Belov Iu V, Goriunov V S, Aslibekian I S
Khirurgiia (Mosk). 1992 May-Jun(5-6):52-6.
Concomitant ischemic heart disease was encountered in every 5 patients among 840 patients who underwent operation for occlusive lesions of the arteries of the lower limbs. Coronary cardiosclerosis increases the incidence of fatal myocardial infarction in the early and late-term postoperative periods. The presence of a clinical picture of ischemic heart disease and ECG changes require the performance of loading tests and, if their results are positive, the accomplishment of coronary ventriculography so as to solve the question of preventive revascularization of the myocardium. Preventive aortocoronary shunting excludes the risk of the development of cardiogenic complications in reconstruction of the great arteries of the lower limbs.
在840例接受下肢动脉闭塞性病变手术的患者中，每5例就有1例伴有缺血性心脏病。冠状动脉硬化会增加术后早期和晚期致命性心肌梗死的发生率。存在缺血性心脏病的临床表现和心电图改变时，需要进行负荷试验，如果试验结果为阳性，则需进行冠状动脉心室造影，以解决心肌预防性血运重建的问题。预防性主动脉冠状动脉分流可排除下肢大动脉重建时发生心源性并发症的风险。
