Akchurin R S, Beliaev A A, Shiriaev A A, Dolgov I M, Nizhnichenko V B
Khirurgiia (Mosk). 2001(1):12-7.
From 19.06.97 to 06.01.2000 36 patients with coronary heart disease underwent direct myocardium revascularization surgery by minimally invasive method (through minithoracotomy, off-pump and on the beating heart), anastomosis between left internal mammaria artery and anterior descending artery (ADA). The majority of the patients (55.6%) had one-vessel damage of ADA coronary bed, in the patients with damage of two and more vessels full revascularization of coronary bed was achieved by two coronary arteries bypass at once or by combination of minimally invasive coronary bypass (MICB) with PTCA. MICB is performed in specially selected patients according to stuct indications. Technique of operation, early postoperative course, possibilities of combination of MICB with other methods of treatment is described. Potential of MICB is discussed.
1997年6月19日至2000年1月6日，36例冠心病患者通过微创方法（经小切口开胸、非体外循环及心脏跳动下）接受了直接心肌血运重建手术，即左乳内动脉与前降支动脉（ADA）进行吻合。大多数患者（55.6%）的ADA冠状动脉床存在单支血管病变，对于两支及以上血管病变的患者，通过一次行两支冠状动脉搭桥或微创冠状动脉搭桥（MICB）与经皮冠状动脉腔内血管成形术（PTCA）联合应用实现了冠状动脉床的完全血运重建。MICB是根据特定的结构指征在经过特殊挑选的患者中进行的。描述了手术技术、术后早期病程、MICB与其他治疗方法联合应用的可能性。并讨论了MICB的潜力。
