Keywords OPCAG, coronary artery bypass surgery, off-pump surgery, surgical technique ◆ The ability to perform coronary artery bypass grafting (CABG) competently without the use of cardiopulmonary bypass is an…
Keywords coronary artery bypass graft, CABG, anastomosis Step 1 Surgical Anatomy ◆ The named epicardial coronary arteries that serve as the distal anastomotic targets for coronary artery bypass grafting…
Abstract Hybrid coronary revascularization (HCR) is defined as the combination of coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) to treat multivessel coronary artery disease. HCR most commonly…
Keywords cannulation techniques, cardiopulmonary bypass Step 1 Surgical Anatomy 1 Ascending Aorta ◆ Cannulation sites on the ascending aorta should be as high as safely possible. Surgeons today more…
Keywords sternotomy, partial sternotomy, lateral anterolateral thoracotomy, posterolateral thoracotomy ◆ The median sternotomy was reintroduced by Julian in 1957, which was already described by Milton in 1897. The median…
Coronary artery disease (CAD) is the leading cause of death in the United States. Unstable angina (UA) and the closely related condition of non–ST-segment elevation myocardial infarction (NSTEMI) are common…
In many ways, the cardiac care unit (CCU) will be a center of convergence for the population and economic trends relating to health care in our society. Our longevity continues…
The European Society of Cardiology (ESC) published new guidelines for the management of non–ST-elevation acute coronary syndromes (NSTE-ACS) in June 2007. This is the third edition of guidelines to be…
Secondary prevention of coronary heart disease (CHD) should be initiated promptly after the first clinical manifestation of CHD; in patients with an acute coronary syndrome (ACS), it is during the…
Clinical Benefits Numerous publications have documented the efficacy of exercise-based cardiac rehabilitation (CR) after myocardial infarction (MI) or coronary artery bypass surgery. Because most studies published were underpowered to detect…
