Perioperative Critical Care of the Pediatric Cardiac Surgical Patient

Jan 14, 2019 by in UROLOGY Comments Off on Perioperative Critical Care of the Pediatric Cardiac Surgical Patient

Introduction Print Section Listen Perioperative care of the pediatric cardiac surgical patient requires a multidisciplinary team that includes cardiologists, cardiothoracic surgeons, anesthesiologists, and intensivists as well as multiple other support…

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Cardiac Magnetic Resonance Imaging

Jan 14, 2019 by in UROLOGY Comments Off on Cardiac Magnetic Resonance Imaging

Introduction Print Section Listen The availability of high-field-strength magnets, high-performance-gradient hardware, and ultrafast sequence technology in recent years has transformed cardiac magnetic resonance imaging (MRI) into a multifunctional tool. Cardiac…

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Echocardiography in Cardiac Surgery

Jan 14, 2019 by in UROLOGY Comments Off on Echocardiography in Cardiac Surgery

Principles of Echocardiography Print Section Listen Since 1976, echocardiography (echo) has been used to evaluate cardiac structure and function. Echo uses sound in the high-frequency range (2–10 MHz). Frequency ranges…

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Ascending and Arch Aneurysms of the Aorta

Jan 14, 2019 by in UROLOGY Comments Off on Ascending and Arch Aneurysms of the Aorta

Print Section Listen “There is no disease more conducive to clinical humility than aneurysms of the aorta.” —Sir William Osler Key Concepts Epidemiology The leading cause of aneurysms of the…

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Surgical Ventricular Remodeling

Jan 14, 2019 by in UROLOGY Comments Off on Surgical Ventricular Remodeling

Key Concepts Print Section Listen Epidemiology Congestive heart failure (CHF) is the most prevalent medical problem in Western society as the leading cause of death in the United States. Ischemic…

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Thoracoabdominal Aneurysms

Jan 14, 2019 by in UROLOGY Comments Off on Thoracoabdominal Aneurysms

Key Concepts Print Section Listen Epidemiology Thoracoabdominal aneurysms (TAAs) develop in patients with atherosclerotic disease, chronic aortic dissection, and connective tissue disorders (e.g., Marfan syndrome, Ehler–Danlos syndrome). Pathophysiology Pathologic processes…

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Minimally Invasive Cardiac Surgery

Jan 14, 2019 by in UROLOGY Comments Off on Minimally Invasive Cardiac Surgery

Key Concepts Print Section Listen Innovations in alternative methods for cannulation and cardiopulmonary bypass (CPB), new visualization systems, retractors and stabilizers, and robotic platforms have facilitated the development of minimally…

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Endovascular Repair of Thoracic Aortic Pathology

Jan 14, 2019 by in UROLOGY Comments Off on Endovascular Repair of Thoracic Aortic Pathology

Key Concepts Print Section Listen Traditional open surgical repair of thoracic aortic disease is associated with significant morbidity and mortality. Endovascular stent-graft therapies have emerged as a minimally invasive approach…

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Pacemaker and Defibrillator Therapy in Cardiac Surgery Patients

Jan 14, 2019 by in UROLOGY Comments Off on Pacemaker and Defibrillator Therapy in Cardiac Surgery Patients

Key Concepts Print Section Listen Pacemaker therapy effectively treats bradycardia-related symptoms for patients with sinus node dysfunction, advanced atrioventricular (AV) block, and in some instances carotid sinus hypersensitivity. Conduction disturbance…

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