Arterial grafting for myocardial revascularization: indications, surgical techniques, and results
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.
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Anatomy of the Internal Mammary Artery
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30 days anasto angina angiography angioplasty Ann Thorac Surg aortic aortocoronary artery bypass grafting atherosclerosis Barner bilateral internal mammary blood flow bypass surgery cardiac cardioplegic cardioplegic solution cardiopulmonary bypass clinical coro coronary artery bypass coronary artery disease coronary artery grafting coronary artery revascularization descending coronary artery end-to-side endothelium etal follow-up free internal mammary heparin hypovolemia implantation infarction internal mam internal mammary artery internal mammary artery-coronary larization left anterior descending left internal mammary left ventricular Loop FD mammary artery flow mammary artery grafts mammary artery-coronary artery mary artery grafts ml/min mmHg mortality myocardial infarction myocardial revascularization myocardium nal mammary artery nary occlusion operation patency rates patients pedicle perfusion procedures prostacyclin proximal reoperation reported retractor retrointernal mammary artery revascu right coronary artery right internal mammary saphe saphenous vein grafts Sect Segesser sequential internal mammary stenosis studies surgical techniques ternal mammary artery tery Thorac Cardiovasc Surg tients tion venous vessels