Reconstructive surgery for diffuse coronary atherosclerosis without endarterectomy

Innovative medicine of Kuban ◽

10.35401/2500-0268-2019-15-3-53-61 ◽

2019 ◽

pp. 53-61

Author(s):

S. A. Belash ◽

K. O. Barbukhatti

Keyword(s):

Literature Review ◽

Coronary Arteries ◽

Reconstructive Surgery ◽

Coronary Atherosclerosis ◽

Surgical Equipment ◽

Reconstructive Procedures ◽

Steady Growth ◽

Atheromatous Plaques ◽

Cardiac Surgeons

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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Comparative analysis of early results of reconstructive procedures on coronary arteries with and without endarterectomy in diffuse coronary atherosclerosis

Russian Journal of Thoracic and Cardiovascular Surgery ◽

10.24022/0236-2791-2019-61-1-45-54 ◽

2019 ◽

Vol 61 (1) ◽

pp. 45-54 ◽

Cited By ~ 2

Author(s):

S.A. Belash ◽

K.O. Barbukhatti ◽

V.A. Porkhanov

Keyword(s):

Comparative Analysis ◽

Coronary Arteries ◽

Coronary Atherosclerosis ◽

Reconstructive Procedures ◽

Early Results

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Ways of transplant selection for orbital reconstructive surgery (literature review)

Practical medicine ◽

10.32000/2072-1757-2018-16-4-140-144 ◽

2018 ◽

Vol 16 (4) ◽

pp. 140-144

Author(s):

R. T. Nigmatullin ◽

◽

R. Z. Kutushev ◽

B. R. Motygullin ◽

◽

...

Keyword(s):

Literature Review ◽

Reconstructive Surgery ◽

Selection For

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Use of Resorbable Plate and Screws in Pediatric Craniofacial Reconstructive Surgery

Jurnal Plastik Rekonstruksi ◽

10.14228/jpr.v2i3.243 ◽

2013 ◽

Vol 2 (3) ◽

pp. 136-141

Author(s):

Prasetyanugraheni Kreshanti ◽

Siti Handayani ◽

Kristaninta Bangun ◽

Melina Tiza

Keyword(s):

Foreign Body ◽

Reconstructive Surgery ◽

Foreign Body Reaction ◽

Early Postoperative Period ◽

The Body ◽

Antibiotic Administration ◽

Reconstructive Procedures ◽

Dwelling Time ◽

Infection Complication ◽

Materials Used

Background: To evaluate two pediatric patients with syndromic craniofacial anomaly that underwent craniofacial reconstructive surgery using resorbable plate-screw systems which have been claimed as biodegradable fixation materials and used in craniofacial reconstructive procedures owing to their advantages such as adequate biomechanical resistance, longer dwelling time, elimination through physiological routes without causing any foreign body reaction and/or significant sequale. Patient and Method: Resorbable plate-screw systems used in 2 patiens for craniofacial reconstructive procedures such as bilateral fronto-orbital advancement and segmental right orbita (four wall box) osteotomy were evaluated as for their efficacy. Result: Adequate fixation was obtained in both patient, but Infection complication was seen in segmental right orbita osteotomy patient that appear localized abcess formation on subciliary incision and fronto medial insicion. After drainage insicion and antibiotic administration for 1 week, the infection was relieved. Summary: Owing to resorbable copolymer which contain a polyester derivate of L- lactidc and glycolic acid are ideal fixation materials used favourably in pediatric craniofacial reconstructive surgery and have further advantages such as adequate biomechanical resistance against distraction and compression forces in the early postoperative period, longer dwelling time and elimination from the body through physiological routes without causing any foreign body reaction.

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Distribution of Coronary Atherosclerosis and its Correlation to Metabolic Risk Factors and Femoral Atherosclerosis

Acta Radiologica ◽

10.1177/028418519403500518 ◽

1994 ◽

Vol 35 (5) ◽

pp. 481-486

Author(s):

L. Bergstrand ◽

H. Bylund ◽

U. Erikson ◽

G. Helmius ◽

C. Lidell ◽

...

Keyword(s):

Risk Factors ◽

Coronary Arteries ◽

Coronary Atherosclerosis ◽

Coronary Artery Stenosis ◽

Proximal Part ◽

Metabolic Risk Factors ◽

Metabolic Risk ◽

Previous Myocardial Infarction ◽

Coronary Stenoses ◽

The Right

Coronary angiography was performed in 216 men of whom 78 also had a cine-angiogram of one femoral artery. Stenoses of the coronary arteries were measured with a pair of calipers and the femoral angiograms were computer-analysed. The patients were divided into 2 groups according to whether the bulk of the coronary stenoses affected the central or the peripheral part of the coronary arteries. The groups were investigated regarding differences in lipid and metabolic risk factors. Coronary atherosclerosis was most often found in the proximal part of the right coronary arteries. No significant correlation between coronary and femoral atherosclerosis was found. Previous myocardial infarction was associated with more coronary artery stenosis (p < 0.003). No pattern of risk factors was found to discriminate between central and peripheral coronary atherosclerosis.

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An Anomalous Configuration of Coronary Artery: A Cadaveric Study

Case Reports in Cardiology ◽

10.1155/2013/397063 ◽

2013 ◽

Vol 2013 ◽

pp. 1-4

Author(s):

Rajani Singh

Keyword(s):

Coronary Artery ◽

Coronary Arteries ◽

Imaging Techniques ◽

Artery Bypass ◽

Image Interpretation ◽

Anatomical Variations ◽

Proper Diagnosis ◽

Cardiac Surgeon ◽

Cardiac Surgeons ◽

Variant Anatomy

Anatomical variations in relation to coronary artery and its branches will help cardiac surgeons for refining imaging techniques and coronary artery bypass grafting. A heart was detected with multiple anomalies of coronary arteries in a cadaver. The anomalies of coronary arteries in terms of origin, number of ostia, courses, and presence of myocardial bridges were described, and related clinical implications were highlighted in the present study. The knowledge of variant anatomy may be of paramount importance to anatomists for variant anatomy and to cardiac surgeon for proper diagnosis and treatment of cardiac ailments including radiologists to refine image interpretation.

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