Ebook: Cardiac Reconstructions

Attempts to reconstruct various parts of the heart started even before the beginning of open cardiac surgery. By the late 1950s and early 1960 s several closed and open procedures had already been described. In that era, several surgeons in Europe and the Americas were particularly prompted to develop various techniques of valve re­ construction because of the lack of acceptable valve prostheses and conduits which have become available subsequently. At that time, several congenital lesions still defied definitive correction, and clinical attempts at left ventricular wall replacement had not yet got under way. A renaissance in different cardiac reconstructive procedures started at the beginning of the 1980s. As the problems relating to valve prostheses became more generally appreciated and the importance of chamber volumes and geometry (atrial or ventricular) was accorded due importance in the long-term follow-up, there was a resurgence of surgical attempts at reconstruction in congenital and acquired cardiac lesions so as to approximate the natural state. At the same time several characteristics of this reconstructive "discipline" became apparent. First, cardiac reconstructive surgery has remained a surgical "art" with a gradually increasing number of interested cardiac surgeons.

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This book discusses the whole spectrum of cardiac reconstruction as a concept; it is the first time that various aspects of reconstructions of different components of the heart are compended together in one volume. The contributions from both European and American specialists describe and discuss recent innovations as well as short- and long-term results, thus enabling the reader to compare the approaches and results of different groups in the frontier areas of cardiac surgery. An introductory overview in each section of the book acquaints even initiates with the evolutionary continuity and the background information relevent to different categories of reconstructive procedures.

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This book discusses the whole spectrum of cardiac reconstruction as a concept; it is the first time that various aspects of reconstructions of different components of the heart are compended together in one volume. The contributions from both European and American specialists describe and discuss recent innovations as well as short- and long-term results, thus enabling the reader to compare the approaches and results of different groups in the frontier areas of cardiac surgery. An introductory overview in each section of the book acquaints even initiates with the evolutionary continuity and the background information relevent to different categories of reconstructive procedures.
Content:
Front Matter....Pages I-XIV
On Cardiac Reconstructions....Pages 1-5
Front Matter....Pages 7-7
Long-Term Follow-Up of 133 Atrioventricular Septal Defects....Pages 8-14
Surgical Repair of Complete Atrioventricular Canal: Analysis of Early and Late Results....Pages 15-19
Outcome and Course of Primary Corrective Surgery of Atrioventricular Canal Anomalies in Infancy....Pages 20-24
Correction of Mitral Incompetence in Atrioventricular Canal Defects with Double-Orifice Mitral Valve: The Triple-Orifice Repair....Pages 25-29
Considerations on the Mitral Valve During Total Correction of Complete Atrioventricular Canal in Infancy Using the Two-Patch Technique....Pages 30-37
Conservative Surgery for Congenital Abnormalities of the Mitral Valve....Pages 38-43
Long-Term Results for Atrioventricular Connection in Tricuspid Atresia....Pages 44-47
Reoperations for Obstructed Ventriculopulmonary Conduits....Pages 48-51
Surgical Correction of Double-Outlet Right Ventricle....Pages 52-58
Early and Medium-Term Results After Correction of Total Anomalous Pulmonary Venous Drainage in Infancy....Pages 59-65
Arterial Switch for Repair of Simple and Complex Transposition of the Great Arteries: Early Experience....Pages 66-71
Front Matter....Pages 73-73
Tricuspid Valve Reconstructions....Pages 74-81
Tricuspid Valve Repair by a Flexible Linear Reducer....Pages 82-84
Modified Annuloplasty of the Tricuspid Valve: Technique and Long-Term Results....Pages 85-91
Medium-Term Clinical and Hemodynamic Results after Reconstruction of the Tricuspid Valve Applying a New Technique....Pages 92-100
Reconstruction of Tricuspid Valve Leaflets Destroyed by Bacterial Endocarditis....Pages 101-107
Surgical Reconstruction of the Tricuspid Valve for Acquired Severe Stenosis....Pages 108-112
Some Considerations on “Functional” Tricuspid Insufficiency and Its Implications in Tricuspid Reconstruction....Pages 113-118
Front Matter....Pages 119-119
Mitral Valve Reconstructions....Pages 120-150
Front Matter....Pages 119-119
Mitral Annuloplasty with the Puig Massana-Shiley Ring: Long-Term Results....Pages 151-156
Semi-frame Mitral Annuloplasty....Pages 157-163
Mitral Valve Repair Without Using Rings or Slings....Pages 164-170
Transposition of Chordae in “Floppy” Mitral Valve Repair....Pages 171-175
Prolapsed Anterior Mitral Valve: Surgical Treatment by Partial Transposition of the Posterior Leaflet....Pages 176-182
Conservative Surgery for Mitral Regurgitation: A Discriminant Analysis of Techniques and Lesions....Pages 183-192
Mitral Valve Reconstruction: Pushing the Conventional Limits....Pages 193-199
Conservative Surgery of the Mitral Valve: An Echocardiographic Long-Term Evaluation....Pages 200-206
Artificial Chordae in the Treatment of Mitral Valve Pathology....Pages 207-210
Intraoperative Evaluation of the Reconstruction of the Atrioventricular Valves by Means of Transesophageal Echocardiography....Pages 211-215
Front Matter....Pages 217-217
Aortic Valve Reconstructions....Pages 218-225
The Narrow Aortic Valve Ring: Technique of Enlargement Using Autologous Pericardium....Pages 226-230
Front Matter....Pages 231-231
The Evolution of Left Ventricular Reconstruction....Pages 232-234
A New Approach to Left Ventricular Aneurysms: Restoration of Ventricular Dynamics by Pericardial Patch Septoplasty....Pages 235-242
Septoplasty Procedure for Left Ventricular Aneurysms: Factors Affecting Early and Late Results....Pages 243-253
Early Septal Reconstruction Following Acute Myocardial Infarction....Pages 254-259
Early Repair of Postinfarction Ventricular Septal Defects: Technical Issues....Pages 260-264
Reconstruction of the Left Ventricle for Aneurysm or Akinetic Zone by Endoventricular Circular Plasty with Septal Exclusion....Pages 265-274
Left-Ventricular Aneurysmectomy: Converging Walls Reconstruction Technique....Pages 275-280
Aneurysmectomy and Left Ventricular Reconstruction in Ischemic Heart Disease....Pages 281-285
Front Matter....Pages 231-231
Long-Term Follow-Up after Partial Left Ventricular Wall Replacement Due to Cardiac Tumor in Childhood....Pages 286-291
Cardiac Patients with Primary and Secondary Heart Tumors: Operative Procedures and Follow-Up....Pages 292-299
Surgical Technique in Subvalvular and Midventricular Hypertrophic Obstructive Cardiomyopathy (HOCM)....Pages 300-307
Front Matter....Pages 309-309
Coronary Artery Reconstructions: Why? How? When?....Pages 310-312
Open Endarterectomy with Vein-Patch Coronary Reconstruction and Internal Mammary Artery Implant....Pages 313-318
Left-Sided Coronary Thromboendarterectomy in Complex Internal Mammary Artery Grafting....Pages 319-326
Surgical Angioplasty of the Left Main Coronary Artery with Venous Patch: Antegrade Myocardial Revascularization....Pages 327-331
Surgical Angioplasty for Isolated Left Main Coronary Disease....Pages 332-335
Surgical Coronary Ostial Plasty....Pages 336-343
Front Matter....Pages 345-345
Biological Behavior of Materials Implanted in the Heart....Pages 346-359
Immunogenicity of Glutaraldehyde-Tanned Bovine Pericardium....Pages 360-366
Back Matter....Pages 367-368

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This book discusses the whole spectrum of cardiac reconstruction as a concept; it is the first time that various aspects of reconstructions of different components of the heart are compended together in one volume. The contributions from both European and American specialists describe and discuss recent innovations as well as short- and long-term results, thus enabling the reader to compare the approaches and results of different groups in the frontier areas of cardiac surgery. An introductory overview in each section of the book acquaints even initiates with the evolutionary continuity and the background information relevent to different categories of reconstructive procedures.
Content:
Front Matter....Pages I-XIV
On Cardiac Reconstructions....Pages 1-5
Front Matter....Pages 7-7
Long-Term Follow-Up of 133 Atrioventricular Septal Defects....Pages 8-14
Surgical Repair of Complete Atrioventricular Canal: Analysis of Early and Late Results....Pages 15-19
Outcome and Course of Primary Corrective Surgery of Atrioventricular Canal Anomalies in Infancy....Pages 20-24
Correction of Mitral Incompetence in Atrioventricular Canal Defects with Double-Orifice Mitral Valve: The Triple-Orifice Repair....Pages 25-29
Considerations on the Mitral Valve During Total Correction of Complete Atrioventricular Canal in Infancy Using the Two-Patch Technique....Pages 30-37
Conservative Surgery for Congenital Abnormalities of the Mitral Valve....Pages 38-43
Long-Term Results for Atrioventricular Connection in Tricuspid Atresia....Pages 44-47
Reoperations for Obstructed Ventriculopulmonary Conduits....Pages 48-51
Surgical Correction of Double-Outlet Right Ventricle....Pages 52-58
Early and Medium-Term Results After Correction of Total Anomalous Pulmonary Venous Drainage in Infancy....Pages 59-65
Arterial Switch for Repair of Simple and Complex Transposition of the Great Arteries: Early Experience....Pages 66-71
Front Matter....Pages 73-73
Tricuspid Valve Reconstructions....Pages 74-81
Tricuspid Valve Repair by a Flexible Linear Reducer....Pages 82-84
Modified Annuloplasty of the Tricuspid Valve: Technique and Long-Term Results....Pages 85-91
Medium-Term Clinical and Hemodynamic Results after Reconstruction of the Tricuspid Valve Applying a New Technique....Pages 92-100
Reconstruction of Tricuspid Valve Leaflets Destroyed by Bacterial Endocarditis....Pages 101-107
Surgical Reconstruction of the Tricuspid Valve for Acquired Severe Stenosis....Pages 108-112
Some Considerations on “Functional” Tricuspid Insufficiency and Its Implications in Tricuspid Reconstruction....Pages 113-118
Front Matter....Pages 119-119
Mitral Valve Reconstructions....Pages 120-150
Front Matter....Pages 119-119
Mitral Annuloplasty with the Puig Massana-Shiley Ring: Long-Term Results....Pages 151-156
Semi-frame Mitral Annuloplasty....Pages 157-163
Mitral Valve Repair Without Using Rings or Slings....Pages 164-170
Transposition of Chordae in “Floppy” Mitral Valve Repair....Pages 171-175
Prolapsed Anterior Mitral Valve: Surgical Treatment by Partial Transposition of the Posterior Leaflet....Pages 176-182
Conservative Surgery for Mitral Regurgitation: A Discriminant Analysis of Techniques and Lesions....Pages 183-192
Mitral Valve Reconstruction: Pushing the Conventional Limits....Pages 193-199
Conservative Surgery of the Mitral Valve: An Echocardiographic Long-Term Evaluation....Pages 200-206
Artificial Chordae in the Treatment of Mitral Valve Pathology....Pages 207-210
Intraoperative Evaluation of the Reconstruction of the Atrioventricular Valves by Means of Transesophageal Echocardiography....Pages 211-215
Front Matter....Pages 217-217
Aortic Valve Reconstructions....Pages 218-225
The Narrow Aortic Valve Ring: Technique of Enlargement Using Autologous Pericardium....Pages 226-230
Front Matter....Pages 231-231
The Evolution of Left Ventricular Reconstruction....Pages 232-234
A New Approach to Left Ventricular Aneurysms: Restoration of Ventricular Dynamics by Pericardial Patch Septoplasty....Pages 235-242
Septoplasty Procedure for Left Ventricular Aneurysms: Factors Affecting Early and Late Results....Pages 243-253
Early Septal Reconstruction Following Acute Myocardial Infarction....Pages 254-259
Early Repair of Postinfarction Ventricular Septal Defects: Technical Issues....Pages 260-264
Reconstruction of the Left Ventricle for Aneurysm or Akinetic Zone by Endoventricular Circular Plasty with Septal Exclusion....Pages 265-274
Left-Ventricular Aneurysmectomy: Converging Walls Reconstruction Technique....Pages 275-280
Aneurysmectomy and Left Ventricular Reconstruction in Ischemic Heart Disease....Pages 281-285
Front Matter....Pages 231-231
Long-Term Follow-Up after Partial Left Ventricular Wall Replacement Due to Cardiac Tumor in Childhood....Pages 286-291
Cardiac Patients with Primary and Secondary Heart Tumors: Operative Procedures and Follow-Up....Pages 292-299
Surgical Technique in Subvalvular and Midventricular Hypertrophic Obstructive Cardiomyopathy (HOCM)....Pages 300-307
Front Matter....Pages 309-309
Coronary Artery Reconstructions: Why? How? When?....Pages 310-312
Open Endarterectomy with Vein-Patch Coronary Reconstruction and Internal Mammary Artery Implant....Pages 313-318
Left-Sided Coronary Thromboendarterectomy in Complex Internal Mammary Artery Grafting....Pages 319-326
Surgical Angioplasty of the Left Main Coronary Artery with Venous Patch: Antegrade Myocardial Revascularization....Pages 327-331
Surgical Angioplasty for Isolated Left Main Coronary Disease....Pages 332-335
Surgical Coronary Ostial Plasty....Pages 336-343
Front Matter....Pages 345-345
Biological Behavior of Materials Implanted in the Heart....Pages 346-359
Immunogenicity of Glutaraldehyde-Tanned Bovine Pericardium....Pages 360-366
Back Matter....Pages 367-368
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