Surgical treatment of chronic ischemic heart disease
Lebedev, L.V.; Vinogradov, A.G.; Sedletskiĭ, I.I.; Shneĭder, I.A.; Pizin, V.M.; Azovtsev, R.A.; Alekseeva, N.S.; Gordeev, M.L.; Polikarpov, I.S.; Kovalev, V.A.
Khirurgiia 5: 11-16
1990
ISSN/ISBN: 0023-1207 PMID: 2391918 Document Number: 365633
The authors suggest a new complex approach to the surgical treatment of ischemic heart disease. Operation of coronary shunting for the restoration of the coronary blood flow, operation of partial ileoshunting for correction of hyperlipoproteinemia, plexotomy for removal of the vasospastic component. The sequence of the operations may vary, each one can also be undertaken independently. The operations were conducted on 315 patients. The follow-up period is up to 8 years. Patency of the mammary-coronary shunts was 93.5%, of autologous veins shunt--65%. Disappearance of the signs of coronary spasm++ and stable normalization of the lipid spectrum are noted.