ABSTRACT
Surgical operation of coronary shunting with resection of postinfarction aneurysm of the left ventricle (PALV) had to be done on 65 patients. Automatic plasmapheresis (AP) and plasmothrombocytopheresis (PTCA) were performed in the reoperation period for transfusion maintenance. The cellular composition of peripheral blood was not changed under the influence of cellular operations with the exception of thrombocytes: after PTCA their content was reliably decreased. AP and PTCA operations in patients with PTLV led to initially increased content of blood fibrinogen, whole protein in 24 hours, but by the time of operation the indices of protein metabolism were stabilized at the initial level. The operations of AP and PTCA were followed by a reliably decreased concentration of cholesterol, beta-lipoproteins and triglycerides that was associated with plasma exfusion. PA and PTCA fulfilled before operation in PALV patients allow both reservation of autologous plasma and thrombocytes and normalization of certain indices of hemostasis.
