Alternative Bypass Conduits and Methods for Surgical Coronary Revascularization

Cardiovascular surgeons are being challenged by ever-increasing numbers of patients with deficient quantity, or poor quality, of conduit available for surgical coronary revascularizations. As a result, the surgeon must use alternative conduits and/or methods to provide a safe and effective coronary revascularization procedure. The aim of this book is to assist the surgeon with these less-than-ideal conditions and provide the new and/or clinically active surgeon with a source of reference for the use of alternative conduits and surgical coronary revascularization methods. A discussion of the standard bypass conduits (internal mammary artery and the greater saphenous vein) is presented in addition to a discussion of the alternative venous and arterial bypass conduits. The internal mammary artery and the saphenous vein as alternative bypass conduits are also presented in detail. In the final sections, nonconduit revascularization techniques and artificial grafts are discussed.

Preface. R.K. Grooters, H. Nishida. . Part I: The Standard Conduits. 1. The Internal Mammary Artery. R.K. Grooters, H. Nishida. 2. The Greater Saphenous Vein. R.K. Grooters, H. Nishida. . Part II: Alternative Venous Bypass Conduits. 3. The Lesser Saphenous Vein. R.K. Grooters, H. Nishida. 4. The Arm Vein. R.K. Grooters, H. Nishida. 5. The Homologous Veins. R.K. Grooters, H. Nishida. . Part III: Alternative Arterial Bypass Conduits. 6. The Right Gastroepiploic Artery Graft. H. Suma. 7. The Inferior Epigastric Artery. C. Everson, N. Mills. 8. The Radial Artery. R.K. Grooters, H. Nishida. 9. The Splenic Artery. R.K. Grooters, H. Nishida. 10. The Subclavian Artery. R.K. Grooters, H. Nishida. 11. The Lateral Costal Artery. R.K. Grooters, H. Nishida. . Part IV: Alternative Bypass Methods Using the Internal Mammary Artery. 12. Bilateral Internal Mammary Artery Usage. R.K. Grooters, H. Nishida. 13. Sequential Internal Mammary Artery Grafting. R.K. Grooters, H. Nishida. 14. The Internal Mammary Artery Free Graft. R.K. Grooters, H. Nishida. 15. The Composite Graft. R.K. Grooters, H. Nishida. 16. Coronary Bypass Using the Inverted Internal Mammary Artery. R.K. Grooters, H. Nishida. . Part V: Alternative Bypass Methods Using the Saphenous Vein. 17. Sequential Vein Grafting. R.K. Grooters, H. Nishida. 18. The Innominate Artery-Coronary Artery Venous Bypass. R.K. Grooters, H. Nishida. 19. The Sublclavian Artery-Coronary Artery Venous Bypass. R.K. Grooters, H. Nishida. 20. The Coronary-Coronary Bypass Graft. R.K. Grooters, H. Nishida. 21. The Selective Retrograde Coronary Venous Bypass. R.K. Grooters, H. Nishida. 22. Sequential Vein Coronary Artery Grafting With A Surgical Atrial Fistula. H. Nishida, M. Endo, H. Koyanagi, R.K. Grooters. . Part VI: Nonconduit Revascularization Techniques. 23. Patching Techniques for Coronary Artery Revascularization. R.K. Grooters, H. Nishida. 24. Extensive Coronary Artery Endarterectomy. P. Pedraza. 25. Operative Transluminal Coronary Artery Angioplasty. M. Endo. 26. Operative Transluminal Laser Coronary Artery Angioplasty. M. Endo. . Part VII: Artificial Grafts in the Coronary Position. 27. The Past, Present, and Future of Small Diameter Grafts. J.D. Gates, K.C. Kent