Originally introduced several decades ago, myocardial
revascularization on the beating heart was largely abandoned as new
techniques for extracorporeal circulation were developed. While the
popularity of coronary surgery on the arrested heart remained
undisputed for decades, a belief in the benefits of avoiding
cardiopulmonary bypass and electromechanical arrest had sustained
interest in techniques for surgery on the beating heart. Combined
with the refinement of techniques of coronary exposure and
myocardial stabilization, coronary surgery on the beating heart had
slowly regained popularity in the 1990s.
The result of an important collaboration from several
international authorities in the field, "Beating Heart Coronary
Artery Surgery" summarizes the most important and innovative
developments in surgical myocardial revascularization that have
evolved in recent years. The book is divided into three parts:
technical aspects ("how to"); surgical approaches; and outcomes in
off-pump coronary surgery. The reader will be exposed to a
comprehensive review of the principles of coronary exposure,
preferred surgical approaches, coronary stabilization, management
of hemodynamics, graft patency verification in off-pump coronary
surgery, and patient outcomes.
General
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