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Page 1: Johns Hopkins Textbook...Johns Hopkins Textbook of Cardiothoracic Surgery Notice Medicine is an ever-changing science. As new research and clinical experi ence broaden our knowledge,
Page 2: Johns Hopkins Textbook...Johns Hopkins Textbook of Cardiothoracic Surgery Notice Medicine is an ever-changing science. As new research and clinical experi ence broaden our knowledge,

Johns Hopkins Textbook of Cardiothoracic Surgery

Page 3: Johns Hopkins Textbook...Johns Hopkins Textbook of Cardiothoracic Surgery Notice Medicine is an ever-changing science. As new research and clinical experi ence broaden our knowledge,

Notice

Medicine is an ever-changing science. As new research and clinical experi­ence broaden our knowledge, changes in treatment and drug therapy are required. The authors and the publisher of this work have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the authors nor the publisher nor any other party who has been involved in the preparation or publication of this work war­rants that the information contained herein is in every respect accurate or complete, and they disclaim all responsibility for any errors or omissions or for the results obtained from use of the information contained in this work. Readers are encouraged to confirm the information contained herein with other sources. For example and in particular, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this work is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recommendation is of particular importance in connection with new or infrequently used drugs.

Page 4: Johns Hopkins Textbook...Johns Hopkins Textbook of Cardiothoracic Surgery Notice Medicine is an ever-changing science. As new research and clinical experi ence broaden our knowledge,

Second Edition

David D. Yuh, MD, FACC, FACS Professor and Chief, Section of Cardiac Surgery

Department of Surgery

Yale University School of Medicine

New Haven, Connecticut

Surgical Director

Yale-New Haven Hospital Heart and Vascular Center

New Haven, Connecticut

Former Associate Professor of Surgery,

Division of Cardiac Surgery

Department of Surgery

Johns Hopkins University School of Medicine

and The Johns Hopkins Hospital

Baltimore, Maryland

Luca A. Vricella, MD, FACS Associate Professor of Surgery and Pediatrics

Director, Pediatric Cardiac Surgery and Heart Transplantation

Johns Hopkins University School of Medicine

Baltimore, Maryland

Edited By

Stephen C. Yang, MD The Arthur B. and Patricia B. Modell Professor in Thoracic Surgery

Division of Thoracic Surgery

Department of Surgery

Johns Hopkins University School of Medicine

Baltimore, Maryland

John R. Doty, MD Adjunct Professor of Surgery

Division of Cardiothoracic Surgery

Intermountain Heart I nstitute at Intermountain Medical Center

University of Utah

Salt Lake City, Utah

I Medical New York Chicago Mexico City Milan

San Francisco Athens New Delhi Singapore

London Madrid Sydney Toronto

Page 5: Johns Hopkins Textbook...Johns Hopkins Textbook of Cardiothoracic Surgery Notice Medicine is an ever-changing science. As new research and clinical experi ence broaden our knowledge,

Copyright© 2014, 2007 by McGraw-Hill Education. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this

publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of

the publisher.

ISBN: 978-0-07-171493-8

MHID: 0-07-171493-6

The material in this eBook also appears in the print version of this title: TSBN: 978-0-07-166350-2, MHID: 0-07-166350-9.

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Page 6: Johns Hopkins Textbook...Johns Hopkins Textbook of Cardiothoracic Surgery Notice Medicine is an ever-changing science. As new research and clinical experi ence broaden our knowledge,

To my wife, Dr. Bonnie Hiatt, for accepting my many flaws and idiosyncrasies and for giving me my most cherished gifts, Natalie and Christopher. You each make my life worth living.

-David D. Yuh, MD, FACC, FACS To my wife Simona, for the endless sacrifice of living

twenty years with a surgeon ... and for brightening every day of my life with her presence, love and partnership.

-Luca A. Vricella, MD, FACS To my mentors, students, residents, and colleagues-from

whom I've learned so much. And for the real teachers in life-my parents Muriel and Harry Yang, my wife Marivic, and children

Kristin, Andy, and Alex. -Stephen C. Yang, MD

To my mentors at Georgetown University, The Johns Hopkins Hospital, and Intermountain Medical Center for their patience and dedication to my surgical education, and to my wife and

family for their kindness and understanding during this journey. -John R. Doty, MD

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Page 8: Johns Hopkins Textbook...Johns Hopkins Textbook of Cardiothoracic Surgery Notice Medicine is an ever-changing science. As new research and clinical experi ence broaden our knowledge,

Contributors xi Foreword xxiii Preface xxv

A GENERAL THORACIC SURGERY 1 ..._,.

1. Preoperative Evaluation of the Thoracic Surgical Patient 3

Kelly K. Nagasawa and John R. Doty

2. Thoracic Trauma 9

George f. Koenig Jr. and David T. Efron

3. Pulmonary Physiology, Function Tests, and Bronchoscopic Techniques 25

Lonny Yarmus and David f. Feller-Kopman

4. Congenital Pulmonary Disorders 41

Anne C. Fischer and Eric Griffiths

5. Benign Diffuse Pulmonary Disorders 49

Christian A. Merlo

6. Thoracic Infections 63

Kaushik Manda/

7. Surgical Management of Emphysema 89

Alex G. Little

8. Tracheal Diseases 97

Dan f. Raz, Todd S. Weiser, and Douglas f. Mathisen

9. Primary Lung Cancer 119

Min P. Kim and Ara A. Vaporciyan

10. Pulmonary Metastasis 145

DuyKhanh P. Ceppa and Betty C. Tong

CONTENTS G

ll. Lung and Heart-Lung Transplantation 157

Ashish S. Shah

12. Esophageal Physiology, Function Tests, and Endoscopic Techniques 169

Daniela Jodorkovsky, John 0. Clarke, and Kerry B. Dunbar

13. Congenital Esophageal Anomalies 183

Nishant D. Patel and Avedis Meneshian

14. Gastroesophageal Reflux Disease and Esophageal Motility Disorders 191

Shelly Bansal, Brian Goodman, and Edmund S. Kassis

15. Esophageal Perforation 205

Clinton D. Kemp and Stephen C. Yang

16. Esophageal Cancer 215

Jules Lin and Mark B. Orringer

17. Mediastinal Disease 229

Lee Plantmason, Natalie Lui, and Pierre Theodore

18. Chest Wall Tumors 243

Robert A. Meguid and Malcolm V. Brock

19. Congenital Chest Wall Anomalies 267

Ibrahim Sultan and Stephen C. Yang

20. Benign Pleural Disorders 289

Joshua T. Taylor and Maurice A. Smith

21. Benign and Malignant Pleural Tumors 301

Siva Raja, Carol F. Farver, Sudish C. Murthy, and David Mason

22. Diaphragmatic Disorders 309

Jarrod D. Predina and Sunil Singhal

vii

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viii Contents

A ADULT CARDIAC SURGERY 321

23. Cardiovascular Function and Physiology 323

Jeffrey M. Dodd-o

24. Cardiopulmonary Bypass 341

Edward H. Kincaid and John W Hammon

25. Myocardial Protection 359

Constantine L. Athanasuleas and Gerald D. Buckberg

26. Postoperative Management of the Cardiac Surgical Patient 371

Rashna Ginwalla, Nauder Faraday, and Glenn Whitman

27. Primary Coronary Artery Bypass Surgery 387

G. D. Rushing and David D. Yuh

28. Off-Pump Coronary Artery Bypass 407

Eric A. Peck and Paul Sergeant

29. Reoperative Coronary Artery Bypass Surgery 421

Christopher f. Barreiro, George f. Arnaoutakis, and Jay G. Shake

30. Management of Concomitant Carotid and Coronary Artery Disease 431

Daniel f. Durand, Svati Singla Long, and David D. Yuh

31. Mechanical Complications of Myocardial Infarction 439

Ryan R. Davies, Michael P Robich, and Michael A. Coady

32. Aortic Valve Replacement 501

William M. Yarbrough and John S. Ikonomidis

33. Aortic Root Replacement 525

Kaushik Mandai and Duke E. Cameron

34. Mitral Valve Pathophysiology 539

Tomasz A. Timek and James I. Fann

35. Mitral Valve Replacement 551

Stephen f. Huddleston and David D. Yuh

36. Mitral Valve Repair for Degenerative Disease 561

Gurjyot Bajwa, Tomislav Mihaijevic, and A. Marc Gillinov

37. Tricuspid Valve Disease 571

David L. Joyce

38. Surgical Treatment of Endocarditis 581

John R. Doty and William T. Caine

39. Ascending and Arch Aneurysms of the Aorta 591

Anthony D. Caffarelli, Pieter J,A. van der Starre, and R. Scott Mitchell

40. Thoracoabdominal Aneurysms 625

Ying Wei Lum and Glenn S. Roseborough

41. Aortic Dissection 647

Thoralf M. Sundt III

42. Endovascular Repair of Thoracic Aortic Pathology 663

Timothy f. George and James H. Black III

43. Surgical Therapies for Atrial Fibrillation 681

Timo Weimar and Ralph f. Damiano Jr.

44. Pacemaker and Defibrillator Therapy in Cardiac Surgery Patients 695

Brad S. Sutton, Kenneth C. Bilchick, and Ronald D. Berger

45. Surgical Treatment of Chronic Pulmonary Thromboembolic Disease 715

Michael M. Madani and Stuart W Jamieson

46. Role of Surgery in Management of Hypertrophic Cardiomyopathy 731

Hartzell V Schaff

47. Pericardial Disease 741

Eric f. Okum and Abe DeAnda Jr.

48. Primary Cardiac Tumors 753

Brian T. Bethea and Adam Richter

49. The Immunobiology of Thoracic Transplantation 769

Marc K. Halushka and William M. Baldwin III

50. Cardiac Transplantation 783

Kenneth K. Liao and Sara f. Shumway

51. Mechanical Circulatory Support 797

Clinton D. Kemp and John V Conte

52. Surgical Ventricular Remodeling 835

Clinton D. Kemp and John V Conte

53. Stem Cells for Cardiac Surgical Disease 849

Peter V Johnston and Gary Gerstenblith

54. Minimally Invasive Cardiac Surgery 861

D. Kalavrouziotis and Francois Dagenais

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55. Cardiac Catheterization and Interventions 873

Todd A. Dorfman and Jon R. Resar

56. Echocardiography in Cardiac Surgery 893

Colleen Harrington, Samia Mora, and Katherine C. Wu

57. Cardiac Magnetic Resonance Imaging 921

fens Vogel-Claussen and David A. Bluemke

� CONGENITAL CARDIAC SURGERY 941

58. Milestones in Congenital Cardiac Surgery 943

Luca A. Vricella, Vincent L. Gott, and Duke E. Cameron

59. The Anatomy of Congenital Cardiac Malformations 955

Robert H. Anderson and Andrew C. Cook

60. Perioperative Critical Care of the Pediatric Cardiac Surgical Patient 973

Stacie B. Peddy, Marissa A. Brunetti, and J amie McElrath Schwartz

6 1. Cardiopulmonary Bypass in the Pediatric Patient 983

Jacob Ostrowsky and Ross Ungerleider

62. Palliative Operations for Congenital Heart Disease 99 1

Tara Karamlou and Gordon A. Cohen

63. Patent Ductus Arteriosus 1001

Tain-Yen Hsia, Jeffrey f. Wu, and Richard Ringel

64. Atrial Septal Defects and Partial Anomalous Pulmonary Venous Connection 1009

Dario Troise, Richard Ringel, and Francesco Paolo Annecchino

65. Ventricular Septal Defects 1029

David L.S. Morales, Brandi B. Scully, and Charles D. Fraser Jr.

66. Atrioventricular Septal Defects 1043

Mazyar Kanani and Martin f. Elliott

67. AortopulmonaryWindow 1063

Victor 0. Morell and Ergin Kocyildirim

68. Tetralogy of Fallot 1069

Osami Honjo and Glen S. Van Arsdell

69. Pulmonary Atresia with Ventricular Septal Defect and Major Aortopulmonary Collaterals 1085

Malcolm f. MacDonald and Frank L. Hanley

Contents

70. Pulmonary Stenosis and Pulmonary Atresia with Intact Ventricular Septum 1095

Cara L. Lawrence, Deborah f. Kozik, and Mark D. Plunkett

7 1. Double Outlet Right Ventricle 1113

Jess Thompson and Joseph A. Dearani

72. Truncus Arteriosus 1 127

Tara Karamlou, D. Michael McMullan, and Gordon A. Cohen

73. Total Anomalous Pulmonary Venous Connection 1141

Ergin Kocyildirim and Victor 0. Morell

7 4. Transposition of the Great Arteries 1 14 7

Richard G. Ohye, Ming-Sing Si, Jennifer C. Hirsch-Romano, Zuhab A. Qamar, and Edward L. Bove

75. Congenitally Corrected Transposition 1161

Emile A. Bacha

76. Hypoplastic Left Heart Syndrome 1 17 1

Peter f. Gruber and Thomas L. Spray

77. Tricuspid Atresia and the Functionally Single Ventricle 1183

Carin A. van Doorn, Victor T. Tsang, and Marc R. de Leval

78. Surgery for Left Ventricular Outflow Tract Obstruction in Children 1193

Tara Karamlou, Lester C. Permut, Marco Ricci, and Gordon A. Cohen

79. Coarctation of the Aorta and Interrupted Aortic Arch 12 15

Mark D. Rodefeld

80. Cor Triatriatum 1233

Giancarlo Crupi

81. Valvular Disease in Children 1243

Christian P. Brizard and Yves d'Udekem df\.coz

ix

82. Cardiac Surgical Intervention in Pediatric Patients with Connective Tissue Disorders 1267

Giorgio Zanotti, Duke E. Cameron, and Luca A. Vricella

83. Surgery for Congenital Coronary Artery Anomalies 1277

Julie A. Brothers and f. William Gaynor

84. Vascular Rings and Pulmonary Artery Sling 1295

Carl Lewis Backer, Michael C. Monge, and Hyde M. Russell

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X Contents

85. Ebstein's Anomaly 13 1 1

Viktor Hraska, Boulos Asfour, and Joachim Photiadis

86. Congenital Anomalies of the Sinuses of Valsalva and Aortico-Left Ventricular Tunnel 1325

Tarin P. Fitton, Christopher M. Sciortino, and Luca A. Vricella

87. Extracorporeal Membrane Oxygenation in Pediatric Cardiac Care 133 1

Tara Karamlou, D. Michael McMullan, Harris P. Baden, Howard Jeffries, and Gordon A. Cohen

88. Ventricular Assist Devices in Children 135 1

Kristen Nelson and Luca A. Vricella

89. Pediatric Cardiac Transplantation 1363

Amy L. Rahm, Nahidh W. Hasaniya, Leonard L. Bailey, Anees f. Razzouk, and Richard E. Chinnock

90. Management of Adults with Congenital Heart Disease 1377

Kaushik Mandai and Nihal A. Weerasena

Index 1399

Page 12: Johns Hopkins Textbook...Johns Hopkins Textbook of Cardiothoracic Surgery Notice Medicine is an ever-changing science. As new research and clinical experi ence broaden our knowledge,

Robert H. Anderson, MD, PhD, FRCPath Emeritus Professor of Paediatric Cardiac Morphology Institute of Child Health University College London London, United Kingdom Chapter 59: The Anatomy of Congenital Cardiac Malformations

Francesco Paolo Annecchino, MD Consultant Cardiac Surgeon Pediatric Cardiac Surgery Unit Giovanni XXIII Pediatric Hospital University of Bari Bari, Italy Chapter 64: Atrial Septal Defects and Partial Anomalous Pulmonary Venous Connection

George J. Arnaoutakis, MD Surgery Resident Division of Cardiac Surgery Johns Hopkins School of Medicine Baltimore, Maryland Chapter 29: Reoperative Coronary Artery Bypass Surgery

Glen S. Van Arsdell, MD Professor and Head, Cardiovascular Surgery Department of Surgery Hospital for Sick Children, University of Toronto Toronto, Canada Chapter 68: Tetralogy of Fallot

Boulos Asfour, MD Professor Chief of Cardiovascular Surgery German Pediatric Heart Centre Asklepios Clinic Sankt Augustin, Germany Chapter 85: Ebstein's Anomaly

Constantine L. Athanasuleas, MD Professor of Surgery Department of Surgery, Division of Cardiothoracic Surgery University of Alabama at Birmingham Birmingham, Alabama Chapter 25: Myocardial Protection

CONTRIBUTORS G

Emile A. Bacha, MD Professor of Surgery and Chief Department of Cardiac, Thoracic and Vascular Surgery Columbia University, New York Presbyterian, Morgan S tanley

Children's Hospital New York, New York Chapter 75: Congenitally Corrected Transposition

Carl Lewis Backer, MD Division Head, Cardiovascular-Thoracic Surgery Ann & Robert H. Lurie Children's Hospital of Chicago A.C. Buehler Professor of Surgery Department of Surgery Northwestern University Feinberg School of Medicine Chicago, illinois Chapter 84: Vascular Rings and Pulmonary Artery Sling

Harris P. Baden, MD Chief, Pediatric Cardiac Critical Care Department of Pediatrics Seattle Children's Hospital The University of Washington School of Medicine Seattle, Washington Chapter 87: Extracorporeal Membrane Oxygenation in Pediatric Cardiac Care

Leonard L. Bailey, MD Distinguished Professor Department of Cardiovascular a nd Thoracic Surgery Lorna Linda University Medical Center a nd Children's Hospital Lorna Linda, California Chapter 89: Pediatric Cardiac Transplantation

Gurjyot Bajwa, MD Assistant Professor Division of Cardiothoracic Surgery Department of Surgery Jefferson Medical College Philadelphia, Pennsylvania Chapter 36: Mitral Valve Repair for Degenerative Disease

William M. Baldwin III, MD, PhD Professor Department oflmmunology The Cleveland Clinic Cleveland, Ohio Chapter 49: The Immunobiology of Thoracic Transplantation

xi

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xii Contributors

Shelly Bansal, MD Fellow Department of Cardiothoracic Surgery The Ohio State University Medical Center Columbus, Ohio Chapter 14: Gastroesophageal Reflux Disease and Esophageal Motility Disorders

Christopher J. Barreiro, MD Cardiac Surgeon Department of Cardiac Surgery Mid-Atlantic Cardiothoracic Surgeons, Ltd.,

Sentara Heart Hospital Norfolk, Virginia Chapter 29: Reoperative Coronary Artery Bypass Surgery

Ronald D. Berger, MD, PhD, FHRS Professor of Medicine and Biomedical Engineering Department of Medicine Johns Hopkins Medical Institutions Baltimore, Maryland Chapter 44: Pacemaker and Defibrillator Therapy in Cardiac Surgery Patients

Brian T. Bethea, MD Assistant Professor Department of Cardiothoracic and Vascular Surgery University of Texas Southwestern Dallas, Texas Chapter 48: Primary Cardiac Tumors

Kenneth C. Bilchick, MD, MS Assistant Professor of Medicine Department of Medicine, Cardiovascular Division University of Virginia Health System Charlottesville, Virginia Chapter 44: Pacemaker and Defi brillator Therapy in Cardiac Surgery Patients

James H. Black III, MD Associate Professor of Surgery Division of Vascular Surgery The Johns Hopkins Hospital Baltimore, Maryland Chapter 42: Endovascular Repair of Thoracic Aortic Pathology

David A. Bluemke, MD, PhD, MsB Director Senior Investigator, National Institute of Biomedical Imaging

and Bioengineering Professor of Radiology and Medicine Johns Hopkins University School of Medicine Radiology and Imaging Sciences Johns Hopkins University School of Medicine Baltimore, Maryland Chapter 57: Cardiac Magnetic Resonance Imaging

Edward L. Bove, MD Professor Department of Cardiac Surgery University of Michigan C. S. Mott Children's Hospital Ann Arbor, Michigan Chapter 74: Transposition of the Great Arteries

Christian P. Brizard, MD Associate Professor Department of Paediatrics Director, Cardiac Surgery Unit The Royal Children's Hospital Melbourne Melbourne, Australia Chapter 81: Valvular Disease in Children

Malcolm V. Brock, MD Associate Professor Division of Thoracic Surgery Department of Surgery The Johns Hopkins Hospital Baltimore, Maryland Chapter 18: Chest Wall Tumors

Julie A. Brothers, MD, FAAP Assistant Professor Division of Cardiology University of Pennsylvania School of Medicine/

The Children's Hospital of Philadelphia Philadelphia, Pennsylvania Chapter 83: Surgery for Congenital Coronary Artery Anomalies

Marissa A. Brunetti, MD Clinical Instructor University of Pennsylvania School of Medicine/

The Children's Hospital of Philadelphia Philadelphia, Pennsylvania Chapter 60: Perioperative Critical Care of the Pediatric Cardiac Surgical Patient

Gerald D. Buckberg, MD Professor of Surgery Department of Cardiothoracic Surgery David Geffen School of Medicine at UCLA Los Angeles, California Chapter 25: Myocardial Protection

Anthony D. Caffarelli, MD Attending Surgeon Department of Thoracic Surgery Hoag Memorial Hospital Newport Beach, California Chapter 39: Ascending and Arch Aneurysms of the Aorta

William T. Caine, MD Adjunct Assistant Professor Division of Cardiothoracic Surgery Intermountain Heart Institute at Intermountain Medical Center Salt Lake City, Utah Chapter 38: Surgical Treatment of Endocarditis

Duke E. Cameron, MD Professor and Cardiac Surgeon in Chief Division of Cardiac Surgery Johns Hopkins Medical Institutions Baltimore, Maryland Chapter 33: Aortic Root Replacement Chapter 58: Milestones in Congenital Cardiac Surgery Chapter 82: Cardiac Surgical Intervention in Pediatric Patients with Connective Tissue Disorders

Page 14: Johns Hopkins Textbook...Johns Hopkins Textbook of Cardiothoracic Surgery Notice Medicine is an ever-changing science. As new research and clinical experi ence broaden our knowledge,

DuyKhanh P. Ceppa, MD Assistant Professor, Division of Cardiothoracic Surgery Department of Surgery Indiana University School of Medicine Indianapolis, Indiana Chapter 1 0: Pulmonary Metastasis

Richard E. Chinnock, MD Professor Department of Pediatrics Lorna Linda University Medical Center and Children's Hospital Lorna Linda, California Chapter 89: Pediatric Cardiac Transplantation

John 0. Clarke, MD Assistant Professor of Medicine Division of Gastroenterology and Hepatology Johns Hopkins University School of Medicine Baltimore, Maryland Chapter 12: Esophageal Physiology, Function Tests, and Endoscopic Techniques

Michael A. Coady, MD, MPH Chief of Cardiac Surgery Department of Cardiac Surgery Stamford Hospital Stamford, Connecticut Chapter 31: Mechanical Complications of Myocardial Infarction

Gordon A. Cohen, MD, PhD, MBA Julien I.E. Hoffman MD Chair of Cardiac Surgery Professor and Chief Division of Pediatric Cardiac Surgery UCSF School of Medicine San Francisco, California Chapter 62: Palliative Operations for Congenital Heart Disease Chapter 72: Truncus Arteriosus Chapter 78: Surgery for Left Ventricular Outflow Tract Obstruction in Children Chapter 87: Extracorporeal Membrane Oxygenation in Pediatric Cardiac Care

John V. Conte, MD Professor of Surgery Division of Cardiac Surgery Department of Surgery The Johns Hopkins Hospital Baltimore, Maryland Chapter 51: Mechanical Circulatory Support Chapter 52: Surgical Ventricular Remodeling

Andrew C. Cook, PhD Senior Lecturer Institute of Cardiovascular Science University College London London, United Kingdom Chapter 59: The Anatomy of Congenital Cardiac Malformations

Giancarlo Crupi, MD Senior Staff Surgeon Pediatric and Congenital Heart Surgery Papa Giovanni XXIII Hospital Bergamo, Italy Chapter 80: Cor Triatriatum

Yves d'Udekem d'Acoz, MD, PhD Associate Professor Department of Paediatrics

Contributors

Deputy Director, Cardiac S urgery Unit The Royal Children's Hospital, Melbourne Melbourne, Australia Chapter 81: Valvular Disease in Children

Francois Dagenais, MD Chief of Cardiac Surgery Department of Cardiac Surgery Quebec Heart and Lung Institute Quebec City, Quebec Chapter 54: Minimally Invasive Cardiac Surgery

Ralph J. Damiano Jr. , MD

xiii

John M. Shoen berg Professor of Surgery, Chief of Cardiac Surgery Division of Cardiothoracic Surgery Washington University School of Medicine, Barnes-Jewish Hospital St. Louis, Missouri Chapter 43: Surgical Therapies for Atrial Fibrillation

Ryan R. Davies, MD Cardiothoracic Surgeon Department of Cardiothoracic S urgery Nemours Cardiac Center, A.l. duPont Hospital for Children Wilmington, Delaware

Assistant Professor of Surgery Department of Surgery Thomas Jefferson University Philadelphia, Pennsylvania Chapter 31: Mechanical Complications of Myocardial Infarction

Abe DeAnda Jr. , MD Associate Professor of Cardiothoracic Surgery Director, Thoracic Aortic Aneurysm Program Chief of Cardiothoracic S urgery Department of Cardiothoracic Surgery New York University - Langone Medical Center New York, New York Chapter 47: Pericardial Disease

Joseph A. Dearani, MD Professor of Surgery Chair, Division of Cardiovascular S urgery Mayo Clinic and Foundation Rochester, Minnesota Chapter 71: Double Outlet Right Ventricle

Jeffrey M. Dodd-o, MD, PhD Associate Professor Anesthesiology and Critical Care Medicine Johns Hopkins Medical Institutions Baltimore, Maryland Chapter 23: Cardiovascular Function and Physiology

Carin A. van Doom, MD, FRCSC/Th Consultant Cardiothoracic S urgeon Department of Cardiothoracic S urgery Skejby University Hospital Aarhus, Denmark Chapter 77: Tricuspid Atresia and the Functionally Single Ventricle

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xiv Contributors

Todd A. Dorfman, MD Cardiologist Department of Centennial Heart Summit Medical Center Hermitage, Tennessee Chapter 55: Cardiac Catheterization and Interventions

John R. Doty, MD Adjunct Professor of Surgery Division of Cardiothoracic Surgery Intermountain Heart Institute at Intermountain Medical Center University of Utah Salt Lake City, Utah Chapter 1: Preoperative Evaluation of the Thoracic Surgical Patient Chapter 38: Surgical Treatment of Endocarditis

Kerry B. Dunbar, MD, PhD Assistant Professor of Medicine Medicine-Division of Gastroenterology and Hepatology University of Texas Southwestern Medical Center,

Dallas VA Medical Center Dallas, Texas Chapter 12: Esophageal Physiology, Function Tests, and Endoscopic Techniques

Daniel J. Durand, MD Adjunct Faculty Russell H. Morgan Department of Radiology

and Imaging Sciences The Johns Hopkins School of Medicine Baltimore, Maryland Chapter 30: Management of Concomitant Carotid and Coronary Artery Disease

David T. Efron, MD, FACS Associate Professor of Surgery Department of Surgery Anesthesia and Critical Care Medicine/The Johns Hopkins Hospital Chief Division of Acute Care Surgery Trauma, Critical Care, Emergency and General Surgery The Johns Hopkins Hospital Director of Adult Trauma Department of Surgery The Johns Hopkins Hospital Baltimore, Maryland Chapter 2: Thoracic Trauma

Martin J. Elliott, MD, FRCS Professor Department of Cardiothoracic Surgery Great Ormond Street Hospital for Children NHS Trust London, United Kingdom Chapter 66: Atrioventricular Septal Defects

James I. Fann, MD Professor Department of Cardiothoracic Surgery Stanford University School of Medicine Stanford, California Chapter 34: Mitral Valve Pathophysiology

Nauder Faraday, MD, MPH Professor of Anesthesiology/Critical Care Medicine and Surgery Director, Perioperative Genomic and Translational Research Johns Hopkins University School of Medicine Baltimore, Maryland Chapter 26: Postoperative Management of the Cardiac Surgical Patient

Carol F. Farver, MD Staff Pathologist Department of Anatomic Pathology The Cleveland Clinic Cleveland, Ohio Chapter 21: Benign and Malignant Pleural Tumors

David J. Feller-Kopman, MD, FCCP Director, Bronchoscopy & Interventional Pulrnonology Section of Interventional Pulrnonology Division of Pulmonary Critical Care Medicine The Johns Hopkins University School of Medicine Baltimore, Maryland Chapter 3: Pulmonary Physiology, Function Tests, and Bronchoscopic Techniques

Anne C. Fischer, MD, PhD Surgeon in Chief, Beaumont Children's Hospital Department of Surgery Professor and Chief, Pediatric Surgery Department of Surgery Beaumont Health System Royal Oak, Michigan Chapter 4: Congenital Pulmonary Disorders

Torin P. Fitton, MD Senior Surgeon Department of Cardiothoracic Surgery Lahey Hospital & Medical Center Burlington, Massachusetts Chapter 86: Congenital Anomalies of the Sinuses of Valsalva and Aortico-Left Ventricular Tunnel

Charles D. Fraser Jr. , MD Surgeon-in-Chief Department of Surgery Texas Children's Hospital Chief of Congenital Heart Surgery, Texas Children's Hospital Professor of Surgery and Pediatrics Congenital Heart Surgery Baylor College of Medicine Houston, Texas Chapter 65: Ventricular Septal Defects

J. William Gaynor, MD Associate Professor Department of Cardiothoracic Surgery University of Pennsylvania School of Medicine/

The Children's Hospital of Philadelphia Philadelphia, Pennsylvania Chapter 83: Surgery for Congenital Coronary Artery Anomalies

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Timothy J. George, MD General Surgery Resident Department of Surgery The Johns Hopkins Hospital Baltimore, Maryland Chapter 42: Endovascular Repair of Thoracic Aortic Pathology

Gary Gerstenblith, MD Professor of Medicine Division of Cardiology The Johns Hopkins School of Medicine Baltimore, Maryland Chapter 53: Stem Cells for Cardiac Surgical Disease

A. Marc Gillinov, MD Staff Surgeon Department of Thoracic and Cardiovascular Surgery The Cleveland Clinic Cleveland, Ohio Chapter 36: Mitral Valve Repair for Degenerative Disease

Rashna Ginwalla, MD Fellow Trauma, Surgical Critical Care & Emergency General Surgery University of Arizona Medical Center Tucson, Arizona Chapter 26: Postoperative Management of the Cardiac Surgical Patient

Brian Goodman, MD Fellow Department of Cardiothoracic Surgery The Ohio State University Medical Center Columbus, Ohio Chapter 14: Gastroesophageal Reflux Disease and Esophageal Motility Disorders

Vincent L. Gott, MD Professor of Surgery Emeritus Former Surgeon-in-Chief Division of Cardiac Surgery The Johns Hopkins Hospital Baltimore, Maryland Chapter 58: Milestones in Congenital Cardiac Surgery

Eric Griffiths, MD Cardiothoracic Fellow Department of Cardiac Surgery Childrens Hospital Boston Boston, Massachusetts Chapter 4: Congenital Pulmonary Disorders

Peter J. Gruber, MD, PhD Section Chief Department of Pediatric Cardiothoracic S urgery University of Utah and Primary Children's Hospital Salt Lake City, Utah Chapter 76: Hypoplastic Left Heart Syndrome

Marc K. Halushka, MD, PhD Associate Professor Department of Pathology Johns Hopkins Medical Institutions Baltimore, Maryland

Contributors

Chapter 49: The Immunobiology of Thoracic Transplantation

John W. Hammon, MD Professor, Cardiothoracic Surgery, Emeritus Wake Forest University School of Medicine Winston-Salem, North Carolina Chapter 24: Cardiopulmonary Bypass

Frank L. Hanley, MD Lawrence Crowley, MD Endowed Professor in Child Health Department of Cardiothoracic S urgery Stanford University School of Medicine Director, Children's Heart Center Lucile Packard Children's Hospital at Stanford Stanford, California Chapter 69: Pulmonary Atresia with Ventricular Septal Defect and Major Aortopulmonary Collaterals

Colleen Harrington, MD Postdoctoral Fellow Division of Cardiology Johns Hopkins Medical Institutions Baltimore, Maryland Chapter 56: Echocardiography in Cardiac Surgery

Nahidh W. Hasaniya, MD, PhD Associate Professor Department of Cardiovascular a nd Thoracic Surgery Lorna Linda University Medical Center a nd Children's Hospital Lorna Linda, California Chapter 89: Pediatric Cardiac Transplantation

Jennifer C. Hirsch-Romano, MD, MS Assistant Professor Department of Cardiac Surgery University of Michigan C. S. Mott Children's Hospital Ann Arbor, Michigan Chapter 7 4: Transposition of the Great Arteries

Osami Honjo, MD, PhD Staff Surgeon, Cardiovascular Surgery Department of Cardiovascular Surgery The Hospital for Sick Children, University of Toronto Toronto, Ontario, Canada Chapter 68: Tetralogy of Fallot

Viktor Hraska, MD, PhD Chief of Cardiovascular Surgery German Pediatric Heart Centre Asklepios Clinic Sankt Augustin, Germany Chapter 85: Ebstein's Anomaly

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xvi Contributors

Tain-Yen Hsia, MD, MSc Consultant Cardiothoracic Surgeon Cardiorespiratory Unit Great Ormond Street Hospital for Children,

NHS Foundation Trust London, United Kingdom Chapter 63: Patent Ductus Arteriosus

Stephen J. Huddleston, MD, PhD Cardiothoracic Surgeon Department of Cardiothoracic Surgery St. Luke's Hospital Duluth, Minnesota Chapter 35: Mitral Valve Replacement

John S. Ikonomidis, MD, PhD Horace G. Smithy Professor Department of Surgery Chief, Division of Cardiothoracic Surgery Medical University of South Carolina Charleston, South Carolina Chapter 32: Aortic Valve Replacement

Stuart W. Jamieson, MD, FRCS, F ACS Endowed Chair and Distinguished Professor Chief, Cardiovascular and Thoracic Surgery Division of Cardiothoracic Surgery University of California San Diego, Medical Center San Diego, California Chapter 45: Surgical Treatment of Chronic Pulmonary Thromboembolic Disease

Howard Jeffries, MD, MPH, MBA Clinical Professor Department of Pediatrics University of Washington School of Medicine,

Seattle Children's Hospital Seattle, Washington Chapter 87: Extracorporeal Membrane Oxygenation in Pediatric Cardiac Care

Daniela Jodorkovsky, MD Assistant Professor of Medicine Division of Gastroenterology and Hepatobiliary Diseases New York Medical College Valhalla, New York Chapter 12: Esophageal Physiology, Function Tests, and Endoscopic Techniques

Peter V. Johnston, MD Assistant Professor of Medicine Division of Cardiology Johns Hopkins University School of Medicine Baltimore, Maryland Chapter 53: Stem Cells for Cardiac Surgical Disease

David L. Joyce, MD HealthEast Heart Care Department of Cardiovascular Surgery St. Joseph's Hospital St. Paul, Minnesota Chapter 37: Tricuspid Valve Disease

D. Kalavrouziotis, MD, PhD Assistant Professor Department of Cardiac Surgery Quebec Heart and Lung Institute Quebec City, Quebec Chapter 54: Minimally Invasive Cardiac Surgery

Mazyar Kanani, PhD, FRCS Consultant Congenital Cardiothoracic Surgery Great Ormond Street Hospital for Children NHS Trust London, United Kingdom Chapter 66: Atrioventricular Septal Defects

Tara Karamlou, MD, MSc Assistant Professor of Surgery Division of Pediatric Cardiac Surgery Benioff Children's Hospital University of California San Francisco San Francisco, California Chapter 62: Palliative Operations for Congenital Heart Disease Chapter 72: Truncus Arteriosu Chapter 78: Surgery for Left Ventricular Outflow Tract Obstruction in Children Chapter 87: Extracorporeal Membrane Oxygenation in Pediatric Cardiac Care

Edmund S. Kassis, MD Assistant Professor of Surgery, Division of Thoracic Surgery Department of Surgery The Ohio State University Medical Center Columbus, Ohio Chapter 14: Gastroesophageal Reflux Disease and Esophageal Motility Disorders

Clinton D. Kemp, MD Cardiothoracic Surgery Fellow Department of Surgery The Johns Hopkins Hospital Baltimore, Maryland Chapter 15: Esophageal Perforation Chapter 51: Mechanical Circulatory Support Chapter 52: Surgical Ventricular Remodeling

Min P. Kim, MD, FACS Assistant Professor Department of Surgery Weill Cornell Medical College The Methodist Hospital Houston, Texas Chapter 9: Primary Lung Cancer

Edward H. Kincaid, MD Associate Professor of Surgery Department of Cardiothoracic Surgery Wake Forest University School of Medicine Winston-Salem, North Carolina Chapter 24: Cardiopulmonary Bypass

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Ergin Kocyildirim, MD Assistant Professor of Surgery Department of Cardiothoracic Surgery University of Pittsburgh School of Medicine Pittsburgh, Pennsylvania Chapter 67: Aortopulmonary Window Chapter 73: Total Anomalous Pulmonary Venous Connection

George J. Koenig Jr. , DO, MS Assistant Professor in Surgery Acute Care Surgery Thomas Jefferson University Philadelphia, Pennsylvania Chapter 2: Thoracic Trauma

Deborah J. Kozik, DO Assistant Professor Department of Surgery Division of Cardiothoracic Surgery University of Kentucky College of Medicine Lexington, Kentucky Chapter 70: Pulmonary Stenosis and Pulmonary Atresia with Intact Ventricular Septum

Cara L. Lawrence, MD Department of Surgery Division of Cardiothoracic Surgery University of Kentucky College of Medicine Lexington, Kentucky Chapter 70: Pulmonary Stenosis and Pulmonary Atresia with Intact Ventricular Septum

Marc R. de Leval, MD, FRCS Professor of Cardiothoracic Surgery Department of Cardiothoracic Surgery Great Ormond Street Hospital for Children NHS trust London, United Kingdom Chapter 77: Tricuspid Atresia and the Functionally Single Ventricle

Kenneth K. Liao, MD, PhD Associate Professor of Surgery, Surgical Director Heart

Transplantation Department of Surgery University of Minnesota Minneapolis, Minnesota Chapter 50: Cardiac Transplantation

Jules Lin, MD Assistant Professor of Surgery Department of Surgery Section of Thoracic Surgery University of Michigan Medical Center Ann Arbor, Michigan Chapter 16: Esophageal Cancer

Alex G. Little, MD Elizabeth Berry Gray Chair and Professor Department of Surgery Boonshoft School of Medicine Wright State University Dayton, Ohio Chapter 7: Surgical Management of Emphysema

Svati Singla Long, MD Radiologist Women's Imaging Raleigh Radiology Raleigh, North Carolina

Contributors xvii

Chapter 30: Management of Concomitant Carotid and Coronary Artery Disease

Natalie Lui, MD Surgical Resident Department of Surgery UCSF School of Medicine San Francisco, California Chapter 17: Mediastinal Disease

Ying Wei Lum, MD Assistant Professor Division of Vascular Surgery & Endovascular Therapy Johns Hopkins School of Medicine Baltimore, Maryland Chapter 40: Thoracoabdominal Aneurysms

Malcolm J. MacDonald, MD Clinical Assistant Professor Department of Cardiothoracic S urgery Division of Pediatric Cardiac S urgery Falk Cardiovascular Research Center Stanford, California Chapter 69: Pulmonary Atresia with Ventricular Septal Defect and Major Aortopulmonary Collaterals

Michael M. Madani, MD, FACS Professor Division of Cardiothoracic Surgery University of California San Diego, Medical Center San Diego, California Chapter 45: Surgical Treatment of Chronic Pulmonary Thromboembolic Disease

Kaushik Mandai, MD, MPH, MS, FESC, FRCS(CTh) Assistant Professor Division of Cardiac Surgery The Johns Hopkins Medical Institutions Baltimore, Maryland Chapter 6: Thoracic Infections Chapter 33: Aortic Root Replacement Chapter 90: Management of Adults with Congenital Heart Disease

David Mason, MD Staff Surgeon Department of Thoracic and Cardiovascular Surgery The Cleveland Clinic Cleveland, Ohio Chapter 21: Benign and Malignant Pleural Tumors

Douglas J. Mathisen, MD Chief Department of Cardiothoracic Surgery Massachusetts General Hospital Boston, Massachusetts Chapter 8: Tracheal Diseases

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xviii Contributors

D. Michael McMullan, MD Associate Professor of Surgery Department of Pediatric Cardiac Surgery Seattle Children's Hospital University of Washington Seattle, Washington Chapter 72: Truncus Arteriosu Chapter 87: Extracorporeal Membrane Oxygenation in Pediatric Cardiac Care

Robert A. Meguid, MD, MPH Assistant Professor of Surgery Section of General Thoracic Surgery Division of Cardiothoracic Surgery University of Colorado Denver School of Medicine Aurora, Colorado Chapter 18: Chest Wall Tumors

Avedis Meneshian, MD Assistant Professor of Surgery Division of Thoracic Surgery Department of Surgery Johns Hopkins Medical Institutions Baltimore, Maryland Chapter 13: Congenital Esophageal Anomalies

Christian A. Merlo, MD, MPH Assistant Professor of Medicine Division of Pulmonary and Critical Care Medicine The Johns Hopkins University School of Medicine Baltimore, Maryland Chapter 5: Benign Diffuse Pulmonary Disorders

Tomislav Mihaljevic, MD Chief of Staff, Chair Heart and Vascular Institute Cleveland Clinic Abu Dhabi Abu Dhabi, United Arab Emirates Chapter 36: Mitral Valve Repair for Degenerative Disease

R. Scott Mitchell, MD Professor of Cardiovascular Surgery Department of Cardiothoracic Surgery Stanford University School of Medicine Stanford, California Chapter 39: Ascending and Arch Aneurysms of the Aorta

Michael C. Monge, MD Attending Surgeon Division of Cardiovascular-Thoracic Surgery Ann & Robert H. Lurie Children's Hospital of Chicago Department of Surgery Northwestern University Feinberg School of Medicine Chicago, illinois Chapter 84: Vascular Rings and Pulmonary Artery Sling

Samia Mora, MD, MHS Assistant Professor of Medicine Harvard Medical School Associate Physician Cardiovascular Medicine Brigham and Women's Hospital Boston, Massachusetts Chapter 56: Echocardiography in Cardiac Surgery

David L.S. Morales, MD Professor and Chair of Pediatric Cardiothoracic S urgery Department of Pediatric Cardiothoracic Surgery University of Cincinnati College of Medicine Chief, Pediatric Cardiothoracic Surgery Department of Pediatric Cardiothoracic Surgery Cincinnati Children's Hospital Medical Center Cincinnati, Ohio Chapter 65: Ventricular Septal Defects

Victor 0. Morell, MD Associate Professor of Surgery and Chief Division of Pediatric Cardiothoracic Surgery Children's Hospital of Pittsburgh University of Pittsburgh School of Medicine Pittsburgh, Pennsylvania Chapter 67: Aortopulmonary Window Chapter 73: Total Anomalous Pulmonary Venous Connection

Sudish C. Murthy, MD, PhD Staff Surgeon Department of Thoracic and Cardiovascular Surgery The Cleveland Clinic Cleveland, Ohio Chapter 21: Benign and Malignant Pleural Tumors

Kelly K. Nagasawa, MD Chief Resident in Surgery Division of Cardiothoracic Surgery University of Utah Affiliated Hospitals Salt Lake City, Utah Chapter 1: Preoperative Evaluation of the Thoracic Surgical Patient

Kristen Nelson, MD Assistant Professor of Anesthesiology/Critical Care Medicine

and Pediatrics Department of Anesthesiology/Critical Care Medicine Johns Hopkins University School of Medicine Baltimore, Maryland Chapter 88: Ventricular Assist Devices in Children

Richard G. Ohye, MD Associate Professor Department of Cardiac Surgery University of Michigan C. S. Mott Children's Hospital Ann Arbor, Michigan Chapter 74: Transposition of the Great Arteries

Eric J. Okum, MD Attending Cardiothoracic Surgeon Tri Health Heart Institute Adjunct Associate Professor University of Cincinnati College of Medicine Cincinnati, Ohio Chapter 47: Pericardia! Disease

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Mark B. Orringer, MD Professor of Surgery Department of Surgery Section of Thoracic Surgery University of Michigan Medical Center Ann Arbor, Michigan Chapter 16: Esophageal Cancer

Jacob Ostrowsky, CCP Perfusionist Department of Pediatric Cardiothoracic S urgery Rainbow Babies and Children's Hospital Cleveland, Ohio Chapter 61: Cardiopulmonary Bypass in the Pediatric Patient

Nishant D. Patel, MD Resident Department of Surgery The Johns Hopkins Hospital Baltimore, Maryland Chapter 13: Congenital Esophageal Anomalies

Eric A. Peck, MD Cardiothoracic Surgeon Department of Cardiothoracic Surgery California Cardiac Surgeons Bakersfield, California Chapter 28: Off-Pump Coronary Artery Bypass

Stacie B. Peddy, MD, MS Assistant Professor of Anesthesiology and Critical Care Department of Anesthesiology and Critical Care Medicine The Children's Hospital of Philadelphia Perelman School of Medicine at the University of Pennsylvania Philadelphia, Pennsylvania Chapter 60: Perioperative Critical Care of the Pediatric Cardiac Surgical Patient

Lester C. Permut, MD, FACS Clinical Associate Professor of Surgery Division of Cardiac Surgery Seattle Children's Hospital University of Washington School of Medicine Seattle, Washington Chapter 78: Surgery for Left Ventricular Outflow Tract Obstruction in Children

Joachim Photiadis, MD Senior Staff Surgeon German Pediatric Heart Centre Asklepios Clinic Sankt Augustin, Germany Chapter 85: Ebstein's Anomaly

Lee Plantmason, MD Resident Physician Department of Emergency Medicine University of Southern California Keck School of Medicine Los Angeles, California Chapter 17: Mediastinal Disease

Contributors

Mark D. Plunkett, MD Chief, Frank C. Spencer Endowed Chair Department of Surgery Division of Cardiothoracic S urgery University of Kentucky College of Medicine Lexington, Kentucky

xix

Chapter 70: Pulmonary Stenosis and Pulmonary Atresia with Intact Ventricular Septum

Jarrod D. Predina, MD Resident Department of Surgery Massachusetts General Hospital, Harvard Medical School Boston, Massachusetts Chapter 22: Diaphragmatic Disorders

Zuhab A. Qamar, BA Department of Cardiac Surgery University of Michigan C. S. Mott Children's Hospital Ann Arbor, Michigan Chapter 7 4: Transposition of the Great Arteries

Amy L. Rahm, MD Division of Cardiothoracic Surgery Department of Surgery UC Davis Medical Center Sacramento, California Chapter 89: Pediatric Cardiac Transplantation

Siva Raja, MD, PhD Associate Staff Department of Thoracic and Cardiovascular Surgery The Cleveland Clinic Cleveland, Ohio Chapter 21: Benign and Malignant Pleural Tumors

Dan }. Raz, MD Assistant Professor Department of Thoracic Surgery City of Hope Medical Center Duarte, California Chapter 8: Tracheal Diseases

Anees J. Razzouk, MD Professor Department of Cardiovascular a nd Thoracic Surgery Lorna Linda University Medical Center a nd Children's Hospital Lorna Linda, California Chapter 89: Pediatric Cardiac Transplantation

Jon R. Resar, MD Associate Professor of Medicine, Director Adult Cardiac

Catheterization Laboratory and Interventional Cardiology Department of Medicine/Cardiology Johns Hopkins University School of Medicine Johns Hopkins Hospital Baltimore, Maryland Chapter 55: Cardiac Catheterization and Interventions

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XX Contributors

Marco Ricci, MD, MBA Professor of Surgery Chief, Division of Cardiothoracic Surgery Department of Surgery University of New Mexico Health Science Center Albuquerque, New Mexico Chapter 78: Surgery for Left Ventricular Outflow Tract Obstruction in Children

Adam Richter, MD Resident in Surgery Department of Surgery University of Texas Southwestern Dallas, Texas Chapter 48: Primary Cardiac Tumors

Richard Ringel, MD Associate Professor of Pediatrics Department of Pediatrics Johns Hopkins School of Medicine Baltimore, Maryland Chapter 63: Patent Ductus Arteriosus Chapter 64: Atrial Septal Defects and Partial Anomalous Pulmonary Venous Connection

Michael P. Robich, MD, MSPH Fellow in Cardiothoracic Surgery Department of Thoracic and Cardiovascular Surgery Cleveland Clinic Foundation Cleveland, Ohio Chapter 31: Mechanical Complications of Myocardial Infarction

Mark D. Rodefeld, MD Associate Professor of Surgery Department of Surgery Indiana University School of Medicine Indianapolis, Indiana Chapter 79: Coarctation of the Aorta and Interrupted Aortic Arch

Glenn S. Roseborough, MD, FACS, RVT Medical Director Vascular Division of Salem CardioVascular Associates Salem, Oregon Chapter 40: 7horacoabdominal Aneurysms

G.D. Rushing, MD Clinical Associate Department of Thoracic and Cardiovascular Surgery Cleveland Clinic Foundation Cleveland, Ohio Chapter 27: Primary Coronary Artery Bypass Surgery

Hyde M. Russell, MD Attending Surgeon Division of Cardiovascular-Thoracic Surgery Ann & Robert H. Lurie Children's Hospital of Chicago Assistant Professor of Surgery Department of Surgery Northwestern University Feinberg School of Medicine Chicago, Illinois Chapter 84: Vascular Rings and Pulmonary Artery Sling

Hartzell V. Schaff, MD Stuart W Harrington Professor of Surgery Division of Cardiovascular Surgery Mayo Clinic Rochester, Minnesota Chapter 46: Role of Surgery in Management of Hypertrophic Cardiomyopathy

Jamie McElrath Schwartz, MD Attending Physician Department of Anesthesiology and Pain Medicine Children's National Medical Center Washington, D C Chapter 60: Perioperative Critical Care of the Pediatric Cardiac Surgical Patient

Christopher M. Sciortino, MD Assistant Professor of Surgery Division of Cardiac Surgery Johns Hopkins University School of Medicine Baltimore, Maryland Chapter 86: Congenital Anomalies of the Sinuses of Valsalva and Aortico-Left Ventricular Tunnel

Brandi B. Scully, MD Surgeon Department of Surgery Baylor College of Medicine Houston, Texas Chapter 65: Ventricular Septal Defects

Paul Sergeant, MD, PhD Professor Cardiac Surgery Gasthuisberg University Hospital Leuven, Belgium Chapter 28: Off-Pump Coronary Artery Bypass

Ashish S. Shah, MD Associate Professor of Surgery Department of Surgery The Johns Hopkins Hospital Baltimore, Maryland Chapter 11: Lung and Heart-Lung Transplantation

Jay G. Shake, MD Assistant Professor Department of Surgery Scott & White Healthcare Texas A & M Health Science Center Temple, Texas Chapter 29: Reoperative Coronary Artery Bypass Surgery

Sara J. Shumway, MD Professor of Surgery, Surgical Director Lung Transplantation,

Vice Chief, Division of Cardiothoracic Surgery Department of Surgery University of Minnesota Minneapolis, Minnesota Chapter 50: Cardiac Transplantation

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Ming-Sing Si, MD Assistant Professor Department of Cardiac Surgery University of Michigan C. S. Mott Children's Hospital Ann Arbor, Michigan Chapter 74: Transposition of the Great Arteries

Sunil Singhal, MD Assistant Professor of Surgery Department of Surgery Division of Thoracic Surgery University of Pennsylvania School of Medicine Philadelphia, Pennsylvania Chapter 22: Diaphragmatic Disorders

Maurice A. Smith, MD Attending Thoracic Surgeon Department of Surgery Beckley Appalachian Regional Hospital Beckley, West Virginia Chapter 20: Benign Pleural Disorders

Thomas L. Spray, MD Chief, Division of Cardiothoracic Surgery Department of Cardiothoracic Surgery/

The Children's Hospital of Philadelphia Philadelphia, Pennsylvania Chapter 76: Hypoplastic Left Heart Syndrome

Pieter J.A. van der Starre, PhD Professor of Cardiovascular Anesthesiology Department of Anesthesiology Stanford University School of medicine Stanford, California Chapter 39: Ascending and Arch Aneurysms of the Aorta

Ibrahim Sultan, MD Resident in Surgery Department of Surgery Johns Hopkins University School of Medicine Baltimore, Maryland Chapter 19: Congenital Chest Wall Anomalies

Thoralf M. Sundt III, MD Edward D. Churchill Professor of Surgery Chief, Division of Cardiac Surgery, Department of Surgery Massachusetts General Hospital, Harvard Medical School Boston, Massachusetts Chapter 41: Aortic Dissection

Brad S. Sutton, MD, MBA Assistant Professor of Medicine and Business Department of Medicine University of Louisville School of Medicine Louisville, Kentucky Chapter 44: Pacemaker and Defibrillator Therapy in Cardiac Surgery Patients

Joshua T. Taylor, MD General Surgery Resident Department of Surgery Vanderbilt University Nashville, Tennessee Chapter 20: Benign Pleural Disorders

Pierre Theodore, MD Associate Professor of Surgery

Contributors

Division of Adult Cardiothoracic S urgery Department of Surgery UCSF School of Medicine San Francisco, California Chapter 17: Mediastinal Disease

Jess Thompson, MD, MSc Resident Division of Cardiovascular Surgery Mayo Clinic and Foundation Rochester, Minnesota Chapter 71: Double Outlet Right Ventricle

Tomasz A. Timek, MD Assistant Clinical Professor West Michigan Cardiothoracic Surgeons and Spectrum Health Michigan State University Grand Rapids, Michigan Chapter 34: Mitral Valve Pathophysiology

Betty C. Tong, MD, MHS Assistant Professor Division of Cardiovascular and Thoracic Surgery Department of Surgery Duke University Medical Center Durham, Indiana Chapter 10: Pulmonary Metastasis

Dario Troise, MD Staff Cardiac Surgeon Pediatric Cardiac Surgery Unit Giovanni XXIII Pediatric Hospital, University of Bari Bari, Italy

xxi

Chapter 64: Atrial Septal Defects and Partial Anomalous Pulmonary Venous Connection

Victor T. Tsang, MS, MSc, FRCS Chief of Surgery Department of Cardiothoracic S urgery Great Ormond Street Hospital for Children NHS Trust London, United Kingdom Chapter 77: Tricuspid Atresia and the Functionally Single Ventricle

Ross Ungerleider, MD, MBA Professor of Surgery Pediatric Cardiovascular Surgery Brenner Children's Hospital Wake Forest University School of Medicine Winston-Salem, North Carolina Chapter 61: Cardiopulmonary Bypass in the Pediatric Patient

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xxii Contributors

Ara A. Vaporciyan, MD, FACS, MHPE Professor Department of Thoracic and Cardiovascular Surgery The University of Texas M.D. Anderson Cancer Center Houston, Texas Chapter 9: Primary Lung Cancer

Jens Vogel-Ciaussen, MD Associate Professor of Radiology Department of Radiology Institute for Diagnostic and Interventional Radiology Hanover, Germany Chapter 57: Cardiac Magnetic Resonance Imaging

Luca A. Vricella, MD, FACS Associate Professor of Surgery and Pediatrics Director, Pediatric Cardiac Surgery and Heart Transplantation Johns Hopkins University School of Medicine Baltimore, Maryland Chapter 58: Milestones in Congenital Cardiac Surgery Chapter 82: Cardiac Surgical Intervention in Pediatric Patients with Connective Tissue Disorders Chapter 86: Congenital Anomalies of the Sinuses of Valsalva and Aortico-Left Ventricular Tunnel Chapter 88: Ventricular Assist Devices in Children

Nihal A. Weerasena, FRCSEd, FRCSCTh Consultant Cardiothoracic (Congenital) Surgeon Department of Cardiac Surgery Leeds Teaching Hospital NHS Trust Leeds, United Kingdom Chapter 90: Management of Adults with Congenital Heart Disease

Timo Weimar, MD Consulting Cardiac Surgeon Department of Cardiac Surgery Sana Cardiac Surgery Stuttgart GmbH Stuttgart, Germany Chapter 43: Surgical Therapies for Atrial Fibrillation

Todd S. Weiser, MD Director Department of Thoracic Surgery White Plains Hospital New York, New York Chapter 8: Tracheal Diseases

Glenn Whitman, MD Associate Professor Johns Hopkins School of Medicine Division of Cardiac Surgery Director Adult Heart Transplant/Cardiovascular Intensive Care Unit The Johns Hopkins University Baltimore, Maryland Chapter 26: Postoperative Management of the Cardiac Surgical Patient

Jeffrey J. Wu, MD Staff Surgeon Kaiser Permanente Medical Center Honolulu, Hawaii Chapter 63: Patent Ductus Arteriosus

Katherine C. Wu, MD Associate Professor of Medicine Division of Cardiology Johns Hopkins Medical Institutions Baltimore, Maryland Chapter 56: Echocardiography in Cardiac Surgery

Stephen C. Yang, MD The Arthur B. and Patricia B. Modell Professor in Thoracic Surgery Division of Thoracic Surgery Department of Surgery Johns Hopkins University School of Medicine Baltimore, Maryland Chapter 15: Esophageal Perforation Chapter 19: Congenital Chest Wall Anomalies

William M. Yarbrough, MD Cardiothoracic Surgeon Providence Hospitals: Thoracic and Cardiovascular Associates Colwnbia, South Carolina Chapter 32: Aortic Valve Replacement

Lonny Yarmus, DO, FCCP Interventional Pulmonology Section of Interventional Pulmonology Division of Pulmonary Critical Care Medicine The Johns Hopkins University School of Medicine Baltimore, Maryland Chapter 3: Pulmonary Physiology, Function Tests, and Bronchoscopic Techniques

David D. Yuh, MD, FACC, FACS Professor and Chief, Section of Cardiac Surgery Department of Surgery Yale University School of Medicine New Haven, Connecticut

Surgical Director Yale-New Haven Hospital Heart and Vascular Center New Haven, Connecticut

Former Associate Professor of Surgery, Division of Cardiac Surgery

Department of Surgery Johns Hopkins University School of Medicine

and The Johns Hopkins Hospital Baltimore, Maryland Chapter 27: Primary Coronary Artery Bypass Surgery Chapter 30: Management of Concomitant Carotid and Coronary Artery Disease Chapter 35: Mitral Valve Replacement

Giorgio Zanotti, MD Chief Resident Department of Surgery Duke University Medical Center Durham, North Carolina Chapter 82: Cardiac Surgical Intervention in Pediatric Patients with Connective Tissue Disorders

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Paradoxically, our information age has flooded us with an unprecedented volume of medical information (the pro­verbial "drinking from a firehose") , yet clarity and wisdom still seem as rare as a desert oasis. Th is long-awaited second edition of the Johns Hopkins Textbook of Cardiothoracic Surgery is an arrival welcomed by all surgeons in our spe­cialty, from the novice to the seasoned, who are thirsty for the insight and perspective vested in each chapter. The subtle title change from "manual" to "textbook" belies the substantial additions and enhancements that mark the second edition, including new chapters and authors, key concepts, color accenting, and expanded bibliographies. This work takes its place as one of the most comprehensive yet readable books on the subject and is the best example I know to support the argument that the printed textbook is alive and well, and in great demand.

Although born at Hopkins under Dr Yuh's leadership while he was on our faculty, the project has grown to include experts from many institutions, which parallels the collabor­ative and information-sharing spirit of our profession. This is particularly so with cardiothoracic surgeons, who delight

FOREWORD G

over sketches of operations drawn on dinnertime napkins and who earn deep satisfaction from warning each other about pitfalls and unseen hazards of procedures and practice. David Yuh and his co-editors Luca Vricella, S teve Yang, and John Doty deserve rich praise for shepherding this effort to collect so much wisdom within a single cover.

Finally, although it may seem odd that a Hopkins book is edited by a Yale surgeon, straddling of t hese two great institutions by prominent physician educators has pre­cedence in Halsted, Welch, Cushing, Gott, and Reitz, to name j ust a few. Indeed, three of the four cardiac chiefs at Hopkins since Blalock were Yale graduates . Johns Hopkins and Yale have many similar a ttributes, not the least of which is a deep tradition and commitment to medical education and the training of young physicians. We are remembered best by the lives we touch, those of our patients and our students.

Duke E. Cameron, MD Cardiac Surgeon-in-Charge The Johns Hopkins Hospital

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