Authors
Shevchenko Yu.L., Borshchev G.G., Katkov A.A., Baykov V.Yu.
St. George thoracic and cardiovascular surgery clinic Pirogov National Medical and Surgical Center, Moscow
Abstract
A clinical case of a 75-year-old patient with ihd and multivessel diffuse coronary artery atherosclerosis is presented. The risk of surgical treatment is extremely high — reduced lvef — 34%, copd, paroxysmal form of atrial fibrillation, history of cancer, old age. a gentle operation was performed — an isolated bypass of the anterior interventricular artery from a minimally invasive approach, supplemented by a technique for stimulating extracardial myocardial vascularization.
Keywords: neoangiogenesis, high surgical risk, minimally invasive access, coronary bypass surgery.
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