Ishibashi Y, Myojin K, Ishii K, Miyazaki N, Tachibana T, Sugiki K
Department of Cardiovascular Surgery, National Sapporo Hospital, Japan.
Kyobu Geka. 1999 Sep;52(10):853-5.
The case was a sixty one year old female who was diagnosed as having acute arterial embolism of right upper arm and underwent embectomy. The detailed examination which followed revealed left atrial myxoma and coarctation of the aorta. Due to the risk of embolism, an emergency operation was performed to install a right axillofemoral bypass with an 8 mm artificial graft. Left atrial myxoma was then excised in an operation using an artificial heart-lung apparatus. Pathological examinations of excised tumor offered no trace of tumor but only of left atrial thrombus. Postoperative results were satisfactory. The pressure difference between upper and lower arms was improved to 0.8 in pressure index from preoperative 0.5 and it became possible to control the blood pressure of upper arm within the level of 130 to 150 mmHg. Axillofemoral bypass is an effective method for a case like the above where a site of coarctation of the aorta cannot be directly repaired.
该病例为一名61岁女性，被诊断为右上臂急性动脉栓塞并接受了栓子切除术。随后的详细检查发现左心房黏液瘤和主动脉缩窄。由于存在栓塞风险，进行了急诊手术，使用8毫米人工移植物建立右腋股旁路。然后在使用人工心肺装置的手术中切除左心房黏液瘤。切除肿瘤的病理检查未发现肿瘤痕迹，仅发现左心房血栓。术后结果令人满意。上臂与下臂之间的压差从术前的0.5改善到压力指数为0.8，并且能够将上臂血压控制在130至150 mmHg的水平。腋股旁路对于像上述主动脉缩窄部位无法直接修复的病例是一种有效的方法。
