myocardial bridging with systolic compression of the left anterior descending coronary artery (lad) may be associated with myocardial ischemia. in symptomatic myocardial bridging unresponsive to medical treatment, surgical unroofing of the left lad can be performed. little information is available about the long-term prognosis of patients with this coronary anomaly after the surgical unroofing,...

Background—The Bypass Angioplasty Revascularization Investigation 2 Diabetes (BARI 2D) trial assigned patients with type 2 diabetes mellitus to prompt coronary revascularization plus intensive medical therapy versus intensive medical therapy alone and reported no significant difference in mortality. Among patients selected for coronary artery bypass graft surgery, prompt coronary revascularizat...

The current practice of myocardial revascularization for acute myocardial infarction (MI) is primary percutaneous intervention (PCI). Surgical revascularization (“bypass”) is reserved for patients unsuitable for PCI. The purpose of this report is to describe the long-term outcome of acute MI patients who underwent left-sided arterial revascularization (left anterior descending and circumflex ar...

Benefit of Revascularization in Patients With Stable Ischemic Heart Disease Is Controversial; A Better Method for Patient Selection Is Needed Over 30 years ago, a benefit of surgical revascularization was demonstrated in patients with stable ischemic heart disease (SIHD) but this was before most of our current disease-modifying medical therapies for coronary artery disease (CAD) were available....

OBJECTIVE To assess the clinical prognosis of patients with coronary artery diseases undergoing percutaneous revascularization with drug-eluting stent implantation in the proximal left anterior descending coronary artery. METHODS One hundred and seventy consecutive patients with mean age of 65 years, 49 of them females (29%), undergoing implantation of at least one drug-eluting stent in our m...

(TMR) is a form of revascularization technique in which small channels are created between the ischemic myocardium and the left ventricular cavity. The therapeutic value of this technique is derived from studies of reptilian hearts in which blood is delivered to heart muscle via a network of channels directly from the left ventricle. This is supported by findings of Wearn and colleagues. They d...

Incomplete coronary artery revascularization could increase the risk of death, myocardial infarction, repeat revascularization, and lifestyle-limiting angina. Data to support this hypothesis extend back to the early 1980s, when patients with incomplete surgical revascularization had an absolute 15% reduction in 5-year survival in comparison with patients with complete revascularization.1,2 This...

The term hibernating myocardium was first proposed by S. Rahimtoola in 1985 to describe a state of left ventricular dysfunction at rest caused by reduced coronary blood flow, which can be reversed by restoring myocardial oxygen supply or reducing myocardial oxygen demand.1 The clinical context in which it was first recognized, viz, impaired left ventricular function at rest that recovers after ...

BACKGROUND Ischemic preconditioning is a method that prepares and protects cells to tolerate a long period of ischemia with the least possible injury. OBJECTIVES Evaluate the influence of ischemic preconditioning over left ventricular function during off-pump myocardial revascularization. METHOD Forty patients with clinical indication for off-pump myocardial revascularization were randomize...

A clinical case of successful treatment a patient with atherosclerotic peripheral artery disease and clinically significant lesion the coronary carotid arteries. Patients underwent multi-stage surgical treatment. The first stage performed endovascular left internal artery, second — myocardial revascularization, third iliac arteries, fourth rotational atherectomy stenting right superficial femor...