Surgical myocardial revascularization in acute coronary syndrome. Review

Jalilov Adkham Kakhramonovich, Vischipanov Artem Sergeevich

A literature review on the topic of acute coronary syndrome without persistent ST segment elevation is presented. The use of this term in clinical practice makes it easier to diagnose and, as a result, accelerate the provision of medical care at the prehospital stage, after the patient enters the hospital and in the first few days of hospital treatment to determine treatment tactics. Invasive treatments for acute coronary syndrome include bypass coronary artery bypass surgery and percutaneous coronary intervention. According to current recommendations of the last decades, the trends in the active treatment of acute coronary syndrome are shifted towards endovascular procedures. However, in a number of cases, the most effective benefit is an open coronary artery bypass grafting operation. The article discusses the options currently used for surgical myocardial revascularization of patients. To date, surgical methods of treating acute coronary syndrome include: coronary artery bypass grafting in conditions of cardiopulmonary bypass in combination with various myocardial protection options, including using various methods of cardioplegia; coronary artery bypass grafting on a working heart - the so-called “off-pump” technique, and coronary artery bypass grafting under conditions of cardiopulmonary bypass perfusion. Studying the problems associated with the tasks and possibilities of surgical treatment of acute coronary syndrome will increase the duration and quality of life of patients with a cardiovascular profile.

Keywords:Coronary artery bypass grafting, Acute coronary syndrome, Myocardial infarction, myocardial revascularization.