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

Direct reparative operations on coronary arteries were carried out in 18 patients with ischemic heart disease in order to revascularize the myocardium: auto-pericardium plastics of right coronary artery; autogenous vein plastics of the opening and the trunk of left coronary artery; instrumental delactation of opening and the trunk of the left coronary artery; right coronary artery prosthesis and shunt-plastics of the front interventricular branch of the left and right coronary artery. The observation period was from 1 month to 5 years. The article shows the efficiency of direct reparative operations for prophylaxis of myocardial infarctions or sudden deaths. The operated patients also got rid of stenocardia and have acquired a more high tolerance for physical loads.