Full Description
This book provides a detailed review of emergency cardiac surgery, which accounts for approximately 4% of cardiac procedures performed, yet carries a six-fold increase in operative mortality compared to elective surgery. Emergency cardiac surgery lies at the intersection of multiple clinical disciplines and is often underreported in large databases and national audits, while existing risk stratification models lack predictive value and training and education remain limited. This book outlines strategies for the management of precarious clinical conditions, such as critical coronary and valvular disease, aortic dissections and endocarditis, as well as the systems and support mechanisms required for high-risk cardiological interventions that may necessitate emergency surgery. It also addresses cardiothoracic trauma in both inpatient and out-of-hospital settings, vascular and thoracic conditions requiring emergency interventions, and the acute care of specific vulnerable populations, including pediatric patients and those awaiting heart transplantation.
Emergency Cardiac Surgery provides essential knowledge from leading experts to help clinicians identify pathology and apply best-practice approaches to the management of these conditions. It represents a multidisciplinary effort that includes input from general and interventional cardiologists, cardiologists with specialist interests in electrophysiology and heart failure, vascular surgeons, and cardiac surgeons with expertise in coronary, valvular, aortovascular, congenital and transplant surgery. Certain sections have been specifically written by and will be of great interest to emergency care physicians, anaesthetists, and perfusion scientists. This is the first book dedicated to this important clinical area, which poses a significant impact on optimal patient outcomes, quality improvement and policy making.
Contents
Definition and clinical relevance of emergency cardiac surgery.- Management of acute aortic dissection.- Emergency management of iatrogenic injury of the thoracic aorta.- Emergency surgery for thoracic aortic trauma.- Revascularisation strategy for acute coronary syndrome with unstable symptoms in surgical pattern disease.- Surgical revascularisation for acute ST elevation myocardial infarction unsuitable for percutaneous intervention.- Management of complications during percutaneous coronary interventions.- Surgery for coronary pathologies leading to spontaneous dissection or rupture.- Emergency aortic valve replacement.- Emergency mitral valve surgery.- Emergency surgery for mechanical complications of myocardial infarction. Emergency surgery for infective endocarditis.- Emergent cardiac surgery post transcatheter aortic valve implantation emergencies.-Emergency cardiac surgery following percutaneous mitral intervention.- Emergency interventions following percutaneous closure of atrial septal defect, patent foramen ovale, and left atrial appendage occlusion.- Emergency cardiac surgery during ablation for atrial fibrillation and ventricular arrhythmias.- Emergency cardiac surgery for cardiac device lead extraction.- Mechanical circulatory support in perioperative cardiogenic shock.- Donor heart allocation systems for adult recipients incorporating clinical urgency - an international comparison.- Emergency surgery in patients with left ventricular assist devices.- Emergency neonatal and paediatric cardiac surgery.- Emergency adult congenital cardiac surgery.- Emergency cardiac surgery following paediatric and adult congenital percutaneous interventions.- Penetrating Injury to Heart: Pre-hospital and Emergency Department Management.- Penetrating injuries to the heart: emergency definitive treatment.- Pericardial pathologies requiring emergency surgery.- Emergency cardiac surgery for thromboembolic disease. Emergency cardiac surgery for complex thoracic resections.- Emergency cardiac surgery during pregnancy.- Anaesthetic considerations in emergency cardiac surgery.- Perfusion considerations in emergency cardiac surgery.- Emergency re-exploration for bleeding after cardiac surgery.- Risk stratification and outcome reporting in emergency cardiac surgery.
