By S. Bert Litwin
Colour Atlas of Congenital center surgical procedure covers the complete spectrum of congenital middle defects, first depicting the pathology in pre-repair images after which detailing step by step the operative method. Dr. Litwin depicts the commonest approaches besides the main advanced ones, delivering a number of info very important to citizens and fellows in education in addition to clinicians in practice.
One of the most important points of the software and practicality of colour Atlas of Congenital middle surgical procedure is the original standpoint of the operative images. utilizing a unique side-mounted flash, the writer s pictures vividly trap the 3 dimensional spatial relatives of congenital anomalies and surgical anatomy. also, each one representation and photograph is commonly categorised for readability (indicating the sufferer s left, correct, cephalad and caudad positions).
With over a hundred new illustrations and plenty of new strategies, the hot version of colour Atlas of Congenital center surgical procedure is either a textbook and an atlas, delivering an imperative reference for each health professional, heart specialist, intensivist, or anesthetist who treats sufferers with congenital cardiac anomalies.
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Extra info for Color Atlas of Congenital Heart Surgery
The mitral valve is anterior to the left atrial appendage. The mitral and tricuspid valves share a common annulus. FIGURE 4-10. As is the case in most endocardial cushion defects, there is a cleft in the anterior mitral leaflet, and it is repaired primarily with interrupted sutures. This is important, even in the absence of mitral regurgitation, because closure of the cleft supports the anterior mitral leaflet and may prevent later development of valvular regurgitation. The repair should not be excessive, to cause iatrogenic mitral stenosis; although ideally the cleft should be closed to the free margin of the leaflet.
Care is taken to avoid injury to the SA node during development of this flap. The straight cannula is seen passing into the superior vena cava. The superior cava is divided around the cannula in the area above the insertion of the anomalous veins. The superior caval cannula is momentarily clamped, removed from its position in the superior vena cava, and passed through the large atriotomy at the site of pedicle flap and again passed into the upper superior vena cava through the caval tourniquet.
Multiple stitches are placed in the base of these valve leaflets. FIGURE orifice to right ventricle patch caud 3-15. Repair sutures are placed in a Dacron® patch to close the left ventricular orifice of the duplicated tricuspid valve. The ASD is then closed primarily. FIGURE 4 Endocardial Cushion Defects Babies born with these anomalies have a deficiency of the atrial septum, ventricular septum, and/or abnormalities of the atrio-ventricular (AV) valves. In partial AV canal defect, there is absence of the septum primum and usually a cleft in the anterior mitral leaflet.