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uncomplicated q wave mi cabg has very little place in cases of uncomplicated q wave myocardial infarction however the place of urgent surgery
acute myocardial infarction patients with acute non-q myocardial infarction may need urgent intervention as indicated for cases of unstable
unstable angina it is indicative of important reversible myocardial ischaernia that needs urgent evaluation and treatment medical management
single vessel disease svd they do well on medical treatment or with angioplasty however if proximal lad is significantly blocked and lima can be
double vessel disease dvd percutaneous intervention with stetting is usually advised for these patients however if it is left main equivalent
triple vessel disease tvd patients with triple vessel disease and impaired left ventricular function do badly on medical treatment they are
left main coronary artery disease lmcad stenosis of 50 per cent or more of the left main coronary artery is an indication if or surgery results of
indications for coronary artery bypass surgery the modalities of treatment for coronary artery disease iuc 1 medical 2 angioplasty and stenting
gastro epiploic arterygea is seldom used now patency has been reported as 94 per cent at one year 88 per cent at five years and 83 per cell1 at ten
radial artery ra patency of ra is less than that of ih4a but much superior to a venous graft one of the studies showed 90 per cent patency at 13
internal mammary artery 1ma this is an excellent graft when left internal mammary artery lima is anastomosed to lad which has more than 70 per
vein grafts at the end of ten years only 50 per cent of saphenous vein grafts are paten1 and 50 per cent of the rest may have significant
biological conduits freeze dried arterial bovine ma human umbilical vein cryo preserved umbilical vein or artery and omniflow sheep collagen tube
synthetic conduitsdacron polytetra fluro ethylene ptfe and polyglycolic acid grafts have extremely poor results and are not used any
inferior epigastric artery i this is a branch of external iliac artery supplying the abdominal wall it is raised as a free graft for cabg the
gastro epiploic artery ge gastro epiploic artery is a less popular arterial conduit now the midline chest incision is extended to the umbilicus
radial artery carpentier used radial aartc14y us a conduit for cabg in 197 1 he had 30 percent early occlusion of the graft and it was given up the
surgery for coronary artery disease stenotic coronary artery disease cad is caused by the thickening and narrowing of the coronary arteries
application off pump coronary artery bypass surgery opcabcabg is done on epicai-dial vessels cardio pulmonary by pass is used only to get a
off pump surgery in spite of great advancements in techniques of cardio pulmonary bypass it is still not physiological there can be various
total artificial heart jarvik seven was the first successful total artificial heart supporting the patient for 112 days the disadvantage is that
ventricular assist devices these come handy when iabp has failed or when prolonged circulatory support is needed now ieft ventricular lvad right
complications iabp can compromise blood flow to the leg at the time of insertion pumping or after removal of balloon it may also cause perforation
equipment basically it has an intra aortic balloon pump a balloon with a capacity of 40 ml is passed percutaneously through the femoral artery
contra indication it is absolutely contra indicated if their is more than trivial aortic regurgitation aortic aneurysm and severe aorto iliac