Results of myocardial revascularization using two thoracic internal arteries under general anesthesia
H. V. Udovenka,
D. V. Osipenko,
S. P. Salivonchik,
A. A. Skarakhodau,
V. V. Lavachkin,
O. V. Chirkova https://doi.org/10.51523/2708-6011.2022-19-4-18
Abstract
Objective. To evaluate the efficiency and safety of using two thoracic internal arteries during myocardial revascularization.
Materials and methods. The study included 32 patients over 18 years of age who were operated on for coronary artery diseases using two internal arteries as an auto-graft. The incidence of postoperative complications was assessed taking into account the proposed criteria for selecting patients.
Results. No increase in the number of postoperative complications in the early postoperative period was detected during bilateral internal thoracic artery coronary artery bypass graft.
Conclusion. Coronary bypass grafting using two internal thoracic arteries under general multicomponent balanced anesthesia is an effective and safe method of myocardial revascularization. It does not increase the risk of complications in the postoperative period with proper selection of patients.
About the Authors
H. V. Udovenka
Gomel Regional Clinical Cardiological Center
Belarus
Belarus
Hennadzi V. Udovenka, Cardiac Surgeon of the Department of Cardiac Surgery
Gomel
D. V. Osipenko
Gomel Regional Clinical Cardiological Center
Belarus
Belarus
Dzmitry V. Osipenko, Candidate of Medical Sciences,
Associate Professor of the Department of Surgical Diseases No. 1 with a course of Cardiovascular Surgery, Gomel State Medical University; Anesthesiologist-resuscitator (head) of the Department of Anesthesiology and Resuscitation with Intensive Care Units
Gomel
S. P. Salivonchik
Gomel Regional Clinical Cardiological Center
Belarus
Belarus
Sergey P. Salivonchik, Candidate of Medical Sciences,
Cardiac Surgeon, Deputy Chief Physician for Surgical Care
Gomel
A. A. Skarakhodau
Gomel Regional Clinical Cardiological Center
Belarus
Belarus
Aliaksandr A. Skarakhodau, Cardiac Surgeon of
the Department Cardiac Surgery
Gomel
V. V. Lavachkin
Gomel Regional Clinical Cardiological Center
Belarus
Belarus
Vitaly V. Lavachkin, Ultrasound Doctor
Gomel
O. V. Chirkova
Gomel Regional Clinical Cardiological Center
Belarus
Belarus
Olga V. Chirkova, Cardiologist of the Department Cardiac
Surgery
Gomel
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Review
For citations:
Udovenka H.V., Osipenko D.V., Salivonchik S.P., Skarakhodau A.A., Lavachkin V.V., Chirkova O.V. Results of myocardial revascularization using two thoracic internal arteries under general anesthesia. Health and Ecology Issues. 2022;19(4):136-142. (In Russ.) https://doi.org/10.51523/2708-6011.2022-19-4-18
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