Abstract
The effectiveness of treatment of patients with acute myocardial infarction (AMI) depends on the degree of
recovery of the affected artery lumen and the blood flow in myocardium respectively, as well as the time
elapsed between the injury and the restoration of the vessel. That is why most early reperfusion of the
myocardium is the pathophysiological basis of treatment of AMI. At the present time PCI and thrombolytic
treatment are the main methods of myocardial revascularization with AMI. However, in some cases, after
a complicated, there is the question of emergency coronary bypass operations, despite the use of antiplatelet
agents and anticoagulants. In these circumstances, it is preferable to perform coronary bypass on a beating
heart without the use of extracorporeal circulation and cardioplegia. This approach was used in the presented
clinical case where patient after dissection of right coronary artery during PCI performed bypass surgery
branches of the PCА.
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About the authors
- Sigaev Igor’ Yur’evich, MD, PhD, DSc, Professor, Chief of Department;
- Abadzhyan Margarita Fevralovna, MD, PhD, Chief of Department;
- Kazaryan Artak Varuzhanovich, MD, PhD, Deputy Chief of Department;
- Starostin Maksim Vladimirovich, MD, PhD, Research Associate
