Modern aspects of surgical treatment of coronary heart disease. Literature review
https://doi.org/10.17238/2072-3180-2026-2-187-193
Abstract
Introduction. CFor many decades, cardiovascular diseases have been in the first place worldwide and in the Russian Federation in terms of incidence and mortality (up to 40 %). Long-term scientific research in the field of therapeutic treatment has led to a significant improvement in the situation of reducing mortality from coronary heart disease. However, persistent disability forced the search for more radical methods of treating the disease. This was the surgical treatment aimed at revascularization of the myocardium.
The purpose of the work: to highlight the current issues of myocardial revascularization in coronary heart disease according to literary sources. Materials and methods. In the course of the work, 116 scientific articles were analyzed. The search was conducted in scientific databases: eLibrary, CyberLeninka, Web of Science, Scopus, PubMed for 2010–2026.
The main part. The paper highlights the main issues of surgical and endovascular treatment of coronary artery disease. The literature sources describing the use and results of CABG and MCG from mini-access on a working heart are considered. The expansion of indications for bypass surgery, the possibility and result of using MiECC, and the addition of coronary artery bypass grafting by extracardial revascularization methods have been determined. The issues of necessity and expediency of performing simultaneous operations and operations in acute myocardial infarction are also considered.
Conclusion. Many years of experience in the use of surgical methods for the treatment of coronary heart disease leaves many unresolved questions regarding the optimization of long-term results. A personalized approach to the choice of surgery reduces the percentage of complications and deaths. This work allows us to conclude that further research on this issue is necessary.
About the Authors
E. E. Petrovicheva
Russian University of Medicine
Russian Federation
Russian Federation
Ekaterina E. Petrovicheva – 5th year student at the Russian University of Medicine.
4 Dolgorukovskaya Street, Moscow, 1127006
L. I. Shvets
MK RUT (MIIT)
Russian Federation
Russian Federation
Lyubov I. Shvets – cardiovascular surgeon, a teacher of the highest category of the MK RUT (MIIT).
129128, Moscow, Budayskaya str., 2, building 18
References
1. Silaev A.A., Kandaurov A.E., Chvokov A.V. and others. Modern aspects of surgical treatment of patients with coronary artery disease. Cardiology and cardiovascular surgery, 2014, no 7(6), pp. 24–27. (In Russ.)
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, no 18; 145(3), pp. e4–e17. https://doi.org/10.1161/CIR.0000000000001039
3. Sidorov R.V., Bazilevich A.V., Katkov A.A. and others. Minimally invasive coronary surgery: a review of modern surgical treatment techniques for coronary artery disease. Bulletin of the National Medical and Surgical Center named after N.I. Pirogov, 2021, vol. 16, no 3, pp. 84–88. (In Russ.)
4. Isaev M.N., Ekimov S.S., Chernov I.I. et al. Bimammary coronary bypass surgery on a functioning heart through left-sided mini-thoracotomy. Clinical and experimental surgery, 2016, no 4(14), pp. 27–30. (In Russ.)
5. Melikulov A.A., Merzlyakov V.Yu., Klyuchnikov I.V., Skopin A.I., Mammadova S.K., Zhalilov A.K., Akhmedova M.F., Baichurin R.K., Salomov M.A. Immediate results of coronary bypass surgery on a functioning heart in patients with high surgical risk. Annals of surgery, 2017, no 22 (6), pp. 353–360. (In Russ.) http://dx.doi.org/10.18821/1560-9502-2017-22-6-353-360
6. Shabaev I.F., Tarasov R.S., Kozyrin K.A. Hospital results of mini-invasive coronary artery bypass grafting on a functioning heart. Complex problems of cardiovascular diseases, 2019, no 2, pp. 58–67. (In Russ.) https://doi.org/10.17802/2306-1278-2019-8-2-58-67
7. Semchenko A.N., Makarov A.D., Khudyakov D.S., Zharenkov M.S. The effectiveness of revascularization and the immediate results of coronary bypass surgery using microsurgical techniques and an operating microscope on a working heart. (A retrospective pseudorandomized study). Cardiological Bulletin, 2026, no 19(1), pp. 49–59. (In Russ.)
8. Dvoryanchikova V.A., Pasechnik I.N., Timashkov D.A. and others. Comparison of the results of coronary artery bypass grafting in conditions of classical and minimally invasive extracorporeal circulation. Anesthesiology and intensive care, 2022, no 1, pp. 44–53. (In Russ.)
9. Duggan J.P., Peters A.S., Trachiotis G.D., Sulava E.F., Johnson J.C., Antevil J.L. Epidemiology of Coronary Artery Disease. Surg Clinic North Am., 2022, no 102(3), pp. 499–516. https://doi.org/10.1016/j.suc.2022.01.007
10. Tomii D., Pilgrim T., Borger M.A., De Backer O., Lanz J., Reineke D., Siepe M., Windecker S. Aortic Stenosis and Coronary Artery Disease: Decision-Making Between Surgical and Transcatheter Management. Circulation, 2024, no 17, 150(25), pp. 2046–2069. https://doi.org/10.1161/CIRCULATIONAHA.124.070502
11. Bacha Z., Javed J., Khattak F., Qadri M., Shoaib M., Shah I.M., Khan N.A., Ali M.A., Mattumpuram J., Tariq M.D., Fakhar M., Afridi A., Kakakhel M.Z., Rath S., Henna F. Transcatheter Versus Surgical Approach for the Treatment of Aortic Stenosis in Patients with Concomitant Coronary Artery Disease: A Systematic Review and Meta-Analysis. Catheter Cardiovasc Interv., 2025, no 106(3), pp. 1661–1673. https://doi.org/10.1002/ccd.31697
12. Belov Yu.V., Aslanov A.D., Kosenkov A.N., Miziev I.A., Kalibatov R.M., Logvina O.E., Kugotov A.Kh., Edigov A.T., Kalmykova R.V., Baksanokov Z.Kh., Bakov Z.N. Simultaneous operations: synergy in surgery. Moscow Surgical Journal, 2025, no 2, pp. 65–73. (In Russ.) https://doi.org/10.17238/2072-3180-2025-2-65-73
13. Melikulov A.A., Merzlyakov V.Yu., Klyuchnikov I.V., Skopin A.I., Darvish N.A., Mammadova S.K., Akhmedova M.F., Zhalilov A.K., Salomov M.A. Immediate results of coronary bypass surgery with artificial circulation and a working heart with simultaneous interventions on the coronary and brachiocephalic arteries. Creative cardiology, 2017, no 11 (4), pp. 304–314. (In Russ.) https://doi.org/10.24022/1997-3187-2017-11-4-304-314
14. Shiryaev A.A. and others. Annual results of coronary bypass surgery in patients with diffuse coronary artery disease. Cardiology and cardiovascular surgery, 2021, vol.14, no 5, pp. 413–419. (In Russ.)
15. Pashaev R.A., Petrovsky D.V., Kurbanov S.K., Latypov R.S., Vasiliev V.P., Shiryaev A.A. Long-term results of coronary bypass surgery in patients with severe extensive calcification of the coronary arteries. Moscow Surgical Journal, 2024, no 1, pp. 46–54. (In Russ.) https://doi.org/10.17238/2072-3180-2024-1-46-54
16. Akchurin R.S., Shiryaev A.A., Andreev A.V., Vasiliev V.P., Galyautdinov D.M., Zaikovsky V.Yu., Mukimov S.D. Coronary bypass surgery in diffuse coronary artery disease: the use of autoarterial transplants. Cardiological Bulletin, 2021, no 16(4), pp. 5–10. (In Russ.) https://doi.org/10.17116/Cardiobulletin2021160415
17. Belash S.A., Barbuhatti K.O., Shevchenko S.S., Yasakova E.P., Porkhanov V.A. Long-term results of myocardial revascularization in combination with endarterectomy in diffuse coronary atherosclerosis. Thoracic and cardiovascular surgery, 2021, no 63 (3), pp. 188–194. (In Russ.) https://doi.org/10.24022/0236-2791-2021-63-3-188-194
18. Zhbanov I.V., Kiladze I.Z., Uryuzhnikov V.V. A personalized approach to determining the indications and tactics of coronary artery bypass surgery in elderly and senile patients. Surgery. The N.I. Pirogov Magazine, 2025, no 11–2, pp. 20–28. (In Russ.)
19. Klyshko N.K., Kunnazarova N.A., Sorokin V.A. Coronary bypass surgery in patients with heart failure with preserved ejection fraction. Moscow Surgical Journal, 2025, no 3, pp. 68–77. https://doi.org/10.17238/2072-3180-2025-3-69-78
20. Kaldar K.N., Alsov S.A., Murtazaliev M.N., Khrushchev S.E., Bobobekov F.A. Immediate results of standard and microsurgical coronary bypass surgery in patients with concomitant diabetes mellitus. Cardiology and cardiovascular surgery, 2026, no 18(1), pp. 62–70. (In Russ.)
21. Chvokov A.V. Myocardial revascularization in patients with coronary heart disease and diabetes mellitus. Surgery. The N.I. Pirogov Magazine, 2012, no 4, pp. 55–58. (In Russ.)
22. Shevchenko Y.L., Borshchev G.G., Ulbashev D.S. Long-term results of coronary bypass surgery supplemented by surgical stimulation of extracardial myocardial vascularization in patients with diffuse coronary artery disease. Complex problems of cardiovascular diseases, 2023, no 12(1), pp. 160–171. (In Russ.) https://doi.org/10.17802/2306-1278-2023-12-1-160-171
23. Shevchenko Yu.L., Borshchev G.G., Miminoshvili L.G. Surgical treatment of patients with coronary artery disease in combination with extracardial myocardial vascularization techniques. Bulletin of the National Medical and Surgical Center named after N.I. Pirogov, 2024, vol. 19, no 2, pp. 101–107. (In Russ.)
24. Zemlyanskaya N.S., Derbisalina G.A., Aripov M.A., Zemlyansky V.V. The current state of the problem of coronary artery restenosis after endovascular stenting: a literature review. Science and Healthcare, 2020, no 4, vol. 22, pp. 32–48. (In Russ.) https://doi.org/10.34689/SH.2020.22.4.004
25. Ubaidullayeva V.U., Magrupov B.A. and others. Coronary stents: technical evolution, prospects and failures. Bulletin of Emergency Medicine, 2023, volume 16, no 2, pp. 62–68. (In Russ.)
26. Golukhova E.Z., Petrosyan K.V., Abrosimov A.V., Bulaeva N.I., Goncharova E.S., Berdibekov B.S. The effect of assessing fractional and instantaneous blood flow reserve on the clinical outcomes of percutaneous coronary intervention: systematic review, meta-analysis, and meta-regression analysis. Russian Journal of Cardiology, 2023, no 28(1S), рp. 5325. (In Russ.) https://doi.org/10.15829/1560-4071-2023-5325
27. Safonova O.O., Maksimkin D.A., Chepurnoy A.G., Kim I.E., Loginova S.K., Shugushev Z.H. Efficacy of drug-coated balloon catheters in the treatment of bifurcation stenosis of the trunk of the left coronary artery: results of a 12-month follow-up. Cardiology and cardiovascular surgery, 2025, no 18(6), pp. 666–673. (In Russ.)
28. Harutyunyan G.K., Zhukova N.S., Merkulov E.V. and others. Long-term results of stenting of the unprotected trunk of the left coronary artery in patients with stable coronary artery disease using various types of antiproliferative coated stents. Cardiological Bulletin, 2019, no 14(1), pp. 33–39. (In Russ.) https://doi.org/10.17116/Cardiobulletin20191401133
29. Kirov H., Caldonazo T., Doenst T. Invasive Treatment of Left Main Coronary Artery Disease: From Anatomical Features to Mechanistic Differences. Curr Cardiol Rev., 2024, no. 20(6), pp. e150724231978. https://doi.org/10.2174/011573403X321064240715061250
30. Golovina T.S., Neverova Yu.N., Tarasov R.S. Coronary artery bypass surgery in the treatment of patients with acute coronary syndrome: modern evidence base and unresolved issues. Russian Journal of Cardiology, 2021, no 26(2), p. 4259. (In Russ.) https://doi.org/10.15829/1560-4071-2021-4259
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For citations:
Petrovicheva E.E., Shvets L.I. Modern aspects of surgical treatment of coronary heart disease. Literature review. Moscow Surgical Journal. 2026;(2):187-193. (In Russ.) https://doi.org/10.17238/2072-3180-2026-2-187-193
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