Kawata T, Kameda Y, Abe T, Taniguchi S
Department of Surgery III, Nara Medical University, Kashihara, Japan.
Kyobu Geka. 2001 Apr;54(4):341-4.
A 63-year-old man with triple vessel disease in the coronary artery and multiple arterial stenoses in intra-cranial vessels underwent off-pump coronary artery bypass (OPCAB). We were able to perform three coronary artery bypass grafting (in situ left internal thoracic artery (left ITA)--left anterior descending artery, in situ right ITA--circumflex artery through the transverse sinus, and saphenous vein graft--right coronary artery) using octopus 2 and "Lima" suture technique without cardio-pulmonary bypass. Operation time was 355 minutes and established blood loss was 440 ml. Postoperative course was uneventful. Postoperative angiogram revealed well patent three grafts. Using bilateral in situ ITAs OPCAB could achieve high quality.
一名63岁男性，患有冠状动脉三支血管病变及颅内血管多处动脉狭窄，接受了非体外循环冠状动脉搭桥术（OPCAB）。我们使用章鱼2和“Lima”缝合技术，在不进行心肺转流的情况下成功进行了三支冠状动脉搭桥（原位左胸廓内动脉——左前降支动脉、原位右胸廓内动脉——通过横窦至回旋支动脉、大隐静脉移植——右冠状动脉）。手术时间为355分钟，术中失血440毫升。术后过程顺利。术后血管造影显示三支移植血管通畅良好。使用双侧原位胸廓内动脉进行OPCAB可实现高质量搭桥。
