DESCRIPTION:
This book provides comprehensive information and clarity on all aspects of diagnosing and managing constrictive pericarditis. The operative procedures for constrictive pericarditis are presented in detail with technical tips supplemented by surgical videos. Further, it explores and guides on issues with mixed opinions like the role of corticosteroids, timing of the operation, choice of the operative procedure, terminologies to describe the extent of decortication, and the requirement of cardiopulmonary bypass.
Despite experience spanning over 100 years, there is no fool-proof formula in the published literature that can be used in selecting an optimal surgical approach for a given patient. The terms "radical", "total", "extensive", "complete", "subtotal", "adequate", "near-total" and "partial" pericardiectomy also have been variably used in the literature, often without a precise definition of the limits of pericardial resection.
Providing an update on the latest advancements and long-term results of pericardiectomy appeals to all clinicians managing constrictive pericarditis. For the trainees, it offers insights into surgical techniques"" relevant anatomy and foundation. The book will be beneficial to MBBS, MD, MS, M.Ch (CTVS), DM (Cardiology), Diplomate of National Board (Cardiology and CTVS), FRCS, FRACS, MD (USA, Canada, and in all developing and developed countries).
CONTENTS:
Anatomy, Histology, Applied Anatomy, and Physiology of the Human Pericardium
History
Definition
Aetiological Search
Clinical Challenges and Diagnostic Dilemma of Chronic Constrictive Pericarditis
Pathophysiology of Chronic Constrictive Pericarditis
Clinical Presentation, Lab Investigations, and Endomyocardial Biopsy
Imaging Studies and Haemodynamics in Chronic Constrictive Pericarditis
Diseases Mimicking Constrictive Pericarditis: Salient Features and Novel Strategies of Management
Definitions of The Extent of Pericardiectomy, Echocardiographic Variables, Outcome Variables, Haemodynamic Studies, and Normal Acceptable Values
Management of Chronic Constrictive Pericarditis
Decision-Making on the Timings of Pericardiectomy, Selection of the Optimal Surgical Approach, Adequacy of Pericardiectomy and Requirement of Cardiopulmonary Bypass
Radical Pericardiectomy via Modified Left Anterolateral Thoracotomy Without Cardiopulmonary Bypass (UKC""s Modification): Criteria for Decision-Making and Selection of the Optimal Surgical Approach
The Operation: Total Pericardiectomy via Median Sternotomy Without Cardiopulmonary Bypass (Holman and Willett""s Approach)
The Operation: Radical Pericardiectomy via Modified Left Anterolateral Thoracotomy Without Cardiopulmonary Bypass (UKC""s Modification)
Calcific Constrictive Pericarditis
The Operation: Total Pericardiectomy for Calcific Constrictive Pericarditis via Median Sternotomy Without Cardiopulmonary Bypass
Incidence and Management of Postoperative Low Cardiac Output Syndrome After Pericardiectomy
Cardiopulmonary Bypass and Mechanical Circulatory Assistance in the Management of Pericardiectomy Specific Disease Entities
Short- and Long-Term Results
Total Pericardiectomy via Median Sternotomy Without Cardiopulmonary Bypass (Holman and Willett): A Video Presentation
Total Pericardiectomy via Modified Left Anterolateral Thoracotomy Without Cardiopulmonary Bypass (UKC""s Modification): A Video Presentation
Modified Left Anterolateral Thoracotomy Approach Without Cardiopulmonary Bypass (UKC""s Modification): A Video Presentation on Total Pericardiectomy for Chronic Calcific Constrictive Pericarditis
Total Pericardiectomy for Calcific Constrictive Pericarditis via Median Sternotomy Without Cardiopulmonary Bypass: A Video Presentation
Unresolved Problems in Chronic Constrictive Pericarditis
