Endoscopic cardiac surgery : tips, tricks and traps

Endoscopic cardiac surgery : tips, tricks and traps / Joseph Zacharias, editor.

This book is unique in describing the practical considerations of endoscopic cardiac surgery. It covers this topic from basic concepts such as patient selection to imaging and outlines the different approaches to particular endoscopic cardiac surgical procedures. As there is an increasing acceptance...

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Bibliographic Details
Other Authors: Zacharias, Joseph (Editor)
Format: eBook
Language:English
Published: Cham : Springer, [2023]
Subjects:
Endoscopic surgery.
Heart > Surgery.
Endoscopic surgery
Heart > Surgery
Online Access:Click for online access
Table of Contents:
  • Intro
  • Foreword
  • Preface
  • Contents
  • 1 Operative Planning for Safe Endoscopic Mitral Valve Surgery
  • Abstract
  • 1 Introduction
  • 2 Teamwork Approach
  • 3 Procedural Planning
  • 3.1 Electrocardiography
  • 3.2 Chest X-ray
  • 3.3 Echocardiography
  • 3.4 Coronary Angiography
  • 3.5 Computed Tomography
  • 4 Future Perspectives
  • References
  • 2 Anaesthesia for Endoscopic Cardiac Surgery
  • Abstract
  • 1 Introduction
  • 2 Preoperative Assessment
  • 2.1 Cardiovascular
  • 2.2 Respiratory
  • 2.3 Gastrointestinal
  • 2.4 Assessment of Frailty
  • 3 Patient Set Up, Positioning and Monitoring
  • 4 Standard Set Up for These Procedures
  • 5 Additional Set Up in Specific Cases
  • 5.1 Use of Endo Balloon
  • 5.2 Right Heart Procedures
  • 5.3 Redo Procedures
  • 6 Induction of Anaesthesia
  • 7 Intubation-Single Lumen Tube (SLT) Plus Bronchial Blocker (BB) Versus Double Lumen Tube (DLT)
  • 8 Cerebral Oximetry
  • 9 Transoesophageal Echocardiography
  • 10 Jugular Vein Cannulation
  • 11 Jugular Vein Cannulation in Re-do Right Heart Surgery
  • 12 Patient Positioning
  • 13 Start of Surgery
  • 14 One Lung Ventilation with Use of Bronchial Blocker
  • 15 Prebypass Management
  • 16 Cardioplegia Delivery
  • 17 Management During CPB
  • 18 Separation from Cardiopulmonary Bypass
  • 19 Cerebral Oximetry
  • 20 Removal of Jugular Venous Drainage Cannula
  • 21 Postoperative Care
  • 21.1 Analgesia
  • 22 Pulmonary Oedema
  • 22.1 Bleeding and Re-exploration
  • 22.2 Pacing After Surgery
  • 22.3 Haemodynamic Instability
  • 23 Enhanced Recovery
  • References
  • Further Readings
  • 3 Transoesophageal Echocardiography for Safe Endoscopic Cardiac Surgery
  • Abstract
  • 1 Standard Assessment of Surgical Pathology and Other Structures
  • References
  • 4 Endoscopic Conduit Harvesting: Best Practice Training Guidelines
  • Abstract
  • 1 Introduction
  • 2 Methods
  • 3 Results.
  • 3.1 Patient Selection
  • 3.2 Contraindications for EVH and Rationale
  • 4 Ideal Patients for EVH Training
  • 4.1 Surgical Training for EVH
  • 4.2 Structured Training
  • 5 E-Learning Theoretical Module
  • 6 Vein Doppler Ultrasound Mapping
  • 7 Importance of Heparinisation Prior to EVH Technique
  • 7.1 Diathermy Settings
  • 7.2 CO2 Settings and Insufflation
  • 8 Harvesting the Vein with Surrounding Tissues During EVH
  • 9 Volume Thresholds and Learning Curve
  • 9.1 Trainee Volume Threshold
  • 9.2 Competency Volume Threshold for Experienced Practitioners
  • 9.3 Continuous Professional Development
  • 10 Use of Pressure-Controlled Syringe
  • 11 Use of Closed Vacuum Suction Drain on the Leg
  • 12 Avoiding Potential Complications
  • 13 Audit
  • 14 Discussion
  • 15 Conclusion
  • 16 Competing Interests
  • Acknowledgements
  • References
  • 5 Endoscopic Cardiac Surgery-Tips, Tricks and Traps
  • Endoscopic Vessel Harvesting for Coronary Artery Revascularization Surgery with a Non Sealed Reusable System
  • Abstract
  • 1 Introduction and Background
  • 2 Patient Selection
  • 3 Surgical Instruments
  • 4 Endoscopic Radial Artery Harvesting Technique
  • 4.1 Preliminary Details
  • 4.2 Surgical Exposure
  • 4.3 Endoscopic Harvesting
  • 4.4 Radial Artery Endoscopic Retrieval
  • 5 Endoscopic Saphenous Vein Harvesting Technique
  • 5.1 Preliminary Details
  • 5.2 Surgical Exposure
  • 5.3 Endoscopic Harvesting
  • 5.4 Saphenous Vein Endoscopic Retrieval
  • 6 Comments
  • References
  • 6 Endoscopic Closed Tunnel Conduit Harvesting: Tips, Tricks and Traps
  • Abstract
  • 1 Introduction
  • 2 Greater Saphenous Vein
  • 4 Endoscopic Radial Artery Harvesting
  • 5 Conclusion
  • References
  • 7 Endoscopic Vein Harvest Using an Open System (Terumo®)
  • Abstract
  • 1 Introduction
  • 2 Pre-operative Considerations
  • 2.2 Orientation to the Terumo System (See Video 1)
  • 2.3 Theatre Set-Up.
  • 2.4 Pre-operative Patient Assessment
  • 2.5 Patients Past Medical History
  • 2.6 Clinical Examination
  • 2.7 Ultrasound
  • 2.8 Other Points to Note
  • 3 Intra Operative Procedure
  • 3.1 Patient Positioning
  • 4 Traps, Tips and Tricks
  • 4.1 Bleeding
  • 4.2 Large or Bifurcating Tributaries
  • 4.3 Fat in Tunnel
  • 4.4 Superficial Saphenous Vein
  • 4.5 Orientation
  • 4.6 CO2 Blockage
  • 4.7 Thermal Spread
  • 4.8 Twisted/Tangled Vein
  • 5 Post-operative Complications
  • 5.1 CO2 Embolus
  • 5.2 Saphenous Nerve Injury
  • References
  • Further Reading
  • 8 Endoscopic Mitral Valve Surgery Using the External Clamp
  • Abstract
  • 1 Arguments for the External Clamp
  • 2 Preoperative Decision Making Process
  • 3 Preoperative Radiological Examinations
  • 4 Anesthesia and Positioning of the Patient
  • 5 Cannulation and Cardiopulmonary Bypass (Video 1)
  • 6 Surgical Access
  • 7 The Set Up (Figs. 3, 4, 5 and 6)
  • 8 Placement of the External Clamp (Video 4)
  • 9 Atriotomy
  • 10 Mitral Valve Repair
  • 11 Mitral Valve Replacement
  • 12 Concomitant Tricuspid Repair
  • 13 End of the Operation and Deairing
  • References
  • 9 The Endo-Aortic Balloon Technique in Totally Endoscopic Atrioventricular Valve Surgery
  • Abstract
  • 1 Operative Theatre Design for Totally Endoscopic Cardiac Surgery and Patient Selection
  • 2 Preoperative Planning of the Procedure
  • 3 Anesthesia
  • 4 Peripheral Vascular Cannulation and IntraClude™ Positioning
  • 5 Aortic Cross-Clamping: Balloon Inflation, Antegrade Cardioplegia Delivery and Venting
  • 6 Discussion
  • References
  • 10 Endoscopic Tricuspid Valve Surgery: Planning and Deployment
  • Abstract
  • 1 General Consideration
  • 2 Preoperative Planning
  • 2.1 Chest X-Ray and CT Scan
  • 3 The "Virtual Operation" Using CT Scan as a Guide
  • 4 Anesthesia and Jugular Vein Cannulation
  • 5 Patient Positioning
  • 6 Surgical Access.
  • 7 Cardiopulmonary Bypass Setup
  • 8 Exposure of the Surgical Field
  • 9 Operative Phase
  • 10 Special Considerations-Redo and Beating Heart Operative Tricuspid Valve Surgery
  • 11 Adjunctive Techniques and Adult Congenital Heart Disease
  • 12 End of Procedure
  • References
  • 11 Minimally Invasive Endoscopic Maze Procedure for Atrial Fibrillation Through Right Mini-thoracotomy
  • Abstract
  • 1 Technique
  • 1.1 General Considerations
  • 1.2 Cannulation
  • 1.3 Access to the Chest
  • 1.4 Myocardial Preservation
  • 1.5 Access to the Left Atrium and Left-Sided Lesions
  • 1.6 Right-Sided Lesions
  • 2 Results
  • 3 Conclusion
  • References
  • 12 Totally 3D-Endoscopic Aortic Valve Replacement
  • Abstract
  • 1 Introduction
  • 2 Operative Technique
  • 2.1 The Set Up: Patient Positioning, 3D Endoscope, and Monitor
  • 2.2 The Three-Port Technique (Video1)
  • 3 Cardiopulmonary Bypass to Cross-Clamp
  • 4 Summary
  • References
  • 13 Totally Endoscopic Aortic Valve Replacement
  • Abstract
  • 1 Introduction
  • 2 General Overview
  • 3 Steps of the Operative Technique of the TEAVR
  • 5 Brief Presentation of Our Experience in TEAVR
  • 6 Discussion
  • 7 Conclusions
  • Disclosures
  • References
  • 14 Endoscopic Repair of Septal Defects
  • Abstract
  • 1 Introduction
  • 2 Atrial Septal Defects
  • References
  • Further Recommended Viewing
  • 15 Multi-vessel Endoscopic Coronary Artery Bypass Grafting
  • Abstract
  • 1 Anesthesiological Preparation
  • 2 Position of the Endoscopic ports
  • 3 Endoscopic Mammary Artery Harvesting
  • 4 Groin Vessel Cannulation
  • 5 Mini-Thoracotomy
  • 6 Cardioplegia Catheter
  • 7 Mobilising the Heart
  • 8 Coronary Artery Anastomosis Technique
  • 9 Weaning from CPB
  • 10 Graft Construction
  • References
  • 16 Endoscopic Surgery for Cardiac Tumours
  • Abstract
  • 1 Epidemiology and Pathology
  • 2 Role of Minimally Invasive Surgery
  • References.

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