This book is divided into two parts. The first part provides an introduction to the basic assessment of patients, including cardiovascular physiology, pathophysiology and the underlying concepts in coronary heart disease, preoperative evaluation, intraoperative management, and interpretation of cardiac catheterization data. The second part of the book addresses disorders and diseases in a templated manner covering the anatomical and physiological features, surgical therapies, anesthetic approach and postoperative management. Chapters on the heart and heart and lung transplantation consider the additional complexities of those patients and anesthetic considerations for non-cardiac surgery after heart transplantation.
The anesthesiologist caring for patients with congenital heart disease faces a myriad of challenges in the perioperative management of these complex individuals. This book provides: - A concise and easily referable guide ideal for use during anesthesiology residency training and fellowships. - A templated chapter layout ideal for easy referral by wider members of the multidisciplinary team, such as cardiologists, cardiac intensivists, perfusionists, and surgeons. - Helpful illustrations and a bulleted content for rapid reference. - Guidelines on specific lesions for the pediatric anesthesiologist caring for cardiac patients presenting for non-cardiac surgery.
This book is a valuable resource for all anesthesiology and cardiac critical care providers who manage patients with congenital heart disease, and an ideal study aid.
Table of Contents
Preface xvii
Part I The Basics 1
1 Cardiovascular Development 3
2 Important Concepts in Congenital Heart Disease 9
3 Preoperative Evaluation 23
4 Intraoperative Management 31
5 Interpretation of Cardiac Catheterization Data 39
6 Cardiopulmonary Bypass 51
7 Mechanical Support Devices 59
Part II Specific Lesions 67
8 Patent Ductus Arteriosus 69
9 Aortopulmonary Window 73
10 Coarctation of the Aorta 77
11 Atrial Septal Defect 83
12 Ventricular Septal Defect 89
13 Atrioventricular Canal Defects 93
14 Double Outlet Right Ventricle 97
15 Truncus Arteriosus 103
16 Total Anomalous Pulmonary Venous Return 107
17 Left Ventricular Outflow Tract Obstruction 113
18 Mitral Valve 117
19 Pulmonary Atresia/Intact Ventricular Septum (PA/IVS) 125
20 Tetralogy of Fallot (TOF) 131
21 Tetralogy of Fallot with Pulmonary Atresia (TOF/PA) 141
22 Tetralogy of Fallot with Absent Pulmonary Valve (TOF/APV) 145
23 Transposition of the Great Arteries (TGA) 147
24 SingleÂ]Ventricle Lesions 161
25 Hypoplastic Left Heart Syndrome 181
26 Interrupted Aortic Arch 187
27 Vascular Rings 191
28 Tricuspid Atresia 195
29 Heart Transplantation 199
30 Heart–Lung and Lung Transplantation 217
31 Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA) 231
32 Heterotaxy 233
33 Ebstein Anomaly 239
Index 243
