FIELD: medicine.
SUBSTANCE: invention refers to medicine, to cardiovascular surgery. After longitudinal myotomy of muscular bridge tissues above the coronary artery is performed with an electric knife in a mode of contact unipolar coagulation sequential treatment of the edges of the muscular bridge from the surface layers to deep, not reaching the walls of artery 1–2 mm. Distance from the upper myocardial edges to the centre of the vessel is increased to 4–5 mm.
EFFECT: method enables sufficient separation of myocardial borders and prevents the formation of scar tissue above the coronary artery; eliminate lateral compression of coronary artery, since coronary artery occupies more physiological position; optimize haemodynamics in an artery throughout the cardiac cycle; as well as provide haemostasis of bleeding edges of muscle fibres.
1 cl, 3 dwg, 1 ex
Title | Year | Author | Number |
---|---|---|---|
METHOD FOR CHOOSING A SURGICAL APPROACH WHEN PERFORMING A SUPRACORONARY MYOTOMY ON A BEATING HEART IN PATIENTS WITH AN ISOLATED MYOCARDIAL BRIDGE OF THE ANTERIOR INTERVENTRICULAR ARTERY IN THE ABSENCE OF OTHER CARDIAC PATHOLOGY REQUIRING SURGICAL TREATMENT | 2021 |
|
RU2766251C1 |
METHOD FOR SUTURING RIGHT VENTRICULAR DEFECT IN INTRAVENTRICULAR FORMS OF MYOCARDIAL BRIDGES OF CORONARY ARTERIES | 2021 |
|
RU2766245C1 |
METHOD OF DETERMINING COMPRESSION LEVEL OF "MUSCULAR BRIDGE" ON CORONARY ARTERY WALL | 2016 |
|
RU2622198C1 |
METHOD FOR DETERMINING THE IMPACT OF MUSCLE BRIDGE COMPRESSION ON THE CLINICAL MANIFESTATION OF ISCHEMIC HEART DISEASE | 2020 |
|
RU2755391C1 |
WAY OF NON-INVASIVE DIFFERENTIAL DIAGNOSTICS OF MYOCARDIAL PONTICULUSES OF CORONARY ARTERIES USING METHOD OF MODIFIED PHARMACOLOGICAL STRESS-ECHOCARDIOGRAPHY | 2007 |
|
RU2360608C1 |
METHOD OF DETERMINING PRESSURE FORCE "MUSCLE BRIDGE" ON TUNNELED CORONARY ARTERY SEGMENT | 2015 |
|
RU2599196C1 |
METHOD FOR DETERMINING INDICATIONS TO SURGICAL TREATMENT OF CARDIAC ISCHEMIA PATIENTS SURVIVED AFTER MYOCARDIAL INFARCTION | 2004 |
|
RU2269934C1 |
METHOD OF ELONGATION OF RIGHT INTERNAL THORACIC ARTERY IN CASE OF BILATERAL MAMMACORONARY BYPASS SURGERY | 2009 |
|
RU2405466C1 |
METHOD FOR PREVENTION OF EARLY CORONARY THROMBOSIS FOLLOWING CORONARY ENDARTERECTOMY PROCEDURE | 2010 |
|
RU2446831C1 |
METHOD FOR SELECTING ADEQUATE STENT FOR STENTIZATION OF MUSCLE BRIDGES | 2017 |
|
RU2645239C1 |
Authors
Dates
2020-09-14—Published
2019-12-27—Filed