[Surgical treatment of patients with aortic aneurysm and ischemic heart disease].
Experience in the treatment of 153 patients with aortic aneurysms and ischemic heart disease was analyzed. Twenty-five patients with ischemic heart disease underwent reconstructive surgeries for thoracic and thoracoabdominal aneurysms of the aorta. Reconstructive surgeries on the aorta without ones on coronary arteries were performed in 3 of them. In the rest of the 22 patients both myocardium revascularization and aortic reconstruction were performed. Combination of abdominal aorta aneurysms with ischemic heart disease was seen in 128 patients, all of them were operated. Reconstruction of the abdominal aorta without coronary surgery was performed in 109 patients. Myocardium revascularization as the first stage of surgery was performed in 8 patients. Eleven patients underwent simultaneous surgeries on the coronary arteries and abdominal aorta. Technical features of different variants of surgeries were developed and described in detail. It is concluded that simultaneous surgeries on the aorta and coronary arteries permit to achieve good results in patients with aortic aneurysms and ischemic heart disease. Simultaneous grafting of thoracic and thoracoabdominal aorta with coronary arteries bypass leads to positive results in 90.9% cases.
Iu V
IuV
Belov
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AB
Stepanenko
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AP
Gens
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001014:Aortic Aneurysm / Q000453:epidemiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000453:epidemiology* / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*