心臓外科　Knack & Pitfalls　冠動脈外科の要点と盲点　第2版

出版社： 文光堂
著者：
発行日： 2012-10-01
分野： 臨床医学：外科  >  心臓/血管外科
ISBN： 9784830623363
シリーズ： Knack & Pitfalls
電子書籍版： 2012-10-01 （第2版第2刷）
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初版の記述にとらわれることなく現状を踏まえ，6年間の冠動脈外科の進歩・変化を余すことなくup to dateな情報に刷新した。特に手術適応については，日本循環器学会から発表されたばかりの「安定冠動脈疾患に対する待機的PCIのガイドライン」と「虚血性心疾患に対するバイパスグラフトと手術術式の選択ガイドライン」を元に解説した。

目次

  • 心臓外科 Knack & Pitfalls 　冠動脈外科の要点と盲点　第2版

    ―目次―

    ? 冠血行再建術の現況
    　1．CABGの現況
    　2．PCIの現況

    II 冠動脈解剖のKnack & Pitfalls
    　1．冠動脈の解剖
    　2．冠動脈の神経支配

    III 冠疾患診断のKnack & Pitfalls
    　1．冠動脈造影および左室造影
    　2．冠動脈病変および心機能の非侵襲的検査
    　3．冠動脈病変の重症度分類

    IV 手術適応決定のKnack & Pitfalls
    　1．ガイドラインに沿った手術適応
    　2．高リスク症例の手術適応

    ? 術前管理のKnack & Pitfalls
    　1．術前検査
    　2．手術準備
    　3．重症心不全の術前管理
    　4．他臓器合併症の術前管理

    VI 冠動脈外科のKnack & Pitfalls
    　1．グラフトの選択
    　2．グラフトの準備
    　3．胸骨正中切開による開胸と止血閉胸のコツ
    　4．冠動脈吻合のコツ
    　5．人工心肺使用下（on-pump）の冠動脈外科の戦略と手技
    　6．人工心肺非使用（off-pump）の冠動脈外科の戦略と手技
    　7．術中のグラフト評価

    VII 術後管理のKnack & Pitfalls
    　1．検査項目
    　2．輸液，薬物およびドレーン管理
    　3．感染予防と合併症の対策
    　4．術後グラフトの評価
    　5．術後の投薬，外来管理

    VIII 冠疾患合併症治療のKnack & Pitfalls
    　1．心室瘤
    　2．心室中隔穿孔
    　3．心破裂
    　4．虚血性僧帽弁閉鎖不全症
    　5．低左心機能症例に対する左室形成術

    IX 再手術のKnack & Pitfalls
    　1．手術適応
    　2．グラフトの選択と再開胸のコツ
    　3．手術手技のコツ

    ? 再生医療による心筋虚血の改善

    XI 冠動脈外科のtechnique and technology
    　1．robotic surgery
    　2．distal auto-suture technique

    XII 川崎病

    XIII 冠動脈外科の麻酔
    　1．冠動脈外科手術に対する全身麻酔

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本参考文献は電子書籍掲載内容を元にしております。

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