Techniques For Minimally Invasive Direct Coronary Artery Bypass Surgery

In the early days of cardiac surgery, but also in the following four decades, median sternotomy and cardiopulmonary bypass were nearly always included in cardiac surgical procedures. Less invasive surgical techniques were developed with the aim of reducing perioperative trauma without compromising the surgical result, and things became more complex for cardiac surgeons. They now often had to consider the surgical access of choice and whether cardiopulmonary bypass should be used or not. Since the mid 1990s, not only have several novel minimally invasive surgical techniques been presented, but also further refinements have been recommended from time to time. This work comes to fill a gap in the field of coronary artery bypass grafting and conduit harvesting in cardiac surgery, by gathering the mature version of such new, less invasive techniques combining safety, effectiveness, simplicity, sometimes even reducing procedural costs and that always for the patient’s and for the surgeon’s sake.

Minimally invasive cardiac surgery(MICS) is an integral component of every future cardiac surgeon’s training. There continues to be a growing global demand towards less invasive surgical techniques. Both cardiologist and cardiac surgeon form "heart teams" to provide patients with novel, minimally invasive procedures, with all their benefits. Less invasive techniques are often complex and require special knowhow and skills. This book offers an innovative approach to learning, utilizing QR code technology, which refers the reader to essential audio-visual material, which, along with the didactic text, focuses on practical aspects of minimally invasive cardiac surgery. In modern Heart Teams, and with the advent of the hybrid era, surgeons will only be able to survive if they have state-of-the-art skills in less invasive technologies, which can be incorporated in the hybrid theatre and/or trans-catheter arena. This text accompanies the surgeon along this path, and provides clinical advice and practical solutions, beyond the necessary basic knowledge. Which courses to visit, which videos to watch, which centres to join for serious training? How best to exploit public and multimedia? How to consent a patient into a MICS procedure? How to set up a MICS program or practice? In the era of value driven outcomes, and a shift towards shorter and better patient journeys, MICS is a skill that no heart surgeon can be without. Minimally Invasive Cardiac Surgery: A Practical Guide is a teaching resource, reference book and manual written by surgeons who both operate and teach the procedures described within. Provides access to online resources via QR codes Includes links to videos and the e-version of the text Acts as a gateway to a huge choice of minimally invasive cardiac surgery materials

This book provides an invaluable practically applicable and comprehensive manual to coronary artery bypass grafting (CABG) surgery. Critical concepts and techniques are discussed in an easy-to-follow and understand step-by-step guide, featuring a wealth of intraoperative photos and illustrations with concise and instructive descriptions. Topics covered include classical sternotomy, variants of arterial revascularization, off-pump and minimally invasive techniques (MICS-CABG). Operative Techniques in Coronary Artery Bypass Surgery provides invaluable assistance to residents, fellows and trainee surgeons by explaining theoretical and technical aspects of the latest advances in procedural techniques and therapy personalization to optimize CABG surgical outcome. Considering that any heart team depends entirely on the participants’ knowledge and their willingness to cooperate, this work allows cardiologists and the other participants of a heart team to better understand the strengths and limitations of state-of-the-art surgical coronary revascularization. The concepts synthesized within the checklists and decision algorithms provided also enable the reader to develop their knowledge of which technique is the most appropriate for a particular patient.

In the early days of cardiac surgery, but also in the following four decades, median sternotomy and cardiopulmonary bypass were nearly always included in cardiac surgical procedures. Less invasive surgical techniques were developed with the aim of reducing perioperative trauma without compromising the surgical result, and things became more complex for cardiac surgeons. They now often had to consider the surgical access of choice and whether cardiopulmonary bypass should be used or not. Since the mid 1990s, not only have several novel minimally invasive surgical techniques been presented, but also further refinements have been recommended from time to time. This work comes to fill a gap in the field of coronary artery bypass grafting and conduit harvesting in cardiac surgery, by gathering the mature version of such new, less invasive techniques combining safety, effectiveness, simplicity, sometimes even reducing procedural costs and that always for the patienta (TM)s and for the surgeona (TM)s sake.

ardiac surgeons are rethinking all their traditional techniques--avoiding cardiopulmonary bypass when feasible, attempting to reduce incision size, and thereby reduce the trauma inflicted on the patient. The technology involved in performing minimally invasive surgery concerns not only instrumentation but also anesthetic management, for example, the use of transesophageal echocardiography and radiological interventions in the operating suite for the stenting of the aorta. This latest volume in the Society of Cardiovascular Anesthesiologists Monograph series addresses the anesthesiologist's changing role in dealing with patients undergoing these newer, unconventional surgical operations.

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. A complete and concise resource on all aspects of coronary surgery In-depth illustrative review of various coronary techniques Covers both current recommendations and well-established practices in the field

Minimally invasive coronary artery bypass (MIDCAB) is an alternative to conventional surgery. Performed off-pump, the endoscopic approach offers patients many favourable advantages. This book illustrates MIDCAB and other less invasive procedures, also covering areas like training and anaesthesia.

Highly Commended, BMA Medical Book Awards 2014 The development of new techniques as well as the refinement of established procedures has led to great progress in cardiac surgery. Providing an ideal synopsis of the growth in this area, Cardiac Surgery: Recent Advances and Techniques systematically reviews all the new developments in cardiac surgery, from transcatheter aortic valve implantation to minimally invasive mitral valve surgery. Recognised leaders and innovators throughout the world describe each technique and include up-to-date information regarding current trials relating to each new procedure. Each chapter contains images and drawings to illustrate the techniques and the book provides ample references to facilitate further study. This volume is designed for anyone involved in the practice of cardiac surgery, from residents at all stages of their training programme to established cardiac surgeons. Cardiologists and cardiothoracic intensive care unit specialists will also find this book useful to better understand the management of patients undergoing these procedures. All cardiac surgeons are required to keep up to date with current practice for recertification purposes. Cardiac Surgery: Recent Advances and Techniques is an essential reference for this purpose.