The second edition of this popular book describes present practice of the surgical management of coronary artery disease in the context of current knowledge of the presentation and natural history of the condition, and available medical therapies. The text opens with a scene-setting chapter from the editor, describing the background to modern practice in the surgical management of coronary artery disease and outlining how this might evolve in the future. This is followed by a consideration of the angiographic anatomy and pathophysiology of coronary artery disease, putting the basic science that underlies disease development in context for the surgeon and cardiologist. The methods of patient investigation and selection are given detailed consideration, including the role of nuclear imaging techniques and MRI. Operative surgical techniques, including minimally invasive and beating heart surgery, are described in detail. Coverage in this section includes anaesthetic, peri- and post-operative issues, and a consideration of complications and their management. Surgery in acute ischemia and repair of ischemically damaged ventricles are described.Symptomatic and survival outcome are discussed, and recommendations for postoperative risk modification are included. This fully revised and updated edition will remain essential reading for all surgeons involved in the management of coronary artery disease and an invaluable reference for cardiologists with an interest in this area.
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