Marx R, Jax T W, Kelm M, Schoebel F C, Strauer B E
Department of Cardiology, Pneumology, and Angiology, Heinrich Heine University Düsseldorf, Germany.
Ann Thorac Surg. 2001 Jan;71(1):341-3. doi: 10.1016/s0003-4975(00)02240-2.
We report a patient who underwent bilateral internal thoracic artery implantation into the myocardium known as a Vineberg procedure 27 years ago. Coronary angiography and Doppler echocardiography revealed patent grafts with total occlusion of all native coronary arteries. We measured flow velocities at rest and under stress conditions with noninvasive ultrasonic Doppler echocardiography. The flow patterns in both grafts were biphasic as in native coronary arteries. Under stress conditions no increase in flow was detectable as a marker of end-stage coronary artery disease with refractory angina pectoris.
我们报告一名患者，该患者于27年前接受了双侧胸廓内动脉植入心肌的手术，即所谓的 Vineberg 手术。冠状动脉造影和多普勒超声心动图显示移植血管通畅，但所有自身冠状动脉均完全闭塞。我们使用无创超声多普勒超声心动图测量了静息和应激状态下的血流速度。两根移植血管中的血流模式均为双相，与自身冠状动脉相同。在应激状态下，未检测到血流增加，这是终末期冠状动脉疾病伴难治性心绞痛的一个标志。
