Journal «Angiology and Vascular Surgery» • 

2000 • VOLUME 6 • №2

PROSTHESIS OF DISTAL AORTA AND AORTIC ISTHMUS WITH LEFT VENTRICULAR SHUNT AND SIMULTANEOUS AUTOVEIN AORTOCORONARY BYPASS FROM DESCENDING AORTA

Yu.V. Belov, A.B. Stepanenko, A.P. Gens, M.N. Seleznev, M.V. Kirillov, O.A. Kovalevskaya, T.N. Zverkhanovskaya

Among 86 patients operated for aneurysm of thoracic aorta in Marfan or Ertheim syndromes, 10% had concomitant ischemic heart disease. Thus simultaneous reconstruction of ascending aorta and/or aortic arch was executed with aortocoronary bypass via median sternotomy. The paper describes original procedure of distal aortic and aortic isthmus prosthesis with autovein aortocoronary bypass of posterior-lateral branch of circumflex artery from descending aorta on working heart without introducing of extracorporeal circulation. This method was successfully used in clinical practice and demonstrated good long-term results.

KEY WORDS: aneurysm of thoracic aorta, ischemic heart disease, simultaneous surgical procedures.

P. 106-108

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