Assuntos
Cirurgia Geral/história , Sociedades Médicas/história , Abdome/cirurgia , Procedimentos Cirúrgicos Cardíacos/história , Esôfago/cirurgia , História do Século XIX , História do Século XX , Humanos , Pulmão/cirurgia , Rússia (pré-1917) , U.R.S.S. , Procedimentos Cirúrgicos Vasculares/históriaRESUMO
Remote results of the treatment of 102 patients with mammary-coronary anastomosis for chronic coronary insufficiency, pre-infarction state and acute transmural myocardial infarction created in 1964-1976 are investigated. The observations continued from 5 to 16 years. In most cases mammary-coronary anastomosis was created without an artificial blood circulation on the contracting heart. An original model of the apparatus for suturing the vessels was used. More than 70% of the patients are alive (up to 16 years after operation) or survived from 5 to 16 years. In 40% of the living patients there is no stenocardia and they do not use nitroglycerin. Some patients were operated urgently in 1968-1975 for extensive transmural myocardial infarction. After creation of the mammary-coronary anastomosis the infarction was found to disappear. The patients are still alive.
Assuntos
Anastomose de Artéria Torácica Interna-Coronária , Revascularização Miocárdica , Angina Pectoris/epidemiologia , Doença Crônica , Doença das Coronárias/mortalidade , Doença das Coronárias/cirurgia , Seguimentos , Humanos , Masculino , Infarto do Miocárdio/mortalidade , Infarto do Miocárdio/cirurgiaRESUMO
For many years the authors have been using the upper transverse extensive laparotomy in operations for carcinoma of the proximal part and body of the stomach. 201 radical operations have been performed, 89 of them being of a combined type. In carcinoma of the proximal part and body of the stomach the combined operations total 44,2%, in almost half of the patients the pancreas being resected. The five-year survival of the observed patients made up 21,9%. The combined operations were performed on 8 patients with the IV stage of gastric carcinoma. Four of them survived for more than a year, two for more than three years and two are still alive (over 12 years).
Assuntos
Cárdia/cirurgia , Neoplasias Gástricas/cirurgia , Idoso , Neoplasias Esofágicas/secundário , Esôfago/cirurgia , Gastrectomia/métodos , Humanos , Laparotomia/métodos , Masculino , Neoplasias Gástricas/mortalidadeRESUMO
The author began using successfully mammary-coronary anastomosis in the clinic in 1964. He used both--suture technic of the creation of anastomosis and the vasosuturing apparatus. The author believes that the use of Favaloro and Effler autovenous aortocoronary shunting delayed the clinical use of mammary-coronary anastomosis without any reasonable scientific grounds. He also considers that an inexact historic information on the use of mammary-coronary anastomosis is presented in the literature, and physiological peculiarities of this operation are underestimated so far.
Assuntos
Procedimentos Cirúrgicos Cardíacos/tendências , Vasos Coronários/cirurgia , Procedimentos Cirúrgicos Cardíacos/história , Ponte de Artéria Coronária , História do Século XX , Humanos , Artéria Torácica Interna/cirurgiaAssuntos
Bócio/cirurgia , Adulto , Feminino , Bócio/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , Esterno , TóraxRESUMO
Under consideration is a special kind of mammary-coronary anastomosis--a retrograde mammary-coronary anastomosis, first suggested by the authors. An anteretrograde mammary-coronary anastomosis was performed in 104 patients, a retrograde one--in 6. The use of a retrograde mammary-coronary anastomosis yielded favourable results, which in some cases are remained for 4-5 years.
Assuntos
Anastomose de Artéria Torácica Interna-Coronária/métodos , Revascularização Miocárdica/métodos , Adulto , Animais , Pressão Sanguínea , Ponte de Artéria Coronária , Circulação Coronária , Doença das Coronárias/cirurgia , Vasos Coronários/fisiopatologia , Cães , Estudos de Avaliação como Assunto , Seguimentos , Humanos , Masculino , Artéria Torácica Interna/fisiopatologiaRESUMO
In search of new sources for cardiac revascularization of the myocardium in ischemic heart disease the authors elaborated experimentally on dogs an operation of construction of retrograde arterial splenocoronary anastomosis. The results of the operation were estimated by means of EEG findings, vital and postmortem coronarography and histological studies of the myocardium and zone of the anastomosis. An analysis of the experimental data obtained has revealed a patency of the vascular anastomosis in most animals; electrocardiographic signs of acute myocardial infarction, developed in high ligation of the anterior intraventricular branch of the left coronary artery, would undergo a prompt reverse dynamics after constructing a splenocoronary anastomosis. Further studies of the mentioned method of revascularization of the myocardium seems to be rather perspective.
