[Technical potentials for performing intravital aortocoronary shunting in sudden death from ischemic heart disease (based on postmortem coronary angiographic data)].
Technical feasibility of aortocoronary shunting was examined retrospectively in 70 cases where sudden coronary death had occurred outside of hospital. Postmortem coronary angiograms, coronary arterial cross sections made at 5 mm intervals, and the nature and spread of focal myocardial lesions were studied. A coronary artery with more than 50% of its lumen affected in the proximal or middle part, but no significant narrowings in the distal channel, was considered shuntable if myocardial focal lesions did not exceed 15% of left-ventricular and interventricular-septum volume. Complete myocardial revascularization was found to be technically feasible in 36.2% of sudden coronary deaths and partial revascularization, in 33.3%, whereas in 30.5% myocardial revascularization proved technically impossible.
D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D003331:Coronary Vessels / Q000473:pathology; D003645:Death, Sudden / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009204:Myocardial Revascularization
Tekhnicheskie vozmozhnosti vypolneniia prizhiznennogo aortokoronarnogo shuntirovaniia u vnezapno umershikh ot ishemicheskoĭ bolezni serdtsa (po dannym posmertnoĭ koronarografii).