title: [Surgical treatment of multiple occlusions of the aortic arch arteries].
abstract: The results of treatment of 174 patients with lesions of the arteries of the aortic arch are presented. Multiple lesions of the coronary arteries were revealed in 78 patients, of the brachiocephalic trunk--in 45, their combination--in 52. In patients with the ischemic heart disease, in average, 3,4 aortocoronary shunts were placed. In patients with the impaired cerebral circulation, reconstruction of 2-3 arteries was performed simultaneously in their unilateral lesions. In case of their bilateral lesions, the blood flow restoration was performed in two stages with a 2-4 week interval. Improvement of the indices of intravascular hemodynamics was achieved in 97.5% of the patients, neurologic symptoms were completely eliminated in 71% of the patients. Three patients died from cardio-vascular failure.
authors.forename: I I
authors.initials: II
authors.lastname: Sykharev
authors.forename: P I
authors.initials: PI
authors.lastname: Nikulńikov
authors.forename: V G
authors.initials: VG
authors.lastname: Mishalov
authors.forename: V I
authors.initials: VI
authors.lastname: Smorzhevskiĭ
authors.forename: V A
authors.initials: VA
authors.lastname: Cherniak
mesh_terms: D000328:Adult; D000368:Aged; D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000150:complications / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000601:surgery*; D016122:Brachiocephalic Trunk / Q000601:surgery*; D002548:Cerebral Revascularization; D003331:Coronary Vessels / Q000601:surgery*; D004691:Endarterectomy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000150:complications / Q000601:surgery*; D009204:Myocardial Revascularization; D017131:Thrombectomy
vernacular_title: Khirurgicheskoe lechenie mnozhestvennogo okkliuzionnogo porazheniia arteriĭ dugi aorty.