Technical Aspects of Modern Coronary Artery Bypass Surgery

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.

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