By S. Bert Litwin
Colour Atlas of Congenital middle surgical procedure covers the total spectrum of congenital middle defects, first depicting the pathology in pre-repair photos after which detailing step by step the operative process. Dr. Litwin depicts the most typical approaches besides the main complicated ones, supplying a number of details very important to citizens and fellows in education in addition to clinicians in practice.
One of the most important facets of the application and practicality of colour Atlas of Congenital center surgical procedure is the original point of view of the operative pictures. utilizing a distinct side-mounted flash, the writer s photos vividly catch the 3 dimensional spatial relatives of congenital anomalies and surgical anatomy. also, every one representation and picture is broadly categorized for readability (indicating the sufferer s left, correct, cephalad and caudad positions).
With over a hundred new illustrations and lots of new systems, the recent version of colour Atlas of Congenital middle surgical procedure is either a textbook and an atlas, supplying an necessary reference for each health care professional, heart specialist, intensivist, or anesthetist who treats sufferers with congenital cardiac anomalies.
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Additional info for Color Atlas of Congenital Heart Surgery
FIGURE new anterior mitral leaflet ventricular septum ventricular septal defect R^ caud 4-24. The new anterior mitral leaflet is lifted to expose the ventricular septal defect beneath. To close the VSD, felted horizontal mattress sutures will be placed on the right ventricular surface of the upper rim of the ventricular septum.
There is a cleft that separates the leaflet into cephalad and caudad components, and it extends to the common annulus between mitral and tricuspid valves. Chordae support the rim of this leaflet at the cleft, and no evidence of mitral regurgitation is apparent. There is thickening and fibrosis of the leaflet above and below the cleft; this provides tissue of good substance into which stitches can be placed for the repair. There is a deficiency or absence of the adjacent tricuspid valve septal leaflet.
The posterior aspect of the posterior leaf is also attached directly to the septum. 3 Tricuspid Valve Anomalies 31 septal leaf posterior leaf ceph R<- annulus -•L caud 3-4. The septal leaf is underdeveloped and located remote from the annulus. Anteriorly, its attachment in the region of the commissure is at the annulus. FIGURE repaired atrial septal defect repair suture caud 3-5. The septal and posterior leafs do not meet and in this area with each is attached to the ventricular septum remote from the tricuspid valve annulus.
Color Atlas of Congenital Heart Surgery by S. Bert Litwin