kpcczКомплексные проблемы сердечно-сосудистых заболеванийComplex Issues of Cardiovascular Diseases2306-12782587-9537Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”10.17802/2306-1278-2019-8-1-112-122kpccz-536Research ArticleАНАЛИТИЧЕСКИЙ ОБЗОРANALYTICAL REVIEWМОРФОФУНКЦИОНАЛЬНАЯ СИСТЕМА «КОНДУИТ-АРТЕРИЯ»MORPHOLOGICAL AND FUNCTIONAL SYSTEM OF GRAFT-ARTERY JUNCTIONSФроловА. В.FrolovA. V.

кандидат медицинских наук, старший научный сотрудник лаборатории реконструктивной хирургии мультифокального атеросклероза, врач сердечно-сосудистый хирург, старший преподаватель научно-образовательного отдела,

Сосновый бульвар, 6, Кемерово, 650002

MD, PhD, senior researcher at the Laboratory of Reconstructive Surgery of Multivessel and Polyvascular Diseases, cardiovascular surgeon, senior lecturer at the Department of Research and Education,

6, Sosnoviy Blvd., Kemerovo, 650002

kjerne@yandex.ruФедеральное государственное бюджетное научное учреждение «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний»РоссияFederal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Disease”Russian Federation20192903201981112122Copyright © Фролов А.В., 20192019Фролов А.В.Frolov A.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nii-kpssz.com/jour/article/view/536

В обзорной статье изложено современное представление о реваскуляризации миокарда как венозными, так и артериальными кондуитами с позиции их морфологии и функций. Впервые предложен новый подход, рассматривающий кондуит и целевую коронарную артерию как единое целое в их тесной взаимосвязи, как морфофункциональную систему. Исходя из разрозненных многочисленных данных, с очевидностью можно говорить, что такая система имеет право на существование, так как в ней реализуется обоюдная связь: с одной стороны, кондуит влияет на коронарную артерию, защищая её в некоторой степени от атеросклероза, с другой – сама коронарная артерия способна вызывать изменения в выбранном кондуите. Указанная гипотетическая система позволяет по-новому посмотреть на проблему выбора кондуита в процессе аортокоронарного шунтирования.

The review describes current state of myocardial revascularization using both venous and arterial grafts in terms of their morphology and function. A new framework of the graft-artery junction as a separate morphological and functional system has been proposed. Taking into account numerous data and separate evidences, this system may be separated into a single unit characterized by mutual relations. On the one hand, the graft produces favorable effects on the coronary artery protecting from atherosclerosis, on the other, the coronary artery itself may provoke specific changes in the graft. The proposed graft-artery junction provides new insight into the decision-making process for the graft selection in coronary artery bypass grafting.

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The authors declare that there are no conflicts of interest present.