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Heart and Coronary Arteries
The magnificent anatomic presentation in this book "The Heart and Cor onary Arteries" has a unique importance for surgeons. It is a fundamental contribution to the anatomy of the heart and great arteries as well, because of the analytical, detailed, and imaginative anatomic approach of the author. While surgery from time to time is influenced by the development of new physiologic principles and techniques, methods of intra- and post-operative support, and new diagnostic methodology, the excellence of its results con tinues to be related primarily to the precision and perfection of the opera tive procedure itself. The operative procedure can be precise and perfect only if it is based upon the...
The Clinical Anatomy of Coronary Arteries
Considerable advances have been made in cardiology during the last few decades. In particular, there has been great progress in the field of coronary angiography both when combined with, and without, computed tomography (CT) and magnetic reso nance (MR) imaging. These techniques of modern imaging allow the cardiologist and coronary surgeon to study every cardiac structure in detail, both two- and three-di mensionally and from either side, to analyze the movements of the heart and valves, and to observe myocardial circulation and even myocardial metabolic processes. However, coronary heart disease, a multifactorial illness of the coronary vessels, still remains the most common cause of death ...
The Coronary Artery
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Coronary Artery Diseases
2 Diagnostic Use of Radiographic Methods in Coronary Disease. . . . . . . . . . . . . . . . . . . . . . . . . . 56 3 Material. . . . . . . . . . . . . . . . . . . . . . . . . 58 4 Mode of Operation . . . . . . . . . . . . . 62 5 Radiological Projections. . . . . . . . . . . . . . . . . 63 6 Monitoring of Cardiac Parameters . . . . . . . . . . . . 64 7 Pharmacological Tests . . . . . . . . . . . . . . . . 66 7. 1 Coronary Arteries . . . . . . . . . . . . . . . . . . . . . 66 7. 2 Left Ventricle. . . . . . . . . . . . . . . . . . . . . . . . 67 8 Accidents and Risks of Coronary Arteriography . . . . . 67 References . . . . . . . . . . . . . . . . . . . . . . . . . 68 III Angiographic Explorati...
Congenital Anomalies of Coronary Arteries
The coronaries are the first branches of the ascending aorta. They arise from their respective sinuses of Valsalva, and gradually branch distally to the myocardium. Abnormalities of the coronary arteries, either congenital or acquired, can be characterized as a lack of origin, abnormal origin, anomalous course, lack of patency, abnormal connections, and/or abnormal drainage of the coronary vessels. Interruptions to or lack of flow can cause significant morbidity and mortality due to ischemia, infarction and fistulous connections, which can lead to cardiac failure, endocarditis and ischemia. Coronary artery anomalies are rare in general populations. Although they can be benign and asymptomati...
Angina Pectoris with Normal Coronary Arteries: Syndrome X
Angina pectoris with normal coronary arteriograms is a common entity which has puzzled cardiologists almost since the advent of coronary arteriography. Despite major advances in the understanding of the pathophysiology of angina in recent years and a multitude of studies on the subject, the cause and mechanisms underlying the syndrome of angina with normal coronary arteries remain unknown. Indeed, results of investigations are controversial and speculation still prevails regarding the nature of the so called `Syndrome X'. Almost every important aspect of Syndrome X has been tackled in the book and the reader is exposed not only to the cardiologists' opinion, but also to the authoritative views of the gastroenterologists, gynaecologists and psychiatrists, extremely well represented in this monograph. The book deals with `cardiologists' Syndrome X' and not the metabolic entity termed `Syndrome X'. The possible connection between the two, however, is discussed. Angina with Normal Coronary Arteries: Syndrome X contributes to the understanding of Syndrome X and helps clinicians manage their Syndrome X-patients better and investigators to open new avenues for research.
Coronary Artery Disease
Coronary artery atherosclerosis is the most common cardiac pathology, which is the primary cause of cardiac mortality. Coronary artery stenosis usually involves the proximal portion of the larger epicardial coronary arteries, but diffuse coronary artery disease is also not rare. Most of the patients with/without several comorbidities have asymptomatic atherosclerotic lesions in the coronary territory, and hence early assessment of coronary artery pathology is of utmost importance. Since early surgical intervention is superior to percutaneous interventions, coronary artery bypass grafting is the first choice for the treatment of coronary artery disease. Coronary revascularization can be performed with different approaches according to the patients risk factors. Preventive treatment of coronary artery disease should be the basic strategy for a healthy system.
