Double internal mammary artery implants: operative technique.
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Biomedical subjects
Publications and source records attributed to R G Favaloro.
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The present indications for direct myocardial revascularization in coronary arteriosclerosis are discussed. It is important to establish a universally acceptable classification of myocardial ischemia and such a classification is proposed. Without this classification, the advantages and disadvantages of medical and surgical treatment cannot be analyzed. Ergometric studies are of great value in deciding between medical and surgical treatment. Cine coronary angiography is essential in the accurate diagnosis and selection of patients for surgery. It is a safe procedure, even when undertaken in an emergency situation. The success of surgical therapy for coronary arteriosclerosis is emphasized and its superiority over medical treatment for most forms of angina pectoris is demonstrated.
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To our knowledge these are the first three cases of laparoscopic cholecystectomy in heart transplant recipients. In one case the procedure was performed in the early posttransplant period. All three patients had uneventful postoperative outcomes and early hospital discharge. Laparoscopic cholecystectomy may be a safe alternative for elective cholecystectomy in heart transplant recipients.