EVALUATION OF THE RESULTS OF MYOCARDIAL REVASCULARIZATION ON THE WORKING HEART IN DIFFERENT COMPLICATED FORMS OF ISCHEMIC HEART DISEASE
Husan G. Khalikulov
MD, Senior Research Fellow, Department of Surgery of coronary heart disease and its complications , REPUBLICAN SPECIALIZED CENTER OF SURGERY named of academician V. Vakhidov, Tashkent, Uzbekistan. E- mail: hg27@mail.ru
Abrol A. Mansurov
MD, PhD, Head of Department of meters surgery coronary artery disease and its complications , REPUBLICAN SPECIALIZED CENTER OF SURGERY named of academician V. Vakhidov, Tashkent, Uzbekistan. E- mail: mansurov_aa@mail.ru
Ulugbek B. Akhmedov
Doctor of Medical Sciences, Chief Researcher, Department of Surgery of IHD and Its Complications , REPUBLICAN SPECIALIZED CENTER OF SURGERY named of academician V. Vakhidov , Tashkent, Uzbekistan. E- mail: makesha71@mail.ru
Oybek E. Ilkhomov
Junior Researcher , Department of Surgery of coronary heart disease and its complications , REPUBLICAN SPECIALIZED CENTER OF SURGERY named of academician V. Vakhidov, Tashkent, Uzbekistan. E- mail: cs_oybek@mail.ru
Saidorikhon S. Murtazaev
Junior Researcher , Department of Surgery of IHD and Its Complications , REPUBLICAN SPECIALIZED CENTER OF SURGERY named of academician V. Vakhidov, Tashkent, Uzbekistan. E- mail: mss197402@rambler.ru
Sanjar A. Babadjanov
PhD, Senior Researcher , Department of Surgery of X-ray Endovascular Surgery , REPUBLICAN SPECIALIZED CENTER OF SURGERY named of academician V. Vakhidov, Tashkent, Uzbekistan. E- mail: doctorsanjar@mail.ru
Abstract
FINANCING. The authors did not receive financial support from drug manufacturers.
CONFLICT OF INTEREST. The authors declare that there is no conflict of interest.
Ethical aspects. The article does not disclose the personal information of patients who were treated at the REPUBLICAN SPECIALIZED CENTER OF SURGERY named of academician V. Vakhidov.
ABSTRACT
Objective : estimation of beating heart coronary bypass operations at patients with the ischemic heart disease and its complicated forms and comparative estimation of its results with the operations performed by using cardiopulmonary bypass .
Material and methods . We have analyzed 280 patients with the ischemic heart disease and its complicated forms. These patients were divided into two groups: first group - 142 patients who undergone On-Pump coronary bypass surgery and second group - 138 patients whom performed Off-Pump coronary revascularization. The inclusion criteria were following: patients with ischemic heart disease with its complicated forms, like as, decreased contractility of myocardium, left ventricle aneurysm, ischemic mitral insufficiency .
Results . In all cases were performed coronary bypass grafting operations. 142 patients undergone coronary bypass grafting operation with the use of cardiopulmonary bypass and the rest 138 cases were performed on the beating heart . We have estimated the frequency of perioperative myocardial infarction, stroke and the clinical data of all operated patients.
Conclusion . Coronary bypass grafting operations at the patients with the ischemic heart disease and its complicated forms shows good results at the shot - term postoperative follow up, which can lead to the improvement of quality of life. At the presence complications such as calcified lesions of aorta, it is better to perform coronary bypass grafting on beating heart with the use No - Touch Aorta technique , by the meaning of the minimization of various neurologic complications.
Keywords:
ischemic heart disease, complicated forms, surgical treatment.
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