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.

• 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

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