ANALYSIS OF PATHOLOGIC AND RADIOLOGIC SIGNS OF SHUNTS LESIONS AFTER AORTO-CORONARY BYPASS
Abstract
Fragments of shunts of coronary arteries at 36 patients after revascularization of myocardium are investigated (total 122 shunts: 36 of the left intrathoracic arteries and 86 autovenous). On the coronarography and morphological research the high stability of the autoarterial shunts as more adapted to a high blood pressure is shown. Among autovenous shunts one year after the by-pass more than one third were nonfunctioning. Technical errors of transplant taking and suturing, the distal lesion of a coronary flow and mediastinitis have been excluded. The level of blood cholesterol did not influence functional viability of venous shunts in the first year after the surgery. Authors suggest that not only anatomic-physiological features influence the outcome of shunts but it's also determined by the pathological changes of a venous wall which are not registered visually.
About the Authors
B. N. Kozlov
Scientific Research Institute of Cardiology of the Tomsk Centre of Science Siberian Branch of the Russian Academy of Medical Science; Branch of Scientific Research Institute of Cardiology of the Tomsk Centre of Science Siberian Branch of the Russian Academy of Medical Science (Vladivostok)
Russian Federation
Russian Federation
V. M. Shipulin
Scientific Research Institute of Cardiology of the Tomsk Centre of Science Siberian Branch of the Russian Academy of Medical Science; Branch of Scientific Research Institute of Cardiology of the Tomsk Centre of Science Siberian Branch of the Russian Academy of Medical Science (Vladivostok)
Russian Federation
Russian Federation
M. S. Kuznetsov
Scientific Research Institute of Cardiology of the Tomsk Centre of Science Siberian Branch of the Russian Academy of Medical Science; Branch of Scientific Research Institute of Cardiology of the Tomsk Centre of Science Siberian Branch of the Russian Academy of Medical Science (Vladivostok)
Russian Federation
Russian Federation
D. B. Andreev
Scientific Research Institute of Cardiology of the Tomsk Centre of Science Siberian Branch of the Russian Academy of Medical Science; Branch of Scientific Research Institute of Cardiology of the Tomsk Centre of Science Siberian Branch of the Russian Academy of Medical Science (Vladivostok)
Russian Federation
Russian Federation
References
1. Baurassa M.G., Campeau L. // Circulation. — 1982. — Vol. 6. - P. 90-97.
2. Campeau L., Enjalbert M., Lesperance J. et al. //Circulation. - 1983. - Vol. 68, Suppl. - P. II-1-II-7.
3. Grondin C.M., Campeau L., Lesperance J. et al. // Circulation. - 1984. - Vol. 70, No. 6. - P. 1208-1212.
4. Landymore R.W., Chapman D.M. // Ann. Thorac. Surg. - 1987. - Vol. 44, No. 1. - P. 4-6.
5. Lee R.T., Loree H.M., Fishbein M.C. //J. Am. Coll. Cardiol. - 1994. - Vol. 24. - P. 1639-1644.
6. Solymoss B.C., Marcil M., Weselowska E.//Can. J. Cardiol. - 1993. - Vol. 9. - P. 80-84.
Review
For citations:
Kozlov B.N., Shipulin V.M., Kuznetsov M.S., Andreev D.B. ANALYSIS OF PATHOLOGIC AND RADIOLOGIC SIGNS OF SHUNTS LESIONS AFTER AORTO-CORONARY BYPASS. Pacific Medical Journal. 2006;(1):26-29. (In Russ.)
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