Abstract
The review is dedicated to one of the most contemporary problem in coronary surgery - gender
aspects of the surgical treatment for ischemic heart disease. The reasons for continuing the
research are given due to the increasing number of women who underwent or had to undergo
direct myocardial revascularization while previously this operation was performed in male
patients. Women are shown to have a variety of clinical features which must be considered in the
course of surgical treatment. The question of choosing the method of direct myocardial revascularization
in females remains controversial. A number of authors suppose that refusal from
operation under cardiopulmonary bypass allows to decrease the operative risk.
Rationale for total myocardial revascularization, especially autoarterial, in women also remains
discussible. Female gender has been the independent operative risk factor until recently, but
according to the latest publications this conclusion generates doubts.
The question of long-term results in elder women who underwent revascularization for ischemic
heart disease remains open.
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