Technical Aspects of Modern Coronary Artery Bypass Surgery

Technical Aspects of Modern Coronary Artery Bypass Surgery

1st Edition - November 8, 2020

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  • Editor: Mario Gaudino
  • Paperback ISBN: 9780128203484
  • eBook ISBN: 9780128203491

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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.

Key Features

  • 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


Cardiovascular surgeons, practicing clinicians, younger cardiothoracic surgeons in fellowship training, cardiovascular researchers, cardiothoracic researchers. Established cardiothoracic surgeons who would like to familiarize themselves with newer guidelines and techniques in the field. A course or workshop directed at improving and teaching hands-on skills in coronary surgery to cardiothoracic surgeons

Table of Contents

  • 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

Product details

  • No. of pages: 378
  • Language: English
  • Copyright: © Academic Press 2020
  • Published: November 8, 2020
  • Imprint: Academic Press
  • Paperback ISBN: 9780128203484
  • eBook ISBN: 9780128203491

About the Editor

Mario Gaudino

Dr. Mario Gaudino is the Stephen and Suzanne Weiss Professor of Cardiothoracic Surgery and the Director of Clinical and Translational Research at Department of Cardiothoracic Surgery, New York Presbyterian/Weill Cornell Medicine. He is also the Chairman of the Coronary Artery Task Force of the European Association of Cardio-thoracic Surgery. He is the recipient of numerous peer-reviewed grants and is currently leading the Randomized comparison of the clinical outcome of single versus Multiple Arterial grafts (ROMA) trial. He serves on different committees of the American Heart Association, American Association for Thoracic Surgery, and the Society of Thoracic Surgeons and has authored over 300 peer-reviewed publications. He is also the Deputy Editor of Journal of Cardiac Surgery, Associate Editor of the European Journal of Cardio-thoracic Surgery and serves on the editorial boards of the Journal of Thoracic and Cardiovascular Surgery, Annals of Thoracic Surgery, and Journal of Thoracic Disease. He has authored more than 300 peer-reviewed manuscripts. In his unique position, Dr. Gaudino’s has been able to collaborate with an extraordinary group of world class experts to develop the field of coronary artery bypass grafting. All contributors in the book are not only leading authorities in the field, but also part of a very well-organized network that he collaborates with.

Affiliations and Expertise

Director of Translational and Clinical Research, Department of Cardiothoracic Surgery, Weill Cornell Medicine Chair Coronary Artery Task Force, European Association for Cardio-thoracic Surgery

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