By Ludwig K. von Segesser M.D., F.A.C.S. (auth.)
With an unlimited historical past of non-public event and a assessment of greater than three hundred references, Dr. Segesser has written a booklet to shut the space among the speculation and perform of coronary artery revascularization. particularly, he indicates the probabilities and obstacles of inner mammary artery grafting during this surgery. The chapters advisor you to an intensive figuring out of the topic, from anatomy and pathology, to experimental reviews and the historical past of first surgical makes an attempt, to medical software and effects. The dialogue of long term follow-up, issues and re-operations element to components of luck in addition to topics for destiny learn. the main points supplied the following approximately operative options and their results supply the cardiovascular surgical workforce very important suggestions approximately current practices so one can support bring about more suitable medical effects.
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Additional info for Arterial Grafting for Myocardial Revascularization: Indications, Surgical Techniques and Results
1988) has also analyzed the prostacyclin production in free internal mammary artery grafts with and without surrounding tissue in comparison to the native internal mammary artery in eight dogs (see Sect. 1). There was no significant difference between the free internal mammary artery grafts with and without sur- 33 rounding tissue in comparison to the native internal mammary artery. Patency and histologic structure of in situ internal mammary artery grafts, free internal mammary artery grafts, stripped, free internal mammary artery grafts, and stripped, free superficial femoral artery grafts were analyzed by Daly et al.
30. Reversal of ischemia with retrointernal mammary artery. Point 1: Ligation of coronary artery proximal to retrointernal mammary artery-coronary artery anastomosis (retrointernal mammary artery cross-clamped): Ischemia. 8). 5). The following retrointernal mammary artery - coronary artery anastomoses were performed (n = 10). Left retrointernal mammary artery-coronary artery anastomosis was established in six animals to the distal left anterior descending coronary ar- tery and in two animals to the distal left obtuse marginal branch of the left circumflex coronary artery.
1976). Gastroepiploic artery myocardial implants (Hirose et al. 1969) and splenic artery myocardial implants (Bloomer et al. 1973) have also been evaluated and were abandoned with Vineberg's operation. No long term results in larger series are available for the recently reported use of the inferior epicastric artery as a free graft for myocardial revascularization (Puig et al. 1990) nor for the pedicled retro-internal mammary artery coronary artery bypass (von Segesser et al. 1989c). In 1979, one case with coronary artery revascularization by a pedicled splenic artery was reported (Green et al.