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[Immediate and late results of Vineberg's operation in chronic ischemic heart disease with diffuse coronary
Insights
Weinberg's operation shows good results in 76% of patients with chronic ischemic heart disease (CIHD). This surgical treatment is recommended for refractory angina with diffuse coronary atherosclerosis.
Area of Science:
- Cardiology
- Cardiovascular Surgery
Background:
- Chronic ischemic heart disease (CIHD) presents challenges in diffuse coronary atherosclerosis.
- Refractory angina requires effective therapeutic interventions.
Purpose of the Study:
- To evaluate the efficacy of Weinberg's operation in patients with CIHD.
- To compare Weinberg's operation with conservative therapy and pericardocardiopexy.
Main Methods:
- A study involving 56 patients with CIHD and diffuse coronary sclerosis.
- Comparison with a control group receiving no surgery and another undergoing pericardocardiopexy.
- Follow-up periods ranging from 6 months to 10 years.
Main Results:
- Weinberg's operation demonstrated a good effect in 76% of patients.
- The procedure is indicated for angina unresponsive to conservative treatment.
- Factors like hypertension, obesity, cardiosclerosis, and recent myocardial infarction reduce efficacy.
Conclusions:
- Weinberg's operation is a viable option for selected CIHD patients with diffuse coronary atherosclerosis.
- Angiographic confirmation of diffuse lesions is crucial for patient selection.
- Careful patient selection is necessary to optimize outcomes.
Abstract:
The immediate and late results of Weinberg's operation have been studied in 56 patients with chronic ischaemic heart disease (CIHD) with diffuse coronary sclerosis. Two control groups were compared; those with CIHD who were not operated on, and those who were subjected to pericardocardiopexy. The follow-up periods lasted from 6 months to 10 years. It was established that Weinberg's operation produced good effect in 76% of patients with chronic ischaemic heart disease. The operation is indicated in angina refractory to conservative therapy, with diffuse atherosclerotic lesions of the coronary bed, confirmed angiographically. Concomitant hypertensive disease, obesity, marked cardiosclerosis, recent myocardial infarction decrease the efficacy of Weinberg's operation.