Surgery for ischemic heart disease

Surgical treatment of ischemic heart disease continues to evolve, and specific criteria are available to guide management. The benefit of placing the left internal mammary artery to the left anterior descending artery is well known, and there are newer data, not including survival benefit, supportin...

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Bibliographic Details
Published in:	Current opinion in cardiology Vol. 8; no. 2; p. 276
Main Authors:	Palazzo, R S, Barner, H B
Format:	Journal Article
Language:	English
Published:	United States 01-03-1993
Subjects:	Angioplasty, Balloon, Coronary Blood Vessels - transplantation Humans Myocardial Ischemia - surgery Treatment Outcome
Online Access:	Get more information
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Summary:	Surgical treatment of ischemic heart disease continues to evolve, and specific criteria are available to guide management. The benefit of placing the left internal mammary artery to the left anterior descending artery is well known, and there are newer data, not including survival benefit, supporting the use of two internal mammary arteries. The role of more than two arterial conduits remains to be established. It is hoped that greater use of arterial conduits will reduce the need for reoperation due to saphenous vein graft closure. Operations on older patients and on those with severe impairment of left ventricular function continue to increase. These cases present an ongoing challenge, as do those when operation for acute failure of angioplasty is required.
ISSN:	0268-4705
DOI:	10.1097/00001573-199303000-00013