inovmedИнновационная медицина КубаниInnovative Medicine of Kuban2541-9897Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 110.35401/2500-0268-2019-15-3-53-61inovmed-212Research ArticleОБЗОРЫREVIEWSРеконструктивные операции при диффузном коронарном атеросклерозе без эндартерэктомииReconstructive surgery for diffuse coronary atherosclerosis without endarterectomyhttps://orcid.org/0000-0003-3881-5451БелашС. А.BelashS. A.

Белаш Сергей Александрович – к. м. н., сердечно-сосудистый хирург; ассистент кафедры кардиохирургии и кардиологии ФПК и ППС

350086, Краснодар, ул. 1 Мая, 167

Belash Sergey A. – Cand. of Sci. (Med.), Сardiovascular Surgeon, assistant of cardiac and cardiology department with advanced training

350086, Krasnodar, 167, 1st May str.

belashsa@yahoo.comhttps://orcid.org/0000-0002-3839-7432БарбухаттиК. О.BarbukhattiK. O.

Барбухатти Кирилл Олегович – д. м. н., профессор, заведующий кардиохирургическим отделением № 2; заведующий кафедрой кардиохирургии и кардиологии ФПК и ППС

Краснодар

Barbukhatti Kirill O. – Dr. of Sci. (Med.), Head of Cardiac Surgery Department no. 2, Head of Cardiac and Cardiology Department with advanced training

Krasnodar

barbuhatty_k@mail.ruНаучно-исследовательский институт – Краевая клиническая больница № 1 им. проф. С.В. Очаповского Министерства здравоохранения Краснодарского края; Кубанский государственный медицинский университет Министерства здравоохранения РФРоссияScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1; Kuban State Medical UniversityRussian Federation201930092019035361Copyright © Белаш С.А., Барбухатти К.О., 20192019Белаш С.А., Барбухатти К.О.Belash S.A., Barbukhatti K.O.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.innovmedkub.ru/jour/article/view/212

Неуклонный рост количества пациентов с диффузным коронарным атеросклерозом бросает вызов кардиохирургам и интервенционным кардиологам для решения проблемы достижения полной реваскуляризации миокарда. Учитывая результаты эндартерэктомии, всё больше хирургов прибегают к реконструктивным процедурам на коронарных артериях без удаления атероматозных бляшек. В обзоре литературы обсуждаются различные варианты хирургической техники, периоперационного ведения и результаты протяженных сегментарных пластических операций у пациентов с диффузным коронарным атеросклерозом. Цель работы состоит в том, чтобы осветить изменения в технике реконструктивных процедур.

Steady growth of patients with diffuse coronary atherosclerosis is a challenge for cardiac surgeons and intervention cardiologists for achieving a full revascularization of myocardium. Considering results of an endarterectomy, more and more surgeons perform reconstructive procedures on coronary arteries without removal the atheromatous plaques. In the literature review various versions of the surgical equipment, perioperative techniques and results of extended segmental plastic surgeries are discussed regarding the patients with diffuse coronary atherosclerosis. The purpose of the present work consists in highlighting changes in reconstructive procedures technique.

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The authors declare that there are no conflicts of interest present.