Chapter 23 – Adult Congenital Heart Disease
Abstract Heart disease is a common congenital abnormality, affecting 5–9 per 1,000 newborns. Successful evolution of treatment strategies has led to a significant reduction in the number of deaths from…
ANESTHESIA
Chapter 22 – Postoperative Paediatric Care
Abstract This chapter highlights key aspects of management and potential complications in children following cardiac surgery. Critical to this is an understanding of diagnosis, physiology, appropriate physiological targets and multidisciplinary…
Chapter 19 – Procedures for Structural Heart Disease
Abstract Historically, the cardiac catheterization laboratory has been used for blood sampling, contrast-enhanced imaging and intravascular pressure measurement to provide diagnostic and prognostic information and to guide surgical intervention. In…
Chapter 20 – General Principles and Conduct of Paediatric Cardiac Anaesthesia
Abstract Congenital heart disease (CHD) occurs in approximately 8:1,000 live births and may be associated with recognizable syndromes or chromosomal abnormalities in 25% of cases. Abnormalities are often complex, affecting…
Chapter 18 – Electrophysiological Procedures
Abstract As the indications for these devices has widened, the prevalence of permanent pacemakers (PPMs) and ICDs has increased. The complexity of these devices makes them susceptible to perioperative interference…
Chapter 15 – Surgery for Pulmonary Vascular Disease
Abstract Pulmonary vascular surgery comprises emergency procedures such as pulmonary embolectomy and post-traumatic repair, and elective procedures such as palliation of PHT, pulmonary thromboendarterectomy (PTE), tumour resection and the Ross…
Chapter 16 – Ventricular Assist Device Implantation
Abstract Mechanical circulatory support (MCS) can be used in a setting of either acute or chronic heart failure in selected patients refractory to medical management, to augment the failing circulation…
Chapter 13 – Thoracic Aortic Surgery
Abstract Thoracic aortic disease is often difficult to detect and may remain asymptomatic until presenting acutely, which in turn is associated with high rates of complications, morbidity and mortality. This…
Chapter 17 – Heart Transplantation
Abstract The first successful human-to-human heart transplant was performed by Christiaan Barnard in 1967 but the initial outcomes were poor. The introduction of ciclosporin resulted in a significant improvement in…
Chapter 14 – Surgery for Cardiomyopathy and Pericardial Disease
Abstract Cardiomyopathy is a disease spectrum that alters the shape, function and conduction of cardiac muscle. Affecting 1 in 500 people it is often incurable; however, symptom control can improve…
