Kertsman V P, Kuperberg E B, Serov R A, Botnar' Iu M, Shvarts I P, Bakhutashvili Z V, Karelidis I K
Grud Serdechnososudistaia Khir. 1992(9-10):26-30.
In the period from Jan. 1988 to Jan. 1991 operations for the formation of an aortocoronary shunt were carried out in 437 patients at the Department of Combined Affections of the Coronary and Peripheral Arteries, Bakulev Research Institute. In some cases the operation was combined with resection of a postinfarction aneurysm of the left ventricle. Cerebral complications developed in the postoperative period in 28 (6.4%) patients. Their analysis showed the prevalence of severe forms of consciousness disturbances: coma and comatose states were encountered in 85.7% of cases. The main causes of the complications were acute heart failure (64.3%) and arterial embolism (14.3%). In only one case concomitant affection of the branches of the aortic arch was found to be the main cause of the development of a transitory ischemic attack. It is concluded that the development of acute heart failure in the patients may sharply increase the incidence of neurologic complications.
1988年1月至1991年1月期间，巴库列夫研究所冠状动脉和外周动脉联合疾病科对437例患者进行了主动脉冠状动脉分流术。在某些情况下，该手术与左心室心肌梗死后动脉瘤切除术联合进行。术后有28例（6.4%）患者出现脑部并发症。对其分析显示，严重意识障碍形式较为普遍：85.7%的病例出现昏迷和昏迷状态。并发症的主要原因是急性心力衰竭（64.3%）和动脉栓塞（14.3%）。仅在1例中，发现主动脉弓分支的合并病变是短暂性脑缺血发作发生的主要原因。得出的结论是，患者急性心力衰竭的发生可能会大幅增加神经系统并发症的发生率。
