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Chapter 1 - Basic Principles of Cardiac Surgery

from Section 1 - Routine Cardiac Surgery

Published online by Cambridge University Press:  12 May 2020

Joseph Arrowsmith
Affiliation:
Royal Papworth Hospital, Cambridge
Andrew Roscoe
Affiliation:
Singapore General Hospital
Jonathan Mackay
Affiliation:
Royal Papworth Hospital, Cambridge
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Summary

Cardiac surgery has made extraordinary progress in the last few decades. This is largely the result of dedicated effort and almost perfect teamwork among cardiac surgeons and the allied specialty groups (anaesthesists are obviously part of it). The creativity, imagination and skills that have given rise to numerous technical innovations and surgical procedures have brought to reality the surgical treatment of the majority of the congenital malformations and the acquired lesions of the heart. The basic principles of patient selection and surgical technique in current adult cardiac surgical practice are outlined below.

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Publisher: Cambridge University Press
Print publication year: 2020

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References

Further Reading

CASS principal investigators and their associates. Myocardial infarction and mortality in the coronary artery surgery randomized trial. N Engl J Med 1984; 310: 750–8.Google Scholar
ESC/EACTS joint task force members. Guidelines on the management of valvular heart disease. Eur Heart J 2012; 33: 2451–96.Google Scholar
Lamy, A, Deveraux, PJ, Prabhakaran, D, et al. Rationale and design of the coronary artery bypass grafting surgery off or on pump revascularization study: a large international randomized trial in cardiac surgery. Am Heart J 2012; 163: 16.CrossRefGoogle ScholarPubMed
Nashef, SA, Roques, F, Michel, P, et al. European system for cardiac operative risk evaluation (EuroSCORE). Eur J Cardiothorac Surg 1999; 16: 913.CrossRefGoogle ScholarPubMed
Taggart, DP, Altman, DG, Gray, AM, et al. Randomized trial of bilateral versus single internal thoracic artery grafts. N Eng J Med 2016; 375: 2540–9.CrossRefGoogle ScholarPubMed

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