An Anomalous Configuration of Coronary Artery: A Cadaveric Study

Anatomical variations in relation to coronary artery and its branches will help cardiac surgeons for refining imaging techniques and coronary artery bypass grafting. A heart was detected with multiple anomalies of coronary arteries in a cadaver. The anomalies of coronary arteries in terms of origin, number of ostia, courses, and presence of myocardial bridges were described, and related clinical implications were highlighted in the present study. The knowledge of variant anatomy may be of paramount importance to anatomists for variant anatomy and to cardiac surgeon for proper diagnosis and treatment of cardiac ailments including radiologists to refine image interpretation.

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Coronary Artery Bypass Grafting in Patients with Intracoronary Stent Related Complications

University Heart Journal ◽

10.3329/uhj.v7i1.10213 ◽

2012 ◽

Vol 7 (1) ◽

pp. 56-58

Author(s):

Masoom Siraj ◽

Md Sharif Hasan

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass Grafting ◽

Coronary Artery Bypass ◽

Coronary Arteries ◽

Surgical Intervention ◽

Artery Bypass ◽

Bypass Grafting ◽

Artery Bypass Grafting ◽

Intracoronary Stenting ◽

Cardiac Surgeons

Intracoronary stenting is an established modality of treatment to relieve narrowing of coronary arteries. Increasing use of stenting is bringing to light new complications. Here we present our experience with a newly emerging indication for surgical intervention for cardiac surgeons. This new indication is complications arising from intracoronary stents. Very little is available in the existing literature to guide the surgeon. We explain our rationale in doing things with two of our cases. DOI: http://dx.doi.org/10.3329/uhj.v7i1.10213 UHJ 2011; 7(1): 56-58

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Preoperative thrombolytic therapy and Emergent Coronary Artery Bypass Grafting (ECABG) in Cardiogenic Shock (CS): What is the impact for the cardiac surgeon?

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-2006-925807 ◽

2006 ◽

Vol 54 (S 1) ◽

Author(s):

M Breuer ◽

C Struening ◽

J Wippermann ◽

U Franke ◽

T Wahlers

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass Grafting ◽

Thrombolytic Therapy ◽

Cardiogenic Shock ◽

Coronary Artery Bypass ◽

Artery Bypass ◽

Bypass Grafting ◽

Artery Bypass Grafting ◽

Cardiac Surgeon ◽

The Impact

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Quantification of Coronary Artery Stenosis with 16-Slice MSCT in Patients before CABG Surgery: Comparison to Standard Invasive Coronary Angiography

The Heart Surgery Forum ◽

10.1532/hsf98.20041144 ◽

2005 ◽

Vol 8 (1) ◽

pp. 42 ◽

Cited By ~ 12

Author(s):

C. Probst ◽

A. Kovacs ◽

C. Schmitz ◽

W. Schiller ◽

H. Schild ◽

...

Keyword(s):

Coronary Artery ◽

Coronary Angiography ◽

Coronary Arteries ◽

Artery Bypass ◽

Invasive Coronary Angiography ◽

Bypass Graft ◽

Heart Association ◽

Artery Stenosis ◽

Vessel Disease ◽

Selective Coronary Angiography

Objective: Invasive, selective coronary angiography is the gold standard for evaluation of coronary artery disease (CAD) and degree of stenosis. The purpose of this study was to compare 3-dimensional (3D) reconstructed 16-slice multislice computed tomographic (MSCT) angiography and selective coronary angiography in patients before elective coronary artery bypass graft (CABG) procedure. Methods: Sixteen-slice MSCT scans (Philips Mx8000 IDT) were performed in 50 patients (42 male/8 female; mean age, 64.44 8.66 years) scheduled for elective CABG procedure. Scans were retrospectively electrocardiogram-gated 3D reconstructed. The images of the coronary arteries were evaluated for stenosis by 2 independent radiologists. The results were compared with the coronary angiography findings using the American Heart Association segmental classification for coronary arteries. Results: Four patients (8%) were excluded for technical reasons. Thirty-eight patients (82.6%) had 3-vessel disease, 4 (8.7 %) had 2-vessel disease, and 4 (8.7%) had an isolated left anterior descending artery stenosis. In the proximal segments all stenoses >50% (56/56) were detected by MSCT; medial segment sensitivity was 97% (73/75), specificity 90.3%; distal segment sensitivity was 90.7% (59/65), specificity 77%. Conclusion: Accurate quantification of coronary stenosis greater than 50% in the proximal and medial segments is possible with high sensitivity and specificity using the new generation of 16-slice MSCTs. There is still a tendency to overestimate stenosis in the distal segments. MSCT seems to be an excellent diagnostic tool for screening patients with possible CAD.

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Why Choose Cardiothoracic Surgery as a Career?

The Heart Surgery Forum ◽

10.1532/hsf98.20101117 ◽

2011 ◽

Vol 14 (3) ◽

pp. 142 ◽

Cited By ~ 2

Author(s):

Raja R. Gopaldas ◽

Faisal G. Bakaeen ◽

Danny Chu ◽

Joseph S. Coselli ◽

Denton A. Cooley

Keyword(s):

Technological Progress ◽

Artery Bypass ◽

Cardiothoracic Surgery ◽

Faculty Members ◽

New Graduates ◽

The Future ◽

Cardiac Surgeon ◽

The Right ◽

Cardiac Surgeons ◽

The Ideal

The future of cardiothoracic surgery faces a lofty challenge with the advancement of percutaneous technology and minimally invasive approaches. Coronary artery bypass grafting (CABG) surgery, once a lucrative operation and the driving force of our specialty, faces challenges with competitive stenting and poor reimbursements, contributing to a drop in applicants to our specialty that is further fueled by the negative information that members of other specialties impart to trainees. In the current era of explosive technological progress, the great diversity of our field should be viewed as a source of excitement, rather than confusion, for the upcoming generation. The ideal future cardiac surgeon must be a "surgeon-innovator," a reincarnation of the pioneering cardiac surgeons of the "golden age" of medicine. Equipped with the right skills, new graduates will land high-quality jobs that will help them to mature and excel. Mentorship is a key component at all stages of cardiothoracic training and career development. We review the main challenges facing our specialty�length of training, long hours, financial hardship, and uncertainty about the future, mentorship, and jobs�and we present individual perspectives from both residents and faculty members.

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