Open AccessBilateral internal thoracic artery coronary bypass grafting
Author(s) -
Д. В. Кузнецов,
А. А. Геворгян,
В. В. Новокшенов,
К. М. Михайлов,
А. В. Крюков,
С. М. Хохлунов
Publication year - 2019
Publication title -
vestnik hirurgii im. i.i. grekova/vestnik hirurgii imeni i.i. grekova
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.136
H-Index - 7
eISSN - 2686-7370
pISSN - 0042-4625
DOI - 10.24884/0042-4625-2019-178-3-10-15
Subject(s) - medicine , internal thoracic artery , artery , cardiology , coronary arteries , bypass grafting , surgery , cardiothoracic surgery , coronary artery disease , cardiac surgery , coronary artery bypass surgery
The OBJECTIVE of the study was to assess the immediate results of the use of two internal thoracic arteries during coronary bypass surgery. MATERIAL AND METHODS . 200 patients with coronary artery disease underwent coronary artery bypass grafting in Samara cardiology dispensary from 2016 to 2018. Patients were divided into 2 groups. Group 1 (100 people) used both internal thoracic arteries (ITA) and the radial artery as conduits; group 2 (100 people) used the left ITA and the great saphenous vein as conduits. The duration of the operation, complications in the early postoperative period, and hospital mortality were evaluated. RESULTS . Groups (1 – 73 % of men, average age (59±12) years, average number of conduits – (3.1±0.4), 2 – 62 % of men, average age (67±7) years, average number of conduits – (3.3±0.6)) were significantly different only in age. The average duration of the operation in the group 1 was (174±25) min, in 2 – (165±18) min (p 0.05). The number of complications in the early postoperative period did not have a statistically significant difference between the groups. CONCLUSION . Bilateral internal thoracic arteries coronary artery bypass grafting in CHD patients did not lead to a significant increase in the duration of the operation, an increase in mortality and infectious complications from the sternum, compared with single internal thoracic arteries grafting.