Coronary Artery Surgery

ISBN-13: 9783540132646 / Angielski / Miękka / 1984 / 245 str.

F. Unger

Opis

The joint workshop between the European Society of Cardiology and the European Society ofCardiovascular Surgery, held October 14-15, 1983 in Innsbruck, Austria, was a unique event. The idea originated in Atlanta, 1982, with C. Hahn and was supported by V. Bjork and N. Browse. H. Denolin and F. Loogen brought added impact from the European Society of Cardiology. The joint workshop specifically emphasized new trends and controversies in coronary artery surgery. The contri butions appearing in this edition were selected by a scientific committee: H. Deno lin, H. Kraft-Kinz, F. Unger, F. Loop, L. Cohn, F. Loogen, P. Lichtlen, T. Killip, and F.Kaindl. The specific aim was to evaluate controversial review points in coronary artery surgery. These were covered in six discussions and in nine forums with slide presen tations. The topics were: 1. Indications for coronary artery surgery 2. Graft patency and long-term results 3. New operative techniques 4. Myocardial preservation and anesthetic management 5. Combined procedures 6. Long-term follow-up Coronary artery surgery is a model for comprehensive cardiology, whereby sur gery serves as a link between diagnosis and rehabilitation. Because coronary artery surgery has become a routine procedure with standardized techniques, the demand is increasing dramatically as reflected by enormous waiting lists. Hospital mortality can be kept under 1 %, so that the value of this operation can also be discussed with regard to its social and economic aspects. In the majority of cases, patients improve and finally retum to work, finding life most enjoyable again."

Spis treści

I Prospectives in Coronary Artery Surgery.- Opening address: New Trends in Cardiology.- Adress: Trends in Coronary Entry Surgery.- Prognosis in Ischemic Heart Disease.- II Indications for Coronary Artery Surgery.- Anatomical and Tactical Considerations for Peripheral Revascularization in Patients with Diffuse Triple-Vessel Disease.- Myocardial Revascularization for Early Postinfarction Angina.- Single Lesion of Proximal LAD in Young Patients: Medical Therapy, SVG, IMA Graft, PTCA?.- Reoperation for Coronary Artery Disease.- Cardiac Transplantation: An Approach to End-Stage Coronary Heart Disease.- III Operative Techniques.- Coronary Endarterectomy Associated with Aortocoronary Bypass.- Selective Treatment of Diffuse Coronary Artery Disease by a Combination of Coronary Artery Bypass Grafting and Transluminal Balloon-Catheter Dilatation.- The Technique of Subcutaneous Vein Harvest.- Flow in Saphenous Vein Bypass Grafts.- A New Method of Assessing Myocardial Ischemic Injury During Cardiac Operations: Electron Probe X-Ray Microanalysis.- Direct Revascularization of the Septal Arteries: Preliminary Report on 112 Patients.- IV Anaesthetic Management in Coronary Artery Surgery.- The Use of Timolol in Reducing the Incidence of Supraventricular Arrhythmias After Coronary Artery Bypass Surgery.- Effect of the Bypass Pump Priming Fluid on the Metabolic Response to Open-Heart Surgery.- Hemodynamic Results with Hemofiltration in Postoperative Cardiac Surgical Patients.- V Myocardial Protection.- Myocardial Preservation by Preoperative of High Amounts of Insulin Administration.- Myocardial Preservation in Emergency Coronary Surgery.- Thermographic Evaluation of Cardioplegia Diffusion in Coronary Patients.- Magnesium Augmentation During Reperfusion for the Reduction of Postischaemic Myocardial Damage.- Calcium Flux Across the Myocardial Cellular Membrane During Cardioplegic Cardiac Arrest.- Intracoronary Nifedipine in Patients Suspected of Perioperative Coronary Spasm.- Myocardial Protection with Cardioplegia in Patients with Severe CAD.- Enhanced Myocardial Protection by Means of Maintained ? Blockade and Preoperative Carbohydrate Infusion.- Establishing Safe Parameters for the Administration of Clear Cardioplegia in Humans.- VI Left Ventricular Aneurysmectomy.- Patient Selection for Left Ventricular Aneurysmectomy.- False Aneurysm of the Left Ventricle After Myocardial Infarction.- Clinical Experience in 445 Resections of Ventricular Aneurysms.- Left Ventricular Aneurysmectomy Combined with Encircling Endocardial Ventriculotomy for Treatment of Recurrent Sustained Ventricular Tachycardio (VT).- Surgical Treatment of Ventricular Tachycardias with Partial Endocardial Ventriculotomy.- Ventricular Arrhythmias Before and After Aortocoronary Bypass Surgery.- Endocardial Resection for Ventricular Tachycardia and Ventricular Fibrillation.- Hemodynamic and Angiographic Results After Left Ventricular Aneurysmectomy.- Combined Procedures with Aortocoronary Bypass Surgery.- Encircling Endocardial Ventriculotomy Versus Endocardial Resection for the Treatment of Drug-Refractory. Ischemic Ventricular Tachycardia.- VII Graft Patency and Long Term Follow up.- Changes in the Native Vessels After Aortocoronary Bypass Surgery.- Variables Influencing Patency of Coronary Artery Bypass Grafts.- Evaluation of Aortocoronary Graft Patency with Computed Tomography.- Early Exercise Testing and Coronary Bypass Surgery Post-infarction.- Short-Term Radionuclide Study of Ventricular Function After Coronary Bypass Surgery.- Stress-Radionuclide Ventriculography in the Evaluation of CABG Patients.- Long-Term Results of Aortocoronary Bypass Surgery.- Influence of Residual Disease on Late Survival After Coronary Artery Bypass Surgery.- Survival in 1041 Patients with Consecutive Aortocoronary Bypass Operations.- Long-Term Follow-up of Reoperation After Coronary Bypass Surgery.- Long-Term Results After Early Revascularization for Impending Infarction.- Imaging of Coronary Grafts Without Catheterization of Coronary Ostia.