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Koronare Bypassoperation

Technische Aspekte

Coronary artery bypass grafting

Technical aspects

  • Operative Techniken
  • Published:
Zeitschrift für Herz-,Thorax- und Gefäßchirurgie Aims and scope

Zusammenfassung

Die koronare Bypasschirurgie ist aus den Therapiekonzepten der koronaren Herzkrankheit nicht mehr wegzudenken und stellt das primäre Behandlungskonzept bei koronarer Dreigefäßerkrankung und Hauptstammstenose dar. Obwohl in den Kliniken bereits überwiegend standardisierte Operationskonzepte angewandt werden, lassen sich sowohl perioperatives Outcome als auch Langzeitergebnisse noch weiter verbessern. Bei den hier diskutierten HLM-Eingriffen stehen der erweiterte Einsatz von Arterien und eine rationale Differenzierung der operativen Techniken im Vordergrund.

Abstract

Surgical revascularisation applying coronary bypass grafting is an essential treatment option for coronary heart disease. In three vessel disease and left main stem stenosis, bypass surgery represents the primary treatment option. Even though the majority of cardiosurgical units use standardised surgical techniques, further improvement in perioperative outcome and long-term results can be achieved. Focussing on procedures under extracorporeal circulation, expanded use of arterial conduits combined with a rational differentiation of surgical techniques offers the highest potential.

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Prof. Dr. med. Jochen Cremer, Jahrgang 1957, ist Direktor der Klinik für Herz- und Gefäßchirurgie am Universitätsklinikum Schleswig-Holstein, Campus Kiel. Er absolvierte sein Medizinstudium an der Rhein.-Westf.-Techn.-Hochschule Aachen und schloss die Promotion 1986, die Habilitation 1995 ab. 1998 erfolgte die Berufung an den Lehrstuhl für Herz- und Gefäßchirurgie an der CAU zu Kiel sowie die Ernennung zum Professor. Chirurgische Schwerpunkte in den Bereichen: komplexe Koronaroperationen, minimal-invasive Operationsverfahren, thorakale Aneurysmachirurgie und thorakale Organtransplantation.

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  1. Klinik für Herz- und Gefäßchirurgie, Universitätsklinikum Schleswig-Holstein, Arnold-Heller-Str. 3, Haus 18, 24105, Kiel, Deutschland

    J. Cremer

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Correspondence to J. Cremer.

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Cremer, J. Koronare Bypassoperation. Z Herz- Thorax- Gefäßchir 23, 87–92 (2009). https://doi.org/10.1007/s00398-009-0709-x

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  • DOI: https://doi.org/10.1007/s00398-009-0709-x

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