[Surgical treatment of patients with atherosclerotic lesions of blood vessels of the heart, brain, and lower extremities].
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Biomedical subjects
Publications and source records attributed to V S Goriunov.
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The experience with preventive revascularization of the brain in 41 patients with associated lesions of the extracranial arteries and arteries of the lower extremities is summarized. The authors noted the high results of staged operative treatment.
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Concomitant ischemic heart disease was encountered in every 5 patients among 840 patients who underwent operation for occlusive lesions of the arteries of the lower limbs. Coronary cardiosclerosis increases the incidence of fatal myocardial infarction in the early and late-term postoperative periods. The presence of a clinical picture of ischemic heart disease and ECG changes require the performance of loading tests and, if their results are positive, the accomplishment of coronary ventriculography so as to solve the question of preventive revascularization of the myocardium. Preventive aortocoronary shunting excludes the risk of the development of cardiogenic complications in reconstruction of the great arteries of the lower limbs.