Autologous microsurgical breast reconstruction and coronary artery bypass grafting: an anatomical study and clinical implications

OBJECTIVE: To identify possible avenues of sparing the internal mammary artery (IMA) for coronary artery bypass grafting (CABG) in women undergoing autologous breast reconstruction with deep inferior epigastric artery perforator (DIEP) flaps. BACKGROUND: Optimal autologous reconstruction of the breast and coronary artery bypass grafting (CABG) are often mutually exclusive as they both require utilisation of the IMA as the preferred arterial conduit. Given the prevalence of both breast cancer and coronary artery disease, this is an important issue for women's health as women with DIEP flap reconstructions and women at increased risk of developing coronary artery disease are potentially restricted from receiving this reconstructive option should the other condition arise. METHODS: The largest clinical and cadaveric anatomical study (n=315) to date was performed, investigating four solutions to this predicament by correlating the precise requirements of breast reconstruction and CABG against the anatomical features of the in situ IMAs. This information was supplemented by a thorough literature review. RESULTS: Minimum lengths of the left and right IMA needed for grafting to the left-anterior descending artery are 160.08 and 177.80 mm, respectively. Based on anatomical findings, the suitable options for anastomosis to each intercostals space are offered. In addition, 87-91% of patients have IMA perforator vessels to which DIEP flaps can be anastomosed in the first- and second-intercostal spaces. CONCLUSION: We outline five methods of preserving the IMA for future CABG: (1) lowering the level of DIEP flaps to the fourth- and fifth-intercostals spaces, (2) using the DIEP pedicle as an intermediary for CABG, (3) using IMA perforators to spare the IMA proper, (4) using and end-to-side anastomosis between the DIEP pedicle and IMA and (5) anastomosis of DIEP flaps using retrograde flow from the distal IMA. With careful patient selection, we hypothesize using the IMA for autologous breast reconstruction need not be an absolute contraindication for future CABG

International Night: A Father and Daughter Cook Their Way Around the World

Once a week in the Kurlansky home, Mark spins a globe and wherever his daughter\u27s finger lands becomes the theme of that Friday night\u27s dinner. Their tradition of International Night has afforded Mark an opportunity to share with his daughter, Talia--and now the readers of International Night--the recipes, stories, and insights he\u27s collected over more than thirty years of traveling the world writing about food, culture, and history, and his charming pen-and-ink drawings, which appear throughout the book.International Night is brimming with recipes for fifty-two special meals--appetizers, a main course, side dishes, and dessert for each--one for every week of the year. Some are old favorites from Mark\u27s repertoire, and others gleaned from research. Always, they are his own version, drawn from techniques he learned as a professional chef and from many years of talking to chefs, producers, and household cooks around the world. Despite these insights, every recipe is designed to be carried out--easily--by any amateur chef, and they are designed to be completed with the assistance of children.https://corescholar.libraries.wright.edu/dlpp_all/1389/thumbnail.jp

Choice Cuts: A Savory Selection of Food Writing from Around the World and Throughout History

Contains over two hundred essays on a variety of gourmet foods from around the world and throughout history including pieces by Cab Calloway, Alexandre Dumas, Charles Dickens, Irving Berlin, and Plato.https://corescholar.libraries.wright.edu/dlpp_all/1056/thumbnail.jp

Ready For a Brand New Beat: How Dancing in the Street Became the Anthem for a Changing America

Can a song change a nation? In 1964, Marvin Gaye, record producer William Mickey Stevenson, and Motown songwriter Ivy Jo Hunter wrote Dancing in the Street. The song was recorded at Motown\u27s Hitsville USA Studio by Martha and the Vandellas. Released on July 31, the song was supposed to be an upbeat dance recording--a precursor to disco, a song about the joyousness of dance, the song of a summer. But events overtook it, and the song became one of the anthems of American pop culture. The Beatles had landed in the U.S. in early 1964. By that summer, the \u2760s were in full swing. 1964 was the Mississippi Freedom Summer, the Berkeley Free Speech Movement, the Vietnam War, the Civil Rights Act, and the lead-up to a dramatic election that completely changed American politics. As the country grew more radicalized in those few months, Dancing in the Street gained currency as an activist anthem. The song took on new meanings, multiple meanings, for many different groups that were all altered as the country changed. Told by the writer who is legendary for finding the big story in unlikely places, Ready for a Brand New Beat chronicles that extraordinary summer of 1964 and showcases the momentous role that a simple song about dancing played in our nation\u27s history.https://corescholar.libraries.wright.edu/dlpp_all/1040/thumbnail.jp

Salt: A World History

The only rock we eat, salt has shaped civilization from the very beginning, and its story is a glittering, often surprising part of the history of humankind. A substance so valuable it served as currency, salt has influenced the establishment of trade routes and cities, provoked and financed wars, secured empires, and inspired revolutions.https://corescholar.libraries.wright.edu/dlpp_all/1057/thumbnail.jp

Nonviolence: 25 Lessons from the History of a Dangerous Idea

In this timely, highly original, and controversial narrative, author Mark Kurlansky discusses nonviolence as a distinct entity, a course of action, rather than a mere state of mind. Nonviolence can and should be a technique for overcoming social injustice and ending wars, he asserts, which is why it is the preferred method of those who speak truth to power.https://corescholar.libraries.wright.edu/dlpp_all/1039/thumbnail.jp

Boogaloo on 2nd Avenue: A Novel of Pastry, Guilt and Music

It’s the boom years of the 1980s, and life is closing in on Nathan Seltzer, who rarely travels beyond his suddenly gentrifying Lower East Side neighborhood in New York City. Between paralyzing bouts of claustrophobia, Nathan wonders whether he should cheat on his wife with Karoline, a German pastry maker whose parents may or may not have been Nazis. His father, Harry, is plotting with the 1960s boogaloo star Chow Mein Vega for the comeback of this dance craze. Meanwhile, a homicidal drug addict is terrorizing the neighborhood.https://corescholar.libraries.wright.edu/dlpp_all/1053/thumbnail.jp

The Big Oyster: History on the Half Shell

Before New York City was the Big Apple, it could have been called the Big Oyster. Author Kurlansky tells the remarkable story of the oyster, whose influence on the great metropolis remains unparalleled. For centuries New York was famous for its oysters, Gotham\u27s most celebrated export, a staple food for the wealthy, the poor, and tourists alike, and the primary natural defense against pollution for the city\u27s congested waterways. Filled with cultural, historical, and culinary insight, from the island hunting ground of the Lenape Indians to the death of the oyster beds and the rise of America\u27s environmentalist movement, here are the stories behind Peter Stuyvesant\u27s peg leg and Robert Fulton\u27s Folly ; the oyster merchant and pioneering African American leader Thomas Downing; the birth of the business lunch at Delmonico\u27s; early feminist Fanny Fern, one of the highest-paid newspaper writers in the city; and even Diamond Jim Brady.--From publisher description.https://corescholar.libraries.wright.edu/dlpp_all/1051/thumbnail.jp

Paper: Paging Through History

Through tracing paper\u27s evolution, Mark Kurlansky challenges common assumptions about technology\u27s influence, affirming that paper is here to stay.https://corescholar.libraries.wright.edu/dlpp_all/1427/thumbnail.jp

A Chosen Few: The Resurrection of European Jewry

Fifty years after it was bombed to rubble, Berlin is once again a city in which Jews gather for the Passover seder. Paris and Antwerp have recently emerged as important new centers of Jewish culture. Small but proud Jewish communities are revitalizing the ancient centers of Budapest, Prague, and Amsterdam. These brave, determined Jewish men and women have chosen to settle–or remain–in Europe after the devastation of the Holocaust, but they have paid a price. Among the unexpected dangers, they have had to cope with an alarming resurgence of Nazism in Europe, the spread of Arab terrorism, and the impact of the Jewish state on European life. Delving into the intimate stories of European Jews from all walks of life, Kurlansky weaves together a vivid tapestry of individuals sustaining their traditions, and flourishing, in the shadow of history. An inspiring story of a tenacious people who have rebuilt their lives in the face of incomprehensible horror,A Chosen Few is a testament to cultural survival and a celebration of the deep bonds that endure between Jews and European civilization.https://corescholar.libraries.wright.edu/dlpp_all/1062/thumbnail.jp