SURGICAL APPROACHES TO PERFORMING CORONARY ENDARTERECTOMY IN COMBINATION WITH CORONARY ARTERY BYPASS GRAFTING
https://doi.org/10.34822/2304-9448-2020-1-15-22
Abstract
The aim of the study is to review the surgical approaches to performing coronary endarterectomy in
combination with coronary artery bypass grafting. Material and methods. Search and study of scientific literature using the databases PubMed, MEDLINE, ScienceDirect and eLIBRARY.RU by the keywords “coronary endarterectomy”, “coronary bypass surgery” and “diffuse coronary atherosclerosis” is performed. Results. Coronary endarterectomy combined with coronary artery bypass grafting can be an effective technique with acceptable operational risk given a careful selection of patients for this procedure. It is preferable to perform an open endarterectomy on the left anterior descending artery and closed technique on the right coronary artery. It is favored to use the internal thoracic artery as a material for reconstruction of an artery after endarterectomy. The presence of endothelial dysfunction in the area of coronary artery reconstruction requires aggressive antithrombotic therapy. The use of double antiplatelet therapy or a combination of aspirin with warfarin is effective. Thus, the correct approach in choosing the method of surgical treatment methods will improve long-term results in this category of patients.
About the Authors
Ya. Yu. Visker
Surgut State University,
District
Cardiology Dispensary “Center for Diagnostics and Cardiovascular Surgery”, Surgut, Russia
Russian Federation
Russian Federation
Postgraduate, Department of Cardiology,
Cardiovascular Surgeon;
Е-mail: yavisker@gmail.com
A. N. Molchanov
Surgut State University,
District Cardiology Dispensary “Center for Diagnostics and Cardiovascular Surgery”, Surgut,
Russia
Russian Federation
Russian Federation
Candidate of Sciences (Medicine), Associate Professor, Department of Cardiology,
Cardiovascular Surgeon;
Е-mail: amolchanov432@gmail.com
D. N. Kovalchuk
Surgut State University,
District Cardiology Dispensary “Center for Diagnostics and Cardiovascular Surgery”,
Surgut, Russia
Russian Federation
Russian Federation
Assistant Professor, Department of Cardiology,
Cardiovascular Surgeon, Head, Cardiac Surgery Department No. 2;
Е-mail: dk4@yandex.ru
I. A. Urvantseva
Surgut State University,
District Cardiology Dispensary “Center for Diagnostics and Cardiovascular Surgery”, Surgut, Russia
Russian Federation
Russian Federation
Candidate of Sciences (Medicine), Head, Department of Cardiology,
Chief Medical Officer;
Е-mail: post@cardioc.ru
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Review
For citations:
Visker Ya.Yu., Molchanov A.N., Kovalchuk D.N., Urvantseva I.A. SURGICAL APPROACHES TO PERFORMING CORONARY ENDARTERECTOMY IN COMBINATION WITH CORONARY ARTERY BYPASS GRAFTING. Vestnik SurGU. Meditsina. 2020;(1 (43)):15-22. (In Russ.) https://doi.org/10.34822/2304-9448-2020-1-15-22
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