Affiliation:
1. Gomel Regional Clinical Cardiological Center
Abstract
Objective. To evaluate the efficiency and safety of using two thoracic internal arteries during myocardial revascularization.Materials and methods. The study included 32 patients over 18 years of age who were operated on for coronary artery diseases using two internal arteries as an auto-graft. The incidence of postoperative complications was assessed taking into account the proposed criteria for selecting patients.Results. No increase in the number of postoperative complications in the early postoperative period was detected during bilateral internal thoracic artery coronary artery bypass graft.Conclusion. Coronary bypass grafting using two internal thoracic arteries under general multicomponent balanced anesthesia is an effective and safe method of myocardial revascularization. It does not increase the risk of complications in the postoperative period with proper selection of patients.
Publisher
Gomel State Medical University
Reference10 articles.
1. Ostrovsky YuP. Cardiac Surgery. Guide. Moskov.: Medical library; 2007. (In Russ.).
2. Akchurin RS, Shirlev AA, Lepilin MG. Coronary revascularization: modern surgical standards and alternatives. Bulletin of the Russian Academy of Medical Sciences. 2003;(11):27-30. (In Russ.).
3. Loop FD, Lytle BW, Cosgrove DM, Stewart RW, Goormastic M, et al. Influence of the Internal-Mammary-Artery Graft on 10-Year Survival and Other Cardiac Events. New England Journal of Medicine. 1986;314(1):1-6. DOI: https://doi.org/10.1056/NEJM198601023140101
4. Shroyer AL, Grover FL, Hattler B, Collins JF, McDonald GO, et al. On-Pump versus Off-Pump Coronary-Artery Bypass Surgery. New England Journal of Medicine. 2009;361(19):1827- 1837. DOI: https://doi.org/10.1056/NEJMoa0902905
5. 2018 ESC/EACTS guidelines on myocardial revascularization. Russian Journal of Cardiology. 2019;(8):151-226. (In Russ.). DOI: https://doi.org/10.15829/1560-4071-2019-8-151-226