The Practice of Coronary Artery Bypass Surgery

The Practice of Coronary Artery Bypass Surgery by D. Miller.

Few advances in cardiovascular medicine have so captured the inter­ est of physicians and the public alike as has coronary artery bypass surgery. Cardiologists who lived through the era of false hopes and frustrations of previous" operations" for coronary artery disease can fully appreciat...

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Bibliographic Details
Main Author: Miller, D. (Author)
Corporate Author: SpringerLink (Online service)
Format: eBook
Language:English
Published: New York, NY : Springer US : Imprint: Springer, 1977.
Edition:1st ed. 1977.
Series:Topics in Cardiovascular Disease
Springer eBook Collection.
Subjects:
Cardiology.
Electronic resources (E-books)
Online Access:Click to view e-book
Holy Cross Note:Loaded electronically.
Electronic access restricted to members of the Holy Cross Community.
Table of Contents:
  • 1 A Short History of Myocardial Revascularization
  • Previous Operations for Angina Pectoris
  • Medical Advances Necessary for Performance of Bypass Surgery
  • The Growth of Coronary Artery Bypass Surgery
  • Bypass Surgery Today
  • References
  • 2 The Clinical Course of Patients with Coronary Artery Disease
  • The Initial Coronary Event
  • Factors Affecting the Prognosis of Patients with Stable Angina Pectoris
  • The Prognosis of Patients with Unstable Angina
  • Myocardial Infarction and Its Association with Angina Pectoris
  • The Epidemiology of Sudden Death
  • References
  • 3 The Benefits of Coronary Artery Bypass Surgery
  • Mechanisms of Pain Relief
  • Improved Resting Ventricular Function
  • Cardiac Output on Exercise
  • Improved Long-Term Survival
  • References
  • 4 The Risks of Coronary Artery Bypass Surgery
  • Preoperative Factors Associated with Increased Operative Risk
  • Operative Complications Leading to Death or Permanent Disability
  • Delayed Complications
  • References
  • 5 The Preoperative Evaluation
  • Clinical History
  • Coronary Arteriography
  • Ventriculography
  • Exercise Testing
  • References
  • 6 Practice Patterns and Factors Influencing Selection of Patients for Bypass Surgery
  • Practice Patterns
  • Factors Influencing Selection of Patients for Bypass Surgery
  • References
  • 7 The Use of Extracorporeal Circulation in Bypass Surgery
  • Equipment
  • Cannulation Techniques
  • Basic Concepts of Cardiopulmonary Bypass
  • University of Washington Protocol for Extracorporeal Circulation
  • References
  • 8 Diagnostic Assessment of Myocardial Injury after Bypass Surgery
  • The Pathophysiology of Myocardial Cell Necrosis
  • Methods for Assessing Myocardial Injury
  • Diagnosis of Perioperative Infarction by Serum Enzyme Analysis
  • CK Isoenzyme Analysis
  • Radioisotope Techniques
  • References
  • 9 Myocardial Protection during Bypass Surgery
  • Prevention of Myocardial Damage during Ischemic Arrest
  • Ventricular Fibrillation for Distal Anastomoses
  • References
  • 10 The Role of the Internal Mammary Artery and Other Conduits in Coronary Artery Surgery
  • Clinical Experience with Internal Mammary Artery Grafts
  • Comparison of Patency Rates between Internal Mammary Artery and Saphenous Vein Grafts
  • Other Conduits
  • References
  • 11 Saphenous Vein Aortocoronary Bypass Grafts: Surgical Techniques
  • Selection of Saphenous Vein Autografts
  • Types of Vein Grafts
  • Vein Excision
  • Coronary Artery Exposure
  • The Proximal Anastomosis
  • The Distal Anastomosis
  • Complex Grafts
  • The Role of Endarterectomy in Vein Bypass Surgery
  • References
  • 12 The Economics of Bypass Surgery
  • Costs of Bypass Surgery
  • Cost-Effectiveness of Bypass Surgery
  • Allocation of Health Care Resources
  • References.

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