Abstract
Repeated coronary bypass surgery is still a complex operation and is associated with a higher risk of complications and mortality compared to primary coronary bypass surgery. The high risk of injury to the structures of the anterior mediastinum (heart, main arteries and veins, functioning shunts) during repeated surgical access through resternotomy led to the development of alternative access to the heart, including for the redo coronary artery bypass grafting. Repeated surgical intervention on the heart always involves a certain sequence of actions of the surgeon. It is to choose the optimal access for the reperation. Operational access should provide the surgeon with enough space for the necessary orientation, operation and overcoming possible unforeseen situations and connecting artificial circulation. The choice of access is determined by the localization of the altered coronary arteries, but also depends on the personal experience and preferences of the surgeon.
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About the authors
- Igor’ Yu. Sigaev, Dr. Med. Sc., Professor, Head of Department ORCID
- Artak V. Kazaryan, Dr. Med. Sc., Senior Researcher, ORCID
