[Late results of a mammary-coronary anastomosis]. / Otdalennye rezul'taty mammarno-koronarnogo anastomoza.

ABSTRACT

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.