Fote Operation

Phote surgery is a surgical procedure proposed for the treatment of chronic coronary insufficiency. It consists of ligation of the great vein of the heart, denervation of the veins, resection of the choroid plexuses of the aorta and pulmonary trunk with alcoholization of these vessels.

Chronic coronary insufficiency is a condition in which the heart muscle does not receive enough blood and oxygen. This can lead to serious health problems, including myocardial infarction, arrhythmia and heart failure. One of the treatments for this condition is Fote surgery.

During Fote surgery, the surgeon ligates a large vein of the heart, which increases blood pressure in the heart and reduces the load on the myocardium. The surgeon also performs denervation of the veins, removing the nerve endings that control the contraction of blood vessels. This helps reduce resistance to venous outflow and improve blood circulation.

Additionally, the surgeon performs resection of the choroid plexuses of the aorta and pulmonary trunk. This reduces the volume of blood entering the heart and increases its efficiency. In addition, the surgeon alcoholizes these vessels, which leads to their narrowing and reduced blood flow.

Phote surgery is a complex and risky procedure and is performed only by highly qualified surgeons in specialized medical centers. However, patients who have undergone this procedure have seen significant improvements in their condition and quality of life.

As a result, Fote surgery is one of the methods for treating chronic coronary insufficiency. It can be effective for patients who are not suitable for other treatments, but requires high skill and experience on the part of the surgeon. If you are facing problems with coronary artery disease, be sure to discuss all possible treatment options with your doctor.

Phote surgery is a surgical intervention aimed at treating chronic coronary ischemic disease by ligating the great vein of the heart and resection of the vascular networks in the aorta and pulmonary trunk. The operation was developed in 1995 in France by the Swiss surgeon Hanoch Weinberg and the German doctor Guillaume Le Guellec.

The purpose of the operation is to reduce blood flow in the veins of the heart and the vessels that feed from the heart. By blocking blood flow, oxygen supply to the myocardium is improved, which helps prevent heart failure and reduce chest pain associated with myocardial ischemia.

The Fote operation technique includes several stages:

Stage I: ligation of the great cardiac vein. The first stage of the operation is to block a large volume of venous blood entering the heart. To do this, the surgeon performs a procedure called Coronary Obstruction Fundoplication (CFA) using a special microscope to stop the flow of blood in the large vein running from the chest to the heart. This causes the veins, arteries and muscle walls of the heart to become less active and therefore reduce blood flow.

This procedure can be performed using a variety of techniques, depending on the surgeon's preference. Some people prefer to use special hooks and clamps to connect the veins during an obstruction, while others simply tie them off with a thin thread. In any case, surgeons aim to block 50-70% of the blood volume to minimize the symptoms of chronic ischemia.