title: [Surgical tactics in patients with ischemic heart disease, extensive cicatricial myocardial lesions and circulatory insufficiency].
abstract: The article discusses the results of surgical treatment of patients suffering from ischemic heart disease with extensive cicatricial affections of the myocardium and circulatory insufficiency. Thirteen patients of group I were treated by various reconstructive operations (resection of an aneurysm, formation of an aortocoronary shunt, septoplasty), 10 patients of group 2 underwent orthotopic heart transplantation. Perioperative and long-term (up to 3 years) mortality rates were, respectively, 7.6 and 8% in group I and, respectively, 30% and zero in group 2. The unfavorable prognosis of survival and medicamentous therapy in such patients, the lack of donors, and the acceptable results of reconstructive operations are evidence that they should be undertaken whenever possible. The main criteria of the selection of patients for a reconstructive operation are the values of regional contractility of the left ventricle, the severity of the dystrophic processes in the preserved segments, and the condition of the coronary arteries.
authors.forename: V I
authors.initials: VI
authors.lastname: Shumakov
authors.forename: E N
authors.initials: EN
authors.lastname: Kazakov
authors.forename: O R
authors.initials: OR
authors.lastname: Senchenko
authors.forename: A Ia
authors.initials: AIa
authors.lastname: Kormer
authors.forename: S I
authors.initials: SI
authors.lastname: Vorontsov
authors.forename: V V
authors.initials: VV
authors.lastname: Chestukhin
authors.forename: A I
authors.initials: AI
authors.lastname: Kriuchkov
authors.forename: V M
authors.initials: VM
authors.lastname: Zakharevich
mesh_terms: D000328:Adult; D009202:Cardiomyopathies / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D002311:Cardiomyopathy, Dilated / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D002921:Cicatrix / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000401:mortality; D003327:Coronary Disease / Q000150:complications / Q000401:mortality / Q000601:surgery*; D016027:Heart Transplantation / Q000379:methods* / Q000401:mortality; D006801:Humans; D008297:Male; D011379:Prognosis; D013997:Time Factors
vernacular_title: Khirurgicheskaia taktika u bol'nykh ishemicheskoĭ bolezn'iu serdtsa s obshirnymi rubtsovymi porazheniiami miokarda i nedostatochnost'iu krovoobrashcheniia.