Andrievskikh I A, Fokin A A, Zakharov V E, Verbovetskiĭ L P
Grud Serdechnososudistaia Khir. 1991 Aug(8):21-3.
Surgical management of combined arterial occlusions is a difficult problem. Combined lesions of the coronary arteries and brachiocephalic trunk are marked by significant mutual aggravation. The authors examined 48 patients with this pathological condition in the last 4 years, 32 of them underwent restorative surgical interventions. The direct effect was positive in 87% of patients. Four patients died after the operation. Comparative evaluation of the late-term results was carried out by the actuarial method. The authors believe a stage-by-stage character of the intervention to be expedient, except for cases of one-stage critical ischemia carried out simultaneously in two arterial channels and the possibility of simultaneous reconstruction of the sternotomy approach.
合并动脉闭塞的外科治疗是一个难题。冠状动脉和头臂干的合并病变具有显著的相互加重特征。作者在过去4年中检查了48例患有这种病理状况的患者，其中32例接受了修复性手术干预。87%的患者直接效果良好。4例患者术后死亡。采用精算方法对远期结果进行了比较评估。作者认为，除了在两个动脉通道同时进行一期严重缺血的情况以及同时重建胸骨切开术入路的可能性外，分期进行干预是合适的。
