[Surgical treatment of ischemic heart disease using internal thoracic artery and partial ileal bypass]

Area of Science:

• Cardiovascular Surgery
• Metabolic Surgery
• Cardiology

Background:

• Ischemic heart disease (IHD) often involves complex pathophysiology, including coronary artery blockages and dyslipidemia.
• Current treatments may not adequately address both the structural and metabolic aspects of IHD.
• Partial ileal bypass is a surgical option for managing lipid disorders.

Purpose of the Study:

• To evaluate a complex two-stage treatment for ischemic heart disease.
• To assess the efficacy of combining coronary artery reconstruction with partial ileal bypass.
• To explore partial ileal bypass as a standalone treatment for dyslipidemia and diffuse coronary artery disease.

Main Methods:

• Operative treatment of 150 patients with IHD.
• Utilizing the internal thoracic artery for coronary artery bypass grafting.
• Performing partial ileal bypass to correct plasma lipid spectrum disturbances.
• Analyzing clinical outcomes of complex two-stage surgical interventions in 60 patients.

Main Results:

• The internal thoracic artery graft demonstrated advantages over autovein grafts in coronary artery reconstruction.
• Complex two-stage treatment in 60 patients resulted in a good clinical effect.
• Partial ileal bypass showed promise as an independent intervention.

Conclusions:

• A complex two-stage treatment involving coronary artery reconstruction and partial ileal bypass is recommended for ischemic heart disease.
• Internal thoracic artery grafts are favored for coronary artery bypass.
• Partial ileal bypass is a viable option for dyslipidemia and diffuse coronary artery disease.