rentradВестник рентгенологии и радиологииJournal of radiology and nuclear medicine0042-46762619-0478Limited Liability Company "LUCHEVAYA DIAGNOSTIKA", Russian Association of Radiologists10.20862/0042-4676-2014-0-4-42-45rentrad-41Research ArticleСЛУЧАЙ ИЗ ПРАКТИКИCLINICAL NOTEЭМБОЛИЗАЦИЯ ВЕТВЕЙ МАММАРНОЙ АРТЕРИИ ПОСЛЕ ОПЕРАЦИИ МАММАРНО-КОРОНАРНОГО ШУНТИРОВАНИЯEMBOLIZATION OF MAMMARY ARTERY BRANCHES AFTER MAMMARY ARTERY BYPASS SURGERYГерасимовА. М.GerasimovA. M.

к. м. н., врач-кардиолог

ул. 3-я Черепковская, 15а, Москва, 121552

MD, PhD, Cardiologist

ul. Tret’ya Cherepkovskaya, 15a, Moscow, 121552

Axar2005@yandex.ruМеркуловЕ. В.MerkulovE. V.

к. м. н., н. с. отдела рентгеноэндоваскулярных диагностики и лечения

ул. 3-я Черепковская, 15а, Москва, 121552

MD, PhD, Researcher of Department of Endovascular Diagnosis and Treatment

ul. Tret’ya Cherepkovskaya, 15a, Moscow, 121552

СамкоА. Н.SamkoA. N.

д. м. н., профессор, руководитель отдела рентгеноэндоваскулярных диагностики и лечения

ул. 3-я Черепковская, 15а, Москва, 121552

MD, PhD, DSc , Professor, Head of Department of Endovascular Diagnosis and Treatment

ul. Tret’ya Cherepkovskaya, 15a, Moscow, 121552

КошельИ. Ю.Koshel’I. Yu.

ординатор

ул. 3-я Черепковская, 15а, Москва, 121552

Resident Physician 

ul. Tret’ya Cherepkovskaya, 15a, Moscow, 121552

ФГБУ «Российский кардиологический научно-производственный комплекс» Министерства здравоохранения РФРоссияRussian Cardiology Research-and-Production Complex, Ministry of Health of the RFRussian Federation201427022016044245Copyright © Герасимов А.М., Меркулов Е.В., Самко А.Н., Кошель И.Ю., 20162016Герасимов А.М., Меркулов Е.В., Самко А.Н., Кошель И.Ю.Gerasimov A.M., Merkulov E.V., Samko A.N., Koshel’ I.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.russianradiology.ru/jour/article/view/41

У некоторых пациентов даже после выполненной операции маммарно-коронарного шунтирования сохраняется клиника стенокардии. Это может быть связано с развитием синдрома коронарного «обкрадывания» из-за наличия крупных боковых ветвей у нативной внутригрудной артерии. Современные методы эмболизации артерий разного диаметра позволяют достаточно безопасно и в полной мере выполнять поставленную задачу. В данной статье описан клинический случай повторной эмболизации боковой ветви маммарно-коронарного шунта при помощи внутрисосудистой спирали. 

Even after performed mammary artery bypass surgery, some patients continued to have clinical manifestations of angina pectoris. This may be associated with the development of coronary stealing syndrome due to the fact that the native intrathoracic artery has large lateral branches. Current methods for embolization of arteries of different diameters make it possible to accomplish this task reasonably safely and in full measure. This paper describes a clinical case of reembolization of the lateral branch of a mammary artery shunt with an intravascular coil.

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