Thoracic Key

Total number 14,999  Isolated CABG 10,658 (71 %)  Concomitant CABG 4,341 (29 %) Isolated CABG   Initial elective: 8,983 Other than initial elective: 1,675  Off pump: 5,865 Off pump: 880  On…

Fig. 15.1 (a) The tangential line at the tip of the needle must be right angled. (b) Oblique penetration of the needle. (c) Right-angled penetration of the needle When puncturing…

Fig. 10.1 Factors influencing the stabilization of the coronary artery on a beating heart Here is a hypothesis or assumption on the relationship among stabilization, surgeon skill, and graft patency….

Fig. 24.1 The preoperative left coronary angiogram clearly demonstrated severe diffuse coronary artery disease. The LAD was totally occluded and its distal portion was not filled via any collaterals. The…

Technology Advantages Limitations Conventional angiography Precise definition of graft patency, gold standard Invasive, requires contrast agent, hybrid operating room, and catheter skills Transit-time flowmetry Precise graft flow value Nonvisual, inability…

Fig. 5.1 Standard approach for CABG 5.2 Mini Sternotomy 5.2.1 Mini Left Thoracotomy With the spread of OPCAB, mini left anterior thoracotomy and OPCAB of the left anterior descending branch…

Fig. 28.1 Totally endoscopic coronary artery bypass grafting using endoscopic stabilizer without surgical robot 28.2 Patients’ Selection From the viewpoint of coronary lesions, the patients who have significant stenosis or…

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…