[New approaches to the surgical treatment of coronary arteriosclerosis].
A new combined approach to surgical treatment of coronary heart disease is recommended: direct myocardial revascularization (mammary-coronary and aorto-coronary bypass) to recover coronary flow; partial ileo-shunting to control hyperlipoproteinemia, and Arnulf's plexectomy (heart denervation) to eliminate vasospastic component. The sequence of operations can be altered depending on the diagnostic findings. Each operation can be performed independently or in combination with others. Operations were performed in 315 patients. The follow-up covered up to 8 years. Long-term patency of mammary-coronary shunts was 93.5%, and that of autovenous shunts was 65%. Lipid composition showed a stable normalization and signs of coronary spasm disappeared.
Lebedev
L V
LV
Vinogradov
A G
AG
Sedletskiĭ
Iu I
IuI
Petukhov
Iu A
IuA
D000328:Adult; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000601:surgery*; D005260:Female; D006321:Heart / Q000294:innervation*; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D008875:Middle Aged; D009204:Myocardial Revascularization / Q000379:methods* / Q000534:rehabilitation; D013562:Sympathectomy / Q000379:methods* / Q000534:rehabilitation; D014938:Work Capacity Evaluation
Novye podkhody k khirurgicheskomu lecheniiu ateroskleroza koronarnykh arteriĭ.