Complete myocardial revascularization in patients with multiple-vessel coronary artery disease and partial or complete absence of the grafts for coronary artery bypass surgery

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Complete revascularization in patients with multiple-vessel coronary artery disease and partial or complete absence of the grafts is still actual problem for cardiac surgeons. The main causes of the absence of conduits for coronary artery bypass surgery are aging of population, increased incidence of repeated coronary artery bypass surgery and prevalence of varicose vein disease of the lower extremities. The most perspective approaches characterized by acceptable early and long-term postoperative outcomes are bilateral internal mammary artery grafting, sequential bypass including autoarterial grafts, as well as hybrid revascularization methods. However, treatment strategy is individualized in each patient.

Keywords:

complete myocardial revascularization

partial and complete absence of the conduits

bilateral internal mammary artery grafting

hybrid methods of revascularization

Authors:

Komarov R.N.

Sechenov First Moscow State Medical University

ORCID: 0000-0002-3904-6415

Ismailbaev A.M.

Sechenov First Moscow State Medical University

ORCID: 0000-0001-8545-3276

Kadyraliyev B.K.

Sechenov First Moscow State Medical University

Zhigalov K.Yu.

Sechenov First Moscow State Medical University

Received:

16.07.2019

Accepted:

10.08.2019

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