PubMed Health⌕ Search

Biomedical subjects

A S Olearchyk

Publications and source records attributed to A S Olearchyk.

At least 19 recordsLinked to original sources
PubMed2000

[Application of aortocoronary shunting in patients with ischemic heart disease and congestive heart failure].

In 280 patients with an ischemic heart disease and congestive heart failure the aortocoronary shunting was performed. While doing the heart catheterization there was established complete overlap or significant stricture of 3.9 coronary arteries or branches at average per one patient. Selective operation was done in 242 (86%) patients, urgent--in 28 (10%), reoperation--in 10 (3.6%). Operative mortality was 2.5% (7 patients died).

Aged↗
PubMed2000

[Surgical treatment of aortal aneurysm].

There were operated on 53 patients with aorta aneurysm. Operative mortality was 11.3%, but all 17 patients, in whom aminocapronic acid or aprotinin and synthetic prostheses were applied, survived after the operation.

Adult↗
PubMed1999

Reminiscences of Vasilii I. Kolesov.

Vasilii I. Kolesov (1904-1992) as a military surgeon during the Siege of St. Petersburg (1941-1944) treated countless war casualties, and after the Siege, he also attended many survivors who suffered from coronary artery disease. It was probably this second mission that led him on February 25, 1964, to anastomose the left internal thoracic artery to a coronary. That operation ushered a new era in the modern treatment of coronary artery disease.

Coronary Artery Bypass↗
PubMed1998

Repair of a pseudoaneurysm of the ascending aorta after aortic valve replacement.

An elderly woman underwent an aortic valve replacement and 5 months later developed a pseudoaneurysm from the anterior aspect of the proximal ascending aorta (AA). The pseudoaneurysm was approached through a redo-median sternotomy, on cardiopulmonary bypass (CPB), mild hypothermia, and a beating heart, with a temporary fingertip occlusion of its ostium, and repaired successfully using mattress monofilament sutures enforced by pledgets. The standard approach to such pseudoaneurysms is a CPB and hypothermic circulatory arrest (HCA) prior to mid-sternotomy, and replacement of the AA. But, when a pseudoaneurysm arises from a narrow ostium on the anterior aspect of the AA, as in this case, it can be sutured closed with pledgets under CPB with a mild hypothermia and a beating heart.

Aged↗
PubMed1998

[Surgical treatment of congenital heart defects in adults].

Of 73 patients with congenital heart diseases (CHD), aged from 16 to 82 years, operated on in 1977-1998 yrs., there were 41 women and 32 men. Fourteen (19.6%) of patients were 60 years old or older. Complex CHD were revealed in 27 (37%) of patients, an ischemic heart disease-in 8 (11%). There were no intraoperative mortality. Complications have occurred in 2 patients. Late follow-up results (in terms from 4 months till 20.5 years) were studied in 71 patient. One patient died in 7 years because of another cause, the state of the rest of the patients is good or satisfactory.

Adolescent↗
PubMed1998

[Congenital heart diseases in adults].

The experience of treatment of 45 adult patients with the innate heart diseases was summarized, 33 of whom were operated on. The interatrial septum defect closure was conducted in 14 patients, aortal valvotomy--in 1, the valve change for the twocuspid aortal valve (AV)--in 5, the aortal coarctation correction--in 3, the coronary arteries anastomosis formation with the coronary-pulmonary arterial fistula ligature--in 3, valvotomy or the balloon dilatation of pulmonary artery--in 2, septal myectomy for hypertrophic cardiomyopathy--in 2, the intervention on two- or three-cuspid valve or AV for the open left upper cava vein--in 2, AV in Marfan's syndrome--in 1. There were no postoperative mortality or complications. Of 8 nonoperated patients in 5 the cerebral blood circulation disorder have occurred, caused by paradoxical emboli. Thirty five year old woman with Eisenmenger syndrome have died. The patients with atresia of right pulmonary veins and fibrosis of right lung have survived up to the fourth decade of life.

Adolescent↗
PubMed1997

Congenital bilateral coronary-to-pulmonary artery fistulas.

Rare, congenital bilateral coronary-to-pulmonary artery fistulas in an older woman, one originating from the proximal right coronary artery and the other from a distal left main coronary artery and draining to the proximal main pulmonary artery, were successfully dissected, identified, and ligated proximally and also closed distally on a beating heart with cardiopulmonary bypass standby.

Arteriovenous Fistula↗
PubMed1995

Calcified ascending aorta and coronary artery disease.

An elderly woman with severe coronary artery disease and calcified ascending and transverse aorta had a left internal thoracic artery graft to the first marginal branch of the circumflex artery and a right internal thoracic artery graft to the left anterior descending artery. It was performed using the "no-touch" technique to the ascending and transverse aorta, cardiopulmonary bypass with an arterial inflow to the left common femoral artery, a beating, warm, and vented heart, and bradycardia induced by a short-acting beta 1-blocker. The latter two were used to decrease myocardial oxygen consumption and facilitate construction of the internal thoracic artery to coronary artery anastomoses.

Aged↗