Diagnostic study of tactics surgical revascularization in the subacute phase of myocardial infarction

• I.V. Klyuchnikov
• Merzlyakov V.Yu.
• Shurupova I.V.
• Gordeeva А.А.

Abstract

The key issue of the treatment of patients with myocardial infarction is the definition of tactics and timing of myocardial revascularization. Remains an important question of myocardial revascularization in the acute and subacute phase of myocardial infarction if revascularization was not performed in the acute phase. Analysis of the clinical case and is dedicated to the patient, who turned in cardiac surgery clinic 3 weeks after myocardial infarction with elevation ST. The patient manifest early postinfarction angina and suspected to develop severe left ventricular aneurysm. With comprehensive examination of myocardial left ventricular aneurysm was excluded, and in connection with multiple coronary artery disease and left main coronary artery lesion was decided to urgent surgical myocardial revascularization, which was performed off-pump. This approach is very important for patients with myocardial infarction, as avoids myocardial reperfusion injury in addition to ischemic injury and stanning.

Keywords:myocardial infarction; postinfarction angina; stanning; apoptosis; off-pump myocardial revascularization

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