The Failing Right Heart
This book provides an up-to-date and comprehensive overview of the etiology, diagnosis, and treatment of conditions affecting the structure and function of the right heart, comprising the right atrium, right ventricle, tricuspid valve, and pulmonary circu
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The Failing Right Heart
Kyriakos Anastasiadis Stephen Westaby Polychronis Antonitsis Editors
The Failing Right Heart
Editors Kyriakos Anastasiadis Department of Cardiothoracic Surgery Aristotle University of Thessaloniki AHEPA University Hospital Thessaloniki Greece
Polychronis Antonitsis Department of Cardiothoracic Surgery Aristotle University of Thessaloniki AHEPA University Hospital Thessaloniki Greece
Stephen Westaby Department of Cardiac Surgery Oxford University Hospitals NHS Trust Oxford UK Institute of Life Sciences University of Swansea Wales UK
ISBN 978-3-319-17697-0 ISBN 978-3-319-17698-7 DOI 10.1007/978-3-319-17698-7
(eBook)
Library of Congress Control Number: 2015944186 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, 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. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com)
In all things of nature there is something of the marvellous. Aristotle
Foreword I
Left heart and right heart failure are terms referring to conditions in which the left or right side of the heart, respectively, is primarily impaired. The stroke volume or the output of each side of the heart, however, cannot be different in the absence of an abnormal shunt, since both sides of the heart are in circuit. Thus, the output of one abnormal ventricle should be similar to the output of the other ventricle even if it is totally “normal.” In addition, one side of the heart affects the other side by the left heart–right heart interrelationship and interactions mostly via the intra-atrial septum or intraventricular septum. Despite these close anatomical and functional associations between the left and right heart, the right heart until recently has received much less attention compared to the left heart [1]. The English physician William Harvey was the first known to describe the systemic circulation
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