Schimert G, Vidne B A, Lee A B
Ann Thorac Surg. 1975 Apr;19(4):474-7. doi: 10.1016/s0003-4975(10)64052-0.
An improved method of free internal mammary artery (IMA)-to-ascending aorta anastomosis for cornoary bypass is described. We interposed a small patch of vein with a suitable side-branch or brancyes in connecting the proximal end of a detached IMA or radial artery. Thirty-four free IMA-to-coronary artery bypasses were performed in 25 patients; 16 right IMA, 14 left IMA, and 4 radial arteries were used. Cornoary angiographic follow-up studies performed in all patients between two weeks and six months after operation proved that all grafts were patent and showing a larger lumen than is usually seen in undetached IMA grafts. Concomitantly marked relief of anginal pain was noted in all patients. Oour experience with this technique is very encouraging. All patients are being followed to evaluate long-term graft patency.
本文描述了一种用于冠状动脉搭桥的游离胸廓内动脉（IMA）至升主动脉吻合的改良方法。我们在连接游离的IMA或桡动脉近端时，置入一小片带有合适侧支或分支的静脉。25例患者共进行了34例游离IMA至冠状动脉搭桥手术；使用了16支右IMA、14支左IMA和4支桡动脉。所有患者在术后两周至六个月进行的冠状动脉造影随访研究证明，所有移植物均通畅，且管腔比未游离的IMA移植物通常所见的更大。同时，所有患者的心绞痛症状均明显缓解。我们使用该技术的经验非常令人鼓舞。所有患者都在接受随访以评估移植物的长期通畅情况。
