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Cardiac Catheterization for Congenital Heart Disease : From Fetal Life to Adulthood
| Cardiac Catheterization for Congenital Heart Disease : From Fetal Life to Adulthood |
| Autore | Butera Gianfranco |
| Edizione | [2nd ed.] |
| Pubbl/distr/stampa | Cham : , : Springer International Publishing AG, , 2021 |
| Descrizione fisica | 1 online resource (1101 pages) |
| Disciplina | 617.412 |
| Altri autori (Persone) |
ChessaMassimo
EickenAndreas ThomsonJohn |
| Soggetto topico |
Cateterisme cardíac
Malformacions del cor |
| Soggetto genere / forma | Llibres electrònics |
| ISBN | 3-030-69856-4 |
| Formato | Materiale a stampa  |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Intro -- Foreword: "Nothing Endures But Change" -- Preface -- Contents -- Part I: General -- 1: Patient Information and Informed Consent -- 1.1 Introduction -- 1.2 Background -- 1.3 Information and Consent in Clinical Practice -- 1.4 Conclusion -- References -- 2: Anaesthesiological Management of the Paediatric Patient in the Catheterisation Laboratory -- 2.1 Introduction -- 2.2 Anaesthesia -- 2.2.1 Preoperative Consideration -- 2.2.2 Premedication -- 2.2.3 Sedation and Anaesthesia -- 2.3 Monitoring and Anaesthetic Equipment in the Cardiac Catheterisation Laboratory -- 2.3.1 Electrocardiogram -- 2.3.2 Blood Pressure -- 2.3.3 Pulse Oximetry -- 2.3.4 Capnometry -- 2.3.5 Temperature Monitoring -- 2.3.6 ScvO2 (Continuous Mixed Venous Oxygen Saturation) Monitoring -- 2.3.7 NIRS (Near-Infrared Spectroscopy) Monitoring -- 2.3.8 Anaesthetic Equipment -- 2.4 Ventilation Strategies During Cardiac Catheterisation Procedures -- 2.5 Fluid Management -- 2.6 Complications of Cardiac Catheterisation -- Suggested Reading -- 3: Antibiotics and Anticoagulation -- 3.1 Antibiotic Prophylaxis -- 3.2 Anticoagulation in Catheterization Laboratory -- Further Reading -- 4: Angiography: Basics and Contrast Media -- 4.1 Cardiac Catheterization Laboratory Equipment Overview and Basic Roentgenology -- 4.2 Tactics for Radiation Dose Reduction and Image Quality Improvement -- 4.2.1 Diagnostic Information Should be Obtained Primarily Noninvasively -- 4.2.2 Position Patients Properly (Isocentered and Straight on the Table) -- 4.2.3 Use the Lowest Acceptable Frame Rate During Pulsed Fluoroscopy and Cine Angiography -- 4.2.4 Do Not Use Fluoroscopy to Make Changes to the Patient/Table Position or Collimator/Shields -- 4.2.5 Remove Unnecessary Body Part (or Instruments) from the Field.
4.2.6 Always Perform a Test Injection of a Small Amount of Contrast Material Using Fluoroscopy Prior to Acquiring an Angiogram -- 4.2.7 Use the Lowest Acceptable Magnification Mode -- 4.2.8 Use Collimators and Partial-Thickness Shields -- 4.2.9 Center the Region of Interest Correctly in the Field -- 4.2.10 Keep the Image Intensifier as Close to the Patient as Possible (and the X-Ray Tube as Far Away as Possible) -- 4.2.11 Use the Angiographic Projection That Reduces Operator Exposure Whenever Possible -- 4.2.12 Decrease Beam-On Time -- 4.2.13 Remove Anti-Scatter Grids When Catheterizing Small Children -- 4.2.14 Use X-Ray Stand Position Memory -- 4.2.15 Use Biplane Fluoroscopy, Roadmap, and Overlay Features -- 4.2.16 Catheter Selection -- 4.2.17 Contrast Delivery -- 4.3 Contrast Media -- 4.4 Contrast Reactions -- 4.4.1 Anaphylactoid Reactions -- 4.4.2 Nonanaphylactoid Reactions -- 4.4.2.1 Chemotoxic, Organ Specific -- Nephrotoxicity -- Cardiovascular Toxicity -- Neurotoxicity -- Thyroid Dysfunction -- 4.4.2.2 Vasovagal Reactions -- References -- 5: Angiography: Radiation Exposure and Standard Projections -- 5.1 Radiation Exposure Today -- 5.2 Potential Hazards of Radiation Exposure [1] -- 5.2.1 Deterministic Risks -- 5.2.2 Stochastic Risks -- 5.3 Special Problems of Medical Radiation in Children [2] -- 5.4 Terminology [1] -- 5.5 How to Manage Radiation Doses for Invasive Cardiac Procedures [1] -- 5.5.1 Preprocedure -- 5.5.2 Procedure -- 5.5.3 Postprocedure -- 5.6 Angiographic Projections -- 5.7 Specific Lesions (In Situs Solitus with Left Aortic Arch) [3] (Fig. 5.5) -- 5.7.1 Secundum Atrial Septal Defect and Fenestrated Fontan -- 5.7.2 Ventricular Septal Defect -- 5.7.3 Patent Ductus Arteriosus -- 5.7.4 Surgical Fistula Between Supraortic Arch and Branch Pulmonary Artery -- 5.7.5 Aortic Valve. 5.7.6 Coarctation of the Aorta -- 5.7.7 Mustard Baffle -- 5.7.8 Bidirectional Cavopulmonary Connection -- 5.7.9 Fontan Operation -- 5.7.10 Pulmonary Valve Stenosis, Tetralogy of Fallot, and Pulmonary Valve Atresia with Intact Ventricular Septum -- 5.7.11 Branch Pulmonary Artery Stenosis -- 5.7.12 Total Anomalous Pulmonary Venous Connection -- References -- 6: Catheters and Wires -- 6.1 Diagnostic Catheters -- 6.1.1 Anatomy of the Catheter -- 6.1.2 Types of the Catheters -- 6.1.2.1 Angiographic Catheters -- 6.1.2.2 Pulmonary Balloon Wedge Catheters -- 6.1.2.3 Curved Catheters -- 6.1.2.4 Special Catheter Types -- 6.1.3 Selection of the Catheter and Catheter Manipulation -- 6.1.3.1 Floating Catheters -- 6.1.3.2 Torque-Controlled Catheters -- 6.2 Guidewires -- 6.3 Introducer Sheaths -- Suggested Reading -- 7: Balloons -- 7.1 Introduction -- 7.2 Direct Dilation of Valves and Vessels -- 7.2.1 Characteristics of Balloons -- 7.2.2 Low-Pressure, Medium-Pressure, High-Pressure, and Ultrahigh-Pressure Balloons -- 7.2.3 Cutting Balloons -- 7.2.4 Coronary Balloons -- 7.2.5 Other Special Balloon Dilation Catheters -- 7.3 Septostomy Balloons -- 7.4 Sizing Balloons -- 7.5 How to Use Balloons -- 7.5.1 Preparation, Introduction and Inflation -- 7.5.2 Deflation and Withdrawal -- 7.6 Double-Balloon Technique -- 7.7 Complications -- 7.8 Basic Requirements -- References -- 8: Stents -- 8.1 Introduction -- 8.2 Indications -- 8.3 Stent Features -- 8.4 Stent Implantation -- 8.5 Complications -- References -- 9: Transcatheter Valve Devices in Congenital Heart Disease -- 9.1 Balloon-Expandable Valves -- 9.1.1 Medtronic Melody Valve -- 9.1.2 Edwards Sapien XT and Sapien 3 Valves -- 9.2 Self-Expanding Valve Replacement Devices -- 9.2.1 Medtronic Harmony Valve -- 9.2.2 Edwards Alterra Adaptive Prestent -- 9.2.3 Venus P Valve. 9.2.4 Taewong Pulsta Valve -- 9.2.5 Med-Zenith PT-Valve -- References -- 10: "Adult" Tools Relevant for Congenital Heart Disease -- 10.1 Equipment -- 10.1.1 Cardiac Catheters -- 10.1.2 Coronary Wires -- 10.1.2.1 Types of Coronary Guidewires -- 10.1.3 Coronary Balloons -- 10.1.3.1 Types of Coronary Balloons -- 10.1.4 Coronary Stents -- 10.1.4.1 Types of Coronary Stents Most Frequently Used in Congenital Heart Disease -- 10.1.5 Delivery Sheaths -- 10.2 Transcatheter Imaging Tools -- 10.2.1 Fractional Flow Reserve -- 10.2.2 Intracardiac Echocardiography -- Further Reading -- 11: Hemodynamic Assessment: Pressures, Flow, Resistances and Vasoreactive Testing -- 11.1 Hemodynamic Assessment -- 11.2 Pressure Evaluation and Waveforms (Table 11.1) -- 11.3 The Pressures -- 11.3.1 The Right Atrium -- 11.3.2 The Right Ventricle -- 11.3.3 The Pulmonary Artery -- 11.3.4 Pulmonary Capillary Wedge Pressure -- 11.3.5 The Left Atrium -- 11.3.6 The Left Ventricle -- 11.3.7 The Aorta -- 11.4 Assessment of Cardiac Output -- 11.4.1 The Fick Method -- 11.4.2 Indicator-Dilution Method -- 11.4.3 Thermodilution Method -- 11.4.4 Angiographic Method -- 11.5 Assessment of Flows and the Qp:Qs Ratio -- 11.6 Resistance -- 11.7 Pulmonary Vascular Reactivity Testing -- References -- 12: Congenital Heart Disease: An Integrated Care Approach -- 12.1 Introduction -- 12.2 The Importance of Communication in the Relationship Between the Cardiologist and the Patients in the Prenatal and Neonatal Phase -- 12.3 Congenital Heart Disease: Impact on Quality of Life and Psychosocial Aspects for Children and Adolescents -- 12.4 Psychological Functioning in Adults with Congenital Heart Disease -- 12.5 How to Help Families and Patients: Clinical Psychology Service, Patient Associations and Peer-to-Peer Programs -- 12.6 Conclusions -- References. Part II: Vascular Access -- 13: The Usual Vascular Access -- 13.1 Femoral Venous and Arterial Access -- 13.1.1 Positioning and Anatomic Landmark Guidance -- 13.1.2 Ultrasound-Guided Puncture -- 13.2 Internal Jugular Vein Access -- 13.2.1 Positioning and Anatomic Landmark Guidance -- 13.2.2 Ultrasound-Guided Puncture -- 13.3 Subclavian Vein Access -- 13.4 Umbilical Venous Access -- 13.4.1 Problems -- 13.5 Radial Artery Access -- 13.5.1 Positioning and Landmarks -- 13.5.2 Technique -- 13.6 Axillary Artery Access -- 13.6.1 Positioning and Landmarks -- 13.6.2 Technique -- References -- 14: Unusual Access -- 14.1 Introduction -- 14.2 Ultrasound-Guided Puncture -- 14.3 Transhepatic Vascular Access -- 14.4 Paravertebral Access -- 14.5 Iliac Venous Access -- References -- 15: Hemostasis -- 15.1 Hemostasis -- 15.1.1 Manual Compression (MC) -- 15.1.2 Vascular Closure Devices (VCD) -- 15.1.2.1 Passive Vascular Closure Devices -- Hemostasis Pads -- Compression Devices: FemoStop (St. Jude Medical, USA) and ClampEase (Pressure Products Inc., USA) -- 15.1.2.2 Active Vascular Closure Devices -- Cardiva Catalyst (Cardiva Medical Inc., USA) -- Collagen Plug Device: Angio-Seal (St. Jude Medical, USA) -- Collagen Plug Device: Mynx (Access Closure, USA) -- Polyglycolic Acid (PGA) Plug Device: ExoSeal (Cordis Corporation, USA) -- FISH (Morris Innovative, USA) -- Clip Device: StarClose (Abbott Vascular, USA) -- Suture Devices: Perclose (Abbott Vascular, USA) -- 15.1.3 Hemostasis in Non-femoral Access Sites -- 15.1.3.1 Jugular Access -- 15.1.3.2 Umbilical Access -- 15.1.3.3 The Transhepatic Access -- 15.1.3.4 Surgical Vascular Access -- 15.1.3.5 Hybrid Procedures -- 15.1.3.6 Fetal Interventions -- References -- 16: Access Complications and Management -- 16.1 Access Complications and Management -- 16.1.1 Preventive Measures. 16.1.2 Complications Linked to the VAS and Techniques. |
| Altri titoli varianti | Cardiac Catheterization for Congenital Heart Disease |
| Record Nr. | UNINA-9910495160703321 |
Butera Gianfranco
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| Cham : , : Springer International Publishing AG, , 2021 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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Multimodality imaging innovations in adult congenital heart disease : emerging technologies and novel applications / / edited by Pastora Gallego and Israel Valverde
| Multimodality imaging innovations in adult congenital heart disease : emerging technologies and novel applications / / edited by Pastora Gallego and Israel Valverde |
| Pubbl/distr/stampa | Cham, Switzerland : , : Springer, , [2021] |
| Descrizione fisica | 1 online resource (407 pages) |
| Disciplina | 616.12043754 |
| Collana | Congenital Heart Disease in Adolescents and Adults |
| Soggetto topico |
Heart - Imaging
Malformacions del cor Imatges mèdiques |
| Soggetto genere / forma | Llibres electrònics |
| ISBN | 3-030-61927-3 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Intro -- Preface to the Series -- Preface -- Contents -- Part I: Emerging Imaging Techniques and Modalities -- 1: 3D Echocardiography -- 1.1 Introduction -- 1.2 3DE Acquisition Modes -- 1.3 3DE Image Optimization -- 1.3.1 Volume Manipulation Tools -- 1.3.2 Volume Slice and Edit Tools -- 1.3.3 Volume Viewing Functions -- 1.3.4 3DE Perspective and Viewing Planes -- 1.4 3D Echocardiography and Interventions -- 1.4.1 Surgical Guidance -- 1.4.2 Interventional Cath Guidance -- 1.4.3 Echocardiographic-Fluoroscopic Fusion -- 1.5 Future Directions -- References -- 2: Ultrafast Ultrasound Imaging -- 2.1 Introduction to Ultrasound -- 2.2 Ultrafast Ultrasound Imaging -- 2.3 Limitations of Conventional Ultrasound Imaging in Congenital and Pediatric Cardiology -- 2.4 Technological Tools Now Available Using Ultrafast Imaging -- 2.4.1 Visualization of Blood Flow -- 2.4.1.1 Vector Flow Imaging -- 2.4.1.2 Coronary Ultrafast Doppler Angiography (CUDA) -- 2.4.2 Visualization of Tissue Motion -- 2.4.2.1 Shear Wave Imaging -- 2.4.2.2 Electromechanical Wave Imaging (EWI) -- 2.4.3 Tissue Structure and Fiber Orientation -- 2.5 Clinical Applications of Ultrafast Ultrasound Imaging -- 2.5.1 Ventricular Function -- 2.5.2 Evaluating Coronary Perfusion and Cardiac Structure in CHD -- 2.5.3 Rhythm Abnormalities -- 2.5.4 Future Directions -- 2.5.5 Current Limitation of HFRUS -- 2.6 Summary/Conclusion -- References -- 3: MRI T1 Mapping: Myocardial Fibrosis -- 3.1 Introduction -- 3.2 Physics Principles -- 3.2.1 What Is T1, Native vs Post-contrast -- 3.2.2 T1 Mapping Sequences -- 3.2.2.1 Magnetisation Preparation Based Methods -- Inversion Recovery Methods -- Saturation Recovery -- Image Readout, Spatial Coverage, and Resolution -- 3.2.3 Interpretation -- 3.2.3.1 Native Tissue -- 3.2.3.2 ECV Fraction -- 3.3 Clinical Applications.
3.3.1 Tetralogy of Fallot -- 3.3.2 Ebstein Anomaly -- 3.3.3 The Systemic Right Ventricle -- 3.3.4 Cardiac Transplant -- 3.3.5 Aortic Stenosis -- 3.4 Summary -- References -- 4: MR Lymphatic Imaging of Thoracic Lymphatic Disorders -- 4.1 Introduction -- 4.2 DCMRL Technique -- 4.2.1 Placement of the Intranodal Needles -- 4.2.2 Transport of the Patient into the MR Suit -- 4.2.3 Coil Coverage -- 4.2.4 Contrast Injection -- 4.2.5 MR Sequences -- 4.2.6 The Contribution of Each MR Sequence -- 4.2.6.1 T2W Imaging -- 4.2.6.2 Fast Acquisition T1 Angiography Imaging -- 4.2.6.3 High-Resolution T1-Delayed Angiographic Sequences -- 4.2.6.4 Alternative MR Lymphangiography Imaging -- 4.3 Applications of the MR Lymphangiography -- 4.4 Conclusion -- 4.5 Appendix: DCMRL Technique for Chest Lymphatic Pathology -- References -- 5: MRI-Based Catheterization Laboratory -- 5.1 Background and Rationale -- 5.2 MRI Catheter Laboratories in Practice -- 5.2.1 Practical Considerations -- 5.2.2 Safety -- 5.2.3 Communication -- 5.2.4 ECG -- 5.2.5 Haemodynamic Monitoring -- 5.2.6 X-ray Coils -- 5.3 Visualisation and Image Interrogation -- 5.4 Passive Visualisation -- 5.5 Active Catheter Tracking and Visualization -- 5.5.1 Catheters and Guidewires -- 5.6 Clinical Applications of iCMR -- 5.6.1 Diagnostic MRI Catheterisation -- 5.6.1.1 Haemodynamic Assessments by XMR -- 5.6.1.2 Pulmonary Vascular Resistance (PVR and Fick) -- 5.6.1.3 Cardiac Performance and Output -- 5.6.2 MRI-Guided Interventions -- 5.6.3 MRI-Guided Electrophysiology (EP) -- 5.6.4 Other Applications -- 5.7 Future Directions -- References -- 6: Cardiac Mechanics I: 3D Speckle Tracking Echocardiography -- 6.1 Introduction -- 6.2 Myocardial Deformation -- 6.3 Myocardial Deformation Patterns in Cardiac Conditions -- 6.3.1 Abnormal Segmental Contractility/Loading. 6.3.2 Volume Overload -- 6.3.3 Pressure Overload -- 6.3.4 (Genetic) Cardiomyopathies -- 6.3.5 Abnormal Activation -- 6.4 3D Strain -- 6.4.1 Advantages as Compared to 2D -- 6.4.2 Current Limitations of 3D Strain -- 6.5 Changes with Congenital Heart Disease: Examples -- 6.5.1 Healthy Individual -- 6.5.2 Tetralogy of Fallot (TOF) -- 6.5.3 Ebstein Anomaly (EA) -- 6.5.4 Congenitally Corrected Transposition of the Great Arteries -- 6.6 Conclusion -- References -- 7: Cardiac Mechanics II: 2D and 3D Tissue Tracking MRI -- 7.1 Introduction -- 7.2 Basic Principles -- 7.3 Established Clinical Applications -- 7.4 Prognostic Implications -- 7.5 Moving Towards 3D Applications: Future Directions of FT -- 7.6 Conclusion -- References -- 8: 4D Flow MRI: Flow Dynamics -- 8.1 Introduction -- 8.2 Imaging Methods -- 8.2.1 Acquisition -- 8.2.2 Processing -- 8.3 Applications -- 8.3.1 Shunt or Leak -- 8.3.2 Vascular or Valve Stenosis -- 8.3.3 Valvular Flow and Regurgitation -- 8.3.4 Vessel Flow Patterns and Distribution -- 8.3.5 Ventricular Hemodynamics -- 8.4 Challenges and Outlook -- References -- 9: Computational Fluid Dynamics -- 9.1 Introduction -- 9.2 CFD Process for Medical Application -- 9.2.1 Overview -- 9.2.2 Anatomy -- 9.2.3 Material Properties -- 9.2.4 Boundary Conditions -- 9.2.5 Solver Details and Control Parameters -- 9.2.6 Post-processing, Interpretation and Reporting -- 9.3 CFD for Congenital Heart Disease -- 9.4 Summary, Challenges and the Future of CFD in Cardiovascular Medicine -- References -- 10: 3D Printing and Holography -- 10.1 Introduction -- 10.2 How to Create a Patient-Specific 3D Representation of the Heart -- 10.2.1 Image Acquisition: What Type of Image Is Needed? -- 10.2.2 Image Segmentation -- 10.2.3 3D Printing Technologies and Materials -- 10.2.4 Computer-Generated Holography. 10.3 Applications in Congenital Heart Disease -- 10.3.1 Clinical Practice -- 10.3.1.1 Surgical Planning -- 10.3.1.2 Cardiac Catheterization: Interventional Planning and Performance -- 10.3.2 Education and Training -- 10.3.3 Communication with Patients and Relatives -- 10.4 Limitations and Future Directions -- References -- Part II: Novel Applications to ACHD -- 11: Cardiac Shunts -- 11.1 Overview -- 11.1.1 Shunt Anatomy -- 11.1.1.1 Pre-tricuspid Shunt Defects -- 11.1.1.2 Post-tricuspid Shunt Defects -- 11.1.1.3 Shunt Direction -- 11.1.1.4 Shunt Magnitude -- 11.1.1.5 Intrapulmonary Shunts -- 11.1.2 Volume Overload -- 11.1.3 Pressure Overload -- 11.1.4 Associated Lesions -- 11.1.5 Confounders in Shunt Assessment -- 11.2 Modalities Used in Shunt Evaluation -- 11.3 Echocardiography -- 11.3.1 Delineation of Shunt Anatomy and Flow Direction -- 11.3.1.1 2D and 3D Echocardiography -- 11.3.1.2 Color Doppler -- 11.3.1.3 Contrast Studies -- 11.3.2 Flow Assessment -- 11.3.2.1 Simplified Bernoulli's Equation -- 11.3.2.2 Doppler Modalities -- 11.3.3 Quantification of Shunt Magnitude -- 11.3.3.1 Atrial and Ventricular Volumes and Function -- 11.3.3.2 Ventricular and Arterial Pressure Load -- 11.3.3.3 Qp:Qs Assessment -- 11.3.4 Strengths and Limitations -- 11.4 Transesophageal Echocardiography -- 11.5 Cardiac Catheterization -- 11.5.1 Basic Principles -- 11.5.2 Shunt Evaluation -- 11.5.3 Pulmonary and Systemic Vascular Resistance -- 11.5.4 Strengths -- 11.5.5 Limitations -- 11.6 Cardiac Magnetic Resonance Imaging -- 11.6.1 Basic Principles -- 11.6.2 Shunt Evaluation -- 11.6.3 Anatomy -- 11.6.4 Strengths -- 11.6.5 Limitations -- 11.7 Computed Tomography Angiography -- 11.7.1 Strengths -- 11.7.2 Limitations -- 11.8 Nuclear Medicine Imaging -- 11.9 Multimodality Imaging in Evaluating Shunt Defects -- References. 12: Repaired Tetralogy of Fallot -- 12.1 Introduction: Role of Imaging in the Assessment of Pathophysiology and Risk Stratification in Repaired Tetralogy of Fallot -- 12.2 Imaging Methods -- 12.2.1 Echocardiography -- 12.2.2 Cardiac MRI -- 12.2.3 Cardiac CT -- 12.3 Advanced Imaging -- 12.3.1 Deep Learning Imaging Analysis -- 12.3.2 Virtual Surgery for RVOT and Conduit Reconstruction -- 12.3.3 3D Modeling -- 12.4 Challenges and Outlook -- References -- 13: Aortic Disease: Bicuspid Aortic Valve, Aortic Coarctation, Marfan Syndrome -- 13.1 Introduction -- 13.2 Background -- 13.2.1 Bicuspid Aortic Valve -- 13.2.2 Marfan Syndrome -- 13.2.3 Coarctation of the Aorta -- 13.3 Multimodality Imaging Assessment -- 13.3.1 Echocardiography -- 13.3.2 Cardiovascular Magnetic Resonance Imaging -- 13.3.3 Computed Tomography -- 13.4 Innovations Based on Multimodality Imaging -- 13.4.1 Four-Dimensional Flow Magnetic Resonance Imaging -- 13.4.1.1 4D Flow in Aortic Coarctation -- 13.4.1.2 4D Flow in BAV -- 13.4.1.3 4D Flow in Marfan Syndrome -- 13.4.2 Computational Fluid Dynamics -- 13.4.3 Statistical Shape Modelling -- 13.4.4 Ventriculo-Vascular Coupling -- 13.4.5 Virtual Stenting -- 13.4.6 Three-Dimensional Printing -- 13.5 Conclusions -- References -- 14: Transposition of the Great Arteries Repaired by Arterial Switch Operation -- 14.1 Long-Term Results and Surveillance After Arterial Switch Operation -- 14.2 Cardiac Magnetic Resonance Imaging -- 14.2.1 Evaluation of Aortic Root Dilatation and Biomechanics -- 14.2.2 Evaluation of the Right Ventricle Outflow Track and Pulmonary Arteries -- 14.2.3 Evaluation of Myocardial Perfusion -- 14.2.4 Follow-up Interval -- 14.3 Computed Tomography -- 14.3.1 CT Acquisition Protocol -- 14.3.1.1 Contrast Injection -- 14.3.1.2 Gating Management -- 14.3.1.3 Dose Management. 14.3.2 Indication and Reporting Elements. |
| Record Nr. | UNINA-9910485596703321 |
| Cham, Switzerland : , : Springer, , [2021] | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Pediatric cardiac CT in congenital heart disease / / Dilachew A. Adebo, editor
| Pediatric cardiac CT in congenital heart disease / / Dilachew A. Adebo, editor |
| Pubbl/distr/stampa | Cham, Switzerland : , : Springer, , [2021] |
| Descrizione fisica | 1 online resource (274 pages) |
| Disciplina | 616.120757 |
| Soggetto topico |
Heart - Tomography
Tomografia Malformacions del cor Cardiologia pediàtrica |
| ISBN | 3-030-74822-7 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Intro -- Foreword -- Preface -- Acknowledgments -- Contents -- Contributors -- 1: Advantages of Cardiac CT Scan over Other Diagnostic Techniques -- Introduction -- Cardiac CT Image Fusion with Fluoroscopy to Guide Cardiac Catheterization -- Application of Cardiac CT in Electrophysiology Intervention -- Cardiac CT Images for Three-Dimensional Modeling of Complex Congenital Heart Disease -- References -- 2: Techniques of Cardiac CT Scan: Patient Preparation, Contrast Medium, Scanning, and Post-Processing -- Introduction -- Patient Preparation and Contrast Medium -- Cardiac CT Techniques and Post-Processing -- References -- 3: Evaluation of Cardiac Malposition, Cardiac Segmental Approach, and Heterotaxy Syndrome -- Introduction -- Cardiac Position -- Pulmonary and Abdominal (Visceral) Situs -- Systemic Venous Connections -- Pulmonary Venous Connections -- Atrial Arrangement or Situs -- Ventricular Situs and Atrioventricular Relationships -- Outflow Tracts and Ventriculoarterial Alignments -- The Great Arteries -- Conclusion -- References -- 4: Systemic Venous Anomalies -- Introduction -- Embryology -- Left Superior Vena Cava -- Diagnosis -- Management -- Interrupted Inferior Vena Cava with Azygos Continuation -- Diagnosis -- Management -- Other Systemic Venous Malformations -- References -- 5: Anomalous Pulmonary Venous Connections and Cor Triatriatum -- Introduction -- Embryology and Anatomy -- Diagnosis -- Patient Preparation, Contrast Medium, and Cardiac CT Technique -- Management Approach -- Outcomes -- References -- 6: Septal Defects: Atrial Septal Defects, Ventricular Septal Defects, Atrioventricular Septal Defects, and Unroofed Coronary Sinus -- Introduction -- Embryology and Anatomy -- Atrial Septal Defects -- Ventricular Septal Defects -- Atrioventricular Septal Defects -- Diagnosis.
Patient Preparation, Contrast Medium, and Cardiac CT Technique -- Management Approach -- Outcome -- References -- 7: Atrioventricular Valves: Tricuspid Valve -- Introduction -- Embryology -- Tricuspid Atresia -- Diagnosis -- Cardiac CT Technique and Patient Preparation -- Management -- Outcome -- Ebstein Anomaly -- Diagnosis -- Cardiac CT Technique and Patient Preparation -- Management -- Outcomes -- References -- 8: Atrioventricular Valves: Congenital Mitral Valve Abnormalities -- Introduction -- Embryology -- Supravalvular Mitral Ring -- Parachute Mitral Valve -- Mitral Valve Dysplasia -- Isolated Cleft Mitral Valve -- Mitral Arcade or Hammock -- Double Orifice Mitral Valve -- Congenital Mitral Valve Prolapse -- Diagnosis -- Management -- References -- 9: Atrioventricular Connections: Double-Inlet Ventricle, Atrioventricular Discordance, and Congenitally Corrected Transposition of Great Arteries -- Congenitally Corrected Transposition of Great Arteries -- Introduction -- Anatomy and Embryology -- Diagnosis -- Management Approach -- Outcome -- Double-Inlet Ventricle -- Introduction -- Double-Inlet Left Ventricle -- Management Approach -- References -- 10: Right Ventricular Outflow Tract: Pulmonary Valve Stenosis -- Introduction -- Embryology and Anatomy -- Diagnosis -- Management Approach -- Outcome -- References -- 11: Right Ventricular Outflow Tract: Pulmonary Atresia with Intact Ventricular Septum -- Introduction -- Techniques of Cardiac CT -- Diagnosis -- Management Approach -- Outcome -- References -- 12: Right Ventricular Outflow Tract: Pulmonary Valve Atresia, Ventricular Septal Defect, and Major Aortopulmonary Collateral Arteries -- Introduction -- Anatomy and Embryology -- Diagnosis -- Patient Preparation, Contrast Medium, and Cardiac CT Technique -- Management Approach -- Outcome -- References. 13: Right Ventricular Outflow Tract: Tetralogy of Fallot -- Introduction -- Embryology and Anatomy -- Diagnosis -- Patient Preparation, Contrast Medium, and Cardiac CT Technique -- Management Approach -- Outcome -- References -- 14: Right Ventricular Outflow Tract: Absent Pulmonary Valve Syndrome -- Introduction -- Anatomy and Embryology -- Diagnosis -- Management Approach -- Outcome -- References -- 15: Left Ventricular Outflow Tract: Congenital Aortic Valve and Left Ventricular Outflow Anomalies -- Introduction -- Embryology -- Aortic Stenosis -- Diagnosis -- Management -- Outcomes -- Subvalvar Aortic Stenosis -- Diagnosis -- Management -- Outcomes -- Supravalvar Aortic Stenosis -- Diagnosis -- Management -- Outcomes -- References -- 16: Left Ventricular Outflow Tract: Hypoplastic Left Heart Syndrome -- Introduction -- Embryology and Anatomy -- Diagnosis -- Cardiac CT Technique and Patient Preparation -- Management -- Outcome -- References -- 17: Double-Outlet Right Ventricle -- Introduction -- Embryology and Anatomy -- Diagnosis -- Patient Preparation, Contrast Medium, and Cardiac CT Technique -- Management Approach -- Outcome -- References -- 18: Dextro-Transposition of the Great Arteries -- Introduction -- Embryology and Anatomy -- Diagnosis -- Patient Preparation, Contrast Medium, and Cardiac CT Technique -- Management Approach -- Outcome -- References -- 19: Truncus Arteriosus -- Introduction -- Embryology and Anatomy -- Diagnosis -- Management Approach -- Outcome -- References -- 20: Anomalous Aortic Origin of Pulmonary Arteries -- Introduction -- Embryology and Anatomy -- Diagnosis -- Patient Preparation, Contrast Medium, and Cardiac CT Technique -- Management Approach -- Outcome -- References -- 21: Anomalous Coronary Arteries -- Introduction -- Embryology and Anatomy -- Anomalous Left Coronary Artery from the Pulmonary Artery. Anomalous Aortic Origin of the Coronary Artery -- Coronary Artery Fistulas -- Myocardial Bridges -- Diagnosis -- Anomalous Left Coronary Artery from the Pulmonary Artery -- Anomalous Aortic Origin of the Coronary Artery -- Coronary Artery Fistulas -- Myocardial Bridges -- Patient Preparation, Contrast Medium, and Cardiac CT Technique -- Management Approach -- Anomalous Left Coronary Artery from the Pulmonary Artery -- Anomalous Aortic Origin of the Coronary Artery -- Coronary Artery Fistulas -- Myocardial Bridges -- Outcomes -- Anomalous Left Coronary Artery from the Pulmonary Artery -- Anomalous Aortic Origin of the Coronary Artery -- Coronary Artery Fistulas -- Myocardial Bridges -- References -- 22: Aneurysm of the Sinus of Valsalva, Aortic-Left Ventricular Tunnel -- Introduction -- Embryology and Anatomy -- Diagnosis -- Management Approach -- References -- 23: Aortopulmonary Window -- Introduction -- Embryology and Anatomy -- Diagnosis -- Patient Preparation, Contrast Medium, and Cardiac CT Technique -- Management Approach -- Outcomes -- References -- 24: Aortic Arch Anomalies: Coarctation of the Aorta and Aortic Arch Hypoplasia -- Introduction -- Embryology and Anatomy -- Diagnosis -- Patient Preparation, Contrast Medium, and Cardiac CT Technique -- Management Approach -- Outcome -- References -- 25: Aortic Arch Anomalies: Aortic Arch Interruption -- Introduction -- Embryology and Anatomy -- Diagnosis -- Patient Preparation, Contrast Medium, and Cardiac CT Technique -- Management Approach -- Outcome -- References -- 26: Vascular Rings and Slings -- Vascular Ring -- Introduction -- Embryology and Anatomy -- Presentation and Diagnosis -- Double Aortic Arch -- Role of CT -- Right Aortic Arch with Anomalous Origin of Left Subclavian Artery and Left Ductus -- Role of CT -- Circumflex Aortic Arch. Left Aortic Arch with Aberrant Right Subclavian Artery and Right Ductus -- Patient Preparation, Contrast Medium, and Cardiac CT Technique -- Management Approach and Outcome -- Double Aortic Arch -- Right Aortic Arch with Anomalous Origin of Left Subclavian Artery and Left Ductus -- Circumflex Aortic Arch -- Pulmonary Artery Sling -- Introduction -- Embryology and Anatomy -- Presentation and Diagnosis -- Role of CT -- Partial Pulmonary Artery Sling -- Management Approach and Outcome -- Pulmonary Artery Sling -- Partial Pulmonary Artery Sling -- References -- 27: Cardiac Tumors -- Introduction -- Utility of CT and Positron Emission Tomography for Cardiac Tumor Diagnosis -- Tumors -- Rhabdomyoma -- Diagnosis -- Management -- Fibroma -- Diagnosis -- Management -- Myxoma -- Diagnosis -- Management -- Teratoma -- Diagnosis -- Management -- Miscellaneous Cardiac Masses -- References -- 28: Cardiac Computed Tomography After Single Ventricle Palliation -- Introduction -- Diagnosis -- Patient Preparation, Contrast Medium, and Cardiac CT Technique -- Outcome -- References -- 29: Cardiac Computed Tomography in Evaluation of Ventricular Function -- Introduction -- Image Processing -- References -- 30: Role of Cardiac CT in Preopertaive and Postoperative Evaluation of Congenital Heart Defects in Children -- Anomalous Systemic Venous Connections -- Preoperative Information -- Persistent Left Superior Vena Cava -- Interruption of the Inferior Vena Cava -- Postoperative Information -- Anomalous Pulmonary Venous Connections and Cor Triatriatum -- Preoperative Information -- Partial Anomalous Pulmonary Venous Connection -- Total Anomalous Pulmonary Venous Connection -- Cor Triatriatum -- Postoperative Information -- Partial and Total Anomalous Pulmonary Venous Connection -- Cor Triatriatum. Septal Defects: Atrial Septal Defects, Atrioventricular Septal Defects, Ventricular Septal Defects, and Unroofed Coronary Sinus. |
| Record Nr. | UNINA-9910488709803321 |
| Cham, Switzerland : , : Springer, , [2021] | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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The right heart / / Sean P. Gaine, Robert Naeije, Andrew J. Peacock
| The right heart / / Sean P. Gaine, Robert Naeije, Andrew J. Peacock |
| Autore | Gaine Sean P. |
| Edizione | [2nd ed.] |
| Pubbl/distr/stampa | Cham, Switzerland : , : Springer International Publishing, , [2021] |
| Descrizione fisica | 1 online resource (386 pages) |
| Disciplina | 616.12 |
| Soggetto topico |
Heart - Diseases
Heart - Abnormalities Malformacions del cor Malalties del cor |
| Soggetto genere / forma | Llibres electrònics |
| ISBN | 3-030-78255-7 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Record Nr. | UNINA-9910494558403321 |
|
Gaine Sean P.
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| Cham, Switzerland : , : Springer International Publishing, , [2021] | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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Surgery for congenital heart defects [[electronic resource] /] / editors, Jaroslav F. Stark, Marc R. de Leval, Victor T. Tsang ; illustrations by Michael Courtney
| Surgery for congenital heart defects [[electronic resource] /] / editors, Jaroslav F. Stark, Marc R. de Leval, Victor T. Tsang ; illustrations by Michael Courtney |
| Edizione | [3rd ed.] |
| Pubbl/distr/stampa | Chichester ; ; Hoboken, NJ, : J. Wiley & Sons, c2006 |
| Descrizione fisica | 1 online resource (766 p.) |
| Disciplina | 617.412043 |
| Altri autori (Persone) |
StarkJ (Jaroslav)
De LevalM (Marc) TsangV. T (Victor T.) |
| Soggetto topico |
Congenital heart disease - Surgery
Heart - Abnormalities - Surgery Malformacions del cor Cirurgia cardíaca |
| Soggetto genere / forma |
Electronic books.
Llibres electrònics |
| ISBN |
1-280-72169-3
9786610721696 0-470-09318-8 0-470-09317-X |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
SURGERY for CONGENITAL HEART DEFECTS; Contents; Preface to the Third Edition; Acknowledgements; Contributors; Foreword to the Third Edition; Foreword to the Second Edition; Foreword to the First Edition; Abbreviations; GENERAL CONSIDERATIONS; 1: Classification and Nomenclature of Congenital Heart Defects; Identification of the Cardiac Segments; Atrial Situs (Atrial Arrangement) and Morphology; Ventricular Morphology; Muscle Bundles Within the Right Ventricle; Great Arterial Morphology; Junctions Between the Cardiac Segments; Types of Atrio-ventricular Connection
Modes of Atrio-ventricular ConnectionTypes of Ventriculo-arterial Connection; Modes of Arterial Connection; Relations and Cardiac Position; Implications for Reporting Surgical Results; Additional Cardiovascular Anomalies; 2: Surgical Anatomy; Cardiac Shape and Position; Pericardial Cavity; Relationships of the Heart; Anatomy of Cardiac Chambers; The Right Atrium; The Left Atrium; The Ventricles; The Ventricular Septum; The Atrio-ventricular Junctions; The Cardiac Skeleton; The Atrio-ventricular Conduction System and Bundle Branches; The Coronary Circulation; 3: Echocardiography Basic PrinciplesM-Mode and Two-dimensional Echocardiography; Doppler Flow Echocardiography; Colour-flow Doppler Interrogation; Tissue Doppler Imaging; Three-dimensional Echocardiography; Quantitative Measurement; Practical Considerations; Image Orientation; Trans-oesophageal Echocardiography; Archiving; Sequential Segmental Anatomy; Atrial Situs (Arrangement) and Venous Connections; Atrio-ventricular Connection; Ventriculo-arterial Connection; Atria and Atrial Septum; Atrio-ventricular Septum; Ventricles and Ventricular Septum; Cardiac Valves; The Great Arteries; Coronary Arteries Intraoperative EchocardiographyPostoperative Assessment; Conclusion; Appendix; Abbreviations in Figures Specific to This Chapter; 4: Foetal Echocardiography; Organization of Foetal Echocardiography; Normal Foetal Cardiac Anatomy; The Four-chamber View; Imaging the Great Arteries; Cardiac Malformations; Abnormalities of Connection; Additional Abnormalities; Implications of Foetal Echocardiography; Conclusions; 5: Magnetic Resonance Imaging and Computed Tomography in the Diagnosis of Congenital Heart Defects,; Magnetic Resonance (MR) Imaging; Basics; Techniques; Spin-echo Imaging Gradient-echo ImagingTwo-dimensional Gradient-echo Imaging; Three-dimensional Gradient-echo Imaging; Velocity-encoded Phase Contrast MR; Gadolinium Contrast-enhanced MR Angiography; Acyanotic Heart Defects; Atrial Septal Defect; Ventricular Septal Defect; Coarctation of the Aorta; Cyanotic Heart Defects; Tetralogy of Fallot; Pulmonary Atresia; Transposition of the Great Arteries; Congenitally corrected transposition (ccTGA); Double-outlet Right Ventricle; Hypoplastic Left Heart Syndrome; Conclusion; Computed Tomography (CT); MDCT Technique; Indications for Cardiovascular MDCT Vascular Anatomy |
| Record Nr. | UNINA-9910143709503321 |
| Chichester ; ; Hoboken, NJ, : J. Wiley & Sons, c2006 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Surgery for congenital heart defects [[electronic resource] /] / editors, Jaroslav F. Stark, Marc R. de Leval, Victor T. Tsang ; illustrations by Michael Courtney
| Surgery for congenital heart defects [[electronic resource] /] / editors, Jaroslav F. Stark, Marc R. de Leval, Victor T. Tsang ; illustrations by Michael Courtney |
| Edizione | [3rd ed.] |
| Pubbl/distr/stampa | Chichester ; ; Hoboken, NJ, : J. Wiley & Sons, c2006 |
| Descrizione fisica | 1 online resource (766 p.) |
| Disciplina | 617.412043 |
| Altri autori (Persone) |
StarkJ (Jaroslav)
De LevalM (Marc) TsangV. T (Victor T.) |
| Soggetto topico |
Congenital heart disease - Surgery
Heart - Abnormalities - Surgery Malformacions del cor Cirurgia cardíaca |
| Soggetto genere / forma | Llibres electrònics |
| ISBN |
1-280-72169-3
9786610721696 0-470-09318-8 0-470-09317-X |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
SURGERY for CONGENITAL HEART DEFECTS; Contents; Preface to the Third Edition; Acknowledgements; Contributors; Foreword to the Third Edition; Foreword to the Second Edition; Foreword to the First Edition; Abbreviations; GENERAL CONSIDERATIONS; 1: Classification and Nomenclature of Congenital Heart Defects; Identification of the Cardiac Segments; Atrial Situs (Atrial Arrangement) and Morphology; Ventricular Morphology; Muscle Bundles Within the Right Ventricle; Great Arterial Morphology; Junctions Between the Cardiac Segments; Types of Atrio-ventricular Connection
Modes of Atrio-ventricular ConnectionTypes of Ventriculo-arterial Connection; Modes of Arterial Connection; Relations and Cardiac Position; Implications for Reporting Surgical Results; Additional Cardiovascular Anomalies; 2: Surgical Anatomy; Cardiac Shape and Position; Pericardial Cavity; Relationships of the Heart; Anatomy of Cardiac Chambers; The Right Atrium; The Left Atrium; The Ventricles; The Ventricular Septum; The Atrio-ventricular Junctions; The Cardiac Skeleton; The Atrio-ventricular Conduction System and Bundle Branches; The Coronary Circulation; 3: Echocardiography Basic PrinciplesM-Mode and Two-dimensional Echocardiography; Doppler Flow Echocardiography; Colour-flow Doppler Interrogation; Tissue Doppler Imaging; Three-dimensional Echocardiography; Quantitative Measurement; Practical Considerations; Image Orientation; Trans-oesophageal Echocardiography; Archiving; Sequential Segmental Anatomy; Atrial Situs (Arrangement) and Venous Connections; Atrio-ventricular Connection; Ventriculo-arterial Connection; Atria and Atrial Septum; Atrio-ventricular Septum; Ventricles and Ventricular Septum; Cardiac Valves; The Great Arteries; Coronary Arteries Intraoperative EchocardiographyPostoperative Assessment; Conclusion; Appendix; Abbreviations in Figures Specific to This Chapter; 4: Foetal Echocardiography; Organization of Foetal Echocardiography; Normal Foetal Cardiac Anatomy; The Four-chamber View; Imaging the Great Arteries; Cardiac Malformations; Abnormalities of Connection; Additional Abnormalities; Implications of Foetal Echocardiography; Conclusions; 5: Magnetic Resonance Imaging and Computed Tomography in the Diagnosis of Congenital Heart Defects,; Magnetic Resonance (MR) Imaging; Basics; Techniques; Spin-echo Imaging Gradient-echo ImagingTwo-dimensional Gradient-echo Imaging; Three-dimensional Gradient-echo Imaging; Velocity-encoded Phase Contrast MR; Gadolinium Contrast-enhanced MR Angiography; Acyanotic Heart Defects; Atrial Septal Defect; Ventricular Septal Defect; Coarctation of the Aorta; Cyanotic Heart Defects; Tetralogy of Fallot; Pulmonary Atresia; Transposition of the Great Arteries; Congenitally corrected transposition (ccTGA); Double-outlet Right Ventricle; Hypoplastic Left Heart Syndrome; Conclusion; Computed Tomography (CT); MDCT Technique; Indications for Cardiovascular MDCT Vascular Anatomy |
| Record Nr. | UNINA-9910830785803321 |
| Chichester ; ; Hoboken, NJ, : J. Wiley & Sons, c2006 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Transesophageal Echocardiography for Pediatric and Congenital Heart Disease / / edited by Pierre C. Wong, Wanda C. Miller-Hance
| Transesophageal Echocardiography for Pediatric and Congenital Heart Disease / / edited by Pierre C. Wong, Wanda C. Miller-Hance |
| Edizione | [2nd ed. 2021.] |
| Pubbl/distr/stampa | Cham : , : Springer International Publishing : , : Imprint : Springer, , 2021 |
| Descrizione fisica | 1 online resource (816 pages) |
| Disciplina | 616.1207543 |
| Soggetto topico |
Cardiology
Radiology Pediatrics Emergency medicine Heart - Surgery Emergency Medicine Cardiac Surgery Ecocardiografia Malformacions del cor Diagnòstic per la imatge |
| Soggetto genere / forma | Llibres electrònics |
| ISBN | 3-030-57193-9 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto | Science of Ultrasound and Echocardiography -- Instrumentation for Transesophageal Echocardiography -- Indications and Guidelines for Performance of Transesophageal Echocardiography in Congenital Heart Disease and Pediatric Acquired Heart Disease -- Structural Evaluation of the Heart by Transesophageal Echocardiography -- Evaluation of complex cardiac malpositions, dextrocardia, heterotaxy -- Functional Evaluation of the Heart by Transesophageal Echocardiography -- Systemic and Pulmonary Venous Anomalies -- Atrial Abnormalities -- Atrial Septal Defects -- Atrioventricular Septal Defects and Atrioventricular Valve Anomalies -- Ventricular Septal Defects -- Evaluation of the Single Ventricle -- Outflow Tract Anomalies -- Evaluation of Conotruncal Abnormalities -- Transposition complexes: corrected and congenitally corrected -- Great Artery and Other Vascular Abnormalities -- Congenital Coronary Artery Anomalies -- Intraoperative and Postoperative Transesophageal Echocardiography in Congenital Heart Disease -- Transesophageal echocardiography for noncongenital heart disease in pediatric patients -- Additional Applications of Transesophageal Echocardiography -- Applications of Transesophageal Echocardiography in the Cardiac Catheterization Laboratory -- Applications of TEE in the critical care/emergency care setting -- Transesophageal Echocardiography in Adults with Congenital Heart Disease -- Transesophageal Three-Dimensional Echocardiography in Congenital Heart Disease -- Clinical Applications of Three-Dimensional Transesophageal Echocardiography in Congenital Heart Disease. |
| Record Nr. | UNINA-9910495252703321 |
| Cham : , : Springer International Publishing : , : Imprint : Springer, , 2021 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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