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

Osmotic adjustment or osmoregulation - osmotic stress, Osmotic adjustment o...

Osmotic adjustment or Osmoregulation - Osmotic Stress If concentration of soluble matter (in the form of minerals and small organic molecules) builds up in the external medium

Explain subphylum mandibulata, Subphylum Mandibulata Most of them have ...

Subphylum Mandibulata Most of them have three pairs of walking legs, mandibles, compound eyes, antennas, some with wings. There are four classes. Crustacea - aquatic with

What are the two main subdivisions of the phylum Chordata, Normal 0 ...

Normal 0 false false false EN-IN X-NONE X-NONE MicrosoftInternetExplorer4 What are the two mai

Class hirudinea - classification of coelom, Class Hirudinea - Classificatio...

Class Hirudinea - Classification of Coelom These are leeches. Number of body segments of these types of animals is fixed; usually there are 34 segments in a few groups there m

How potassium dichromate dissolved in water, How would you prepare 90 ml of...

How would you prepare 90 ml of .01 M potassium dichromate dissolved in water? Molecular mass of potassium dichromate is 294 g/mol.

Deterimne when lysosomic enzymes play a fundamental role, What are some bio...

What are some biological examples in which lysosomic enzymes play a fundamental role? The remodelation of the osseous tissue, the function of acrosomes in sperm cells and the e

Illustrate meiosis ii and meiosis i, Q. How many cells are made after meios...

Q. How many cells are made after meiosis II and meiosis I? After meiosis II four cells are created, After Meiosis I two cells with already separated homologous are created

Evolution of dental implants, The first evidence of implants dates back to ...

The first evidence of implants dates back to 600 A.D. in the Mayan population. There are reports that the ancient Egyptians attempted intra-osseous implantation of animal teeth or

Define self monitoring of blood glucose, Q. Define Self Monitoring of Blood...

Q. Define Self Monitoring of Blood Glucose? Self Monitoring of Blood Glucose (SMBG): A patient can monitor the glucose level at home by self using the glucometer for checking t

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