New Solutions for the Heart An Update in Advanced Perioperative Prot
Although cardiac surgery has made an enormous progress during the last decades, the discipline has to cope with essential changes: Patients are increasingly cared for by cardiologists and therefore referred to the surgeon in a later stage of disease. Cons
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Bruno K. Podesser David J. Chambers (Editors)
New Solutions for the Heart An Update in Advanced Perioperative Protection
SpringerWienNewYork
Prof. Dr. Bruno K. Podesser Department of Cardiac Surgery Landesklinikum St. Pölten Propst Führerstr. 4 3100 St. Pölten Austria [email protected]
Dr. David J. Chambers Cardiac Surgical Research The Rayne Institute (King’s College London) St. Thomas Hospital Westminster Bridge Road London SE1 7EH United Kingdom [email protected]
This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machines or similar means, and storage in data banks. Product Liability: The publisher can give no guarantee for all the information contained in this book. The use of 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. # 2011 Springer-Verlag/Wien Printed in Germany SpringerWienNewYork is a part of Springer Science+Business Media springer.at Typesetting: SPI, Pondicherry, India Printed on acid-free and chlorine-free bleached paper SPIN: 80011542 With 39 Figures Library of Congress Control Number: 2010937109 ISBN 978-3-211-85547-8 e-ISBN 978-3-211-85548-5 DOI 10.1007/978-3-211-85548-5 SpringerWienNewYork
Foreword (by Lawrence H. Cohn)
This interesting volume on advanced perioperative protection during cardiac surgery is an excellent compilation of past, present and future science of this very important and fundamental topic for every cardiac surgeon. The Editors, Dr. Chambers and Podesser have assembled an all-star cast of excellent clinicians and scientists, experts in the general fields of basic cardiac research, cardioplegia research and clinical outcomes research. After an initial excellent historical chapter the various authors present much of the basic science of myocyte physiology, myocardial protection, subjects that have not been well understood. These basic concepts have been summarized beautifully in this book for clinicians and basic science investigators alike. The next section discusses much of what is currently known about the clinical and physiological effect of cardioplegia on the beating and arrested heart, the optimal protection for the transplanted heart, specific recommendations for right heart protection and a variety of modalities to achieve optimal protection in these situations. Finally, there are several chapters about the potential future of improved protective cardiac strategies during surgery for an increasing number of patients, particularly the elderly, who will require cardiac surgery over the next decades. The authors have done an excellent job in putting together the best of science and clinical practice of a subject which is critical to successful cardiac surgery and which was put into effect
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