[Specific strategic decisions and surgical treatment in patients with ischemic heart disease and postinfarction aneurysms of the left ventricle and atherosclerotic lesions of brachiocephalic arteries].
Under observation there were 14 male patients. Since 1995 a method of transprosthetic aortotomy has been used in patients with impaired carotid arteries, later this method was used in patients with postinfarction aneurysms of the left ventricle. In addition, in 3 critical patients we used minimally invasive techniques of surgery in stage-wise treatment. Single-stage operations in ischemic heart disease patients with postinfarction aneurysms of the left ventricle and a lesion of the brachiocephalic arteries (BCA) are indicated in the following cases: 1. In intrathoracal lesion of BCA; 2. In atherosclerotic lesion of the left coronary artery trunk; 3. In patients with postinfarction aneurysms of the left ventricle and with output fraction less than 35%; 4. When instable angina is not amendable to medicinal stabilization.
Shilov
V V
VV
Khubulava
G G
GG
Belevitin
A B
AB
Erofeev
A A
AA
Kitachev
K V
KV
D016122:Brachiocephalic Trunk / Q000473:pathology* / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000379:methods*; D003324:Coronary Artery Disease / Q000150:complications* / Q000601:surgery; D003657:Decision Making; D005260:Female; D006322:Heart Aneurysm / Q000209:etiology* / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000453:epidemiology / Q000473:pathology / Q000601:surgery; D018487:Ventricular Dysfunction, Left / Q000150:complications* / Q000503:physiopathology / Q000601:surgery