What is myocardial revascularization and what are the indications?

Expert answer:

The surgery of revascularization of the myocardium, popularly known as put your saphire, is a surgical procedure aimed at increase blood flow locations. heart muscle (myocardium) affected by the narrowing or "clogging" of the coronary arteries, which are responsible for blood supply to the myocardium.

Myocardial revascularization is a treatment of indicated in cases of coronary diseases, which aims to relieve symptoms that the medicines are not able to control or prolong life expectancy of the patient, also guaranteeing a good quality of life.

The procedure consists of to sew part of a vein (removal of the leg) or a artery (removal of the thorax) in the coronary artery, so as to form a "bridge" that carries oxygenated blood to the heart muscle (myocardium).

That obstruction of the coronary arteries is the result of fat plates deposited on the wall of the vessel. The term "saphenous vein" refers to cases in which the large saphenous vein is used as a graft ("bridge") during surgery.

At indications for surgery revascularization of the myocardium are:

  • Multiple narrowing of the arteries, as is often the case in diabetics or the elderly;
  • Obstruction in the left coronary artery, which is responsible for nourishing the main arteries that irrigate the most important parts of the myocardium;
  • Poor functioning of important areas of the heart due to decreased blood supply.

Myocardial revascularization surgery is done by a medical cardiac surgeon.