Full Arterial Off Pump Coronary Artery Bypass Grafting

[isthismeisthatyou]

why does every video these days have ANNOYING music put with it!??? turn that SHIT OFF!!!!!

[mgelevli]

@isthismeisthatyou Sorry for you have had to hear that annoying shit...

[LDeleon1]

Amazing!



[mgelevli]

@LDeleon1 Thanks...

[skywalker981]

I have some questions about the heart disease and the surgery also.

1) Why the atherosclerosis hapen to the coronary arteries. I'm asking that because the coronary arteries are working for the heart all the time unlike the other parts of the body like legs and hands.

2) how tight the arteries at the sewing order not to lose blood?

3) The arteries that been bypassed are still in the same position to the heart or we remove them. If they remain are they still working or they are dead?

[mgelevli]

@skywalker981 :-))

1. Atherosclerosis is a systemic disease, so every artery in our body is its natural target. Because the coronary arteries are end arters in the human beings, their collateral circulation is very limited for their perfusion areas, their stenosis or occlusion means the complete cessation of blood flow to the tissue, which leads to the infarction.

2. Bypass grafts are anastomosed using non-absorbable polypropylene sutures. Generally 14-16 stitches are needed.

[mgelevli]

@mgelevli 3. The native arteries are not removed, only the stenotic segment of that artery is "bypassed". Blood flow through the native arteries continue, of course to the extent the stenotic segment permits.

[skywalker981]

@mgelevli Thank you . That was what i thought about my three questions and you confirm me.

[mgelevli]

You are wellcome... Professor Taggart is a worldwide known cardiac surgeon, an expert we are all inspired, whom we had the opportunity to meet recently, in the National Congress of The Turkish Cardiovascular Surgery Association.

Off-pump operations are somewhat difficult to perform, but keeps the patient from the complications associated with the use of heart-lung machine. Use of arterial grafts are preferred for their long term patency rates.

[leitzlover]

Thank you so much for posting this video. For the first time since my operation (LIMA and RIMA grafts, off pump) I understand exactly what was done. I am a 62 year-old male who had critical distal left main stem stenosis involving the LAD large intermediate and circumflex vessels. My successful operation was carried out by Professor David Taggart at the JR hospital in Oxford, UK.

Leitzlover