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Semchenko A.N.

FGBU "Federal'nyĭ tsentr serdechno-sosudistoĭ khirurgii", Khabarovsk

Breev D.V.

Federal Center for Cardiovascular Surgery of Healthcare Ministry of the Russia, Khabarovsk, Russia

Yavnyi V.Ya.

Federal State Budgetary Institution «Federal Center for Cardiovascular Surgery», Khabarovsk

Simultaneous bilateral aortic-carotid replacement and coronary artery bypass grafting by using of microvascular technique and surgical microscope

Authors:

Semchenko A.N., Breev D.V., Yavnyi V.Ya.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2018;11(4): 88‑92

DOI: 10.17116/kardio201811488

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SIMULTANEOUS BILATERAL AORTIC-CAROTID REPLACEMENT AND CORONARY ARTERY BYPASS GRAFTING BY USING OF MICROVASCULAR TECHNIQUE AND SURGICAL MICROSCOPE
SIMULTANEOUS BILATERAL AORTIC-CAROTID REPLACEMENT AND CORONARY ARTERY BYPASS GRAFTING BY USING OF MICROVASCULAR TECHNIQUE AND SURGICAL MICROSCOPE

To cite this article:

Semchenko AN, Breev DV, Yavnyi VYa. Simultaneous bilateral aortic-carotid replacement and coronary artery bypass grafting by using of microvascular technique and surgical microscope. Russian Journal of Cardiology and Cardiovascular Surgery. 2018;11(4):88‑92. (In Russ.)
https://doi.org/10.17116/kardio201811488

Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)
 
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Patients with concomitant severe coronary and carotid vascular lesion are specific high risk group. Surgical approaches are controversial for these patients. Surgical treatment of 59-year-old patient with severe coronary artery disease and cerebrovascular insufficiency due to significant brachiocephalic and coronary vascular lesion is presented in the article. Patient underwent simultaneous bilateral aortic-carotid replacement and coronary artery bypass grafting by using of microvascular technique and surgical microscope. We obtained satisfactory clinical and angiographic results. Need for individual approach in patients with severe coronary and carotid vascular lesion was concluded.

Keywords:

bilateral aortic-carotid replacement
coronary artery bypass grafting
microsurgical technique
operating microscope

Authors:

Semchenko A.N.

FGBU "Federal'nyĭ tsentr serdechno-sosudistoĭ khirurgii", Khabarovsk

Breev D.V.

Federal Center for Cardiovascular Surgery of Healthcare Ministry of the Russia, Khabarovsk, Russia

Yavnyi V.Ya.

Federal State Budgetary Institution «Federal Center for Cardiovascular Surgery», Khabarovsk

List of references:

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  2. Gordeev ML, Bendov DV, Gnevashev AS, Kotin AN, Grebennik VK. 10-year term experience of simultaneous carotid and coronary artery surgery. Grudnaya i serdechno-sosudistaya khirurgiya. 2015;57(6):18-25. (In Russ.)
  3. Keshelava G, Beselia K, Nachkepia M, Janashia G, Nuralidze K. Simultaneous approach of internal carotid artery revascularization at the base of the skull and coronary arteries bypass without extracorporeal circulation. General thoracic and cardiovascular surgery. 2011;59(7):495-498. https://doi.org/10.1007/s11748-010-0725-5
  4. Sigaev IYu, Gamzaev NR, Kazaryan AV, Kudashev IF. Clinical case of the successful holding of concomitant surgery of aorta-carotid bypass surgery using a prosthesis Baseks and bypass of LAD with right IMA. Byulleten’ NTsSSKh im. A.N. Bakuleva RAMN. 2016;17(6):61-65. (In Russ.)
  5. Naylor AR, Mehta Z, Rothwell PM, Bell PRF. Carotid artery disease and stroke during coronary artery bypass: a critical review of the literature. European journal of vascular and endovascular surgery. 2002;23(4):283-294. https://doi.org/10.1053/ejvs.2002.1609
  6. Kiriş I, Gülmen S, Yilmaz S, Okutan H. Management of concomitant coronary and bilateral carotid artery disease: a case report. Journal of cardiac surgery. 2007;22(2):149-151. https://doi.org/10.1111/j.1540-8191.2007.00358.x
  7. Aramendi C, Cubero A, Cortés A, Rivas D, Crespo A, Aramendi JI. Complete carotid and coronary revascularization in brain malperfusion. Asian Cardiovascular and Thoracic Annals. 2016;24(7):709-711. https://doi.org/10.1177/0218492316639406
  8. Akchurin RS, Shiryaev AA, Galyautdinov DM, Vasiliev VP, Vlasova EE, Cherkashin DI. 10-year results of coronary artery bypass grafting with microsurgical technique. Kardiologiya i serdechno-sosudistaya khirurgiya. 2016;9(2):4-14. (In Russ.) https://doi.org/10.17116/kardio2016924-14
  9. Semchenko AN, Sadykov AA, Andreev DB. Coronary artery bypass grafting using microvascular technique and surgical microscope: immediate results. Cardiologia i serdechno-sosudistaya chirurgia. 2016;9(4):22-31. (In Russ.) https://doi.org/10.17116/kardio20169422-31

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