Tabry I F, Calabrese J, Zammar H, Abou-Kasem K, Akeilan H, Gharbieh N, Zinati H, Noureddine W, el-Hout A, Tayah M, Khalidy L, Yaghi M
Section of Cardiac Surgery, Holy Cross Hospital, Fort Lauderdale, FL, USA.
Heart Surg Forum. 2001;4(3):251-3.
A 42-year-old man with dextrocardia and situs inversus underwent successful off-pump total myocardial revascularization using the technique popularized by Tector [Tector 1994, Tector 1996]. The free left internal mammary artery (LIMA) was anastomosed to the in-situ right internal mammary artery (RIMA) at the level of the right-sided left atrial appendage, then anastomosed sequentially to the first diagonal branch (D1) of the left anterior descending artery (LAD), and to the LAD. The in-situ RIMA was sequentially anastomosed to the first and the second obtuse marginal branches (OM1 and OM2) of the circumflex coronary artery. A saphenous vein was then anastomosed to a diffusely diseased posterior descending branch (PDA) of the right coronary artery (RCA). The patient was asymptomatic and in excellent condition three months after surgery. In economically depressed regions of the world, such as the Gaza Strip, off-pump complete revascularization is an excellent alternative to cardiopulmonary bypass.
一名患有右位心和内脏反位的42岁男性，采用Tector推广的技术（Tector 1994年、Tector 1996年）成功进行了非体外循环下全心肌血运重建术。游离的左乳内动脉（LIMA）在右侧左心耳水平与原位右乳内动脉（RIMA）吻合，然后依次与左前降支（LAD）的第一对角支（D1）和LAD吻合。原位RIMA依次与回旋支冠状动脉的第一和第二钝缘支（OM1和OM2）吻合。然后将大隐静脉与右冠状动脉（RCA）弥漫性病变的后降支（PDA）吻合。术后三个月，患者无症状且状况良好。在世界经济萧条地区，如加沙地带，非体外循环下完全血运重建是体外循环的绝佳替代方案。
