[非体外循环冠状动脉旁路移植术/心脏不停跳冠状动脉旁路移植术治疗左心室射血分数低的患者]
[Off-pump coronary artery bypass grafting/beating coronary artery bypass grafting for a patient with low left ventricular ejection fraction].
作者信息
Senda K, Kotoh K, Fukahara K, Furuta M, Yamashita A, Misaki T
机构信息
Department of Surgery, Toyama Medical and Pharmaceutical University, Toyama, Japan.
出版信息
Kyobu Geka. 2002 Dec;55(13):1129-32.
Beating coronary artery bypass grafting could be performed for a 47-year-old man with left ventricular ejection fraction (LVEF) of 9.3%. Post-operative LVEF was improved to 51.6%. Conventional coronary artery bypass grafting (CABG) used to be contraindicative for patients with LVEF below 20%. Recently, such patients are involved to indication of off-pump CABG (OPCAB) or beating CABG, because we consider OPCAB are lower complications than conventional CABG. We were able to bypass the circumflex for the patient while we had been used percutaneous cardio-pulmonary support (PCPS). We could perform beating coronary artery bypass grafting for a patient of the low LVEF.
对于一名左心室射血分数（LVEF）为9.3%的47岁男性患者，可以进行不停跳冠状动脉搭桥术。术后LVEF提高到了51.6%。传统冠状动脉搭桥术（CABG）过去对于LVEF低于20%的患者是禁忌的。最近，这类患者被纳入了非体外循环冠状动脉搭桥术（OPCAB）或不停跳CABG的适应证范围，因为我们认为OPCAB的并发症比传统CABG少。在使用经皮心肺支持（PCPS）的情况下，我们成功地为该患者绕过了回旋支。我们能够为低LVEF的患者实施不停跳冠状动脉搭桥术。
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