Harald HausmannGermany, Mediclin Heart Center Coswig , Germany
Title : Conventional cardiac surgery in patients with end-stage coronary artery disease: Yesterday and today
Surgical therapy of combined coronary artery disease (cad) and heart failure, also referred to As end-stage cad, has evolved throughout the years and patients are currently being offered traditional Coronary artery bypass grafting (cabg), with or without surgical ventricle restoration (svr), interventions For ischemic mitral valve regurgitation, heart transplantation or implantation of mechanical cardiovascular Support systems. Among surgical methods, operative myocardial revascularization (with or without ventricle Restoration) is still playing an important role, aiming at restoration of proper myocardial perfusion, especially If heart muscle viability is present. Facing the donor shortage, cabg may constitute a valuable alternative To transplantation in selected patients. In individuals considered not suitable for surgical revascularization, Implantation of mechanical circulatory support (mcs) not only appears as a salvage procedure, but also Allows for reevaluation of future therapy directions. This article aims at providing an overview of evolving And current surgical practices in patients with end-stage cad.
Harald Hausmann has completed his PHD at the age of 41 from Charite University of Berlin. After working with Professor Roland Hetzer at the Deutsches Herzzentrum Berlin for 19 years, in 2005 he became the Director of the Heart Center in Coswig, Germany.He has extensive surgical experience in the treatment of patients with coronary artery disease and severely impaired ventricular function. He is the director of numerous research programs on the subject and he has published a huge number of articles in this field.