Document Detail

Cardiac surgery without the use of cardiopulmonary bypass: the challenges.
MedLine Citation:
PMID:  17013198     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Minimally invasive bypass grafting of the internal thoracic artery to the left anterior descending artery has become routine in many institutions. Currently, indications for single vessel revascularization are expanding to those patients not suitable to be operated upon using extracorporeal circulation, but surgeons remain rather reluctant when multivessel disease is concerned. In such cases, the 'hybrid technique', i.e. single vessel bypass grafting followed by percutaneous transluminal coronary angioplasty at a different site, seems to be a more appropriate alternative. Despite the merits of minimally invasive surgery, the majority of surgeons do not believe that it is possible to achieve the same quality of anastomosis on a beating heart as on an arrested heart.
H H Scheld; C Schmid
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Current opinion in anaesthesiology     Volume:  11     ISSN:  0952-7907     ISO Abbreviation:  Curr Opin Anaesthesiol     Publication Date:  1998 Feb 
Date Detail:
Created Date:  2006-10-02     Completed Date:  2007-06-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8813436     Medline TA:  Curr Opin Anaesthesiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  5-8     Citation Subset:  -    
Department of Cardio-thoracic Surgery, Westfälische Wilhelms-Universität, Münster, Germany.
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