ABSTRACT
The authors performed 153 reconstructive vascular operations in patients with associated atherosclerotic lesion of the coronary arteries, abdominal aorta and arteries of the lower extremities. According to the findings of ventriculography and coronarograms, in 13 patients, the inoperable form of the ischemic heart disease was revealed. In all these patients, the vascular operations were performed. The indications for the different reconstructive vascular operations in inoperable coronary pathology have been developed.
Subject(s)
Aorta, Abdominal/surgery , Coronary Artery Disease/complications , Femoral Artery/surgery , Ischemia/surgery , Leg/blood supply , Popliteal Artery/surgery , Adult , Aged , Humans , Ischemia/complications , Male , Middle Aged , Vascular Surgical Procedures/methodsABSTRACT
The results of surgical treatment of 158 patients with high occlusion of the abdominal aorta associated with lesion of the coronary, renal and visceral arteries are presented. The technique of aorto-femoral shunting from the descending aorta with isolated plasty of its branches in patients with concomitant severe coronary disease, permitting to reduce the incidence of complications and lethality, is suggested.