[Surgical treatment of ischemic heart disease associated with lesions of the valvular apparatus of the heart].

Every fourth patient over 45 years of age in a group of patients with valvular heart diseases suffers from affection of the coronary arteries. Experience in 71 operations for the combination of these diseases showed that the success of surgical treatment is determined by the method of myocardial protection. First the shunts are sutured and then additional cardioplegia is carried out through them. Valvular prosthetics is performed after that. Blood cardioplegia is preferred. Most surgical failures are connected with the complex character of the initial pathology. The direct and late-term results show the developed method for surgical management of this complicated pathology is effective and justified.