Вестник хирургии имени И.И. Грекова (Jan 2018)
ROENTGENOMORPHOLOGICAL FEATURES OF CORONARY ARTERY LESIONS AND CORONARY SHUNTS IN PATIENTS WITH RELAPSE OF MYOCARDIUM ISCHEMIA AFTER CORONARY BYPASS SURGERY
Abstract
The relapse of ischemia was detected in 127 patients in clinical series after coronary bypass surgery. It was noted in terms from 1 month till 204 months. The basic clinical manifestation of the relapse of ischemia was the recurrence of heart stroke in 74,8 %. According to the data of coronary bypass angiography, the main cause of the ischemia relapse appears to be the dysfunction of early formed shunts in 64,6 % patients. The development of early thrombosis of autografts is substantially determined by the pool and degree of stenosis of shunt coronary arteries.
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