Massoudy Parwis, Szabo Andras K, Dirsch Olaf, Wienecke Heiner, van de Wal Henry J C M, Jakob Heinz G
Department of Cardiothoracic Surgery, University Hospital Essen, Germany.
Herz. 2003 Aug;28(5):453-6. doi: 10.1007/s00059-003-2359-1.
A 70-year-old patient with two-vessel disease and moderately reduced left ventricular function after a recent myocardial infarction was admitted for a routine coronary artery bypass grafting (CABG) procedure. During anesthetic induction, he became unstable and cardiopulmonary bypass had to be instituted urgently. Despite good bypass flows, the patient died in myocardial failure shortly after surgery. At autopsy, besides severe atherosclerotic coronary artery disease, cardiac and pulmonary amyloidosis were found.
一名70岁患者，患有双支血管病变，近期心肌梗死后左心室功能中度降低，因常规冠状动脉旁路移植术（CABG）入院。在麻醉诱导期间，他病情不稳定，不得不紧急进行体外循环。尽管体外循环血流良好，但患者术后不久死于心肌衰竭。尸检时，除了严重的动脉粥样硬化性冠状动脉疾病外，还发现了心脏和肺部淀粉样变性。
