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Total myocardial revascularisation is the basic principle for postoperative outcomes following coronary revascularisation surgery. Now-a-days, referred patients for CABG frequently have diffuse and calcified coronary artery disease (CAD), which has made complete surgical revascularisation more difficult and more complicated postoperative recovery. Inadequate revascularisation does not influence the quick death rate, but rather increase the rate of coronary re-stenosis; which adversely affect the long term cardiac function and also causes repeated attach of angina. That's why, coronary endarterectomy have been proposed to improve postoperative outcome following coronary revascularisation surgery in the late 1950s. Though Coronary endarterectomy is still a matter of controversy; but our study shows Coronary endarterectomy is attainable and accomplishes total myocardial revascularisation in a patient with diffuse coronary artery disease; when there is no other alternative for sufficient myocardial revascularisation. However, coronary endarterectomy is not an alternative, but an adjunctive to CABG. So, lets think about Coronary Endarterectomy in treating diffuse CAD with new HOPE!
Info autore
El Dr. Redoy Ranjan se graduó como MBBS en la Universidad de Dhaka en 2009 y realizó un máster en CV&TS en la Universidad Médica Bangabandhu Sheikh Mujib (BSMMU) en enero de 2017. También tiene MRCS de The Royal College of Surgeons, Reino Unido desde 2016. Actualmente trabaja en el Departamento de Cirugía Cardíaca de la BSMMU y realiza cirugía cardíaca en adultos, incluidos CABG e ICR.
Riassunto
Edward and Meg are like night and day, oil and water. Meg zigs while Edward zags. How could two such different people be twins? Well, they are, but they don't have to like it -- or each other.
Seventh grade means different schools for the pair: Brainy Meg's at ultracompetitive Fischer, while Charlton Street Alternative School is the place for freewheeling Edward. Oddly enough, it's just when Edward and Meg are finally out of each other's shadows that the trouble begins.
Within just a week, Meg's aspirations for popularity, imaginary boyfriend, and angst over a terrible yellow ensemble her mother has chosen combine with Edward's devious planning, lack of singing ability, and top-secret soft spot to set off a showdown the likes of which twindom has never before seen.
How is it, then, that this final showdown is so much fun? Could it be that Meg and Edward are more alike than they thought?
Never mind. Read the book!
