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This heavily revised book features a variety of cases detailing potential complications in cardiac surgery. Clinical scenarios associated with conundrums and unforeseen circumstances are presented, including minimally invasive and hybrid procedures as well as temporary mechanical circulatory support. Discussions emphasize critical details in preoperative assessment and intraoperative sensemaking, decision making and error recovery. Chapters are structured as unknowns, presenting findings as one would experience the events clinically and challenging the reader to develop their own rescue strategies. Relevant references for further reading are included, enabling the reader to further develop their knowledge base.
Near Misses in Cardiac Surgery is a concise case-based resource featuring instructions on how to deal with potential complications associated with cardiac surgery. The work's multi-disciplinary authorship ensures it is a valuable resource for all medical professionals involved in the care of cardiac surgical patients.
Front Matter
Pages i-xix
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Aortic Cannulation
Jordan P. Bloom, Myles E. Lee, Arminder S. Jassar
Pages 1-4
Return to the Operating Room
Myles E. Lee
Pages 5-8
Cannulation for ECMO
John M. Trahanas, Jerome C. Crowley
Pages 9-11
Transcatheter Aortic Valve Replacement (TAVR)
Asishana Osho, Nathaniel B. Langer
Pages 13-15
Accidental Arterial Decannulation
Antonia Kreso, Serguei Melnitchouk
Pages 17-19
CABG After MI
Asishana Osho, Nathaniel B. Langer
Pages 21-23
Air in the Circuit
Antonia Kreso, Serguei Melnitchouk
Pages 25-27
EKG Changes after Mitral Repair
Antonia Kreso, Serguei Melnitchouk
Pages 29-31
ECMO as a Bridge
Asishana Osho, Nathaniel B. Langer
Pages 33-36
Complications of Transcatheter Aortic Valve Replacement (TAVR)
Asishana Osho, Nathaniel B. Langer
Pages 37-39
Catastrophic Bleeding from Right Atrium
Andrew C. W. Baldwin, Thoralf M. Sundt
Pages 41-43
Hypoxia on Bypass
Antonia Kreso, Serguei Melnitchouk
Pages 45-49
Challenges in Myocardial Protection
Brittany Potz, George Tolis
Pages 51-53
Empty Venous Reservoir
Myles E. Lee, Thoralf M. Sundt
Pages 55-57
Arrest on Induction
Sameer Lakha, Michael G. Fitzsimons
Pages 59-62
Extracorporeal Cardiopulmonary Resuscitation
Jerome C. Crowley
Pages 63-66
Postoperative Hypotension in the ICU
Myles E. Lee, Thoralf M. Sundt
Pages 67-69
Hemodynamic Instability After Pulmonary Thromboendarterectomy
Asishana Osho, Nathaniel B. Langer
Pages 71-73
Inadequate Venous Drainage
Antonia Kreso, Serguei I. Melnitchouk
Pages 75-77
Trapped Mitral Leaflet
Antonia Kreso, Serguei I. Melnitchouk
Pages 79-81
Even More Complications of TAVR
Asishana Osho, Nathaniel Langer
Pages 83-85
Conduit for Redo CABG
Brittany Potz, George Tolis
Pages 87-89
Intraoperative Coagulopathy
Monica Miller, Michael G. Fitzsimons
Pages 91-93
Hypoxia after Atrial Septal Defect (ASD) Closure
Jordan P. Bloom, Duke E. Cameron
Pages 95-97
Intraoperative Pulmonary Hemorrhage
Lynze R. Franko, Kenneth T. Shelton
Pages 99-102
Femoral Arterial Cannulation
Thoralf Sundt
Pages 103-105
Hypoxia on ECMO
Jerome C. Crowley
Pages 107-109
Laser Lead Extraction
Travis Hull, Masaki Funamoto
Pages 111-115
Tube Thoracostomy for Hemothorax
Lynze R. Franko, Kenneth T. Shelton, Arminder Jassar
Pages 117-119
Pulmonary Hypertension
Corey Spiro, Michael G. Fitzsimons
Pages 121-124
Malfunction of an Intra-aortic Balloon
Thoralf M. Sundt, Myles E. Lee
Pages 125-128
Symptomatic Aortic Stenosis
Thoralf Sundt
Pages 129-130
Pulmonary Embolism
Thoralf M. Sundt
Pages 131-133
Post-operative Bleeding
Greg A. Leya, Kenneth T. Shelton, Arminder Jassar
Pages 135-138
Intraoperative Extracorporeal Cardiopulmonary Resuscitation
Travis Hull, Masaki Funamoto
Pages 139-142
Mitral Annular Calcification
Antonia Kreso, Serguei I. Melnitchouk
Pages 143-146
Options for a Patient with History of HITT
Jenna Cottral, Kenneth T. Shelton
Pages 147-149
Ventricular Dysrhythmia after AVR
Andrew C. W. Baldwin, Thoralf Sundt
Pages 151-154
Postoperative Hypoxemia
Rachel Steinhorn, Michael G. Fitzsimons
Pages 155-158
Orthotopic Heart Transplant (OHT) after LVAD
S. Alireza Rabi, David A. D’Alessandro
Pages 159-161
Postoperative Infection
Myles E. Lee, Thoralf M. Sundt
Pages 163-165
Veno-venous ECMO
Travis Hull, Masaki Funamoto
Pages 167-169
Reoperative Sternotomy
Brittany Potz, George Tolis
Pages 171-173
Sternal Closure: Immediate or Delayed
Greg A. Leya, Arminder S. Jassar, Kenneth T. Shelton
Pages 175-177
Suction Event After LVAD Placement
S. Alireza Rabi, David A. D’Alessandro
Pages 179-181
Thrombosed Mechanical Valve
Antonia Kreso, Serguei Melnitchouk
Pages 183-185
Valve-sparing Aortic Root Repair
Andrew A. C. Baldwin, William Shi, Thoralf M. Sundt
Pages 187-190
Acute Aortic Dissection
Rizwan Q. Attia, Arminder S. Jassar
Pages 191-194
Hypotension on Bypass
Myles E. Lee, Thoralf M. Sundt
Pages 195-198
Debriding “Candle Wax Calcification”
Jordan P. Bloom, David A. D’Alessandro
Pages 199-201
Back Matter
Pages 203-205
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