Stable angina pectoris: feedback from our patient
Alexey Grigorievich turned to the Department of Cardiac Surgery of the MCSC with complaints of compressive pains that periodically occur in the chest. These complaints always arose in the same situation – when walking calmly at a distance of 150-200 meters. The disappearance of pain occurred after the cessation of physical activity.
The results of the instrumental examination testified in favor of myocardial ischemia, a condition that occurs due to oxygen starvation of the heart muscle (myocardium). Those complaints that the patient described are called stable angina pectoris.
The result of performing angiography of the coronary arteries was the detection of atherosclerosis of the coronary arteries with the formation of a significant narrowing of them. An innate feature of the development of the arteries of the heart in this patient was that three arteries of the heart, providing most of the myocardium of the left ventricle with blood – the anterior interventricular, the first diagonal and the intermediate, departed from one mouth. It is important to note that each of them in this patient had a diameter of approximately 2 mm, they had an equivalent length, and one of the most important arteries of the heart, the envelope, was classified as "underdeveloped".
Stenting of the coronary arteries of the heart with such an anatomy is impossible. Therefore, a decision was made on coronary bypass surgery. The patient underwent mammaro-coronary bypass surgery. The close location of the target coronary arteries allowed the operation to be performed using only the left internal thoracic artery, the length of which was sufficient to form all the necessary anastomoses.
The operability of all shunts in our Center is checked even before the operation is completed using a special device – a flowmeter. The use of this device minimizes the risk of developing "man-made" complications. Thanks to this technology, our doctors know exactly all the necessary parameters of the functioning of the formed coronary shunts even before the end of the operation.
Another feature of this operation was the need to amputate the ear of the left atrium – the formation of the heart, in which, in the case of the development of a violation of its rhythm in the postoperative period, blood clots form. The danger of such blood clots is that they can later lead to the development of ischemic stroke.
The operation was performed successfully, the postoperative period proceeded without complications, and Alexey Grigorievich was discharged from the hospital on the 6th day after the operation. Today he feels well and leads an active life.
The priority tasks of the Cardiac Surgery Department of MCSC is to help patients with acquired and congenital diseases of the heart and thoracic aorta. One of the most important distinguishing features of MCSC cardiac surgeons is the vast experience of working with patients suffering from oncological diseases of various localization. Cardiac surgery for such patients is performed both as part of the "preparatory stage" for antitumor treatment and in combination with simultaneous removal of tumors.
Be healthy!
