Health tips: coronary heart disease mostly occurs in middle-aged and elderly people, but some young people suffer from coronary heart disease because of various factors. What operation should young patients with coronary heart disease use? With saphenous vein bypass, the operation damage is smaller and simpler, but the long-term effect is worse than arterial bypass, so it is suitable for older patients. It is more difficult to operate with artery bypass graft because of its great injury and high technical requirements, but its long-term effect is better than that of saphenous vein, so it is suitable for young patients.
The purpose of coronary heart disease treatment is to reduce or alleviate symptoms, restore heart function, prolong life and improve the quality of life of patients. There are drug therapy, interventional therapy and surgical treatment in the treatment of coronary heart disease.
Coronary artery bypass grafting, commonly known as coronary artery bypass grafting, is the most effective method for the treatment of coronary heart disease, which has a history of 30 years.
Coronary artery stenosis of coronary heart disease presents segmental distribution. It was mainly located in the proximal and middle segments of coronary artery, and most of the distal segments were normal. The treatment of coronary heart disease coronary artery bypass grafting is to establish a channel between the proximal and distal end of coronary artery stenosis, so that the blood can bypass the narrow median and reach the distal end, just as a bridge makes the road across mountains and rivers unimpeded. However, the material used is not reinforced concrete, but the patient's own great saphenous vein, internal mammary artery, right gastroepiploic artery and radial artery. One end of the great saphenous vein on the leg or thigh is anastomosed with the distal end of the coronary artery stenosis, and the other end is anastomosed with the ascending aorta. At the same time, several side holes can be opened on a vein to anastomose with several coronary arteries side by side Sequential bridge or serpentine bridge.
The operation of saphenous vein bypass is less invasive and simpler, but the long-term effect is worse than that of artery bypass, so it is suitable for the elderly patients. It is more difficult to operate with artery bypass graft because of its great injury and high technical requirements, but its long-term effect is better than that of saphenous vein, so it is suitable for young patients. In general, the elderly over 80 years old can use saphenous vein bypass alone, under 55 years old can consider total artery bypass, other ages can use an internal mammary artery plus saphenous vein. Coronary artery bypass grafting is usually performed under general anesthesia, hypothermia, cardiopulmonary bypass and cardiac arrest. It usually takes 2-3 hours. Simple cases do not need cardiopulmonary bypass, in the case of beating heart surgery.