Current trends in coronary surgery: a critical analysis through the prism of our own experience
Abstract
Current trends in coronary surgery are due to significant changes in the contingent of patients undergoing surgery for coronary heart disease, the prevalence of high-risk patients among them due to old age, comorbid pathology, disabled myocardium, diffuse coronary lesions, and the combined nature of operations on the coronary arteries and various structures of the heart. Therefore, the search for reserves for improving the results of coronary artery bypass grafting in this large and heterogeneous group of high-risk patients is very relevant. The detailed analysis of the state of modern coronary surgery shows that the level of its development at the B.V. Petrovsky Russian Scientific Center of Surgery corresponds to all its current trends. Various myocardial revascularization operations are presented and their place in the surgical treatment of patients with coronary heart disease is determined. Improvement of MR methods, personalized solutions for determining indications and tactics of operations in patients with varying degrees of risk, a pragmatic approach to the introduction of new technologies are the basic principles of surgical activity. This allows performing operations of varying complexity, introducing new technologies with high clinical effectiveness with minimal acceptable risk.
About the Author
I. V. Zhbanov
Federal State Budgetary Research Institution “Russian research center of surgery named after academician B.V. Petrovsky”
Russian Federation
Russian Federation
Zhbanov Igor V., M.D., Ph.D., Prof., Head of the Department of Surgical Treatment of Coronary Artery Disease
Moscow
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Review
For citations:
Zhbanov I.V. Current trends in coronary surgery: a critical analysis through the prism of our own experience. Minimally Invasive Cardiovascular Surgery. 2024;3(4):61-73. (In Russ.)
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