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The primary goal of this book is to survey issues pertaining to
coronary venous retroperfusion, a potentially beneficial treatment
of myocardial ischemia. Since attention will be focused on the
myocardium, its normal or deranged antegrade perfusion will be
discussed first, along with factors affecting blood supply to
region ally ischemic tissue. After pointing to coronary reperfusion
and its rapidly expand ing applications, the principle of coronary
venous interventions will be discussed. Recent anatomic
observations are presented to clarify features of the coronary
venous sytems, some of which remain inadequately defined, yet play
a crucial role in determining effectiveness of all retrograde
methods. The remainder of the text concentrates on the development
of retroperfusion sytems designed for retrograde treatment of
myocardium jeopardized by deficient ante grade blood delivery, sec
ondary to coronary artery obstruction. Retroinfusion of contrast is
also considered as a potential diagnostic tool. The final chapter
of the book reports on recent efforts aimed at a mathematical
modeling of mechanisms and effects of coronary venous
interventions."
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