Topalov I, Zorin A, Roostar L, Lazarov Z, Silin V, Sukhov V, Alekshin N, Soroka V, Borisov I, Shishmarev I U
Khirurgiia (Sofiia). 1990;43(6):8-11.
Included in the study were 236 operations for ischemic heart disease (IHD) aorto-coronary shunt (ACS)--88 patients; ACS + aneurysmectomy--30; ACS + endarterectomy--12, aneurysmectomy--70; skin endocoronary balloon angioplasty--34, heart transplantation--2. The postoperative mortality was 6.5 per cent. Indications for ACS were specified on the basis of the patients state of well-being, the bicycle ergometry [correction of veloergometric] test, the coronarography and ventriculography, the end diastolic pressure and the ejection fraction. Decisive in selecting patients for operative treatment were the data of selective coronarography.
该研究纳入了236例缺血性心脏病（IHD）主动脉-冠状动脉分流术（ACS）——88例患者；ACS + 动脉瘤切除术——30例；ACS + 动脉内膜切除术——12例，动脉瘤切除术——70例；经皮冠状动脉球囊血管成形术——34例，心脏移植——2例。术后死亡率为6.5%。ACS的适应证是根据患者的健康状况、自行车测力计[纠正为运动负荷试验]测试、冠状动脉造影和心室造影、舒张末期压力和射血分数确定的。选择性冠状动脉造影的数据对于选择手术治疗的患者起决定性作用。
