This text provides a comprehensive and state-of-the-art overview of the major issues specific to the surgical decision-making process. These include patient’s anatomy and pathophysiology as well as the magnitude of the injury at hand, the surgeon's own physiologic and mental status, training and experience, and many other factors such as creativity, leadership skills, and overall "biochemistry" of the environment. The text reviews theoretical as well as objective information that surgeons use to make intraoperative decisions in situations, often with very limited data; decisions that will decide between a patient's living or dying, such as in trauma surgery and other complex surgeries. How surgeons choose one technical approach over another in these situations is covered. This book fills a critical need for resource materials on these topics and includes both theoretical as well as practical presentations of many typical patients seen in operating rooms around the world. Surgical Decision Making: Beyond the Evidence Based Surgery is written by academic and clinical practicing surgeons that face intraoperative decision situations on a daily basis and therefore provides a unique and valuable resource in the field for surgeons currently in training and for those already in clinical or research practice.

This text is presented to all cardiothoracic surgery residents, present and future. This unique application, developed by residents and national faculty, is a 100-chapter compendium with an individual algorithm on various topics to provide a foundation and framework of important cardiothoracic surgery topics with clinical decisions. As the field of cardiothoracic surgery continues to evolve, attention to key clinical decisions is necessary prior to incorporating indicated interventions. Very few textbooks focus on the decision algorithms in the diagnosis and management of clinical cardiothoracic pathologies.The Thoracic Surgery Residents Association (TSRA) have a clear and sustained commitment to education. The previous textbooks created under the auspices of this organization are among the most affordable and practical manuscripts in our field. It is our hope to provide this addition to the growing TSRA library under the same tradition.Although this field is ever changing, many of the basic principles remain the same: There are basic frameworks that are shared and can be used by those taking care of cardiothoracic patients. Very few textbooks focus on the decision algorithms in the diagnosis and management of clinical cardiothoracic pathologies.Adult Cardiac Surgery1. Cardiopulmonary BypassA. Troubleshooting CBP problemsB. Difficulty weaning off bypass2. Coronary DiseaseA. CABG evaluationB. Management of STEMIC. Cardiogenic shock 5 days post STEMID. Ascending atheroma in CABGE. Management Carotid/CABGF. Intraoperative decision-making for OPCAB3. Aortic ValveA. ASB. TAVRC. ARD. Small aortic rootE. Non-cardiac surgery and aortic valve endocarditis4. Mitral/TricuspidA. TRB. MR1. Reconstruction2. IndicationsC. MS5. AortaA. Type A dissectionB. Type B dissectionC. Ascending aortic aneurysmD. Aortic root aneurysmsE. DTAA6. Heart failureA. ECMOB. LVADC. RVADD. Pump thrombosisE. OHT7. MiscellaneousA. HOCMB. Cardiac tumorsC. Approach to sternal wound infectionsD. Penetrating chest traumaE. Blunt chest traumaF. EndocarditisG. Pericardial diseaseGeneral Thoracic Surgery1. TracheaA. Tracheal traumaB. Tracheal tumorsC. Tracheal stenosisD. Broncholithiasis2. LungsA. Pulmonary NodulesB. Pleural EffusionC. Pulmonary carcinoidD. SCLCE. Early NSCLCF. Early invasive NSCLCG. Stage III lung cancerH. Stage IV non-small cellI. Resectability of lung cancerJ. Physiologic readiness for thoracic surgeryK. Superior sulcus tumorsL. Mediastinal staging in lung cancerM. Pulmonary metastasisN. Long-term follow up for lung cancerO. Chest TBP. ILDQ. LVRSR. Evaluation and approach to lung transplantS. Approach to lung abscess/empyemaT. Spontaneous PTXU. BPFV. ChylothoraxW. Mesothelioma3. EsophagusA. Esophageal caustic injuryB. Esophageal perforationC. TEFD. LeiomyomaE. Esophageal cancerF. Approach to cervical, thoracic, and GEJ esophageal cancersG. Esophageal conduitsH. Resectability of esophageal cancerI. Postoperative esophageal leakJ. GERDK. Esophageal motility disordersL. Barrett's esophagusM. Paraesophageal herniaN. Esophagectomy4. MediastinumA. PneumomediastinumB. Diaphragmatic injuryC. Thymoma/MG/mediastinal mass5. OtherA. TOSB. Chest wall tumorsCongenital Heart Surgery1. PDA2. ASD3. APW4. Cor triatriatum5. VSD6. Coarctation 7. TOF w/ PS8. TGA9. PA w/ VSD w/ Multiple AP Collaterals10. PA with IVS11. Ebstein's Anomaly12. LVOTO13. Coronary anomalies14. HLHS15. Vascular rings/PA slings16. Pediatric Heart Failure/Transplant17. IAA w/ VSD18. Single Ventricle Pathway/Fontan19. Truncus Arteriosus20. Complete Atrioventricular Canal21. DORV22. Congenital PV Anomalies23. Congenital MS

Clinical Scenarios in Surgery: Decision Making and Operative Technique presents 125 cases in all areas of general surgery: GI, breast, hepatobiliary, colorectal, cardiothoracic, endocrine, vascular, trauma, pediatric, critical care, and transplant. Each full-color case begins with a patient presentation and proceeds through differential diagnosis, diagnosis and treatment, surgical procedures, postoperative management, and a case conclusion. Each case includes key technical steps, potential pitfalls, take-home points, and suggested readings. The patient stories in these clinical scenarios provide context to faciliate learning the principles of safe surgical care. This book will be particularly useful for senior surgical residents and recent graduates as they prepare for the American Board of Surgery oral examination.

This volume in the acclaimed Mastery Series delivers clear, how-to guidance on the most commonly performed procedures in adult and pediatric thoracic surgery. As with other volumes in the series, Mastery of Cardiothoracic Surgery delivers expert commentary from master surgeons following each chapter. Invaluable for cardiothoracic fellows, as well as thoracic and cardiac surgeons.

With concise text and a simple, easy-to-follow organizational structure, the brand-new Vascular Decision Making: Medical, Endovascular, Surgical helps you make well-informed treatment and procedural decisions on a variety of vascular conditions and diseases you encounter in clinical settings with patients.

Over the last 23 years our identity and mission of the TSRA have expanded to meet the needs of our members by providing peer-based resources and support for cardiothoracic surgery residents to succeed throughout training and launch successful careers. The prior edition of this book, TSRA Clinical Scenarios in Cardiothoracic Surgery, published in 2013 was tremendously successful. The first edition of this book aimed to augment available resident educational resources. It focused on knowledge application in a dynamic decision-making capacity highlighting surgical technique, practical knowledge and clinical acumen based on a variety of different clinical case scenarios. This edition aims to update this review resource while simultaneously expanding the scope of clinical scenarios to keep pace with the ever-changing clinical cardiothoracic training environment.The aim of this book is to review common, high-yield clinical scenarios that may surface during a cardiothoracic surgeon's practice in congenital, thoracic, or adult cardiac surgery. It was written by residents for residents. We meticulously reviewed and edited all previous clinical case scenario chapters focusing on updated clinical and scientific evidence. The first edition contained 72 chapters authored by over 50 residents and faculty from across the country. The new edition contains 19 new chapters (36-chapter revisions) with 91 chapters authored by 159 residents and faculty nationwide! We have maintained the structure and flow of the book utilizing the three major sections of cardiothoracic surgery: General Thoracic Surgery, Adult Cardiac while expanding the congenital section to be Congenital Cardiothoracic Surgery.