author: doctor Kuznetsov MA
Coronary artery bypass grafting or shunting of the heart vessels is an operation that restores blood circulation to those cardiac parts that were previously lacking in blood supply. This is created by feeding blood on the collateral vessels, that is, those vessels that go alongside the problem site.
When cardiac vessels are shunted, two operational accesses are performed. One serves directly for access to the heart, and the other for the collection of biological material, from which the same anastomosis (bypass) will be made, it is usually the femoral vein.
Vienna hip is taken due to the fact that they are least susceptible to atherosclerosis. After all, a patient who is undergoing heart bypass surgery is most likely to be at risk for atherosclerosis, since the main indication for bypass surgery is atherosclerosis of the arterial vessels of the heart.
Access to the heart is through the median incision of the sternum.
The most favorable way of operating is the use of the radial or internal thoracic artery. The use of the artery is more practical in terms of longevity and work afterwards. Before using any arteries, coronarography of this site is performed to make sure there are no lesions with atherosclerosis.
The fence of the radial artery is made on the left hand, after making sure that this will not cause any consequences in its absence on the left arm. The internal thoracic arteries (left and / or right) are taken with the same median incision of the sternum.
Postoperative period for the patient as a whole does not cause any inconvenience. The patient may complain of leg pain and discomfort while walking. Over time it passes. To prevent complications of coronary artery bypass grafting , it is worth following the recommendations of the doctor after the operation.
Types of cardiac bypass surgery
Operations on the working heart are complex, since shunting requires precise movements of the surgeon. Therefore, as a rule, they try to use artificial blood circulation, this allows more accurate manipulation. In practice, there is a method of operating without artificial circulation with the use of a "stabilizer". The use of artificial circulation is mandatory in cases of concomitant diseases of the heart - vices, aneurysms or multifocal myocardial infarction.
Whatever the manipulation, try to conduct interventions on the principle of minimally invasive - the minimum number of incisions and the use of endoscopic equipment.
Preparation of patient
Before the operation, the patient takes a shower, shaves places of operative access, puts an enema and takes the required medications. In the days before surgery, the patient takes liquid food and foods that will not promote fermentation - they remove the bakery products, legumes, vegetables and fruits from the diet. Recommend sour-milk products and low-fat varieties of meat and fish.
Several days after the operation, telemetric equipment is used, which monitors the patient's condition around the clock. On the second day, the artificial respiration of the lungs is disconnected. On the third day, the monitoring system of vital organs is cut off and a person can take a shower after the operation. On the fourth day appoint a consultation of a nutritionist, where the doctor explains the need to limit salt and foods that are excessively rich in fats. For more information about the diet after cardiac bypass surgery, click on the link. It is also necessary to observe physical activity at a moderate level during the rehabilitation period and to limit smoking.
author: doctor Kolos EV
Shunting is a surgical operation, the essence of which is the formation of a bypass that will "bypass" the damaged area, and compensate for the pathology.
author: dentist Shevcherko Ya.V.
Shunting of teeth is a way of fixing the dentoalveolar series into one monolith. A synonym for the word shunting is the splinting of the teeth. In this article we will talk about indications for tooth splinting and possible methods of splinting, depending on the human disease.
author: doctor Sinyukova Т.В.
Our contemporaries are in a state of "eternal race" for money and success and for the time being they do not notice the loss of what can not be bought for coins - health. Therefore, the scourge of our time was obesity, vascular and heart diseases, digestive and endocrine gland disorders.
author: dentist Shevcherko Ya.V.
Shunting in the jaw is most often used to get a jaw bone injury with a displacement of fragments or without displacement. Depending on the receipt of a fracture of a certain area, a corresponding tire is used.
author: cardiologist Merter M.V.
Incomplete blockade of the right leg of the bundle of His (abbreviated as NBPPG) is a partial violation of the patency of the electric pulse through the right leg of the bundle.
author: cardiologist Makarenkova T.Yu.
Sinoatrial blockade is a pathology of the conduction system of the heart, characterized by impaired conduction of the pulse going from the sinus node to the atria.
author: doctor Subbota AA
Conduction through the sinoatrial connection in the heart can be disrupted for various reasons. It can be of several degrees, each of which has a different effect on the patient's well-being. The lightest degree of this blockade is the 1st degree. This is the initial and minimal damage to the conduction system in the heart, namely, its sinoatrial connection.
author: doctor Pyataeva Margarita
The attending physician appointed you an electrocardiogram: a squeaking apparatus, a whole heap of wires with suction cups and a long tape covered with mysterious curves, as a result. What do these teeth and knolls say?
In a nutshell, unfortunately, the technique of decoding the ECG will not tell. However, it is possible and necessary to understand the causes and significance of those changes that the specialist will identify. For example, if it is an inconvenient abbreviation - PBSCH, also known as a complete blockade of the right leg of the bundle.