Intraoperative Management and Anesthesia
1. Continuous infusion of propofol and remifentanil is recommended for maintenance of anesthesia 2. Pulmonary artery catheter is a useful monitoring system while the heart is in a vertical position…
Securing the Distal Anastomosis Site: Coronary Artery Occlusion, Shunt, and Blower
Fig. 11.1 Coronary occluder® (Sumitomo Bakelite Co., Ltd.) 11.2 Coronary Artery Shunt Temporary coronary occlusion in OPCAB is an easy way to obtain an optimal operative field without any disturbing…
Redo Operation
Characteristics Value Male/female 24/13 Mean age (years) 71.6 ± 8.1 Diabetes mellitus 22 (59 %) Dyslipidemia 23 (62 %) Hypertension 34 (92 %) Smoking 20 (54 %) Cerebrovascular accident 5 (14 %)…
Off-Pump CABG for Patients with End-Stage Renal Failure
© Springer Japan 2016Tohru Asai, Masami Ochi and Hitoshi Yokoyama (eds.)Off-Pump Coronary Artery Bypass10.1007/978-4-431-54986-4_25 25. Off-Pump CABG for Patients with End-Stage Renal Failure Masami Ochi1 (1) Department of Cardiovascular Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603,…
Difficult Heart
© Springer Japan 2016Tohru Asai, Masami Ochi and Hitoshi Yokoyama (eds.)Off-Pump Coronary Artery Bypass10.1007/978-4-431-54986-4_23 23. Difficult Heart Tomoaki Suzuki1 and Tohru Asai1 (1) Division of Cardiovascular Surgery, Department of Surgery, Shiga University of Medical Science, Otsu, Japan …
Indication and Safe Strategy
Fig. 4.1 Routine off-pump strategy (See [A], [B], [C], and [D] in the manuscript) [A]; At first, all patients who need CABG are candidates for OPCAB. The surgeon has to…
Combined Surgery (TAA, AAA, or Cancer) Concomitant or Staged Surgeries?
Fig. 22.1 Time course in the combined procedure of coronary artery revascularization and aortic arch aneurysm (AAR). (a) Coronary artery bypass grafting (CABG) on the arrested heart and AAR. (b)…
Controversy: Volume Load vs. Vasopressor
Fig. 7.1 Conceptual diagram of high blood pressure management with volume loading alone Fig. 7.2 Conceptual diagram of high blood pressure management with the proactive use of vasopressors The perspective…
