Beating heart bypass surgery and minimally invasive conduit harvesting : cardiosurgical techniques, anesthesia management ; with 15 tables

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. Front Matter....Pages I-XII Front Matter....Pages 1-1 A historical review: From standardized coronary bypass grafting to off-pump surgery....Pages 3-10 What do we know about OPCAB surgery?....Pages 11-30 Systemic inflammatory response after cardiac surgery: Is extracorporeal circulation the main culprit?....Pages 31-47 Front Matter....Pages 49-49 Different stabilizer concepts and exposure techniques for off-pump coronary artery bypass surgery....Pages 51-61 Adjunct tools in OPCAB surgery....Pages 62-68 Monitoring and devices for hemodynamic assessment during OPCAB....Pages 69-82 Anesthetic management....Pages 83-92 Atrial stimulation during OPCAB....Pages 93-96 Developing on OPCAB program....Pages 97-104 Surgical technique for off-pump coronary artery bypass grafting....Pages 105-114 OPCAB for multiple arterial revascularization....Pages 115-121 Front Matter....Pages 123-123 MIDCAB — anesthesia management....Pages 125-133 MIDCAB — small access bypass surgery....Pages 134-146 Minimal invasive direct coronary artery bypass grafting via partial inferior sternotomy....Pages 147-158 Robotic-enhanced MIDCAB....Pages 159-169 Off-pump totally endoscopic coronary artery bypass grafting....Pages 170-183 Front Matter....Pages 185-185 Minimally invasive vein harvesting....Pages 187-194 Minimally invasive vein harvesting — video-assisted vein harvesting....Pages 195-203 Minimally invasive video-assisted endoscopic vein harvesting....Pages 204-213 Advances in minimally invasive harvesting of the radial artery for coronary bypass grafting....Pages 214-220 Front Matter....Pages 185-185 Endoscopic radial artery harvest....Pages 221-231 Since the mid 1990s, not only have sevral novel minimally invasive surgical techniques been presented, but also furthur refinements have been recommended from time to time. This book fills 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.