Coronary artery bypass grafting on a beating heart in combination with carotid endarterectomy in patients with multifocal atherosclerosis associated type 2 diabetes mellitus

Abstract

Introduction. One of the unsolved problems in coronary and vascular surgery there is a choice of tactics of surgical treatment at the combined atherosclerotic damage of coronary and carotid arteries. Surgical procedures with the use of artificial circulation can lead to high frequency of postoperative complications in comparison with operation on a beating heart. The aim. To improve the results of treatment of patients with combined damage of the brachiocephalic and coronary arteries. Materials and methods. 56 patients with type 2 diabetes mellitus with combined damage of the brachiocephalic and coronary arteries were treated from 2015 to 2020. All patients performed coronary artery bypass grafting on a beating heart in combination with carotid endarterectomy. Results and discussion. No deaths were observed in the postoperative period. In 50 (89,2 %) patients the postoperative period passed without complications. After 5 years of monitoring during clinical and non-invasive methods of examination of coronary circulation disorders were not detected. Conclusions. Our clinical experience showed promising short- and medium-term results. The chosen surgical tactics allowed to effectively avoid the problem of atherosclerotic damage of the coronary and cerebral arteries.