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Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery
Published on: March 27, 2018
[Simultaneous brachiocephalic arteries reconstruction and coronary artery bypass grafting]
A V Lysenko1, Yu V Belov1, A V Stonogin1
1Department of cardiac surgery of the Clinic of Aortic and Cardiovascular Surgery, Chair of Cardiovascular Surgery and Interventional Cardiology, Institute of postgraduate education of the I.M. Sechenov First Moscow State Medical University.
Insights
Simultaneous surgical treatment combining brachiocephalic artery repair and coronary artery bypass grafting (CABG) offers a viable option for patients with both conditions. This approach aims to improve outcomes by addressing critical vascular issues concurrently.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Cardiac Surgery
Background:
- Ischemic heart disease (IHD) and brachiocephalic artery lesions often coexist.
- Managing these combined conditions presents unique surgical challenges.
- Optimal treatment strategies require careful consideration of patient-specific factors.
Purpose of the Study:
- To present the outcomes of simultaneous surgical treatment for patients with brachiocephalic artery lesions and IHD.
- To describe diagnostic and surgical features of this combined approach.
- To define indications and review potential complications of simultaneous reconstructions.
Main Methods:
- Simultaneous surgical treatment involving reconstructive operations on brachiocephalic arteries and coronary artery bypass grafting (CABG).
- Analysis of data from 55 patients undergoing the combined procedure.
- Review of Russian and international experience with simultaneous operations.
Main Results:
- The study details the results of simultaneous surgical treatment in 55 patients.
- Features of diagnosis and surgical stages are described.
- Complications associated with simultaneous operations were documented.
Conclusions:
- Simultaneous surgical treatment is indicated for select patients with brachiocephalic artery lesions and IHD.
- Understanding the specific features and potential complications is crucial for successful outcomes.
- Suggestions for improving results of simultaneous reconstructions are proposed.
Abstract:
It is presented the results of simultaneous surgical treatment of 55 patients with brachiocephalic arteries lesion and ischemic heart disease. All patients underwent reconstructive operations on brachiocephalic arteries and CABG. The features of diagnosis and surgical stage are described. The indications for this method are defined. The authors studied russian and world experience; complications of simultaneous operations are presented. It is suggested ways for improvement of results of simultaneous reconstructions.
