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CORONARY – MAINLY TREATMENT
Coronary artery disease has reached epidemic proportions in most of the highly developed countries. The risk factors are well known, but we have not accepted them nor taken steps to reduce their influence.
Once this disease is established, the treatment is mainly medical. Over the past 15 years, a surgical technique to improve the outlook has been developed. This is coronary bypass surgery.
In the past, operations to transplant arteries from the chest wall into the heart were tried and then abandoned as of no value.
There are three main coronary arteries and any, or all, may be involved in the atheromatous changes and narrowed.
What is done is that a vein, usually the long saphenous vein from the leg, is taken and implanted into the aorta. The other end is joined to the coronary artery below the narrowed portion.
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