Preview

Grekov's Bulletin of Surgery

Advanced search

ROENTGENOMORPHOLOGICAL FEATURES OF CORONARY ARTERY LESIONS AND CORONARY SHUNTS IN PATIENTS WITH RELAPSE OF MYOCARDIUM ISCHEMIA AFTER CORONARY BYPASS SURGERY

https://doi.org/10.24884/0042-4625-2013-172-2-015-019

Abstract

The relapse of ischemia was detected in 127 patients in clinical series after coronary bypass surgery. It was noted in terms from 1 month till 204 months. The basic clinical manifestation of the relapse of ischemia was the recurrence of heart stroke in 74,8 %. According to the data of coronary bypass angiography, the main cause of the ischemia relapse appears to be the dysfunction of early formed shunts in 64,6 % patients. The development of early thrombosis of autografts is substantially determined by the pool and degree of stenosis of shunt coronary arteries.

About the Authors

D. L. Yurchenko
The municipal hospital № 40
Russian Federation


D. O. Denisyuk
The municipal hospital № 40
Russian Federation


V. E. Sharafutdinov
The municipal hospital № 40
Russian Federation


A. M. Volkov
The municipal hospital № 40
Russian Federation


N. N. Yakovlev
The municipal hospital № 40
Russian Federation


A. A. Payvin
The municipal hospital № 40
Russian Federation


S. V. Vlasenko
The municipal hospital № 40
Russian Federation


References

1. Беленков Ю. Н., Акчурин Р. С., Савченко А. П. и др. Рентгеноморфологическая характеристика поражения шунтов у больных ишемической болезнью сердца после аорто-коронарного шунтирования // Кардиология. 2000. № 1. С. 6–12.

2. Жбанов И. В. Повторная реваскуляризация миокарда при рецидиве стенокардии после аорто-коронарного шунтирования: Дис.. д-ра мед. наук. М., 1999. 218 с.

3. Кнышев Г. В., Фуркало С. Н., Уреуленко В. И. и др. Возможности прогностической оценки состояния аортокоронарных трансплантатов и динамики изменения коронарного русла у больных ишемической болезнью сердца после аортокоронарного шунтирования // Грудная и сердечно-сосуд. хир. 1994. № 2. С. 27–30.

4. Сейидов В. Г., Фисун А. Я., Евсюков В. В. Отдаленные результаты коронарного шунтирования в течение 5 лет наблюдения. Факторы, влияющие на рецидив стенокардии после коронарного шунтирования // Бюл. сибирской медицины. 2006. № 3. С. 105–112.

5. Brener S., Loop F. D., Lytle B. W. et al. A profile of candidates for repeat myocardial revascularization: Implications for selection of treatment // J. Thorac. Cardiovasc. Surg. 1997. Vol. 114. P. 153–161.

6. Glineur D., D’hoore W. et al. Angiographic predictors of 3-year patency of bypass grafts implanted on the right coronary artery system: A prospective randomized comparison of gastroepiploic artery, saphenous vein, and right internal thoracic artery grafts // J. Thorac. Cardiovasc. Surg. 2011. Vol. 142. P. 980–988.

7. Kim J. B., Kang J.-W., Song H. et al. Late improvement in graft patency after coronary artery bypass grafting: Serial assessment with multidetector computed tomography in the early and late postoperative settings // Thorac. Cardiovasc. Surg. 2011. Vol. 142. P. 793–799.

8. Sergeant P., Blackstone E., Meyns B. Is return of angina after coronary artery bypass grafting immutable, can it be delayed, and is it important? // J. Thorac. Cardiovasc. Surg. 1998. Vol. 116. P. 440–453.

9. Wheatley D. J. Surgery of coronary artery disease. Second edition. London: Arnold, 2003. 404 p.


Review

For citations:


Yurchenko D.L., Denisyuk D.O., Sharafutdinov V.E., Volkov A.M., Yakovlev N.N., Payvin A.A., Vlasenko S.V. ROENTGENOMORPHOLOGICAL FEATURES OF CORONARY ARTERY LESIONS AND CORONARY SHUNTS IN PATIENTS WITH RELAPSE OF MYOCARDIUM ISCHEMIA AFTER CORONARY BYPASS SURGERY. Grekov's Bulletin of Surgery. 2013;172(2):015-019. (In Russ.) https://doi.org/10.24884/0042-4625-2013-172-2-015-019

Views: 317


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 0042-4625 (Print)
ISSN 2686-7370 (Online)