Thoracic Key

Fig. 16.1 Two sets of tissue stabilizers applied to the proximal and distal end of the long arteriotomy A longitudinal arteriotomy is made on the midportion of the diseased LAD,…

Fig. 17.1 Sample images of the ascending aorta. (a) is a simple CT image, (b) shows contrast-enhanced CT, and (c) shows epiaortic ultrasound echography image Aortic side clamping has been…

Fig. 29.1 Under general anesthesia, patient is in prone position and bone marrow cells are collected from the iliac crest for about 1 h The harvested bone marrow cells are…

Fig. 14.1 Anatomy of internal thoracic artery The ITA, opposite to the origin of the vertebral artery from the subclavian artery, diverges in almost a straight line vertically downward. The…

Fig. 13.1 Left internal thoracic artery is grafted to the left anterior descending artery. The right internal thoracic artery is grafted to the circumflex artery We usually use in situ…

Fig. 3.1 Bypass site and graft arrangement Overall bypass occlusion rate was 3.1 % (366/11,968). Graft stenosis rate was 1.9 %. Overall bypass occlusion rate was 2.1 % in LITA,…

Fig. 12.1 Three in situ arterial grafts: left IMA, right IMA, and right GEA Fig. 12.2 Two mammary arteries: the skeletonized RIMA is long enough to reach the distal LAD…

Fig. 26.1 Procedural components of OPCAB 26.3.2.1 Exposure (Patient and Heart Positioning) Trainees should first become familiar with the technique of exposure of the target coronary arteries with simultaneous maintenance…

  OPCAB OPCAB Postoperative heparin (−) Postoperative heparin (+) N = 412 N = 193 Total CVA 8 (1.9 %) 1 (0.5 %) Intraoperative 0 0 Incidence of CVA Postoperative 8 1 Incidence of…

Fig. 27.1 Preoperative enhanced 3-dimensional computed tomography (3DCT) shows the precise course of both internal mammary artery and a left anterior descending artery 27.3.2 Percutaneous Coronary Intervention In single-stage hybrid…