Summary A comprehensive review is given of the literature, and the
advantages and disadvantages of the bypass operation are discussed
in detail. Of all surgical interventions aiming at
revascularisation of the myocardium the aorto coronary bypass
operation is the one which indoubtedly has earned its place in
cardiac surgery. The most suitable candidates for this operation
are those with a normal left ventricular angiogram and a good
peripheral vascular pattern. Even in these people the question
still remains whether the vein can stay patent for many years;
moreover what happens to the proximal coronary arteries is as yet
uncertain. In the case of poorly contracting ventricles little good
is to be expected from the by pass operation. Possible, anastomosis
of the internal mammary artery with a stenotic coronary artery
merits preference over a venous bypass. To demonstrate the ultimate
influence of this type of surgical intervention on life expectance
and on a secondary pre vention of angina pectoris and myocardial
infarction, Chalmers (1972) and Spodick (1971) favour follow-up
studies of patients who are divided at random into a surgical and a
non-surgical group. 1.1. OBJECT The object of this investigation is
to establish on basis of the results and complications of saphenous
vein bypass grafting (briefly termed bypass surgery): - reliable
indications for this operation; - to provide the surgeon with a
guide to the choice of surgical technique.
General
Imprint: |
Wolters-Noordhoff B.V.
|
Country of origin: |
Netherlands |
Release date: |
July 1974 |
First published: |
1974 |
Authors: |
B. Buis
|
Dimensions: |
244 x 170 x 4mm (L x W x T) |
Format: |
Paperback
|
Pages: |
80 |
Edition: |
1974 ed. |
ISBN-13: |
978-90-207-0474-7 |
Categories: |
Books >
Medicine >
Surgery >
Cardiothoracic surgery
|
LSN: |
90-207-0474-5 |
Barcode: |
9789020704747 |
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