从 Vineberg 手术到搭桥手术：一条“二手”的胸廓内动脉。

From Vineberg to bypass: a "second-hand" internal mammary artery.

作者信息

Glock Y, Girbet G, Delisle M B, Ossegueda-Ortega R, Bertrand N, Baudouin S C

机构信息

Department of Cardiovascular Surgery, Rangueil University Hospital, Toulouse, France.

出版信息

J Cardiovasc Surg (Torino). 1992 Jul-Aug;33(4):502-4.

PMID:1356110

Abstract

A patient operated upon 20 years ago for myocardial revascularization with two Vineberg procedures and one coronary artery bypass graft (CABG) on the right coronary artery had a recurrence of unstable angina due to the thrombosis of the left internal mammary artery (IMA) and the right CABG. The right IMA was patent but stenosed distally. Reoperation was performed with a direct end to side anastomosis of the patent right IMA onto the left anterior descending artery and a saphenous vein graft as a CABG on the marginal branch. We comment on the choice of this "second hand" IMA graft and the pathological appearances of the patent IMA.

摘要

一名患者20年前接受了两次 Vineberg 手术和一次右冠状动脉冠状动脉旁路移植术（CABG）进行心肌血运重建，现因左乳内动脉（IMA）和右CABG血栓形成导致不稳定型心绞痛复发。右侧IMA通畅但远端狭窄。再次手术时，将通畅的右侧IMA与左前降支进行了直接端侧吻合，并使用大隐静脉移植作为边缘支的CABG。我们对这种“二手”IMA移植物的选择以及通畅的IMA的病理表现进行了评论。