관상동맥우회술
도서명:관상동맥우회술
저자/출판사:유경종/범문에듀케이션
쪽수:264쪽
출판일:2024-10-01
ISBN:9791159434648
목차
머리말 - 책을 쓰고 난 후에 iii
CHAPTER 1 History of OPCAB 1
CHAPTER 2 Anatomy of Coronary Artery 7
CHAPTER 3 Hemodynamic Management During OPCAB 15
1. 심장거상과 고정(Mechanical Cardiac Displacement)에 의한 혈역학적 변화에 대한 관리 16
2. OPCAB 중 Mechanical Cardiac Displacement 시 주요 혈역학적 지표와 Transesophageal Echocardiography 소견 19
3. Myocardial Ischemia 23
4. 결론 27
CHAPTER 4 Techniques of Graft Harvesting 29
1. Internal Mammary Artery 29
2. Radial Artery 41
3. Gastroepiploic Artery 44
4. Greater Saphenous Vein 46
CHAPTER 5 Techniques of Graft Anastomoses 49
1. End to Side Anastomoses Technique 56
2. Sequential Anastomoses Technique 58
3. Composite Graft Technique 65
4. Aortic Anastomoses Technique 71
CHAPTER 6 How many on-pump CABG Cases are Needed Before Beginning of
OPCAB 75
CHAPTER 7 Advantages and Disadvantages of OPCAB 85
CHAPTER 8 Graft Strategies of Coronary Artery Bypass Grafting 97
1. Consideration of Target Coronary Artery 98
2. Myocardial Viability 100
3. Ideal Conduits 103
4. How to use 2nd or 3rd Graft? 111
5. Other Factors for Graft Strategy 116
CHAPTER 9 How to Perform OPCAB 121
1. Left Anterior Descending Artery Anastomoses 134
2. Lateral wall Coronary Artery Anastomoses 138
3. Right Coronary Artery Anastomoses 141
4. Summary 146
CHAPTER 10 Flow Competition 149
1. Strategy to Prevent Flow Competition 151
2. Management of Flow Competition in Operating Theater 157
CHAPTER 11 OPCAB in Complicated Cases 165
1. Left Ventricular Dysfunction 165
2. Ischemic Mitral Regurgitation 168
3. Hypertrophic Big Heart 170
4. Intra-Myocardial Target Coronary Artery 171
5. Severe Atherosclerosis and/or Calcified Coronary Artery 175
6. Multiple Stenosis of Coronary Artery 177
7. Re-do OPCAB 184
8. Coronary Artery Injury During PCI 190
9. Optimal Timing of OPCAB in Acute Myocardial Infarction 194
CHAPTER 12 Unexpected Events during OPCAB 197
1. Air Embolism 197
2. Epicardial Dissection 199
3. Torsion or Kinking of Graft 200
4. Shortening of Graft 203
5. Bleeding in Anastomotic Site 206
6. Poor Graft Performance in Flowmeter 208
7. Hypoperfusion Syndrome 209
CHAPTER 13 Postoperative Care 213
1. Cardiac Performance 218
2. Cardiac Medication Including Beta-Blocker, Calcium Channel Blocker and Antiplatelet Agent 222
3. Postoperative Bleeding 226
CHAPTER 14 Perspectives of OPCAB 231
찾아보기 237
