Teaching off-pump coronary artery bypass surgery

Seminars in Thoracic and Cardiovascular Surgery
Michael E Halkos, John D Puskas

Abstract

Off-pump coronary artery revascularization requires a unique skill set and a different conduct of operation compared with on-pump coronary artery bypass. Not only must the surgeon perform anastomoses on the beating heart, but he/she must understand the hemodynamic consequences of cardiac positioning and stabilization, the effects of regional ischemia on hemodynamic function, contractility, and arrhythmias, and the importance of anesthesia and grafting sequence given variants of anatomy and clinical conditions. Given these differences, the ability to teach off-pump coronary artery bypass to residents and surgeons places unique demands on the teaching surgeon. In this article, we review the available literature about the safety and efficacy of teaching off-pump coronary artery bypass to residents, discuss the fundamentals for training residents, and review the future of simulation and new training paradigms and the impact this will have on current training methods.

References

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Citations

Jun 21, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Dayal MukherjeeThanos Athanasiou
Aug 2, 2011·The Annals of Thoracic Surgery·Dayal MukherjeeThanos Athanasiou
Oct 19, 2010·The Journal of Thoracic and Cardiovascular Surgery·Nishith N Patel, Gianni D Angelini
Jan 25, 2011·The Annals of Thoracic Surgery·Dayal MukherjeeThanos Athanasiou
Apr 17, 2012·The Journal of Thoracic and Cardiovascular Surgery·Craig J BakerMaura E Sullivan
Sep 23, 2014·World Journal of Methodology·Shahzad G Raja, Umberto Benedetto
Feb 22, 2014·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Shahzad G RajaUNKNOWN Harefield Cardiac Outcomes Research Group
Nov 11, 2021·Asian Cardiovascular & Thoracic Annals·Hiroyuki NishiHikaru Matsuda

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