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[Surgical treatment of multiple occlusions of the aortic arch arteries]
Insights
Treatment of aortic arch artery lesions in 174 patients showed significant improvement in hemodynamics (97.5%) and neurological symptoms (71%). This study highlights effective surgical interventions for complex vascular conditions.
Area of Science:
- Vascular Surgery
- Cardiovascular Medicine
- Neurology
Abstract:
The results of treatment of 174 patients with lesions of the arteries of the aortic arch are presented. Multiple lesions of the coronary arteries were revealed in 78 patients, of the brachiocephalic trunk--in 45, their combination--in 52. In patients with the ischemic heart disease, in average, 3,4 aortocoronary shunts were placed. In patients with the impaired cerebral circulation, reconstruction of 2-3 arteries was performed simultaneously in their unilateral lesions. In case of their bilateral lesions, the blood flow restoration was performed in two stages with a 2-4 week interval. Improvement of the indices of intravascular hemodynamics was achieved in 97.5% of the patients, neurologic symptoms were completely eliminated in 71% of the patients. Three patients died from cardio-vascular failure.