Sudoh M, Katoh T, Ikeda N, Sirasawa B, Gohra H, Hamano K, Noda H, Fujimura Y, Esato K
First Department of Surgery, Yamaguchi University School of Medicine, Ube, Japan.
Kyobu Geka. 1999 Jun;52(6):481-5.
The implementation of coronary artery bypass grafting for angina pectoris with ulcerative colitis has been rarely reported. A 63-year-old man has a past history of acute myocardial infarction in 1984 and ulcerative colitis since 1988. Coronary angiography and cardiac catheterization showed total obstruction of segment 2, 95% stenosis of segment 6, 75% stenosis of segment 7 and total obstruction of segment 12 with LVEF 23%. Coronary artery bypass grafting was performed under IABP support and cardiopulmonary bypass with aprotinin infusion after an inflammatory reaction of ulcerative colitis was adequately suppressed. Ulcerative colitis was controlled by administering 40 mg of predonisolone during perioperative period.
针对患有溃疡性结肠炎的心绞痛患者实施冠状动脉旁路移植术的报道很少。一名63岁男性，有1984年急性心肌梗死病史，自1988年起患有溃疡性结肠炎。冠状动脉造影和心导管检查显示，第2节段完全阻塞，第6节段95%狭窄，第7节段75%狭窄，第12节段完全阻塞，左心室射血分数为23%。在溃疡性结肠炎的炎症反应得到充分抑制后，在主动脉内球囊反搏支持和体外循环下进行冠状动脉旁路移植术，并输注抑肽酶。围手术期通过给予40毫克泼尼松龙来控制溃疡性结肠炎。
