Lebedev L V, Vinogradov A G, Sedletskiĭ Iu I, Shneĭder Iu A, Pizin V M, Azovtsev R A, Alekseeva N S, Gordeev M L, Polikarpov I S, Kovalev V A
Khirurgiia (Mosk). 1990 May(5):11-6.
The authors suggest a new complex approach to the surgical treatment of ischemic heart disease. Operation of coronary shunting for the restoration of the coronary blood flow, operation of partial ileoshunting for correction of hyperlipoproteinemia, plexotomy for removal of the vasospastic component. The sequence of the operations may vary, each one can also be undertaken independently. The operations were conducted on 315 patients. The follow-up period is up to 8 years. Patency of the mammary-coronary shunts was 93.5%, of autologous veins shunt--65%. Disappearance of the signs of coronary spasm++ and stable normalization of the lipid spectrum are noted.
作者们提出了一种用于缺血性心脏病外科治疗的新综合方法。进行冠状动脉分流术以恢复冠状动脉血流，部分回肠分流术以纠正高脂蛋白血症，神经丛切断术以消除血管痉挛成分。手术顺序可能不同，每项手术也可单独进行。对315例患者进行了手术。随访期长达8年。乳内动脉-冠状动脉分流术的通畅率为93.5%，自体静脉分流术的通畅率为65%。冠状动脉痉挛体征消失，血脂谱稳定正常。
