TY - CHAP M1 - Book, Section TI - The Complicated Patient for Cardiac Anesthesia and Surgery A1 - Wasnick, John D. A1 - Nicoara, Alina PY - 2019 T2 - Cardiac Anesthesia and Transesophageal Echocardiography, 2e AB - The elective patient for cardiac anesthesia and surgery free of other disease processes is increasingly a rara avis. Prior to advances in percutaneous interventions, the routine cardiac surgery patient was an otherwise healthy middle-aged biological male in need of a one to two vessel coronary artery bypass—How times have changed. Today’s cardiac surgery patient is likely to be quite elderly with multiple medical problems presenting for combined revascularization and valvular replacement surgery. Moreover, many patients will have had over the course of their lives other cardiac procedures including previous operations and/or percutaneous interventions. Further complicating matters, many of these patients suffer from both systolic and diastolic dysfunction. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1166980323 ER -