COMPARATIVE EVALUATION OF THE RESULTS OF ISOLATED CABG AND CABG WITH MITRAL VALVE PLASTy By TRANSESOPHAGEAL ECHOCG IN PATIENTS WITH CORONARy HEART DISEASE

Aim of the study was a comparative assessment of the main echocardiographic parameters after various types of surgical treatment performed for ischemic heart disease.Methods: The results of surgical treatment of 40 patients with moderate to moderate ischemic disease with the left ventricular ejection fraction less than or equal to 40% are analyzed. Men were 35, women-5. The average age of patients is 55.6 ± 6.8 years. 20 patients underwent isolated coronary bypass surgery in combination with mitral valve plasty (PMK-1st group) and 20 patients - only isolated coronary bypass surgery (KSh-2 group). All patients underwent echocardiography with color Doppler mapping before surgery, before discharge, after 12 months. The average periods of control examinations were 18.6± 3.2 and 325.1 ± 61.3 days after surgery, respectively. echocardiography parameters were evaluated according to the recommendation of the American Association of echocardiography.Results: In ischemic cardiomyopathy, transesophageal echocardiography is a highly sensitive and highly specific diagnostic method. echocardiographic signs of ischemic mitral insufficiency include such criteria as: preservation of the structures of the mitral valve cusps, expansion of the fibrous ring, restrictive position of the valves relative to the fibrous ring manifested in the form of changes in the depth of coaptation of the valves, lengthening the distance of the mitral valve tension and the presence of mitral regurgitation .Conclusions: In patients with coronary heart disease, transshepatic echocardiography performed in the long-term period after CABG operations in combination with mitral valve surgery is more favorable than after CCP operations.

coronary heart disease, transesophageal echocardiography, coronary artery bypass grafting, mitral valve plasty