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Borzov E.A.
National Medical Research Center of Cardiology
On-pump and off-pump coronary artery bypass grafting in patients with diffuse coronary artery disease
Journal: Russian Cardiology Bulletin. 2022;17(1): 5‑13
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To cite this article:
Borzov EA, Latypov RS, Vasiliev VP, Galyautdinov DM, Shiryaev AA, Akchurin RS. On-pump and off-pump coronary artery bypass grafting in patients with diffuse coronary artery disease. Russian Cardiology Bulletin.
2022;17(1):5‑13. (In Russ.)
https://doi.org/10.17116/Cardiobulletin2022170115
Patients causes difficulties in invasive treatment and worse prognosis in the structure of ischemic heart disease. Previous percutaneous coronary interventions, high comorbidity of elderly patients with concomitant diabetes mellitus and dyslipidemia lead to an increased amount of diffuse coronary artery disease. Currently, there is no consensus regarding the choice of surgical technique for revascularization in these patients. Indeed, they often require complex reconstructive endarterectomy and bypass coronary plastics, which complicates the assessment of the results of surgical treatment. The review presents various technical features of direct myocardial revascularization with endarterectomy and angioplasty in patients with diffuse coronary artery disease using endarterectomy and bypass coronary plastics. The experience of performing surgical methods of coronary bypass grafting on a beating heart and in conditions of artificial blood supply is analyzed.
Keywords:
Authors:
Borzov E.A.
National Medical Research Center of Cardiology
Received:
22.10.2021
Accepted:
20.01.2022
List of references:
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