박동하는 심장에서 수술하는 관상동맥우회술
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9791159434648
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| Publication Date | 2024/10/01 |
| Pages/Weight/Size | 215*275*20mm |
| ISBN | 9791159434648 |
| Categories | 대학교재 > 의약학/간호 계열 |
Description
『박동하는 심장에서 수술하는 관상동맥우회술』은 30년간 3,000명 이상의 환자에게 관상동맥우회술(OPCAB)을 시행하며, 관상동맥우회술의 최고 권위자로 인정받는 유경종 교수의 풍부한 경험과 깊은 지식을 담고 있다. 저자는 오랜 경험을 바탕으로 수술 중 환자에게 가장 효율적이고 안전한 방법을 제시하며, 이를 실제 사례, 사진, 동영상, 그리고 그래픽을 통해 구체적으로 설명한다. 독자들은 QR 코드를 통해 23개의 수술 동영상을 직접 확인할 수 있다. 이 책은 단순히 이론에 그치지 않고, 실전 경험과 노하우를 강조하여 수술 과정에서 흔히 발생할 수 있는 실수나 불필요한 동작들을 지적하며, 수술 과정의 개선에 도움이 될 수 있도록 구성되었다. 저자의 풍부한 경험과 전문 지식이 녹아 있는 이 책은 OPCAB을 시행 중이거나 새롭게 시작하려는 의료인들에게 귀중한 자료가 될 것이다.
Contents
머리말 - 책을 쓰고 난 후에 iii
CHAPTER 1 History of OPCAB 1
CHAPTER 2 Anatomy of Coronary Artery 7
CHAPTER 3 Hemodynamic Management During OPCAB 15
1. 심장거상과 고정(Mechanical Cardiac Displacement)에 의한 혈역학적 변화에 대한 관리 16
2. OPCAB 중 Mechanical Cardiac Displacement 시 주요 혈역학적 지표와 Transesophageal Echocardiography 소견 19
3. Myocardial Ischemia 23
4. 결론 27
CHAPTER 4 Techniques of Graft Harvesting 29
1. Internal Mammary Artery 29
2. Radial Artery 41
3. Gastroepiploic Artery 44
4. Greater Saphenous Vein 46
CHAPTER 5 Techniques of Graft Anastomoses 49
1. End to Side Anastomoses Technique 56
2. Sequential Anastomoses Technique 58
3. Composite Graft Technique 65
4. Aortic Anastomoses Technique 71
CHAPTER 6 How many on-pump CABG Cases are Needed Before Beginning of OPCAB 75
CHAPTER 7 Advantages and Disadvantages of OPCAB 85
CHAPTER 8 Graft Strategies of Coronary Artery Bypass Grafting 97
1. Consideration of Target Coronary Artery 98
2. Myocardial Viability 100
3. Ideal Conduits 103
4. How to use 2nd or 3rd Graft? 111
5. Other Factors for Graft Strategy 116
CHAPTER 9 How to Perform OPCAB 121
1. Left Anterior Descending Artery Anastomoses 134
2. Lateral wall Coronary Artery Anastomoses 138
3. Right Coronary Artery Anastomoses 141
4. Summary 146
CHAPTER 10 Flow Competition 149
1. Strategy to Prevent Flow Competition 151
2. Management of Flow Competition in Operating Theater 157
CHAPTER 11 OPCAB in Complicated Cases 165
1. Left Ventricular Dysfunction 165
2. Ischemic Mitral Regurgitation 168
3. Hypertrophic Big Heart 170
4. Intra-Myocardial Target Coronary Artery 171
5. Severe Atherosclerosis and/or Calcified Coronary Artery 175
6. Multiple Stenosis of Coronary Artery 177
7. Re-do OPCAB 184
8. Coronary Artery Injury During PCI 190
9. Optimal Timing of OPCAB in Acute Myocardial Infarction 194
CHAPTER 12 Unexpected Events during OPCAB 197
1. Air Embolism 197
2. Epicardial Dissection 199
3. Torsion or Kinking of Graft 200
4. Shortening of Graft 203
5. Bleeding in Anastomotic Site 206
6. Poor Graft Performance in Flowmeter 208
7. Hypoperfusion Syndrome 209
CHAPTER 13 Postoperative Care 213
1. Cardiac Performance 218
2. Cardiac Medication Including Beta-Blocker, Calcium Channel Blocker and Antiplatelet Agent 222
3. Postoperative Bleeding 226
CHAPTER 14 Perspectives of OPCAB 231
찾아보기 237
CHAPTER 1 History of OPCAB 1
CHAPTER 2 Anatomy of Coronary Artery 7
CHAPTER 3 Hemodynamic Management During OPCAB 15
1. 심장거상과 고정(Mechanical Cardiac Displacement)에 의한 혈역학적 변화에 대한 관리 16
2. OPCAB 중 Mechanical Cardiac Displacement 시 주요 혈역학적 지표와 Transesophageal Echocardiography 소견 19
3. Myocardial Ischemia 23
4. 결론 27
CHAPTER 4 Techniques of Graft Harvesting 29
1. Internal Mammary Artery 29
2. Radial Artery 41
3. Gastroepiploic Artery 44
4. Greater Saphenous Vein 46
CHAPTER 5 Techniques of Graft Anastomoses 49
1. End to Side Anastomoses Technique 56
2. Sequential Anastomoses Technique 58
3. Composite Graft Technique 65
4. Aortic Anastomoses Technique 71
CHAPTER 6 How many on-pump CABG Cases are Needed Before Beginning of OPCAB 75
CHAPTER 7 Advantages and Disadvantages of OPCAB 85
CHAPTER 8 Graft Strategies of Coronary Artery Bypass Grafting 97
1. Consideration of Target Coronary Artery 98
2. Myocardial Viability 100
3. Ideal Conduits 103
4. How to use 2nd or 3rd Graft? 111
5. Other Factors for Graft Strategy 116
CHAPTER 9 How to Perform OPCAB 121
1. Left Anterior Descending Artery Anastomoses 134
2. Lateral wall Coronary Artery Anastomoses 138
3. Right Coronary Artery Anastomoses 141
4. Summary 146
CHAPTER 10 Flow Competition 149
1. Strategy to Prevent Flow Competition 151
2. Management of Flow Competition in Operating Theater 157
CHAPTER 11 OPCAB in Complicated Cases 165
1. Left Ventricular Dysfunction 165
2. Ischemic Mitral Regurgitation 168
3. Hypertrophic Big Heart 170
4. Intra-Myocardial Target Coronary Artery 171
5. Severe Atherosclerosis and/or Calcified Coronary Artery 175
6. Multiple Stenosis of Coronary Artery 177
7. Re-do OPCAB 184
8. Coronary Artery Injury During PCI 190
9. Optimal Timing of OPCAB in Acute Myocardial Infarction 194
CHAPTER 12 Unexpected Events during OPCAB 197
1. Air Embolism 197
2. Epicardial Dissection 199
3. Torsion or Kinking of Graft 200
4. Shortening of Graft 203
5. Bleeding in Anastomotic Site 206
6. Poor Graft Performance in Flowmeter 208
7. Hypoperfusion Syndrome 209
CHAPTER 13 Postoperative Care 213
1. Cardiac Performance 218
2. Cardiac Medication Including Beta-Blocker, Calcium Channel Blocker and Antiplatelet Agent 222
3. Postoperative Bleeding 226
CHAPTER 14 Perspectives of OPCAB 231
찾아보기 237