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A new combined approach to surgical treatment of coronary heart disease is recommended: direct myocardial revascularization (mammary-coronary and aorto-coronary bypass) to recover coronary flow; partial ileo-shunting to control hyperlipoproteinemia, and Arnulf's plexectomy (heart denervation) to eliminate vasospastic component. The sequence of operations can be altered depending on the diagnostic findings. Each operation can be performed independently or in combination with others. Operations were performed in 315 patients. The follow-up covered up to 8 years. Long-term patency of mammary-coronary shunts was 93.5%, and that of autovenous shunts was 65%. Lipid composition showed a stable normalization and signs of coronary spasm disappeared.
L V Lebedev, and
A G Vinogradov, and
Iu I Sedletskiĭ, and
Iu A Petukhov
December 1972,
Polski tygodnik lekarski (Warsaw, Poland : 1960),
L V Lebedev, and
A G Vinogradov, and
Iu I Sedletskiĭ, and
Iu A Petukhov
January 1973,
Kardiologia polska,
L V Lebedev, and
A G Vinogradov, and
Iu I Sedletskiĭ, and
Iu A Petukhov
January 1955,
Revista mexicana de tuberculosis y enfermedades del aparato respiratorio,
L V Lebedev, and
A G Vinogradov, and
Iu I Sedletskiĭ, and
Iu A Petukhov
January 1964,
Prensa medica argentina,
L V Lebedev, and
A G Vinogradov, and
Iu I Sedletskiĭ, and
Iu A Petukhov
January 1977,
Angiologia,
L V Lebedev, and
A G Vinogradov, and
Iu I Sedletskiĭ, and
Iu A Petukhov
January 1972,
The Journal of cardiovascular surgery,
L V Lebedev, and
A G Vinogradov, and
Iu I Sedletskiĭ, and
Iu A Petukhov
May 1973,
Scottish medical journal,
L V Lebedev, and
A G Vinogradov, and
Iu I Sedletskiĭ, and
Iu A Petukhov
December 1955,
Minnesota medicine,
L V Lebedev, and
A G Vinogradov, and
Iu I Sedletskiĭ, and
Iu A Petukhov
January 1999,
Zentralblatt fur Chirurgie,
L V Lebedev, and
A G Vinogradov, and
Iu I Sedletskiĭ, and
Iu A Petukhov
June 1973,
Harefuah,
