Malyshev Iu I, Fokin A A, Zakharov V E, Andrievskiĭ I A, Verbovetskiĭ L P
Khirurgiia (Mosk). 1990 Nov(11):20-4.
The treatment of 3 patients with combined occlusive affection of the brachiocephalic and coronary arteries is discussed. A one-stage intrathoracic operation was carried out. Prosthetics of one or two brachiocephalic branches was conducted at first after which a double of triple aortocoronary shunt was formed under conditions of extracorporeal circulation with the use of cardioplegia. The outcome of treatment was favourable. The formation of an aortobifemoral shunt will be undertaken in one of the patients in a short time. Various problems of tactical and surgical character in one-stage correction of the coronary and brachiocephalic blood flow are discussed.
讨论了3例头臂动脉和冠状动脉合并闭塞性病变患者的治疗情况。实施了一期开胸手术。首先对一或两个头臂分支进行修复，之后在体外循环及使用心脏停搏液的条件下建立双支或三支主动脉冠状动脉分流。治疗结果良好。不久后将对其中1例患者进行主动脉双股动脉分流术。讨论了在一期矫正冠状动脉和头臂血流时遇到的各种战术和手术问题。
