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[劳力性心绞痛合并心尖肥厚型心肌病患者的冠状动脉旁路移植术:病例报告]

[Coronary artery bypass grafting for a patient with effort angina pectoris and apical hypertrophic cardiomyopathy: case report].

作者信息

Seino R, Matsuzaki K, Yasuda K

机构信息

Department of Cardiovascular Surgery, Oji General Hospital, Tomakomai, Japan.

出版信息

Kyobu Geka. 2000 Nov;53(12):1044-7.

PMID:11079313
Abstract

A sixty-five year old man, known to have had apical hypertrophic cardiomyopathy (APH) since 1981, presented worsening of angina pectoris. Severe triple coronary artery disease was diagnosed and referred to our department for surgery. He underwent quintruple coronary artery bypass grafting (CABG) with left internal thoracic artery, left radial artery and saphenous veins. The cardiac index increased from 2.9 to 3.4 l/[symbol: see text]/m2 postoperatively. To our knowledge, this was the second case of CABG for APH in the world.

摘要

一名65岁男性,自1981年起被诊断为心尖肥厚型心肌病(APH),现出现心绞痛加重。诊断为严重三支冠状动脉疾病,并转诊至我科进行手术。他接受了使用左胸廓内动脉、左桡动脉和大隐静脉的五支冠状动脉搭桥术(CABG)。术后心脏指数从2.9升至3.4升/[符号:见原文]/平方米。据我们所知,这是世界上第二例因APH进行CABG的病例。

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