Selection and use of coronary shunts in cardiovascular surgery

9 February 2023
2602

Coronary artery bypass grafting (CABG) is a widely recognized and highly effective treatment for coronary heart disease. The main task of surgical treatment is to create reliable, high-quality, and most importantly, durable ways to bypass the stenotic area or occlusion of the coronary artery. Therefore, the optimal choice of conduit is one of the key points of the operation, which affects the duration and quality of the patient's future life.

Currently, there is experience in the use of synthetic prostheses, however, in the vast majority of cases, the patient's own vessels are used as a bypass material: the great and small saphenous veins, the radial and ulnar arteries, the internal mammary arteries, the gastroepiploic and epigastric arteries. Regarding the last two, there is not much information due to the fact that they are used infrequently, mainly due to the failure of the remaining vessels as a “forced shunt” [3].

Nurmuhammet AMANNEPESOV, Rejepmyrat ALYYEV
Ministry of Health and Medical Industry of Turkmenistan, Hospital with a scientific and clinical center of cardiology
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