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Technical Aspects of Modern Coronary Artery Bypass Surgery

  • Book

  • November 2020
  • Elsevier Science and Technology
  • ID: 5029586
Coronary surgery encompasses two thirds of all adult cardiac surgery cases. With the endless pursuit of better outcomes, modern coronary artery bypass grafting (CABG) has become technically more complex in ways that are well beyond the training of the average cardiac surgeon. The old concept of "one-technique-fits-all" has been abandoned in favour of a specialized approach tailored to the individual patient. In fact, in recent years, there is a growing movement towards establishing coronary surgery as a super-specialization of cardiac surgery.

Technical Aspects of Modern Coronary Artery Bypass Surgery aims to expand on both the basics and complexities of the technical aspects of coronary surgery. It serves as an up to date resource that illustrates and details the advancement and techniques in this field which may soon become a separate super-specialty. With a particular emphasis on illustrations, the book will be an essential reference book for both established surgeons that have no experience in advanced CABG, and the new generation of CABG surgeons.

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Table of Contents

1. Closing the gap between best evidence and common practice in surgical coronary revascularization: The rationale for superspecialization
2. Surgical strategy in multiple arterial grafting
3. Harvesting the radial artery
4. Harvest of the skeletonized left internal mammary artery
5. Retractors for harvesting of the internal thoracic artery
6. Harvesting of the skeletonized internal thoracic artery using a harmonic scalp
7. Harvesting of the gastroepiploic artery
8. Harvesting of the saphenous vein
9. Sequential anastomoses: surgical technique, results, grafting strategy in coronary artery revascularization
10. Technique of Y and T grafts
11. The technique of "baby Y� grafts
12. Coronary artery proximal anastomosis
13. Bilateral internal thoracic artery grafting strategies
14. Open and closed coronary endarterectomy
15. Techniques to avoid sternal complications after CABG with bilateral internal mammary artery
16. Off-pump coronary artery bypass grafting: Exposure, stabilization, and strategy
17. The anastomosis
18. Total-arterial, anaortic, off-pump coronary artery bypass grafting-surgical technique
19. Technique of robotic coronary artery bypass grafting
20. Technique of minimally invasive coronary artery bypass grafting
21. Hybrid coronary revascularization
22. Intraoperative grafts verification in coronary surgery
23. The management of perioperative ischemia
24. Optimizing medical therapy in the coronary artery bypass graft patient
25. Complex surgical coronary revascularization


Mario Gaudino Director of Translational and Clinical Research, Department of Cardiothoracic Surgery, Weill Cornell Medicine
Chair Coronary Artery Task Force, European Association for Cardio-thoracic Surgery. Dr. Mario Gaudino is the Stephen and Suzanne Weiss Professor of Cardiothoracic Surgery and the Director of Clinical and Translational Research at Department of Cardiothoracic Surgery, New York Presbyterian/Weill Cornell Medicine. He is also the Chairman of the Coronary Artery Task Force of the European Association of Cardio-thoracic Surgery. He is the recipient of numerous peer-reviewed grants and is currently leading the Randomized comparison of the clinical outcome of single versus Multiple Arterial grafts (ROMA) trial. He serves on different committees of the American Heart Association, American Association for Thoracic Surgery, and the Society of Thoracic Surgeons and has authored over 300 peer-reviewed publications. He is also the Deputy Editor of Journal of Cardiac Surgery, Associate Editor of the European Journal of Cardio-thoracic Surgery and serves on the editorial boards of the Journal of Thoracic and Cardiovascular Surgery, Annals of Thoracic Surgery, and Journal of Thoracic Disease. He has authored more than 300 peer-reviewed manuscripts. In his unique position, Dr. Gaudino's has been able to collaborate with an extraordinary group of world class experts to develop the field of coronary artery bypass grafting. All contributors in the book are not only leading authorities in the field, but also part of a very well-organized network that he collaborates with.