AUTOGENOUS ARTERIAL REVASCULARIZATION FOR NON-ST-SEGMENT ELEVATION ACUTE CORONARY SYNDROME IN A HIGH-RISK PATIENT
Aslidin B. Nishonov,
Salokhiddinkhoja I. Iskandarov,
Sergey V. Ivanov,
Roman S. Tarasov,
Alexander S. Krikovtsov https://doi.org/10.17802/2306-1278-2025-14-3-133-139
Abstract
Highlights
Performing emergency coronary artery bypass grafting in patients with high-risk acute coronary syndrome without ST segment elevation and accumulating experience with these interventions will help specialists to implement open myocardial revascularization into clinical practice as a self-sufficient treatment modality.
Abstract
The presented clinical case demonstrates the possibility of performing complete myocardial revascularization by means of total autogenous arterial revascularization in high-risk non-ST-segment elevation acute coronary syndrome and multivessel coronary disease within the framework of the aortic no-touch technique in case of total calcification of the ascending aorta.
About the Authors
Aslidin B. Nishonov
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
PhD, MD, Cardiovascular Surgeon, Researcher at the Laboratory of X–ray Endovascular and Reconstructive Surgery of the Heart and Blood Vessels of the Department of Heart and Vascular Surgery of the Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”, Kemerovo, Russian Federation
Salokhiddinkhoja I. Iskandarov
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
Clinical resident specializing in cardiovascular surgery, Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”, Kemerovo, Russian Federation
Sergey V. Ivanov
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
MD, PhD, Cardiovascular Surgeon, Leading Researcher at the Laboratory of Image-guided Endovascular and Reconstructive Surgery of the Heart and Blood Vessels, Department of the Heart and Vessels, Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”, Kemerovo, Russian Federation
Roman S. Tarasov
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
PhD, MD, Associate Professor, Head of the Laboratory of Image-guided Endovascular and Reconstructive Surgery of the Heart and Blood Vessels, Department of Heart and Vascular Surgery, Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”, Kemerovo, Russian Federation
Alexander S. Krikovtsov
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
Researcher at the Laboratory of Cardiac Arrhythmias and Pacing, Department of Heart and Vascular Surgery, Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”, Kemerovo, Russian Federation
References
1. Neumann F.J., Sousa-Uva M., Ahlsson A., Alfonso F., Banning A.P., Benedetto U., Byrne R.A., Collet J.P., Falk V., Head S.J., Jüni P., Kastrati A., Koller A., Kristensen S.D., Niebauer J., Richter D.J., Seferovic P.M., Sibbing D., Stefanini G.G., Windecker S., Yadav R., Zembala M.O.; ESC Scientific Document Group. 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J. 2019 Jan 7;40(2):87-165. doi: 10.1093/eurheartj/ehy394.
2. Lawton J.S., Tamis-Holland J.E., Bangalore S., Bates E.R., Beckie T.M., Bischoff J.M., Bittl J.A., Cohen M.G., DiMaio J.M., Don C.W., Fremes S.E., Gaudino M.F., Goldberger Z.D., Grant M.C., Jaswal J.B., Kurlansky P.A., Mehran R., Metkus T.S.Jr., Nnacheta L.C., Rao S.V., Sellke F.W., Sharma G., Yong C.M., Zwischenberger B.A. 2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2022;145(3):e4-e17. doi: 10.1161/CIR.0000000000001039.
3. Ejiofor J.I., Kaneko T., Aranki S.F. Current Readings: Single vs Bilateral Internal Mammary Artery in Coronary Artery Bypass Grafting. Semin Thorac Cardiovasc Surg. 2018;30(4):398-405. doi: 10.1053/j.semtcvs.2018.05.004
4. Shadrin I.Y., Holmes D.R., Behfar A. Left Internal Mammary Artery as an Endocrine Organ: Insights Into Graft Biology and Long-term Impact Following Coronary Artery Bypass Grafting. Mayo Clin Proc. 2023 Jan;98(1):150-162. doi: 10.1016/j.mayocp.2022.10.003
5. Fomenko M.S., Schneider Y.A., Tsoi V.G., Pavlov A.A., Shilenko P.A. Left or bilateral internal mammary artery employment in coronary artery bypass grafting: midterm results. Asian Cardiovasc Thorac Ann. 2021;29(8):758-762. doi: 10.1177/0218492321990764
6. Shahinian J.H., Gürleyen M., Grodd M., Wolkewitz M., Beyersdorf F., Siepe M., Pingpoh C. Coronary revascularization in acute coronary syndrome: does the choice of the conduit matter? J Cardiovasc Surg (Torino). 2021;62(6):639-645. doi: 10.23736/S0021-9509.21.11730-6
7. Shneĭder I.A., Tsoĭ V.G., Fomenko M.S. Early surgical myocardial revascularization as an effective method of treating patients with acute coronary syndrome. Angiol Sosud Khir. 2020;26(4):120-131. doi: 10.33529/ANGIO2020425 (In Russian)
8. Hwang B., Williams M.L., Tian D.H., Yan T.D., Misfeld M. Coronary artery bypass surgery for acute coronary syndrome: A network meta-analysis of on-pump cardioplegic arrest, off-pump, and on-pump beating heart strategies. J Card Surg. 2022;37(12):5290-5299. doi: 10.1111/jocs.17149
9. Moscarelli M., Harling L., Ashrafian H., Athanasiou T. Should we consider off-pump coronary artery bypass grafting in patients with acute coronary syndrome? Interact Cardiovasc Thorac Surg. 2013;16(3):350-5. doi: 10.1093/icvts/ivs476
10. Klein, E.C., Kapoor, R., Lewandowski, D., Mason P.J. Revascularization Strategies in Patients with Chronic Kidney Disease and Acute Coronary Syndromes. Curr Cardiol Rep. 2019;21(10):113. doi: 10.1007/s11886-019-1213-x.
Supplementary files
Review
For citations:
Nishonov A.B., Iskandarov S.I., Ivanov S.V., Tarasov R.S., Krikovtsov A.S. AUTOGENOUS ARTERIAL REVASCULARIZATION FOR NON-ST-SEGMENT ELEVATION ACUTE CORONARY SYNDROME IN A HIGH-RISK PATIENT. Complex Issues of Cardiovascular Diseases. 2025;14(3):133-139. (In Russ.) https://doi.org/10.17802/2306-1278-2025-14-3-133-139
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