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| http://dx.doi.org/10.1016/j.xjtc.2021.09.050 | DOI Listing |
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Defining the Role of Anaortic Coronary Artery Bypass Grafting.
J Clin Med
July 2023
Department of Cardiothoracic Surgery, Monash Health, The Victorian Heart Hospital, Melbourne 3168, Australia.
As the population ages and co-morbidities become more prevalent, the complexity of patients presenting for coronary artery bypass surgery is increasing. Cardiopulmonary bypass and aortic cross-clamping in these patients carry increased risk and, indeed, in some patients, with ascending aortic disease, the risks are prohibitive. Total-arterial anaortic coronary artery surgery is a technique that provides complete surgical coronary artery revascularization without cardiopulmonary bypass and without manipulating the ascending aorta.
View Article and Find Full Text PDFSynchronous Carotid Endarterectomy and Anaortic Off-Pump Coronary Artery Bypass Surgery.
Heart Lung Circ
May 2023
Department of Cardiovascular Surgery, The Mount Sinai Hospital, New York NY, USA.
Background: There is ongoing debate regarding the optimal strategy and timing for the surgical management of patients with severe concomitant carotid and coronary artery disease. Anaortic off-pump coronary artery bypass (anOPCAB), which avoids aortic manipulation and cardiopulmonary bypass, has been shown to reduce the risk of perioperative stroke. We present the outcomes of a series of synchronous carotid endarterectomy (CEA) and anOPCAB.
View Article and Find Full Text PDFPersonalized surgical planning for coronary bypass graft configurations using patient-specific computational modeling to avoid flow competition in arterial grafts.
Front Cardiovasc Med
February 2023
Auckland Bioengineering Institute, The University of Auckland, Auckland, New Zealand.
Article Synopsis
- This study aimed to assess how different coronary artery bypass graft (CABG) configurations impact blood flow and graft success, using computational fluid dynamics (CFD) models to aid surgical decision-making.
- Sixteen surgeons evaluated preferred grafting strategies for patients with severe coronary artery disease, comparing standard 'aortic' approaches to 'anaortic' techniques that minimize aortic manipulation.
- Results showed that 'anaortic' configurations were more likely to result in unsatisfactory grafts without CFD guidance, but the use of predictive models significantly improved surgeon decisions, particularly for 'anaortic' approaches.
Commentary: Total-arterial, anaortic revascularization, and the boutique practice of coronary surgery.
JTCVS Tech
December 2021
Department of Thoracic and Cardiovascular Surgery, Coronary Center, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio.
Total-arterial, anaortic, off-pump coronary artery surgery: Why, when, and how.
JTCVS Tech
December 2021
Department of Cardiovascular Surgery, Mount Sinai Morningside, NY.
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