Shin H, Kumamoto T, Sumida T, Yozu R
Department of Cardiovascular Surgery, Shizuoka Red Cross Hospital, Japan.
J Cardiovasc Surg (Torino). 1999 Oct;40(5):667-9.
Intraoperative right ventricular infarction immediately after coronary artery bypass grafting is a rare and potentially serious complication. We report a case in which an additional coronary artery bypass graft to a right ventricular branch with 99% stenosis brought about recovery from profound acute right ventricular failure. This case shows that complete revascularization to all graftable vessels, including even the right ventricular branch, is mandatory for successful coronary artery bypass grafting.
冠状动脉旁路移植术后立即发生的术中右心室梗死是一种罕见且可能严重的并发症。我们报告一例病例，为一支狭窄99%的右心室分支额外进行冠状动脉旁路移植后，患者从严重的急性右心室衰竭中恢复。该病例表明，对于成功的冠状动脉旁路移植术而言，对所有可移植血管（甚至包括右心室分支）进行完全血运重建是必要的。
