Cardiac surgery in the adult

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This comprehensive work covers the fundamentals and advanced aspects of cardiac surgery. It begins with a historical overview and delves into the surgical anatomy and physiology of the heart, alongside essential pharmacological and pathological insights. The text emphasizes the importance of preoperative evaluation, cardiac anesthesia, and intraoperative techniques, including extracorporeal circulation and myocardial protection. The focus then shifts to ischemic heart disease, detailing indications for revascularization and various surgical approaches, including both minimally invasive techniques and traditional methods. Complications arising from acute myocardial infarction are addressed, as well as specific conditions like ischemic mitral regurgitation and left ventricular aneurysms. Subsequent sections explore valvular heart disease, particularly aortic valve conditions. The text discusses the pathophysiology of aortic valve disease and various surgical interventions, including mechanical and bioprosthetic valve replacements, as well as repair techniques. Minimally invasive options and percutaneous treatments are also examined. Overall, this work serves as a vital resource for understanding the complexities of cardiac surgery, offering insights into both established practices and emerging techniques in the field.