2nd Edition

Comprehensive Surgical Management of Congenital Heart Disease

ISBN 9781444112153
Published January 29, 2014 by CRC Press
740 Pages 380 B/W Illustrations

USD $350.00

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Book Description

Highly Commended, BMA Medical Book Awards 2015

Since the first edition of this book was published in 2004, the management of congenital heart disease has continued to evolve at a rapid pace. Not only have new operations been developed and expanded, such as the intra/extracardiac conduit Fontan and the double root translocation for corrected transposition, but in addition, diagnostic methods—particularly cardiac CT and MRI—have been dramatically transformed.

Understanding of the genetic basis of congenital heart disease and the embryology of cardiac development has progressed even more rapidly. What has not changed is that optimal outcomes for children and adults with congenital heart disease can only be achieved by a collaborative team effort. The team includes not only congenital cardiac surgeons but also pediatric cardiac nurses, pediatric cardiologists, perfusion and respiratory technicians, pediatric cardiac intensivists, pediatric cardiac anesthesiologists, ultrasonographers, and MRI and catheter laboratory technicians.

This second edition of Comprehensive Surgical Management of Congenital Heart Disease describes in detail the contemporary practice of Richard A. Jonas and the cardiac team at Children’s National Medical Center in Washington, D.C. The book once again includes numerous beautiful illustrations providing comprehensive and detailed information about intra-operative management of the entire spectrum of congenital heart surgery. In addition, the companion VitalSource ebook contains more than 50 operative videos that have been edited and narrated to highlight the key steps in complex surgical procedures.

The book incorporates an evidence-based approach, supported throughout by numerous scientific citations, to explain when and why an operation should be done as well as the risks, benefits, and potential complications.

Table of Contents

Why early primary repair
Surgical technique
Biomaterials for congenital cardiac surgery
Anesthesia for congenital heart surgery
Pediatric cardiac intensive care

Cardiopulmonary Bypass

The bypass circuit: hardware options
Prime constituents and hemodilution
Carbon dioxide, pH and oxygen management
Hypothermia, reduced flow and circulatory arrest
Myocardial protection

Specific congenital cardiac anomalies

Patent ductus arteriosus, aortopulmonary window, sinus of Valsalva fistula, aortoventricular tunnel
Coarctation of the aorta
Atrial septal defect
Ventricular septal defect
Transposition of the great arteries
Tetralogy of Fallot with pulmonary stenosis
Valve surgery for congenital heart disease
Left ventricular outflow tract obstruction: aortic valve stenosis, subaortic stenosis, supravalvar aortic stenosis
Hypoplastic left heart syndrome
Single ventricle
Complete atrioventricular canal
Anomalies of the pulmonary veins
Double outlet right ventricle
Truncus arteriosus
Tetralogy of Fallot with pulmonary atresia
Pulmonary atresia with intact ventricular septum
Interrupted aortic arch
Congenitally corrected transposition of the great arteries
Vascular rings, slings, and tracheal anomalies
Anomalies of the coronary arteries

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Richard A. Jonas MD is the Co-director of the Children’s National Heart Institute in Washington, D.C. He is the Cohen-Funger Professor of Surgery at Children’s National Medical Center and Professor of Surgery at George Washington University. He is also past president of the American Association for Thoracic Surgery and the Congenital Heart Surgeons’ Society.

Featured Author Profiles

Author - Richard  Jonas

Richard Jonas

Chief, Cardiac Surgery and Co-Director, Children's National Heart Institute, Children's National Medical Center
Washington, DC, USA

Learn more about Richard Jonas »


"… [A] very comprehensive book, characterized by clarity of description, logic of presentation, and attention to detail…Dr. Jonas has significantly expanded on the treatment of some subjects…and has chosen to include several entirely new chapters…on anesthesia, pediatric cardiac intensive care, and pediatric cardiovascular nursing care, in addition to mechanical circulatory support and cardiac transplantation…the e-version of the book includes hyperlinks to a series of narrated operative videos…that are of extremely high quality…Every aspect of the Second Edition builds on the foundation established with the First Edition. No part of it represents a simple "tune-up" of its predecessor."
—Marshall Lewis Jacobs, MD, Division of Cardiac Surgery, Johns Hopkins University

"While technically a multi-author textbook … it is in reality a product of Dr. Jonas’ own singular experience and his commitment and enormous effort to share his wealth of knowledge, insight, and wisdom with others – all in the interest of helping to optimize the care of patients with congenital heart disease."

Praise for the First Edition

"This book is a display of superior individual knowledge—virtually encyclopaedic. The most difficult technical procedures are described with accuracy that reflect the skills and talents of a masterful surgeon. Any congenital cardiac surgeon, any surgical trainee interested in congenital cardiac surgery, will consult this book with great pleasure."
Journal of the Royal Society of Medicine