[Surgical correction of hyperlipidemia in the treatment of arteriosclerosis obliterans]

Study of the blood serum lipid spectrum in 870 patients with atherosclerosis obliterans showed hypercholesterolemia in 24% and increased atherogenicity coefficient in 19%. In view of which, an operation for the formation of a partial iliac shunt was conducted in 33 patients with hyperlipidemia to reduce the blood lipid level and prevent the advancement of atherosclerosis obliterans. It was performed simultaneously with an operation for atherosclerosis obliterans in 15 of them. Twenty-three patients were studied in late periods, the level of atherogenic lipids in the blood was found to be decreased in all of them. The effect of the operation was positive in 17 patients, the process progressed in 3 patients. It is concluded that surgical correction of hyperlipidemia in atherosclerosis obliterans is an expedient measure.