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TMLR Management of Coronary Artery Diseases (Paperback, Softcover reprint of the original 1st ed. 1998)
Loot Price: R2,957
Discovery Miles 29 570
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TMLR Management of Coronary Artery Diseases (Paperback, Softcover reprint of the original 1st ed. 1998)
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At the beginning of this century, the state of surgical technique
only provided for concepts with an extracardial approach to therapy
of coronary heart dis eases. Decreasing the heart activity by means
of denervating the heart or thyr oidectomy, resulting in a
reduction of the heart's oxygen demand, was strived at. Later, the
progress of clinical surgery at the closed beating heart allowed
for procedures with myocardial access. In this historical stage of
indirect revascu larisation, a compensation was supposed to be
stimulated operatively by pro viding an adhesion to the surrounding
organs or by manipulating the larger heart veins. The simple
ligation of the Arteria thoracica interna in the middle third of
its course - intended to increase the perfusion of pericardial
branches - is based on the fundamental ignorance or
misunderstanding of the haemody namic laws. The first intervention
to reach temporary popularity was the im plantation of the Arteria
thoracica interna into the left ventricular myocardial wall. This
so-called "Vineberg procedure" was not very risky and did show some
permanent improvements with respect to the patient's complaints or
even the prognosis. However, this procedure has been almost
completely aban doned, despite the fact that some positive
long-term courses have been docu mented. Other indirect
revascularisation procedures carried out in the fifties, e. g."
General
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