The long-term results of surgical treatment of 2 groups of patients with uncomplicated infrarenal abdominal aortic aneurysm and combined affection of coronary and brachiocephalic arteries in the period from 1998 to 2010 have been analyzed. Group 1 accounted for 40 (41.2 %) patients who underwent surgical treatment of infrarenal abdominal aortic aneurysm without surgical treatment of circulatory disorders in the basin of coronary and brachiocephalic arteries. In Group 2 included 57 (58.8 %) patients, whom, when indicated, fi rst of all performed surgical correction of circulatory disorders of the heart and brain, the next stage was an intervention on abdominal aorta. Concomitant coronary artery lesion was observed in group 1 in 87.5 % of cases, in the 2nd group – in 80.7 % of cases, the concomitant brachiocephalic artery lesion diagnosed in group 1 in 15.0 % of patients, in 2 group in 38.6 % of patients. Pre-surgical correction of coronary blood fl ow and brachiocephalic arteries has allowed to reduce the number of myocardial infarctions in the late period from 15.0 % to 1.7 %, stroke from 12.5 % to 1.7 % and to improve the actuarial 5-year survival from 77.5 % to 91.3 %.
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About Authors (Correspondence):
Karpenko A.A. – doctor of medical sciences, professor, head of the center of vascular and hybrid surgery, e-mail: andreikarpenko@rambler.ru
Chernyavskiy A.M. – doctor of medical sciences, professor, head of the center of aorta, coronary, and peripheral arteries surgery, e-mail: amchern@mail.ru
Dyussupov A.A. – candidate of medical sciences, assistant of the chair 1, vascular surgeon, e-mail: altay-doc77@mail.ru
