Heart Valve Surgery An Illustrated Guide

This book offers a comprehensive overview of the surgical treatment of heart valve disease. The aim is to provide the reader with precise information on treatment modalities, indications, and specific situations that may be encountered. After introductory

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Heart Valve Surgery An Illustrated Guide

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Heart Valve Surgery

Jan Dominik • Pavel Zacek

Heart Valve Surgery An Illustrated Guide

Dr. Jan Dominik Dr. Pavel Zacek Department of Cardiac Surgery Charles University in Prague Faculty of Medicine in Hradec Kralove University Hospital Hradec Kralove 500 05 Hradec Kralove Czech Republic [email protected]

Originally published in 2008 by Grada Publishing, a.s. Czech Republic with the following title: “Chirurgie srdeÿních chlopní (...nejen pro kardiochirurgy)”. ISBN 978-3-642-12205-7 e-ISBN 978-3-642-12206-4 DOI 10.1007/978-3-642-12206-4 Springer Heidelberg Dordrecht London New York Library of Congress Control Number: 2010928389

¤ Springer-Verlag Berlin Heidelberg 2010 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer. Violations are liable to prosecution under the German Copyright Law. The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: eStudio Calamar, Figures/Berlin

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Preface The four heart valves reside in the center of the heart. This indicates their crucial role in cardiac performance. Faultless function of the valves is a prerequisite for unidirectional forward movement of the blood, and such function is necessary to support the efforts of the cardiac atria and ventricles. Healthy heart valves function gracefully and offer mechanical durability. Bioengineers have to marvel at the biomechanical evolution of these perfectly placed valves. Heart valves can be involved in pathological processes, however, and only then do we realize just how indispensable they really are. At one time, serious valve disorders used to be a matter of life and death for patients. Only in recent decades have surgeons been able to reverse the ominous course of heart valve disease and offer patients a quality of

life and life span comparable to that of healthy persons. The story of this effort began approximately 100 years ago, and today heart valve surgery is a substantial subspecialty of cardiac surgery, with accumulated experience in indications, procedures, risks, and outco