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
Table of Contents
1. Closing the gap between best evidence and common practice in surgical coronary revascularization: The rationale for superspecialization2. Surgical strategy in multiple arterial grafting3. Harvesting the radial artery4. Harvest of the skeletonized left internal mammary artery5. Retractors for harvesting of the internal thoracic artery6. Harvesting of the skeletonized internal thoracic artery using a harmonic scalp7. Harvesting of the gastroepiploic artery8. Harvesting of the saphenous vein9. Sequential anastomoses: surgical technique, results, grafting strategy in coronary artery revascularization10. Technique of Y and T grafts11. The technique of "baby Y grafts12. Coronary artery proximal anastomosis13. Bilateral internal thoracic artery grafting strategies14. Open and closed coronary endarterectomy15. Techniques to avoid sternal complications after CABG with bilateral internal mammary artery16. Off-pump coronary artery bypass grafting: Exposure, stabilization, and strategy17. The anastomosis18. Total-arterial, anaortic, off-pump coronary artery bypass grafting–surgical technique19. Technique of robotic coronary artery bypass grafting20. Technique of minimally invasive coronary artery bypass grafting21. Hybrid coronary revascularization22. Intraoperative grafts verification in coronary surgery23. The management of perioperative ischemia24. Optimizing medical therapy in the coronary artery bypass graft patient25. Complex surgical coronary revascularization
