The operated heart at autopsy
著者
書誌事項
The operated heart at autopsy
Springer, c2009
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注記
Includes bibliographical references and index
内容説明・目次
内容説明
After 17 years of private practice as a cardiovascular surgeon, my partners qu- tionedtherationalityofmydecisiontoleavetheclinicalpracticebehindandbecome acardiovascular pathologist. Infact,theirdisbeliefofmyintentiontomakethe"leap of faith" was understandable. For a surgeon, the operating room is where the action is. It is as simple as that. And when a cardiac surgeon can hold in his hand a beating heart, now off-bypass and improved by an operation just completed, satisfaction is real and profound. However, life is complex. Throughout my surgical career, questions regarding the pathogenesis of atherosclerotic cardiovascular disease arose; curiosities of va- ous phenotypes of the disease piqued my interest. I became aware of the power of investigative techniques that might address these questions. I then began to realize that my career in the operating room left me little time to address them. I needed to study the disease full time in order to contribute to my understanding of it. Ironically, my ?rst autopsy as a pathology resident was on an individual with a past history of coronary artery bypass surgery. When it came to examining the heart, the dissection, as all pathologists know, was complex. However, I found it to be straightforward and enjoyable. But I subsequently learned that my fellow re- dents and mentors did not share my intrigue and comfort in de?ning the nuances of the operated heart.
目次
Preface
Chapter 1: External Evidence of Open Heart Surgery
Chapter 2: Exposing the Cardiopulmonary Block
Chapter 3: The Post-mortem Coronary Injection
Chapter 4: The Cardiac Dissection
Chapter 5: Putting it All Together
Chapter 6: Footprints and Congenital Heart Disease
Chapter 7: A Matter of Mindset
Glossary
Abbreviations
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