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[缺血性心脏病冠状动脉的直接重建手术]

[Direct reconstructive operations on the coronary arteries in ischemic heart disease].

作者信息

Mikheev A A, Maĭorov I M, Abramov A N, Chernov S A, Shaenko O Iu

出版信息

Voen Med Zh. 1994 Dec(12):24-6, 80.

PMID:7900313
Abstract

Direct reconstructive operations were performed on affected coronary arteries of six patients with IHD in order to revascularize myocardium:surgical prosthesis of left coronary artery, resection of arteries of interventricular interseptum and right coronary artery. The zones of lesions were resected with further restoration of its anatomic integrity. Angiography and bicycle ergometry [correction of veloergometry] conducted in different periods after operations have shown a good conductivity of arteries at the zones of reconstruction, as will as a considerable increase was achieved in patients' tolerance to loading tests. The observation period was from 1 month to 3.5 years. There were no lethal cases.

摘要

对6例缺血性心脏病患者的病变冠状动脉进行了直接重建手术,以使心肌血管化:左冠状动脉人工血管置换术、室间隔动脉和右冠状动脉切除术。切除病变区域并进一步恢复其解剖完整性。术后不同时期进行的血管造影和自行车测力计[纠正测力计]检查显示,重建区域的动脉传导良好,患者对负荷试验的耐受性也有显著提高。观察期为1个月至3.5年。无死亡病例。

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