Specific strategic decisions and surgical treatment in patients with ischemic heart disease and postinfarction aneurysms of the left ventricle and atherosclerotic lesions of brachiocephalic arteries

• Published in: Vestnik hirurgii im. I.I. Grekova Vol. 166; no. 2; p. 16
• Main Authors: Shilov, V V, Khubulava, G G, Belevitin, A B, Erofeev, A A, Kitachev, K V
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 2007
• Subjects: Brachiocephalic Trunk - pathology; Brachiocephalic Trunk - surgery; Cardiac Surgical Procedures - methods; Coronary Artery Disease - complications; Coronary Artery Disease - surgery; Decision Making; Female; Heart Aneurysm - etiology; Heart Aneurysm - pathology; Heart Aneurysm - surgery; Humans; Male; Middle Aged; Myocardial Ischemia - epidemiology; Myocardial Ischemia - pathology; Myocardial Ischemia - surgery; Ventricular Dysfunction, Left - complications; Ventricular Dysfunction, Left - physiopathology; Ventricular Dysfunction, Left - surgery
• ISSN: 0042-4625

Under observation there were 14 male patients. Since 1995 a method of transprosthetic aortotomy has been used in patients with impaired carotid arteries, later this method was used in patients with postinfarction aneurysms of the left ventricle. In addition, in 3 critical patients we used minimally invasive techniques of surgery in stage-wise treatment. Single-stage operations in ischemic heart disease patients with postinfarction aneurysms of the left ventricle and a lesion of the brachiocephalic arteries (BCA) are indicated in the following cases: 1. In intrathoracal lesion of BCA; 2. In atherosclerotic lesion of the left coronary artery trunk; 3. In patients with postinfarction aneurysms of the left ventricle and with output fraction less than 35%; 4. When instable angina is not amendable to medicinal stabilization.