Perioperative myocardial infarct during the surgical treatment of IHD

Perioperative myocardial infarction is one of the most frequent causes of death in patients subjected to surgery for coronary disease. Study of the pathogenesis of this complication may become an approach to decreasing the postoperative mortality. Forty-seven case histories and autopsy protocols of...

Full description

Saved in:
Bibliographic Details
Published inAnesteziologiia i reanimatologiia no. 5; p. 34
Main Authors Sheremet'eva, G F, Lebedeva, R N, Ivanova, A G, Fishkova, Z P, Ziuliaeva, T P
Format Journal Article
LanguageRussian
Published Russia (Federation) 01.09.1999
Subjects
Adult
Aged
Aorta - pathology
Autopsy
Biopsy
Coronary Thrombosis - complications
Coronary Thrombosis - pathology
Coronary Thrombosis - surgery
Coronary Vessels - pathology
Female
Humans
Immunoenzyme Techniques
Intraoperative Complications - etiology
Intraoperative Complications - pathology
Male
Microscopy, Electron
Middle Aged
Myocardial Infarction - etiology
Myocardial Infarction - pathology
Myocardial Ischemia - complications
Myocardial Ischemia - pathology
Myocardial Ischemia - surgery
Myocardium - pathology
Online AccessGet more information

Cover

More Information
Summary:Perioperative myocardial infarction is one of the most frequent causes of death in patients subjected to surgery for coronary disease. Study of the pathogenesis of this complication may become an approach to decreasing the postoperative mortality. Forty-seven case histories and autopsy protocols of patients who died after surgery on the coronary arteries and 241 intraoperative biopsy specimens of autovenous shunts are analyzed. The mechanisms underlying the cardiomyocyte necrosis in surgical treatment of coronary disease are based on various pathological processes, the leading of which is thrombosis of the shunts and coronary arteries. The principal factors were intraoperative ischemia of autovein endothelium and shunting of coronary artery with a narrow distal bed.
ISSN:0201-7563