Aorto-Coronary Bypass Surgery

1. Introduction.- 1.1. Object.- 1.2. Literature.- 1.2.1. Surgical methods.- 1.2.2. Indications for saphenous vein bypass grafting.- 1.2.3. Contra-indications for bypass procedure.- 1.2.4. Surgical technique.- 1.2.4.1. Surgical technique in venous bypass procedure.- 1.2.4.2. Surgical technique of endarterectomy.- 1.2.4.3. Surgical technique when use is made of the internal mammary artery.- 1.2.5. Results and complications of bypass procedure.- 1.2.5.1. Mortality and (re-)infarction.- 1.2.5.2. Electrocardiographic changes.- 1.2.5.3. Patency rate.- 1.2.5.4. Non-cardial complications.- 1.2.5.5. Complaints and validity.- 1.2.5.6. Ergometric examination and left ventricular function.- 2. Routine Clinical Investigation.- 2.1. Patients.- 2.2. Examination methods.- 2.2.1. History and validity.- 2.2.2. Physical examination, electrocardiogram and X-ray examination of the thorax.- 2.2.3. Laboratory tests.- 2.2.4. Exercise electrocardiogram.- 2.2.5. Heart catheterisation.- 2.2.6. Diameter of coronary vessels and bypasses.- 2.3. Surgical technique.- 2.4. Two periods of clinical investigation.- 2.4.1. Pre-operative examination.- 2.4.2. Post-operative examination.- 3. Results of Bypass Surgery.- 3.1. Direct evaluation.- 3.1.1. Mortality.- 3.1.2. Electrocardiographic changes.- 3.1.3. Patency rate.- 3.1.4. Non-cardiac complications.- 3.2. Late evaluation.- 3.2.1. Symptoms.- 3.2.2. Validity.- 3.2.3. Exercise electrocardiogram.- 3.2.4. Left ventricular end-diastolic pressure.- 3.2.5. Patency rate.- 3.2.6. Changes in the veins.- 3.2.7. Left ventricular angiogram, electrocardiographic changes and proximal coronary artery.- 3.2.8. (Re)infarction.- 3.2.9. Mortality.- 4. Discussion.- 4.1. Object of bypass operation.- 4.2. Establishment of indication.- 4.3. Surgical technique.- Conclusions.- References.- Appendix. X-ray Catheterisation System.