Technique-recurrence of angina, Biology

Assignment Help:

Technique:  Careful re-opening of sternum and release of steinum from the underlying adhesion is done. Femoral artery and vein are exposed for going on femoro fenioral bypass, if there is torrential bleeding. Arterial conduits are prepared for re grafting. (IMA or RA) Availability of a cell saver is a good idea.

Careful dissection to release the heart from pericardium is done. At times, last part of the dissection can be done on bypass with an empty beating heart.

Careful preservation of LIMA, which is functioning, and minimal handling of runctioning vein grafts is important. Good myocardial protection by antegrade and retrograde cardioplegia is important. The operation can also be done off pump (OPCAB).

If only left sided grafts are to be done, a left thoracotomy is useful in OCPAB. Radial artery niay be used from descending thoracic aorta to OM or PDA. If LIMA is available it csul be used for LAD or OM. Mortality is 3-6 per cent. Peri operative MI 6-7 per cent.

 


Related Discussions:- Technique-recurrence of angina

Define arthropod by basic morphology - germ layers, Q. Arthropod identity c...

Q. Arthropod identity card. How are arthropods characterized according to examples of representing beings, basic morphology, type of symmetry, germ layers and coelom, digestive sys

Digestive system of class asteroidea, Digestive System of Class Asteroidea ...

Digestive System of Class Asteroidea Most asteroids are scavengers or carnivores and feed on snails, bivalves, polychaets, other echinoderms, fish, sponges, sea anemones and p

Chordata, what are the two main subdivisions of the phylum chordata

what are the two main subdivisions of the phylum chordata

Poultry and duck diseases-avian encephalomyelitis, Avian encephalomyelitis ...

Avian encephalomyelitis This is an acute infectious disease of birds (3 weeks old), which is caused by a member of the genus Enterovirus in the family Picornaviridae. Epid

Aujeszky''s disease, Aujeszky's disease This is primarily a disease of...

Aujeszky's disease This is primarily a disease of pigs, which serve as the principal reservoir host. The secondary hosts include cattle, horse, sheep, goat, dog and cat but hu

What is juvenile mitral stenosis, Q. What is Juvenile Mitral Stenosis ? ...

Q. What is Juvenile Mitral Stenosis ? Peculiar to developing countries is the problem of juvenile mitral stenosis. Patients with rheumatic fever develop tight mitral stenosis i

Define hydrolytic rancidity - lipolysis, Define hydrolytic rancidity Li...

Define hydrolytic rancidity Lipolysis is a major action occurring during deep fat frying due to large amounts of water introduced from the food and the relatively high temperat

State in brief about the neuropsychological tests, State in brief about the...

State in brief about the Neuropsychological tests Neuropsychological tests have to be constructed using the psychometric approach the interpretation of test performance would n

Which are the phases of the menstrual cycle, Which are the phases of the me...

Which are the phases of the menstrual cycle? The menstrual cycle is separated into two main phases: the follicular (or menstrual) phase and the luteal (or secretory) phase.

Liver, how the gall bladder develops in a trnsplanted liver tissue ?

how the gall bladder develops in a trnsplanted liver tissue ?

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd