Operative Techniques in Coronary Artery Bypass Surgery


Book Description

This book provides an invaluable practically applicable and comprehensive manual to coronary artery bypass grafting (CABG) surgery. Critical concepts and techniques are discussed in an easy-to-follow and understand step-by-step guide, featuring a wealth of intraoperative photos and illustrations with concise and instructive descriptions. Topics covered include classical sternotomy, variants of arterial revascularization, off-pump and minimally invasive techniques (MICS-CABG). Operative Techniques in Coronary Artery Bypass Surgery provides invaluable assistance to residents, fellows and trainee surgeons by explaining theoretical and technical aspects of the latest advances in procedural techniques and therapy personalization to optimize CABG surgical outcome. Considering that any heart team depends entirely on the participants’ knowledge and their willingness to cooperate, this work allows cardiologists and the other participants of a heart team to better understand the strengths and limitations of state-of-the-art surgical coronary revascularization. The concepts synthesized within the checklists and decision algorithms provided also enable the reader to develop their knowledge of which technique is the most appropriate for a particular patient.




Technical Aspects of Modern Coronary Artery Bypass Surgery


Book Description

Coronary surgery encompasses two thirds of all adult cardiac surgery cases. With the endless pursuit of better outcomes, modern coronary artery bypass grafting (CABG) has become technically more complex in ways that are well beyond the training of the average cardiac surgeon. The old concept of "one-technique-fits-all" has been abandoned in favour of a specialized approach tailored to the individual patient. In fact, in recent years, there is a growing movement towards establishing coronary surgery as a super-specialization of cardiac surgery. Technical Aspects of Modern Coronary Artery Bypass Surgery aims to expand on both the basics and complexities of the technical aspects of coronary surgery. It serves as an up to date resource that illustrates and details the advancement and techniques in this field which may soon become a separate super-specialty. With a particular emphasis on illustrations, the book will be an essential reference book for both established surgeons that have no experience in advanced CABG, and the new generation of CABG surgeons. A complete and concise resource on all aspects of coronary surgery In-depth illustrative review of various coronary techniques Covers both current recommendations and well-established practices in the field




Beating Heart Bypass Surgery and Minimally Invasive Conduit Harvesting


Book Description

In the early days of cardiac surgery, but also in the following four decades, median sternotomy and cardiopulmonary bypass were nearly always included in cardiac surgical procedures. Less invasive surgical techniques were developed with the aim of reducing perioperative trauma without compromising the surgical result, and things became more complex for cardiac surgeons. They now often had to consider the surgical access of choice and whether cardiopulmonary bypass should be used or not. Since the mid 1990s, not only have several novel minimally invasive surgical techniques been presented, but also further refinements have been recommended from time to time. This work comes to fill a gap in the field of coronary artery bypass grafting and conduit harvesting in cardiac surgery, by gathering the mature version of such new, less invasive techniques combining safety, effectiveness, simplicity, sometimes even reducing procedural costs and that always for the patient’s and for the surgeon’s sake.




State of the Art Surgical Coronary Revascularization


Book Description

This is the most authoritative textbook ever dedicated to the art and science of surgical coronary revascularization, with 71 chapters, organized in 9 sections, and written by over 100 recognized world experts. It covers every aspect of the surgical management of coronary artery pathology and ischaemic heart disease.




Cardiac Surgery


Book Description

Cardiac Surgery: Operative Technique, by Drs. Donald B. Doty and John R. Doty, is your essential source on how to perform today's full range of cardiac surgical techniques. Over 1,000 crisp illustrations and expert, evidence-based discussions guide you step by step, equipping you to perform all of the latest procedures and get the best outcomes. Focus on the practical how-tos you need to perform each operation. Know what to do, what to avoid, and how to manage complications with the authors' discussions of their preferred methods. Benefit from the seasoned expertise of two master cardiac surgeons with decades of experience. Keep your skills current with state-of-the-art coverage of coronary artery surgeries, heart-lung transplantation, lung transplantation, and much more - including the latest evidence for each procedure. Know what to look for and how to proceed with over 1,000 remarkable illustrations and photographs - many new, many in full color - that capture exactly what you will see during surgery. Access the complete contents and illustrations online, fully searchable.




Core Concepts in Cardiac Surgery


Book Description

The development of new techniques and the refinement of established procedures make cardiac surgery a fast-moving field. Core concepts in cardiac surgery has been developed to make it an invaluable textbook for the professional cardiac and cardiothoracic surgeon, covering both topical issues and updates in cardiac surgery. This provides the practising cardiac surgeon with current updates in the field, and controversial issues that affect everyday practice. Written by an international team of renowned cardiac surgeons, each topic is split into a review of the current literature and then important technical details. Their wealth of professional experience has been distilled into tips and common pitfalls in practice throughout the book. Extensively illustrated with full-colour photographs and artwork to facilitate understanding of complex procedures, Core concepts in cardiac surgery is also available on a companion website, to allow the authors to update the text regularly to reflect developments in the discipline.




Arterial Grafting for Coronary Artery Bypass Surgery


Book Description

This updated edition examines the biological characteristics and clinical use of arterial grafts for coronary artery bypass surgery. It contains first-hand information on arterial grafts, as well as vein grafts with regard to biological characteristics, clinical use including off-pump coronary bypass grafting surgery, results, and future developments. The book is a practical guide and as a stimulus for further improvement of arterial grafting techniques.




Arterial Grafting for Myocardial Revascularization


Book Description

With a vast background of personal experience and a review of more than 300 references, Dr. Segesser has written a book to close the gap between the theory and practice of coronary artery revascularization. In particular, he shows the possibilities and limitations of internal mammary artery grafting in this surgical procedure. The chapters guide you to a thorough understanding of the subject, from anatomy and pathology, to experimental studies and the history of first surgical attempts, to clinical application and results. The discussion of long-term follow-up, complications and re-operations point to areas of success as well as subjects for future research. The details provided here about operative strategies and their outcomes give the cardiovascular surgical team important feedback about present practices which will help lead to improved clinical results.




Off-Pump Coronary Artery Bypass


Book Description

This book is a valuable resource on the subject of off-pump coronary artery bypass (OPCAB) surgery, which has recently been developed as a promising technique for reducing surgical damage to patients. Because of the increasing number of older patients who are candidates for a coronary artery bypass graft (CABG) operation, less-invasive surgeries are becoming a priority all over the world. Despite some challenges, such as its technical difficulties, emerging questions, and controversies involved, OPCAB surgery in CABG is now the gold standard in Japan. This book, written by OPCAB experts, examines the procedure established and its chief benefits. Its coverage ranges from a careful evaluation of the evidence for and against OPCAB surgery to preoperative and intraoperative management of patients undergoing coronary bypass surgery. It also contains a description of advanced techniques for every aspect of the procedure. The authors[share essential insights into the latest trends in cardiovascular surgery for professionals and residents, presenting detailed descriptions of the exposure of the heart, stabilization of each coronary artery target, construction of distal anastomoses, and other important factors. The book offers an invaluable reference guide for cardiac surgeons, cardiologists, anesthesiologists, and other medical staff in operating rooms around the world.




Coronary Artery Surgery


Book Description

The joint workshop between the European Society of Cardiology and the European Society ofCardiovascular Surgery, held October 14-15, 1983 in Innsbruck, Austria, was a unique event. The idea originated in Atlanta, 1982, with C. Hahn and was supported by V. Bjõrk and N. Browse. H. Denolin and F. Loogen brought added impact from the European Society of Cardiology. The joint workshop specifically emphasized new trends and controversies in coronary artery surgery. The contri butions appearing in this edition were selected by a scientific committee: H. Deno lin, H. Kraft-Kinz, F. Unger, F. Loop, L. Cohn, F. Loogen, P. Lichtlen, T. Killip, and F. Kaindl. The specific aim was to evaluate controversial review points in coronary artery surgery. These were covered in six discussions and in nine forums with slide presen tations. The topics were: 1. Indications for coronary artery surgery 2. Graft patency and long-term results 3. New operative techniques 4. Myocardial preservation and anesthetic management 5. Combined procedures 6. Long-term follow-up Coronary artery surgery is a model for comprehensive cardiology, whereby sur gery serves as a link between diagnosis and rehabilitation. Because coronary artery surgery has become a routine procedure with standardized techniques, the demand is increasing dramatically as reflected by enormous waiting lists. Hospital mortality can be kept under 1 %, so that the value of this operation can also be discussed with regard to its social and economic aspects. In the majority of cases, patients improve and finally retum to work, finding life most enjoyable again.