title: [Surgical treatment of patients with ischemic heart disease associated with the lesions of the brachiocephalic arteries].
abstract: Experience with the detection and surgical treatment of combined lesions of brachiocephalic arteries in coronary patients is reported. Noninvasive screening of 500 coronary patients detected brachiocephalic arterial lesions with transitory ischemic attacks or without cerebral ischemic symptoms in 82 patients. Simultaneous reconstructions are recommended for severe lesions of the main cerebral vessels and coronary arteries, and two-step operations, with cerebral flow recovery as the priority, for cases of mild clinical anginal manifestations. Forty-one operations were performed, 18 of them being simultaneous. One (2.4%) patient died. Cerebral and coronary symptoms were largely improved in discharged patients.
authors.forename: V S
authors.initials: VS
authors.lastname: Rabotnikov
mesh_terms: D001161:Arteriosclerosis / Q000150:complications / Q000601:surgery*; D016122:Brachiocephalic Trunk / Q000601:surgery*; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000150:complications / Q000601:surgery*; D004691:Endarterectomy; D006801:Humans
vernacular_title: Khirurgicheskoe lechenie bol'nykh ishemicheskoĭ bolezn'iu serdtsa s sochetannym porazheniem brakhitsefal'nykh arteriĭ.