Evaluation Of The Results Of Myocardial Revascularization On The Working Heart In Different Complicated Forms Of Ischemic Heart Disease

Abstract

Objective : estimation of beating heart coronary bypass operations at patients with the isc
hemic 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 a
nd 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 d
isease 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.