000 04026nam a22004695i 4500
001 978-1-4471-2861-8
003 DE-He213
005 20140220083236.0
007 cr nn 008mamaa
008 120604s2012 xxk| s |||| 0|eng d
020 _a9781447128618
_9978-1-4471-2861-8
024 7 _a10.1007/978-1-4471-2861-8
_2doi
050 4 _aRD597-598.7
072 7 _aMNH
_2bicssc
072 7 _aMED085040
_2bisacsh
072 7 _aMED010000
_2bisacsh
082 0 4 _a617.412
_223
100 1 _aParachuri, V. Rao.
_eauthor.
245 1 0 _aVentricular Geometry in Post-Myocardial Infarction Aneurysms
_h[electronic resource] :
_bImplications for Surgical Ventricular Restoration /
_cby V. Rao Parachuri, Srilakshmi M. Adhyapak.
264 1 _aLondon :
_bSpringer London :
_bImprint: Springer,
_c2012.
300 _aXVI, 152 p. 77 illus., 37 illus. in color.
_bonline resource.
336 _atext
_btxt
_2rdacontent
337 _acomputer
_bc
_2rdamedia
338 _aonline resource
_bcr
_2rdacarrier
347 _atext file
_bPDF
_2rda
505 0 _a1.Foreword -- 2.Preface.-3.Architecture of the normal heart -- 4.The normal mechanisms of cardiac contraction and relaxation -- 5.Alterations in cardiac geometry with heart failure -- 6.Perturbations in contraction and relaxation with heart failure -- 7.Hemodynamics in ischemic cardiomyopathy -- 8.History of surgical ventricular restoration -- 9.Evolution of surgical ventricular restoration to endoventricular linear patch plasty(EVLPP) -- 10.Validation of near physiological restoration of left ventricular geometry by EVLPP -- 11.Physiological considerations in the relationships of left ventricular volumes -- 12.Evidence of an extension of Frank Starling mechanism in the failing heart -- 13.Concomitant procedures with surgical ventricular restoration: Indications and techniques.
520 _aFollowing a transmural myocardial infarctions (MI), the resultant dilated, aneurismal  ventricle can make patient management difficult in those ineligible for cardiac transplantation. This mechanical complication leads to refractory heart failure and continues to be  a persisting  problem for clinical management in both the developed and developing countries of the world. It continues to exist despite improvements in door to needle time for primary coronary interventions. There has been increased interest in potential surgical techniques involved in the palliation of ventricular pathology post-MI. The process of cardiac remodeling has been studied extensively, and recent surgical techniques for ventricular restoration have proven late adverse remodeling. Surgical techniques for  ventricular restoration of these adversely remodeled ventricles aimed at restoring a near normal ventricular geometry consequently have a continuing role in the management of this difficult subset of patients. Ventricular Geometry in Post-Myocardial Infarction Aneurysms: Implications for Surgical Ventricular Restoration provides cardiac surgeons and cardiologists  a definitive perspective of optimal surgical ventricular restoration in patients with advanced heart failure due to large ventricular aneurysms following transmural myocardial infarctions. The authors review  normal and abnormal cardiac anatomy following post myocardial infarction and physiology, with focus on the evolution of surgical techniques aimed  at establishing  an ellipsoid ventricular shape, resulting in near-normal physiological hemodynamics evident at long term.
650 0 _aMedicine.
650 0 _aCardiology.
650 0 _aHeart
_xSurgery.
650 1 4 _aMedicine & Public Health.
650 2 4 _aCardiac Surgery.
650 2 4 _aCardiology.
650 2 4 _aMedicine/Public Health, general.
700 1 _aAdhyapak, Srilakshmi M.
_eauthor.
710 2 _aSpringerLink (Online service)
773 0 _tSpringer eBooks
776 0 8 _iPrinted edition:
_z9781447128601
856 4 0 _uhttp://dx.doi.org/10.1007/978-1-4471-2861-8
912 _aZDB-2-SME
999 _c100719
_d100719