001469779 000__ 11158cam\\2200637\i\4500 001469779 001__ 1469779 001469779 003__ OCoLC 001469779 005__ 20230803003346.0 001469779 006__ m\\\\\o\\d\\\\\\\\ 001469779 007__ cr\cn\nnnunnun 001469779 008__ 230617s2023\\\\sz\a\\\\o\\\\\001\0\eng\d 001469779 019__ $$a1382690631 001469779 020__ $$a9783031211041$$q(electronic bk.) 001469779 020__ $$a3031211049$$q(electronic bk.) 001469779 020__ $$z9783031211034 001469779 020__ $$z3031211030 001469779 0247_ $$a10.1007/978-3-031-21104-1$$2doi 001469779 035__ $$aSP(OCoLC)1382696070 001469779 040__ $$aEBLCP$$beng$$erda$$epn$$cEBLCP$$dYDX$$dGW5XE$$dOCLCF$$dSFB 001469779 049__ $$aISEA 001469779 050_4 $$aRD33.53 001469779 08204 $$a617/.057$$223/eng/20230626 001469779 24500 $$aEndoscopic cardiac surgery :$$btips, tricks and traps /$$cJoseph Zacharias, editor. 001469779 264_1 $$aCham :$$bSpringer,$$c[2023] 001469779 264_4 $$c©2023 001469779 300__ $$a1 online resource (xiv, 359 pages) :$$billustrations (chiefly color) 001469779 336__ $$atext$$btxt$$2rdacontent 001469779 337__ $$acomputer$$bc$$2rdamedia 001469779 338__ $$aonline resource$$bcr$$2rdacarrier 001469779 500__ $$aIncludes index. 001469779 5050_ $$aIntro -- Foreword -- Preface -- Contents -- 1 Operative Planning for Safe Endoscopic Mitral Valve Surgery -- Abstract -- 1 Introduction -- 2 Teamwork Approach -- 3 Procedural Planning -- 3.1 Electrocardiography -- 3.2 Chest X-ray -- 3.3 Echocardiography -- 3.4 Coronary Angiography -- 3.5 Computed Tomography -- 4 Future Perspectives -- References -- 2 Anaesthesia for Endoscopic Cardiac Surgery -- Abstract -- 1 Introduction -- 2 Preoperative Assessment -- 2.1 Cardiovascular -- 2.2 Respiratory -- 2.3 Gastrointestinal -- 2.4 Assessment of Frailty -- 3 Patient Set Up, Positioning and Monitoring -- 4 Standard Set Up for These Procedures -- 5 Additional Set Up in Specific Cases -- 5.1 Use of Endo Balloon -- 5.2 Right Heart Procedures -- 5.3 Redo Procedures -- 6 Induction of Anaesthesia -- 7 Intubation-Single Lumen Tube (SLT) Plus Bronchial Blocker (BB) Versus Double Lumen Tube (DLT) -- 8 Cerebral Oximetry -- 9 Transoesophageal Echocardiography -- 10 Jugular Vein Cannulation -- 11 Jugular Vein Cannulation in Re-do Right Heart Surgery -- 12 Patient Positioning -- 13 Start of Surgery -- 14 One Lung Ventilation with Use of Bronchial Blocker -- 15 Prebypass Management -- 16 Cardioplegia Delivery -- 17 Management During CPB -- 18 Separation from Cardiopulmonary Bypass -- 19 Cerebral Oximetry -- 20 Removal of Jugular Venous Drainage Cannula -- 21 Postoperative Care -- 21.1 Analgesia -- 22 Pulmonary Oedema -- 22.1 Bleeding and Re-exploration -- 22.2 Pacing After Surgery -- 22.3 Haemodynamic Instability -- 23 Enhanced Recovery -- References -- Further Readings -- 3 Transoesophageal Echocardiography for Safe Endoscopic Cardiac Surgery -- Abstract -- 1 Standard Assessment of Surgical Pathology and Other Structures -- References -- 4 Endoscopic Conduit Harvesting: Best Practice Training Guidelines -- Abstract -- 1 Introduction -- 2 Methods -- 3 Results. 001469779 5058_ $$a3.1 Patient Selection -- 3.2 Contraindications for EVH and Rationale -- 4 Ideal Patients for EVH Training -- 4.1 Surgical Training for EVH -- 4.2 Structured Training -- 5 E-Learning Theoretical Module -- 6 Vein Doppler Ultrasound Mapping -- 7 Importance of Heparinisation Prior to EVH Technique -- 7.1 Diathermy Settings -- 7.2 CO2 Settings and Insufflation -- 8 Harvesting the Vein with Surrounding Tissues During EVH -- 9 Volume Thresholds and Learning Curve -- 9.1 Trainee Volume Threshold -- 9.2 Competency Volume Threshold for Experienced Practitioners -- 9.3 Continuous Professional Development -- 10 Use of Pressure-Controlled Syringe -- 11 Use of Closed Vacuum Suction Drain on the Leg -- 12 Avoiding Potential Complications -- 13 Audit -- 14 Discussion -- 15 Conclusion -- 16 Competing Interests -- Acknowledgements -- References -- 5 Endoscopic Cardiac Surgery-Tips, Tricks and Traps -- Endoscopic Vessel Harvesting for Coronary Artery Revascularization Surgery with a Non Sealed Reusable System -- Abstract -- 1 Introduction and Background -- 2 Patient Selection -- 3 Surgical Instruments -- 4 Endoscopic Radial Artery Harvesting Technique -- 4.1 Preliminary Details -- 4.2 Surgical Exposure -- 4.3 Endoscopic Harvesting -- 4.4 Radial Artery Endoscopic Retrieval -- 5 Endoscopic Saphenous Vein Harvesting Technique -- 5.1 Preliminary Details -- 5.2 Surgical Exposure -- 5.3 Endoscopic Harvesting -- 5.4 Saphenous Vein Endoscopic Retrieval -- 6 Comments -- References -- 6 Endoscopic Closed Tunnel Conduit Harvesting: Tips, Tricks and Traps -- Abstract -- 1 Introduction -- 2 Greater Saphenous Vein -- 4 Endoscopic Radial Artery Harvesting -- 5 Conclusion -- References -- 7 Endoscopic Vein Harvest Using an Open System (Terumo®) -- Abstract -- 1 Introduction -- 2 Pre-operative Considerations -- 2.2 Orientation to the Terumo System (See Video 1) -- 2.3 Theatre Set-Up. 001469779 5058_ $$a2.4 Pre-operative Patient Assessment -- 2.5 Patients Past Medical History -- 2.6 Clinical Examination -- 2.7 Ultrasound -- 2.8 Other Points to Note -- 3 Intra Operative Procedure -- 3.1 Patient Positioning -- 4 Traps, Tips and Tricks -- 4.1 Bleeding -- 4.2 Large or Bifurcating Tributaries -- 4.3 Fat in Tunnel -- 4.4 Superficial Saphenous Vein -- 4.5 Orientation -- 4.6 CO2 Blockage -- 4.7 Thermal Spread -- 4.8 Twisted/Tangled Vein -- 5 Post-operative Complications -- 5.1 CO2 Embolus -- 5.2 Saphenous Nerve Injury -- References -- Further Reading -- 8 Endoscopic Mitral Valve Surgery Using the External Clamp -- Abstract -- 1 Arguments for the External Clamp -- 2 Preoperative Decision Making Process -- 3 Preoperative Radiological Examinations -- 4 Anesthesia and Positioning of the Patient -- 5 Cannulation and Cardiopulmonary Bypass (Video 1) -- 6 Surgical Access -- 7 The Set Up (Figs. 3, 4, 5 and 6) -- 8 Placement of the External Clamp (Video 4) -- 9 Atriotomy -- 10 Mitral Valve Repair -- 11 Mitral Valve Replacement -- 12 Concomitant Tricuspid Repair -- 13 End of the Operation and Deairing -- References -- 9 The Endo-Aortic Balloon Technique in Totally Endoscopic Atrioventricular Valve Surgery -- Abstract -- 1 Operative Theatre Design for Totally Endoscopic Cardiac Surgery and Patient Selection -- 2 Preoperative Planning of the Procedure -- 3 Anesthesia -- 4 Peripheral Vascular Cannulation and IntraClude™ Positioning -- 5 Aortic Cross-Clamping: Balloon Inflation, Antegrade Cardioplegia Delivery and Venting -- 6 Discussion -- References -- 10 Endoscopic Tricuspid Valve Surgery: Planning and Deployment -- Abstract -- 1 General Consideration -- 2 Preoperative Planning -- 2.1 Chest X-Ray and CT Scan -- 3 The "Virtual Operation" Using CT Scan as a Guide -- 4 Anesthesia and Jugular Vein Cannulation -- 5 Patient Positioning -- 6 Surgical Access. 001469779 5058_ $$a7 Cardiopulmonary Bypass Setup -- 8 Exposure of the Surgical Field -- 9 Operative Phase -- 10 Special Considerations-Redo and Beating Heart Operative Tricuspid Valve Surgery -- 11 Adjunctive Techniques and Adult Congenital Heart Disease -- 12 End of Procedure -- References -- 11 Minimally Invasive Endoscopic Maze Procedure for Atrial Fibrillation Through Right Mini-thoracotomy -- Abstract -- 1 Technique -- 1.1 General Considerations -- 1.2 Cannulation -- 1.3 Access to the Chest -- 1.4 Myocardial Preservation -- 1.5 Access to the Left Atrium and Left-Sided Lesions -- 1.6 Right-Sided Lesions -- 2 Results -- 3 Conclusion -- References -- 12 Totally 3D-Endoscopic Aortic Valve Replacement -- Abstract -- 1 Introduction -- 2 Operative Technique -- 2.1 The Set Up: Patient Positioning, 3D Endoscope, and Monitor -- 2.2 The Three-Port Technique (Video1) -- 3 Cardiopulmonary Bypass to Cross-Clamp -- 4 Summary -- References -- 13 Totally Endoscopic Aortic Valve Replacement -- Abstract -- 1 Introduction -- 2 General Overview -- 3 Steps of the Operative Technique of the TEAVR -- 5 Brief Presentation of Our Experience in TEAVR -- 6 Discussion -- 7 Conclusions -- Disclosures -- References -- 14 Endoscopic Repair of Septal Defects -- Abstract -- 1 Introduction -- 2 Atrial Septal Defects -- References -- Further Recommended Viewing -- 15 Multi-vessel Endoscopic Coronary Artery Bypass Grafting -- Abstract -- 1 Anesthesiological Preparation -- 2 Position of the Endoscopic ports -- 3 Endoscopic Mammary Artery Harvesting -- 4 Groin Vessel Cannulation -- 5 Mini-Thoracotomy -- 6 Cardioplegia Catheter -- 7 Mobilising the Heart -- 8 Coronary Artery Anastomosis Technique -- 9 Weaning from CPB -- 10 Graft Construction -- References -- 16 Endoscopic Surgery for Cardiac Tumours -- Abstract -- 1 Epidemiology and Pathology -- 2 Role of Minimally Invasive Surgery -- References. 001469779 506__ $$aAccess limited to authorized users. 001469779 520__ $$aThis book is unique in describing the practical considerations of endoscopic cardiac surgery. It covers this topic from basic concepts such as patient selection to imaging and outlines the different approaches to particular endoscopic cardiac surgical procedures. As there is an increasing acceptance that cardiac surgery needs to be provided to older and sicker patients and more asymptomatic patients, the option of a sternotomy is becoming less appealing. The endoscope has changed the patient pathway in many surgical specialities, but until recently cardiac surgery has been slow to adopt this approach. With improvements in imaging and better imaging technology, there is a steady increase in accepted procedures and trained surgeons offering this approach. Endoscopic Cardiac Surgery: Tips, Tricks and Traps captures the experience of endoscopic cardiac surgeons from around the world and is a concise yet thorough reference book for those starting a program in this discipline. With over 3 hours of associated video material, it will be an essential primer for the discipline, therefore making it a valuable reference for trainees in cardiac surgery and experienced surgeons wishing to add this approach to their armamentarium. Via app: download the SN More Media app for free, scan a link with play button and access MP4 directly on your smartphone or tablet. . 001469779 588__ $$aDescription based upon print version of record. 001469779 650_0 $$aEndoscopic surgery. 001469779 650_0 $$aHeart$$xSurgery. 001469779 655_0 $$aElectronic books. 001469779 7001_ $$aZacharias, Joseph,$$eeditor. 001469779 77608 $$iPrint version:$$aZacharias, Joseph$$tEndoscopic Cardiac Surgery$$dCham : Springer International Publishing AG,c2023$$z9783031211034 001469779 852__ $$bebk 001469779 85640 $$3Springer Nature$$uhttps://univsouthin.idm.oclc.org/login?url=https://link.springer.com/10.1007/978-3-031-21104-1$$zOnline Access$$91397441.1 001469779 909CO $$ooai:library.usi.edu:1469779$$pGLOBAL_SET 001469779 980__ $$aBIB 001469779 980__ $$aEBOOK 001469779 982__ $$aEbook 001469779 983__ $$aOnline 001469779 994__ $$a92$$bISE