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…
Urgent Pump Conversion: When Does It Occur and How Can We Prevent It?
Surgeon’s prior experience with OPCAB Previous CABG Congestive heart failure Previous myocardial infarction Urgent states Low ejection fraction Preoperative hemodynamic instability Extremely dilated heart Higher New York Heart Association class…
OPCAB Made in Japan: Evidence on Off-Pump Coronary Artery Bypass Grafting from Japan
2. Calafiore AM, Di Giammarco GD, Teodori G, Bosco G, D’Annunzio E, Barsotti A, Maddestra N, Paloscia L, Vitolla G, Sciarra A, Fino C, Contini M (1996) Left anterior descending…
Medical Treatment of Unstable Angina and Acute Non-ST-Elevation Myocardial Infarction
Severity Clinical circumstances A. Develops in presence of extracardiac condition that intensifies myocardial ischemia (secondary UA) B. Develops in absence of extracardiac condition (primary UA) C. Develops within 2 week…
Coronary Heart Disease Syndromes: Pathophysiology and Clinical Recognition
Stable angina pectoris Unstable angina pectoris Variant angina (“Prinzmetal’s angina”) Acute myocardial infarction Non-Q wave or non-ST-elevation (usually nontransmural infarcts) Q-wave or ST-segment elevation (usually transmural myocardial infarcts) Angina pectoris…
