Coronary artery bypass surgery in anomalous coronary arteries

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Coronary Artery Bypass Surgery Microchapters

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Patient Information

Overview

Pathophysiology

Saphenous Vein Graft Disease
Other Non-Atherosclerotic Saphenous Vein Graft Diseases

Indications for CABG

Prognosis

Diagnosis

Imaging in the Patient Undergoing CABG

Chest X Ray

Angiography

CT Angiography
MRI Angiography

Trans-Esophageal Echocardiography

Treatment

Goals of Treatment

Perioperative Management

Perioperative Monitoring

Electrocardiographic Monitoring
Pulmonary Artery Catheterization
Central Nervous System Monitoring

Surgical Procedure

Anesthetic Considerations
Intervention in left main coronary artery disease
The Traditional Coronary Artery Bypass Grafting Procedure (Simplified)
Minimally Invasive CABG
Hybrid coronary revascularization
Conduits Used for Bypass
Videos on Spahenous Vein Graft Harvesting
Videos on Coronary Artery Bypass Surgery

Post-Operative Care and Complications

Recommendation for Duration of DAPT in Patients With ACS Treated With CABG

Special Scenarios

Anomalous Coronary Arteries
COPD/Respiratory Insufficiency
Existing Renal Disease
Concomitant Valvular Disease
Previous Cardiac Surgery
Menopause
Carotid Disease evaluation before surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Varun Kumar, M.B.B.S. [2]

2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery (DO NOT EDIT)[1]

Anomalous Coronary Arteries (DO NOT EDIT)[1]

Class I
"1. Coronary revascularization should be performed in patients with:
a) A left main coronary artery that arises anomalously and then courses between the aorta and pulmonary artery.[2][3][4] (Level of Evidence: B)
b) A right coronary artery that arises anomalously and then courses between the aorta and pulmonary artery with evidence of myocardial ischemia.[2][3][4][5] (Level of Evidence: B)"
Class IIb
"1. Coronary revascularization may be reasonable in patients with a LAD coronary artery that arises anomalously and then courses between the aorta and pulmonary artery. (Level of Evidence: C)"

Sources

  • 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery : A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines[1]

References

  1. 1.0 1.1 1.2 Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG; et al. (2011). "2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines". Circulation. doi:10.1161/CIR.0b013e31823c074e. PMID 22064599.
  2. 2.0 2.1 Basso C, Maron BJ, Corrado D, Thiene G (2000). "Clinical profile of congenital coronary artery anomalies with origin from the wrong aortic sinus leading to sudden death in young competitive athletes". Journal of the American College of Cardiology. 35 (6): 1493–501. PMID 10807452. Retrieved 2011-12-19. Unknown parameter |month= ignored (help)
  3. 3.0 3.1 Krasuski RA, Magyar D, Hart S, Kalahasti V, Lorber R, Hobbs R, Pettersson G, Blackstone E (2011). "Long-term outcome and impact of surgery on adults with coronary arteries originating from the opposite coronary cusp". Circulation. 123 (2): 154–62. doi:10.1161/CIRCULATIONAHA.109.921106. PMID 21200009. Retrieved 2011-12-19. Unknown parameter |month= ignored (help)
  4. 4.0 4.1 Thomas D, Salloum J, Montalescot G, Drobinski G, Artigou JY, Grosgogeat Y (1991). "Anomalous coronary arteries coursing between the aorta and pulmonary trunk: clinical indications for coronary artery bypass". European Heart Journal. 12 (7): 832–4. PMID 1889450. Unknown parameter |month= ignored (help); |access-date= requires |url= (help)
  5. Frommelt PC, Sheridan DC, Berger S, Frommelt MA, Tweddell JS (2011). "Ten-year experience with surgical unroofing of anomalous aortic origin of a coronary artery from the opposite sinus with an interarterial course". The Journal of Thoracic and Cardiovascular Surgery. 142 (5): 1046–51. doi:10.1016/j.jtcvs.2011.02.004. PMID 21439578. Retrieved 2011-12-19. Unknown parameter |month= ignored (help)

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