By Audrey Smith PhD, FIBMS, Roxane McKay MD, FRCS, FRCSC (auth.)
Developed to combine cardiac anatomy with surgical fix via reviewing person middle defects inside an easy-to-follow reference layout, A useful Atlas of Congenital middle Disease is designed to permit the reader to envision a congenitally malformed center whereas bearing on its anatomic and surgical description on a unmarried web page unfold.
Simple line drawings are used to spot the diagnostic anatomic good points and to stress very important surgical landmarks, permitting readers to tell apart the infinitely variable morphology in scientific perform. The anatomic pathologist also will achieve an figuring out of surgical maintenance of postoperative hearts. For nearly each malformation, the location of the really expert conduction tissue is indicated.
The booklet offers examples of malformations and the correct surgical issues, reflecting medical perform: anatomical specimens are proven within the anatomical place, whereas the surgical figures are proven as they'd be visible operatively. this permits the reader to perform psychological imaging of the morphologic and spatial relationships which are indispensable to congenital middle surgical procedure. furthermore, many of the illustrated circumstances and morphology provided in those pages are themselves infrequent and occasionally specific examples of specific congenital center malformations.
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Additional info for A Practical Atlas of Congenital Heart Disease
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Direct anastamosis of the proximal and distal aortic segments is nearly always possible after mobilization of the vessels and conserves growth potential. Alternatively, a synthetic conduit may be interposed, but this invariably will be outgrown and thus commits the patient to reoperation. Arch reconstruction may be done through a lateral thoracotomy on the side of the descending aorta or through a midline sternal incision. The technical options for the management of pulmonary blood-flow in interrupted aortic arch consist of pulmonary artery banding, complete separation of the systemic and pulmonary circulations by closure of the ventricular septal defect, or, in selected cases of socalled "single ventricle", an arterial switch procedure to interpose a hypoplastic or stenotic pulmonary artery between the ventricle and the pulmonary circulation.
Aortopulmonary septal defect; hemodynamics, angiography and operation. Ann Thorac Surg 1981;32:244. GulaG, Chew C, Radley-Smith R, Yacoub M. Anomalous origin of the right pulmonary artery from the ascending aorta associated with aortopulmonary window. Thorax 1978;33:265. Ho SY, Gerlis LM, Anderson C, Devine WA, Smith A. The morphology of aortopulmonary windows in regard to their classification and morphogenesis. Cardiol Young 1994;4:146. Kirkpatrick SE, Girod DR, King H. Aortic origin of the right pulmonary artery; surgical repair without graft.