BILATERAL VERSUS UNILATERAL INTERNAL THORACIC ARTERY REVASCULARIZATION IN PATIENTS WITH MULTIVESSEL CORONARY ARATERY DISEASE

A.M. KHADJIBAEV, М.А. OBEID, I.A. ABDUKHALIMOV, A.A. ABDURAKHMANOV, U.S. GANIEV, O.A. MASHRAPOV, N.M. RAKHIMOV

Abstract

Patients. 43 patients who underwent direct myocardial revascularization were included to the study. A comparative retrospective analysis of the incidence of complications was carried out in 2 groups: in group 1 (n = 25), one internal thoracic artery (ITA) and an autovein were used; in group 2 (n = 18), two ITAs and, an additional autovein is used if necessary. Results. No cases of death and deep infection (mediastinitis) were observed in both groups. A comparative study showed that the use of bimammary shunting and single mammary shunting does not affect the early postoperative period. Conclusion. Both methods have been shown to have satisfactory results related to bleeding, wound healing, and serious cardiovascular events in patients with multivessel coronary artery disease.