Fukuda I, Watanabe K, Seita J, Gomi S
Department of Cardiovascular Surgery, Tsukuba Medical Center Hospital, 1-3-1 Amakubo, Tsukuba, Ibaraki 305-8558, Japan.
Ann Thorac Cardiovasc Surg. 2000 Jun;6(3):196-8.
We herein report a case of third coronary artery bypass grafting (CABG) using a bilateral radial artery T graft. There were patent grafts on the anterior aspect of the heart other than the occluded left internal thoracic artery to the left anterior descending (LAD) artery. A T shaped bilateral radial artery conduit was anastomosed from the left subclavian artery to the LAD and first diagonal branch through a left thoracotomy approach. Postoperative angiography demonstrated excellent flow of radial artery conduits. Left thoracotomy with the use of a bilateral radial artery T graft is a useful substitute for anterior re-sternotomy entry in redo CABG.
我们在此报告一例使用双侧桡动脉T型移植物进行第三次冠状动脉旁路移植术（CABG）的病例。除了闭塞的左胸廓内动脉至左前降支（LAD）动脉外，心脏前方还有通畅的移植物。通过左胸廓切开术，将一个T形双侧桡动脉管道从左锁骨下动脉吻合至LAD和第一对角支。术后血管造影显示桡动脉管道血流良好。在再次冠状动脉旁路移植术中，采用双侧桡动脉T型移植物的左胸廓切开术是前正中胸骨切开术的一种有用替代方法。
