Reoperations in Cardiac Surgery

1. Front Matter

   Pages i-xxiii

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2. General

   1. Front Matter

      Pages 1-1

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   2. Investigation Before Reoperations for Congenital Heart Disease

      • J. F. N. Taylor

      Pages 3-16

   3. Investigations Before Reoperation for Acquired Heart Disease

      • Celia M. Oakley

      Pages 17-37

   4. Anaesthesia for Cardiac Reoperations

      • M. Scallan

      Pages 39-42

   5. Approaches to the Heart and Great Vessels at Reoperation

      • J. Stark

      Pages 43-53

   6. Reoperations in the Presence of Infection

      • L. H. Cohn

      Pages 55-66

   7. Pacing: Indications, Technique of Insertion and Replacement of Leads and Generators

      • P. G. Rees

      Pages 67-80

   8. Postoperative Mediastinitis

      • P. F. Sauer, L. O. Vasconez

      Pages 81-91

   9. Heart and Lung Retransplantation

      • M. R. Mill, E. B. Stinson

      Pages 93-103

3. Congenital Heart Disease

   1. Front Matter

      Pages 105-105

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   2. Reoperations After Repair of Coarctation of the Aorta

      • J. Stark

      Pages 107-123

   3. Reoperations for Interrupted Aortic Arch

      • J. L. Monro

      Pages 125-141

   4. Reoperations After Repair of Total Anomalous Pulmonary Venous Connection

      • D. I. Hamilton, H. J. C. M. van de Wal

      Pages 143-160

   5. Reoperation After Closure of Ventricular Septal Defects

      • M. R. de Leval

      Pages 161-170

   6. Reoperations After Repair of Tetralogy of Fallot

      • A. D. Pacifico

      Pages 171-185

   7. Reoperations After Mustard and Senning Operations

      • J. Stark

      Pages 187-207

   8. Reoperations After Arterial Switch Operation

      • A. R. Castaneda

      Pages 209-215

   9. Arterial Switch for Right Ventricular Failure Following Mustard or Senning Operations

      • R. B. B. Mee

      Pages 217-232

   10. Aortic Valve Reoperations

       • A. D. Pacifico

       Pages 233-247

Nearly a century has passed since Rehn performed the first successful cardiac operation by closing a right ventricular stab wound in a gravely ill patient. Moreover, it has been more than fifty years since Gross successfully corrected the first congenital cardiac malformation in 1938 by suture ligation of a patent ductus arteriosus. The introduction of the Blalock operation for tetralogy of Fallot by Blalock in 1944 greatly advanced the management and prognosis of a critically ill group of cardiac patients, and the success of this procedure further stimulated the development of concepts and techniques for the surgical management of other severe congenital cardiac defects. Until the successful use of extracorporeal circulation by Gibbon in 1953, it was often necessary to perform cardiac operations which were palliative rather than curative procedures. With the advent of additional new and improved techniques, correction of many hitherto incurable cardiac disorders became possible and reoperation under these circumstances became frequent. Cardiac surgery is very fortunate in having two master surgeons, whose distinctive contributions and clinical proficiency are recognized worldwide, to edit this extraordinary and unique text. They have placed emphasis on a number of specific complications of primary cardiac procedures which lead to the necessity for reoperation. Problems associated with postoperative infections, thrombotic dis­ orders, stenoses of suture lines, deterioration of prosthetic materials and mechanical valves, rejection of transplanted organs and tissues, and a host of additional complications are described together with their appropriate surgical management.

• Surgery
• anesthesia
• aneurysm
• cardiac surgery
• cardiovascular
• congenital heart disease
• coronary artery disease
• heart
• infection
• lung
• transplantation

• The Hospital for Sick Children, London, UK

  Jaroslav Stark

• Division of Cardiothoracic Surgery, University of Alabama at Birmingham, Birmingham, USA

  Albert D. Pacifico

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