Ichiba T, Takemoto N, Nanba T, Ishiguro S, Ikebuchi M, Kuroda H, Ohgi S
Department of Cardiovascular Surgery, Tsuyama Daiichi Hospital, Japan.
Kyobu Geka. 2000 Feb;53(2):110-2.
A 78-year-old male who had a bronchial asthma underwent coronary artery bypass grafting (CABG) using the left internal thoracic artery and the radial artery. The patient could not be weaned from the cardiopulmonary bypass because the radial artery which anastomosed to the obtuse marginal artery (OM) had a spasm after CABG. An additional bypass using a long saphenous vein to OM was carried out immediately. It brought a weaning from cardiopulmonary bypass. If the cardiac function after CABG is insufficient in patients with bronchial asthma, CABG must be re-done immediately, considering that they cause the arterial spasm more than patients without bronchial asthma.
一名78岁患有支气管哮喘的男性接受了冠状动脉旁路移植术（CABG），使用了左胸廓内动脉和桡动脉。患者在CABG后无法脱离体外循环，因为与钝缘支动脉（OM）吻合的桡动脉发生了痉挛。立即使用长隐静脉对OM进行了额外的旁路移植。这使得患者能够脱离体外循环。如果支气管哮喘患者在CABG后心功能不足，必须立即重新进行CABG，因为考虑到他们比没有支气管哮喘的患者更容易发生动脉痉挛。
