Case Reports
doi: 10.25005/2074-0581-2021-23-3-462-472
STIMULATION OF EXTRACARDIAL REVASCULARIZATION DURING CORONARY BYPASS SURGERY IN PATIENTS WITH DIFFUSE CORONARY ARTERY DISEASE

Yu.L. Shevchenko, F.A. Zayniddinov, D.S. Ulbashev

St. George Clinic of Thoracic and C ardiovascular Surgery, Pirogov National Medical and Surgical Center, Moscow, Russian Federation

Objective: Clinical observations of the use of complex myocardial revascularization (YurLeon III technique) and traditional coronary artery bypass graft (CABG) in patients with diffuse atherosclerotic lesions of the coronary network are presented. A year after CABG+YurLeon III surgery, left ventricular ejection fraction (LVEF) increased from 45% to 57%, the perfusion defect according to synchro-single-photon emission computed tomography (synchro-SPECT) decreased from 30% to 5%, the overall index of total physical well-being increased from 23.81 to 53.97 and general mental well-being elevated from 46.97 to 47.57 points. With isolated CABG, the patient had an improvement in contractility, perfusion, and key indicators of quality of life (QoL) in the early stages after surgery. However, the dynamics after a year revealed a slight decrease in LVEF, and an increase of the zone of myocardial perfusion defect.

Keywords: Atherosclerosis, coronary artery disease, coronary artery bypass graft, diffuse coronary artery disease, YurLeon technique.

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References
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Authors' information:

Shevchenko Yuriy Leonidovich
Academician of the Russian Academy of Sciences, Doctor of Medical Sciences, Full Professor, President of the Pirogov National Medical and Surgical Center, Head of the St. George Thoracic and Cardiovascular Surgery Clinic
ORCID ID: 0000-0001-7473-7572

Zayniddinov Feruz Abdukhakimovich
Candidate of Medical Sciences, Associate Professor of the Department of Thoracic and Cardiovascular Surgery, Cardiac Surgeon of the Department of Cardiovascular Surgery, Pirogov National Medical and Surgical Center
ORCID ID: 0000-0002-4693-4074
Е-mail: ferzay73@gmail.com

Ulbashev Daniil Sergeevich
Postgraduate Student of the Department of Thoracic and Cardiovascular Surgery, Pirogov National Medical and Surgical Center
ORCID ID: 0000-0003-3288-8414

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from companies manufacturing medications and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Zayniddinov Feruz Abdukhakimovich
Candidate of Medical Sciences, Associate Professor of the Department of Thoracic and Cardiovascular Surgery, Cardiac Surgeon of the Department of Cardiovascular Surgery, Pirogov National Medical and Surgical Center

105203, Russian Federation, Moscow, Nizhnyaya Pervomayskaya str., 70

Tel: +7 (917) 5192740

Е-mail: ferzay73@gmail.com

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