Sign In
Register
Help
The Operated Heart at Autopsy
Production:
The Operated Heart at Autopsy addresses the need ofpathologists in practice and, especially, in training to achieve a newlevel of competence in dealing, at the time of autopsy, with theanatomic complexity of a heart that has undergone previous surgicaltreatment, whether that treatment occurred in the recent or remotepast. Ready identification of post-operative morphologic changes in theheart will greatly increase the comfort level of the pathologist as hetakes on the challenge of the operated heart. By drawing on lessonslearned as a cardiac surgeon, the author offers reasonable guidelinesto the pathologist facing this challenging task. Such guidelinesinclude a methodical approach to assess multiple operative procedureson the heart. Previous surgery may include construction of coronaryartery bypass grafts (CABG), replacement or repair of one or more heartvalves, repair of one or more congenital heart anomalies, or some otherprocedure. Questions will arise at such an autopsy. When a past medicalhistory is lacking, what is the best way to determine exactly whatoperation was done? Was the cause of death heart-related? What was theimpact of the heart surgery on the cause of death? What is theimportance of technical issues of the heart surgery in a given autopsy?What steps should be taken in the actual dissection of the heart…and inwhat order? What are the anatomic landmarks, i.e., "footprints" of asurgeon, to look for when examining the operated heart? Importantly, asthe pathologist in charge of an autopsy of an individual who diedduring or following open-heart surgery, what do I, the pathologist,tell the cardiac surgeon who needs to know what happened? The OperatedHeart at Autopsy will definitely guide the pathologist, whether aresident in training or a professional in academic or private practice,in addressing these and other related questions
- Number Of Pages: 248
- Publication Date: 2009-06-16
- Publisher: Humana Press
- ISBN-10 / ASIN: 1603278079
- ISBN-13 / EAN: 9781603278072
- Size: 7MB
Production:
The Operated Heart at Autopsy addresses the need ofpathologists in practice and, especially, in training to achieve a newlevel of competence in dealing, at the time of autopsy, with theanatomic complexity of a heart that has undergone previous surgicaltreatment, whether that treatment occurred in the recent or remotepast. Ready identification of post-operative morphologic changes in theheart will greatly increase the comfort level of the pathologist as hetakes on the challenge of the operated heart. By drawing on lessonslearned as a cardiac surgeon, the author offers reasonable guidelinesto the pathologist facing this challenging task. Such guidelinesinclude a methodical approach to assess multiple operative procedureson the heart. Previous surgery may include construction of coronaryartery bypass grafts (CABG), replacement or repair of one or more heartvalves, repair of one or more congenital heart anomalies, or some otherprocedure. Questions will arise at such an autopsy. When a past medicalhistory is lacking, what is the best way to determine exactly whatoperation was done? Was the cause of death heart-related? What was theimpact of the heart surgery on the cause of death? What is theimportance of technical issues of the heart surgery in a given autopsy?What steps should be taken in the actual dissection of the heart…and inwhat order? What are the anatomic landmarks, i.e., "footprints" of asurgeon, to look for when examining the operated heart? Importantly, asthe pathologist in charge of an autopsy of an individual who diedduring or following open-heart surgery, what do I, the pathologist,tell the cardiac surgeon who needs to know what happened? The OperatedHeart at Autopsy will definitely guide the pathologist, whether aresident in training or a professional in academic or private practice,in addressing these and other related questions
MultiQuote