[Ischemic heart disease with the anterior branches of the right coronal artery].

The coronary arteries shunting was performed in four elderly men with severe coronary heart disease, complicated by stagnant heart insufficiency and right ventriculus insufficiency (RVI). One patient could not be disconnected from the artificial blood circulation (ABC) apparatus till the venous shunting (VS) to atherosclerotically strictured right ventriculus anterior branch of right coronary artery was not accomplished. Other three patients, to whom VS to this branch was already conducted, were disconnected from the ABC without complications. In three patients echocardiography trusted RV disorders existence before this branch shunting conduction with improvement after shunting. While coronary arteries shunting conduction the anastomosis ought to be done to anterior branches of RVI when they are affected.