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[Surgical treatment of chronic ischemic heart disease]
Insights
This study presents a novel complex surgical approach for ischemic heart disease, combining coronary shunting, ileoshunting, and plexotomy. The integrated treatment effectively restored coronary blood flow and normalized lipid levels in patients.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Metabolic Surgery
Context:
- Ischemic heart disease (IHD) poses a significant global health burden.
- Current treatments for IHD often address individual components like blockages or lipid abnormalities.
- A comprehensive approach targeting multiple etiological factors of IHD is needed.
Purpose:
- To introduce and evaluate a novel complex surgical strategy for managing ischemic heart disease.
- To assess the efficacy of combining coronary shunting, partial ileoshunting, and plexotomy.
- To determine the long-term outcomes and patency rates of the proposed surgical interventions.
Summary:
- A complex surgical approach involving coronary shunting, partial ileoshunting, and plexotomy was performed on 315 patients with ischemic heart disease.
- The surgical sequence was adaptable, with individual procedures also performed independently.
- Follow-up up to 8 years demonstrated high patency for mammary-coronary shunts (93.5%) and moderate patency for autologous vein shunts (65%).
Impact:
- The combined surgical strategy led to the disappearance of coronary spasm and stable normalization of lipid profiles.
- This approach offers a potential solution for patients with complex IHD involving coronary artery disease, hyperlipoproteinemia, and vasospasm.
- The findings suggest improved long-term outcomes and quality of life for patients undergoing this multi-faceted surgical treatment.
Abstract:
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.