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Cardiovascular Disease I
Title
Cardiovascular Disease I
Editor
iConcept Press
Price
USD$109.99
ISBN
978-1-922227-54-6
Clicks
38074

Chapter 3

Cardiovascular Disease I

Optimizing Myocardial Oxygen Delivery Clinical Impact of Coronary Retroperfusion Strategies

by Frank Harig, Joachim Schmidt and Michael Weyand

Viewed: 1387

Abstract

Summary The heart – our blood pumping perpetuum mobile- depends on sufficient mycardial perfusion and oxygen supply. In the case of ischemia, several options exist in order to optimize oxygenation: pharmacological, interventional (PCI) and surgical interventions (CABG). Coronary artery bypass grafting was experimentally and clinically evaluated in the 1960’s – the new technique was established against the impediments of contemporary cardiologists. In today’s daily surgical practice, coronary surgery often has to face coronary arteries with difficult conditions to perform bypass grafting. Patients become older (in 2009, more than 50% are older than 70 years and 12% of CABG are performed in pts. older than 80 years) [1] and the number of redo operations is growing (2009: 8.7%) [1].Thus technical considerations like obliterated vessels, intramural course and small vessel disease in an growing patient population suffering from diabetes demonstrates limitations to cardiac surgeons efforts. In this context, arterialization of of cardiac venous system may lead to an optimization of myocardial blood flow to ischemic regions.

Author Details

Frank Harig
Department of Cardiac Surgery, University Hospital Erlangen, Friedrich Alexander University, Erlangen, Germany, Germany
Joachim Schmidt
Department of Anaesthesiology, University Hospital Erlangen, Friedrich Alexander University, Erlangen, Germany, Germany
Michael Weyand
Department of Cardiac Surgery, University Hospital Erlangen, Friedrich Alexander University, Erlangen, Germany, Germany

Citation

Frank Harig, Joachim Schmidt and Michael Weyand. Optimizing Myocardial Oxygen Delivery Clinical Impact of Coronary Retroperfusion Strategies. In Cardiovascular Disease I. ISBN:978-1-922227-54-6. iConcept Press. 2014.

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