Preface

vii

Acknowledgment

viii

PART I

PREOPERATIVE PERIOD: OVERVIEW, ASSESSMENT, AND SURGERY PREP GUIDELINES

1

Epidemiology of Coronary Artery Disease, Valve Disease, and Need for Heart Surgery

3

2

Diagnostic Tests

17

3

Preparing a Patient for Cardiac Surgery

25

PART II

INTRAOPERATIVE PERIOD: SURGICAL TECHNIQUES

4

Cardiopulmonary Bypass

35

5

Coronary Artery Bypass Graft Surgery

43

6

Valve Surgery

49

7

Other Surgical Treatments

55

8

Off-Pump Surgeries and Minimally Invasive Techniques

63

PART III

INITIAL POSTOPERATIVE PERIOD

9

The First Few Hours: Initial Recovery

73

10

Complications: Initial Postoperative Period

97

11

Transition to Intermediate Care

123

PART IV

EXTENDED POSTOPERATIVE PERIOD

12

Extended Recovery Timelines

137

13

Complications: Extended Recovery Period

153

PART V

LONG-TERM RECOVERY

14

Discharge

181

15

Cardiac Rehabilitation

191

References

201

Index

203