Problem of Management of the Surgery Patients with Multifocal Atheroscerosis / Монголын Анагаах Ухаан

ABSTRACT

Coronary artery disease (CAD) is the leading cause of morbidity and mortality in many countries over the world. In recent years, the combination of atherosclerosis of coronary and peripheral artery is increasing which in turn becoming a crucial issue of interventional cardiology and cardiovascular surgery at present days. According to the data reported by different autors (), the incidence of multifocal atherosclerosis (in patients with CAD) varies from 8.1 to 33.9%. In our study prevalence of multifocal atherosclerosis was 12.8% and of all these cases, majority had multiple involvement of coronary arteries as well higher degree of severity in stenosis. Management of surgery in patients with multisystem aterosclerosis very importent issueses of vascular surgery. The choice and strategy of reconstructive surgery still remains controversial when CAD coexists with other peripheral arterial disease. Surgical management of concomitant diseases of coronary, cerebral and peripheral arteries are certainly the most important issue of vascular surgery. In addition to traditional surgical approaches for all common vascular diseases, the endovascular surgical management is developing rapidly. Reported herein is the some cases of a patient presenting with associated atherosclerotic lesion of the coronary artery, extracranial artery and artery of lower extremities. We have different reconstructive vascular surgery patients with multifocal atherosclerosis. There are included some cases of vascular taktics for multifocal atherosclerosis.