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CABG Anatomy On off pump Conduits

CABG Anatomy On off pump Conduits. The Heart. Human Heart. The Pericardium. Coronary Anatomy. Coronary Angiography. Normal left coronary. Normal right coronary. Left Main stem. Left Main stem. Lad and circ lesion. Lad and circ lesion. Right lesion. Right lesion. How to do a CABG.

mariko-phelps
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CABG Anatomy On off pump Conduits

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  1. CABGAnatomy On off pump Conduits

  2. The Heart

  3. Human Heart

  4. The Pericardium

  5. Coronary Anatomy

  6. Coronary Angiography

  7. Normal left coronary

  8. Normal right coronary

  9. Left Main stem

  10. Left Main stem

  11. Lad and circ lesion

  12. Lad and circ lesion

  13. Right lesion

  14. Right lesion

  15. How to do a CABG • On pump • Cardiopulmonary Bypass • Cardioplegia • Off pump

  16. Cardiopulmonary bypass

  17. Bypass setup

  18. Bypass machine

  19. Cardioplegia

  20. Off pump

  21. Video

  22. Conduits • LIMA • RIMA • BIMA (LIMA and RIMA) • SVG • Radial left and right • Other • Single or composite

  23. LIMA • Gold standard for LAD • Pedicled or non-pedicled • Skeletonised or not

  24. LIMA Harvest

  25. LIMA

  26. RIMA • Prox right or prox circ

  27. BIMA • Same indications as LIMA and RIMA • Sternal wound problems especially if diabetic and obese

  28. SVG • The usual conduit of choice

  29. Radial artery Coronary lesion must be > 70 % stenosed No difference at 5 years for RCA disease compared to SVG

  30. Radial Harvest

  31. Composite graft - T graft

  32. Answer • LIMA and • SVG / radial / RIMA depending on coronary anatomy and patient characteristics Answer is in the middle

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