.
The goal of Principles and Practice of Cardiothoracic Surgery is not to be an all encompassing text of an endless field, but rather to highlight some of the challenges that might be facing the Team that is often faced with dealing with the wide-spectrum of problems that can, and often are, encountered at centers throughout the world on a daily basis. Obviously topics like percutaneous valves, long-term ventricular assist devices, and thoracic organ transplantation continue to fascinate those who follow our field–but unfortunately, for many reasons, these topics, not only are constantly changing, but are rarely available outside of major medical centers and have limited availability to patients. Entire textbooks have been dedicated to these individual topics. As such, they can be of limited practical interest to the practicing surgeon who is not already at a center that performs these procedures or, conversely, who is still in training or trying to figure out how to get involved with a field that might be moving too quickly–and potentially in too many different directions.
This text is divided into 3 sections – Thoracic Surgery, Cardiac Surgery, and Great-vessel Surgery – with not only state of the art discussions of the current literature on some of the topics, but as importantly and emphasis on the basic“tried and true”approaches to the management of some unusual and difficult to manage problems such as the mesothelioma and post-myocardial infarction ventricular septal defects. In addition, chapters on such topics ranging from extra-corporeal membrane oxygenation and surgery for massive acute pulmonary embolism are also presented as potentially valuable references for those clinicians who rarely encounter such problems, but when they do, immediate access to a standard reference with a recipe for success is critical in the setting of an acutely lifethreatening problem.
In addition, chapters that focus specifically on the peri-operative management of these patients and their complex problems are also included. The field of anesthesia for thoracic surgery is constantly changing as clinicians continue to strive to make the task of single lung ventilation and even general anesthesia for pulmonary resections safer. The insights from this chapter are of value to surgeon and anesthesiologist alike as there are few areas in medicine in which it is so critical that physicians from different specialties be able to communicate in a common language. Similarly, the chapters that discuss the management of complications after thoracic procedures and potentially catastrophic gastrointestinal problems after cardiac surgery are also included to serve as a reference point for dealing with these issues when their arise.
Of course, no text on cardiothoracic surgery would be complete without a foundation in the complex anatomy and the embryologic development of the heart to assist in putting any procedure into a proper context. A fundamental understanding of anatomy and embryology is critical to our field and one can never be too educated on this topic–in fact, I am sure most practicing physicians could always benefit from further education in this area.
The international and diverse nature of the authors allows the reader to also avoid some of the inherent regional bias that comes from texts in which the opinions and experiences of a single center are discussed. While such experiences are of considerable value and are considered sometimes“state of the art”, there are concerns about whether some of the techniques and outcomes can be translated into common and daily practice–and in the spectrum of environments that might be represented by the anticipated audience.
The open-access model of this text also addresses some of the practice concerns to providing knowledge to those who need it most but who are typically the least likely to have access to it (typically due to financial constraints of scientific publishing). While physical copies of this text are available, the real benefit stems for the ability to access and download individual chapters on an as-needed basis from anywhere in the world and without charge. The benefits of this model of distribution of medical knowledge will only continue to grow in the future as more and more medial, in general, is distributed electronically and availability is provided anywhere, anytime, for anyone–and without cost.
Principles and Practice of Cardiothoracic Surgery will only be one of countless texts on the topic. The information, like all texts, will reflect a“snap-shot”of the understanding of the topics presented at a point in time. While it would be foolish of any author or editor to claim their work is the definitive, complete, and final word on any topic–the true goal of this work is to provide a foundation of knowledge of common, unusual, and intriguing problems that will hopefully spark further curiosity on the various topics, serve as a new baseline for further growth in the field, and most importantly–help clinicians to help patients, sometimes at their time of greatest need and uncertainty. Basically, the hope is that this text will be a starting point for a life-long journey.

Michael S. Firstenberg, MD FACC
Department of Surgery (Cardiothoracic)
Summa Health Care System – Akron City Hospital
Assistant Professor of Surgery and Integrative Medicine
Northeast Ohio Medical University, USA


Section 1 of the Textbook : Thoracic Surgery .

 1 Anesthesia for Thoracic Surgical Procedures 3 January Tsai, Teresa Moon, Shital Vachhani, Javier Lasala, Peter H Norman and Ronaldo Purugganan

 2 Evolution of Surgical Approaches for Lung Resection 47 Trevor Williams and Wickii T. Vigneswaran

 3 Postoperative Care and Complications After Thoracic Surgery 57 Anand Iyer and Sumit Yadav

 4 Management of Malignant Pleural Effusion 85 Hidir Esme and Mustafa Calik

 5 Superior Sulcus Tumour with some Emphasis on the Anterior Approach 109 Haralabos Parissis, Alan Soo and Bassel Al-Alao

 6 Malignant Pleural Mesothelioma and the Role of Non– Operative Therapies 129 Kelvin K.W. Lau and Calvin S.H. Ng

 7 Recent Advances in Surgical Techniques for Multimodality Treatment of Malignant Pleural Mesothelioma 167 Christos Asteriou, Athanassios Kleontas and Nikolaos Barbetakis

 8 Thoracic Hydatid Cyst: Clinical Presentation, Radiological Features and Surgical Treatment 195 Ihsan Alloubi

Section 2 of the Textbook : Cardiac Surgery .

 9 The Basis of Management of Congenital Heart Disease 221 Krishnan Ganapathy Subramaniam and Neville Solomon

 10 Veno-Arterial Extracorporeal Membrane Oxygenation for Refractory Cardiogenic Shock and Cardiac Arrest 273 Francesco Formica and Giovanni Paolini

 11 Management And Controversies of Post Myocardial Infarction Ventricular Septal Defects 293 Michael S. Firstenberg, Kevin T. Kissling and Karen Nelson

 12 Diagnostics and Surgical Treatment of Left Ventricular Aneurysm with Ventricular Tachycardia 321 Vladimir Shipulin, Vadim Babokin, Sergey Andreev, Vladimir Usov, Ruslan Aimanov, Anthony Bogunetsky, Roman Batalov and Sergey Popov

 13 Cardiac Trauma 339 Daniel Eiferman, R. Nathan Cotterman and Michael Firstenberg

 14 Gastrointestinal Complications in Cardiothoracic Surgery: A Synopsis 355 Jennifer Schwartz, David E. Lindsey, Hooman Khabiri and Stanislaw P. A. Stawicki

Section 3 of the Textbook : Great-Vessel Surgery .

 15 Penetrating Aortic Ulcers 375 Arman Kilic and Ahmet Kilic

 16 Fast – Track Total Arch Replacement 385 Tomoaki Suzuki and Tohru Asai

 17 Contemporary Surgical Management of Acute Massive Pulmonary Embolism 395 Dawn S. Hui and P. Michael McFadden .

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Published by: Unknown - Thursday, June 13, 2013


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