Belov Iu V
Grud Serdechnososudistaia Khir. 1992(5-6):18-22.
Experience has been accumulated in the department in the surgical treatment of 165 patients with combined affections of the coronary arteries and the arteries of the lower limbs. One-stage operations were conducted on 14 patients due to clinically severe ischemia of the heart and limbs. A bifurcation aortofemoral shunt with an aortocoronary shunt was formed in 2 patients. In the other cases an aortocoronary shunt without or with resection of a heart aneurysm and various types of aorto-iliac-femoral and femoropopliteal reconstructions were performed. No hospital mortality was encountered. The surgical techniques of combined operations are described in detail. It is concluded that such surgical interventions should be conducted only in highly-qualified institutions possessing rich experience both in coronary and in vascular operations.
该科室在165例冠状动脉和下肢动脉合并病变患者的外科治疗方面积累了经验。14例患者因心脏和肢体临床严重缺血接受了一期手术。2例患者进行了带主动脉冠状动脉分流术的分叉主动脉股动脉分流术。在其他病例中，进行了不带或带心脏动脉瘤切除术的主动脉冠状动脉分流术以及各种类型的主动脉-髂-股和股-腘重建术。未出现医院死亡病例。详细描述了联合手术的外科技术。得出的结论是，此类外科干预仅应在具备冠状动脉和血管手术丰富经验的高资质机构进行。
